| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,876 |
3,202 |
$377K |
| 85025 |
|
6,221 |
4,500 |
$333K |
| 80053 |
|
4,930 |
3,835 |
$314K |
| 36415 |
|
5,196 |
3,695 |
$243K |
| 94760 |
|
5,398 |
4,720 |
$240K |
| A9270 |
Non-covered item or service |
3,011 |
2,118 |
$211K |
| 80307 |
|
1,513 |
996 |
$188K |
| 99282 |
|
2,424 |
2,177 |
$182K |
| 99284 |
|
1,295 |
1,033 |
$168K |
| 93005 |
|
1,883 |
1,313 |
$153K |
| J2405 |
Ondansetron hcl injection |
1,438 |
934 |
$139K |
| 96372 |
|
1,601 |
1,242 |
$131K |
| J7030 |
Normal saline solution infus |
1,203 |
871 |
$131K |
| 96374 |
|
1,553 |
1,252 |
$112K |
| J3490 |
Drugs unclassified injection |
503 |
315 |
$103K |
| J1885 |
Ketorolac tromethamine inj |
1,112 |
828 |
$99K |
| J2704 |
Inj, propofol, 10 mg |
488 |
386 |
$96K |
| J3010 |
Fentanyl citrate injection |
359 |
217 |
$91K |
| 96375 |
|
1,352 |
944 |
$90K |
| 84443 |
|
1,729 |
1,489 |
$89K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
801 |
652 |
$87K |
| 83690 |
|
1,022 |
815 |
$85K |
| 81001 |
|
1,628 |
1,346 |
$83K |
| J2270 |
Morphine sulfate injection |
898 |
543 |
$76K |
| 84484 |
|
1,200 |
751 |
$74K |
| 99281 |
|
1,579 |
1,428 |
$74K |
| 80048 |
|
1,358 |
1,030 |
$72K |
| 71046 |
|
937 |
797 |
$71K |
| 80061 |
|
1,010 |
891 |
$67K |
| 74177 |
|
344 |
273 |
$63K |
| 81025 |
|
716 |
592 |
$62K |
| 81003 |
|
1,092 |
937 |
$61K |
| 96365 |
|
650 |
448 |
$59K |
| J1100 |
Dexamethasone sodium phos |
523 |
395 |
$58K |
| 70450 |
|
448 |
375 |
$56K |
| 71045 |
|
820 |
659 |
$54K |
| 94761 |
|
865 |
694 |
$53K |
| G0378 |
Hospital observation per hr |
301 |
138 |
$49K |
| 87086 |
|
808 |
676 |
$46K |
| 83735 |
|
472 |
360 |
$46K |
| 82550 |
|
572 |
432 |
$45K |
| 85027 |
|
1,017 |
767 |
$45K |
| 88305 |
|
225 |
184 |
$42K |
| 96376 |
|
237 |
168 |
$38K |
| 85610 |
|
674 |
506 |
$37K |
| 87040 |
|
468 |
211 |
$34K |
| 83605 |
|
422 |
310 |
$34K |
| G0480 |
Drug test def 1-7 classes |
298 |
203 |
$33K |
| 80076 |
|
339 |
284 |
$32K |
| Q0162 |
Ondansetron oral |
308 |
228 |
$32K |
| 73630 |
|
283 |
237 |
$31K |
| 83036 |
|
562 |
502 |
$29K |
| 84703 |
|
485 |
387 |
$29K |
| 99285 |
|
165 |
112 |
$29K |
| 73610 |
|
174 |
135 |
$28K |
| 82553 |
|
440 |
334 |
$28K |
| 80074 |
|
486 |
442 |
$28K |
| 88142 |
|
307 |
257 |
$23K |
| J0690 |
Cefazolin sodium injection |
79 |
41 |
$23K |
| 86850 |
|
290 |
235 |
$22K |
| 86901 |
|
291 |
236 |
$21K |
| 86900 |
|
291 |
236 |
$21K |
| 74176 |
|
133 |
113 |
$21K |
| 85730 |
|
358 |
276 |
$20K |
| 94640 |
|
389 |
282 |
$20K |
| 87491 |
|
298 |
251 |
$20K |
| 87591 |
|
300 |
252 |
$20K |
| J1200 |
Diphenhydramine hcl injectio |
516 |
302 |
$20K |
| J2550 |
Promethazine hcl injection |
55 |
26 |
$19K |
| 73130 |
|
172 |
142 |
$16K |
| G0463 |
Hospital outpt clinic visit |
155 |
93 |
$16K |
| 82607 |
|
230 |
201 |
$16K |
| 82306 |
|
173 |
141 |
$15K |
| 73560 |
|
88 |
71 |
$14K |
| 86780 |
|
408 |
370 |
$13K |
| 77067 |
|
38 |
34 |
$13K |
| 87186 |
|
232 |
177 |
$12K |
| 97110 |
|
219 |
60 |
$12K |
| 84439 |
|
130 |
121 |
$11K |
| 87389 |
|
217 |
197 |
$11K |
| 73030 |
|
125 |
99 |
$10K |
| 96360 |
|
117 |
99 |
$10K |
| 96361 |
|
154 |
117 |
$10K |
| 96367 |
|
162 |
90 |
$10K |
| 87081 |
|
306 |
250 |
$9K |
| 87880 |
|
288 |
239 |
$8K |
| 87077 |
|
144 |
123 |
$8K |
| 85651 |
|
128 |
102 |
$8K |
| 59025 |
|
79 |
26 |
$7K |
| 76705 |
|
48 |
43 |
$7K |
| 87804 |
|
105 |
67 |
$7K |
| 72125 |
|
52 |
48 |
$7K |
| 83880 |
|
77 |
64 |
$7K |
| 93306 |
|
17 |
14 |
$7K |
| 76830 |
|
29 |
26 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
83 |
61 |
$6K |
| 90471 |
|
48 |
39 |
$5K |
| 73562 |
|
43 |
41 |
$5K |
| 87147 |
|
151 |
124 |
$5K |
| 71275 |
|
28 |
28 |
$5K |
| J7512 |
Prednisone ir or dr oral 1mg |
101 |
75 |
$5K |
| 82728 |
|
132 |
118 |
$5K |
| J0780 |
Prochlorperazine injection |
66 |
51 |
$5K |
| 86803 |
|
45 |
39 |
$4K |
| 87799 |
|
63 |
53 |
$4K |
| 84550 |
|
66 |
53 |
$4K |
| 87512 |
|
63 |
53 |
$4K |
| 87481 |
|
63 |
53 |
$4K |
| 87661 |
|
63 |
53 |
$4K |
| 82043 |
|
46 |
40 |
$4K |
| 82565 |
|
85 |
69 |
$4K |
| J2930 |
Methylprednisolone injection |
64 |
51 |
$4K |
| 76856 |
|
12 |
12 |
$4K |
| 88342 |
|
43 |
36 |
$4K |
| 73502 |
|
37 |
36 |
$4K |
| J1170 |
Hydromorphone injection |
31 |
16 |
$3K |
| 84520 |
|
48 |
39 |
$3K |
| 84702 |
|
17 |
14 |
$3K |
| 83615 |
|
33 |
28 |
$3K |
| 95886 |
|
14 |
14 |
$3K |
| 96366 |
|
53 |
29 |
$3K |
| 73110 |
|
27 |
25 |
$3K |
| 72110 |
|
31 |
28 |
$2K |
| 71260 |
|
15 |
13 |
$1K |
| 76816 |
|
16 |
12 |
$1K |
| 83540 |
|
18 |
14 |
$1K |
| 76801 |
|
18 |
13 |
$1K |
| 84460 |
|
16 |
15 |
$1K |
| 82746 |
|
29 |
28 |
$1K |
| 85379 |
|
13 |
13 |
$977.82 |
| 86038 |
|
29 |
26 |
$910.07 |
| 86140 |
|
16 |
12 |
$774.96 |
| 82150 |
|
12 |
12 |
$660.03 |
| 83550 |
|
13 |
12 |
$485.03 |
| 83655 |
|
18 |
17 |
$242.26 |
| J7050 |
Normal saline solution infus |
18 |
12 |
$180.34 |
| 85018 |
|
13 |
12 |
$142.21 |
| J1720 |
Hydrocortisone sodium succ i |
25 |
12 |
$0.00 |