| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,091 |
7,682 |
$1.79M |
| 99284 |
|
6,943 |
6,521 |
$1.50M |
| 99285 |
|
512 |
490 |
$102K |
| G0378 |
Hospital observation per hr |
19 |
19 |
$41K |
| 77067 |
|
119 |
112 |
$27K |
| 99281 |
|
184 |
157 |
$22K |
| 93005 |
|
3,257 |
2,921 |
$13K |
| 77063 |
|
118 |
111 |
$11K |
| 99282 |
|
114 |
111 |
$11K |
| 76642 |
|
52 |
48 |
$11K |
| 0241U |
|
1,033 |
949 |
$9K |
| 76856 |
|
25 |
24 |
$3K |
| 80053 |
|
1,885 |
1,742 |
$3K |
| 85025 |
|
3,878 |
3,424 |
$2K |
| 84484 |
|
1,949 |
1,636 |
$1K |
| Q0092 |
Set up port xray equipment |
1,063 |
1,010 |
$1K |
| 81025 |
|
1,041 |
965 |
$1K |
| 71045 |
|
1,143 |
1,072 |
$1K |
| 74177 |
|
71 |
68 |
$981.72 |
| 76830 |
|
12 |
12 |
$975.14 |
| 80048 |
|
938 |
818 |
$907.43 |
| 81001 |
|
802 |
748 |
$879.65 |
| 96374 |
|
416 |
402 |
$813.17 |
| 96372 |
|
567 |
539 |
$612.83 |
| 70450 |
|
91 |
90 |
$444.09 |
| 83735 |
|
757 |
634 |
$258.34 |
| 71046 |
|
89 |
89 |
$155.91 |
| 73610 |
|
17 |
16 |
$100.38 |
| 73130 |
|
26 |
25 |
$61.88 |
| 83690 |
|
494 |
468 |
$57.00 |
| 96361 |
|
181 |
155 |
$25.20 |
| 96375 |
|
119 |
116 |
$18.21 |
| 87591 |
|
150 |
142 |
$15.85 |
| 87491 |
|
150 |
142 |
$15.85 |
| 87210 |
|
78 |
69 |
$1.06 |
| 82948 |
|
129 |
98 |
$1.00 |
| J1885 |
Ketorolac tromethamine inj |
2,137 |
1,870 |
$0.86 |
| J2405 |
Ondansetron hcl injection |
1,235 |
1,004 |
$0.60 |
| J3490 |
Drugs unclassified injection |
2,108 |
1,458 |
$0.04 |
| J7512 |
Prednisone ir or dr oral 1mg |
857 |
528 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
425 |
338 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
402 |
336 |
$0.00 |
| J2001 |
Lidocaine injection |
129 |
113 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
494 |
357 |
$0.00 |
| J1170 |
Hydromorphone injection |
231 |
125 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
357 |
316 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
13 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
259 |
194 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
203 |
193 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
284 |
251 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
437 |
362 |
$0.00 |
| J2060 |
Lorazepam injection |
15 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
350 |
293 |
$0.00 |
| 87070 |
|
50 |
46 |
$0.00 |
| 87086 |
|
48 |
45 |
$0.00 |
| Q0162 |
Ondansetron oral |
142 |
137 |
$0.00 |
| 83605 |
|
17 |
14 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
56 |
26 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| 84703 |
|
17 |
16 |
$0.00 |
| J3480 |
Inj potassium chloride |
21 |
13 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
349 |
261 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
329 |
276 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
127 |
107 |
$0.00 |
| J2270 |
Morphine sulfate injection |
136 |
112 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
32 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
100 |
90 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,009 |
938 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
29 |
14 |
$0.00 |
| 87880 |
|
47 |
45 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
117 |
66 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
55 |
49 |
$0.00 |
| 85610 |
|
14 |
13 |
$0.00 |
| 84702 |
|
43 |
34 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
71 |
69 |
$0.00 |