| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,232 |
695 |
$62K |
| 99284 |
|
645 |
364 |
$10K |
| D7140 |
|
480 |
90 |
$5K |
| 41899 |
|
560 |
315 |
$2K |
| D0272 |
|
71 |
40 |
$1K |
| D2930 |
|
2,819 |
293 |
$1K |
| D2934 |
|
399 |
70 |
$838.25 |
| 96374 |
|
264 |
143 |
$766.68 |
| 87804 |
|
418 |
221 |
$668.20 |
| D3220 |
|
1,982 |
289 |
$632.32 |
| 94640 |
|
241 |
125 |
$467.97 |
| 99285 |
|
156 |
83 |
$426.05 |
| 96372 |
|
407 |
228 |
$389.20 |
| D2391 |
|
163 |
31 |
$341.60 |
| D0220 |
|
99 |
55 |
$205.27 |
| 96361 |
|
159 |
82 |
$189.84 |
| 96375 |
|
125 |
61 |
$189.84 |
| 87880 |
|
276 |
157 |
$119.04 |
| 85025 |
|
833 |
459 |
$91.94 |
| 71046 |
|
23 |
13 |
$50.72 |
| 93005 |
|
226 |
123 |
$45.51 |
| 80053 |
|
759 |
411 |
$43.45 |
| 99281 |
|
116 |
72 |
$41.77 |
| 80048 |
|
144 |
79 |
$33.84 |
| D1120 |
|
176 |
103 |
$30.12 |
| D1206 |
|
188 |
109 |
$22.42 |
| 87086 |
|
216 |
126 |
$17.94 |
| 84703 |
|
185 |
107 |
$15.04 |
| 87807 |
|
86 |
51 |
$11.99 |
| 81003 |
|
516 |
294 |
$11.20 |
| 87040 |
|
26 |
12 |
$10.32 |
| J3490 |
Drugs unclassified injection |
249 |
125 |
$0.22 |
| J2405 |
Ondansetron hcl injection |
1,509 |
536 |
$0.00 |
| 96360 |
|
56 |
30 |
$0.00 |
| 87653 |
|
27 |
15 |
$0.00 |
| 86900 |
|
21 |
15 |
$0.00 |
| 84702 |
|
124 |
71 |
$0.00 |
| 80307 |
|
179 |
97 |
$0.00 |
| J2270 |
Morphine sulfate injection |
44 |
26 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
25 |
12 |
$0.00 |
| 70450 |
|
33 |
17 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
24 |
15 |
$0.00 |
| 99212 |
|
19 |
14 |
$0.00 |
| 80061 |
|
59 |
34 |
$0.00 |
| 87186 |
|
23 |
15 |
$0.00 |
| D9999 |
|
579 |
315 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
839 |
474 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
750 |
433 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
616 |
277 |
$0.00 |
| 84484 |
|
114 |
58 |
$0.00 |
| 71045 |
|
211 |
111 |
$0.00 |
| 81001 |
|
29 |
16 |
$0.00 |
| 87389 |
|
43 |
29 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
57 |
27 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
974 |
465 |
$0.00 |
| 83690 |
|
18 |
12 |
$0.00 |
| 85027 |
|
206 |
127 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
109 |
41 |
$0.00 |
| 83735 |
|
70 |
34 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
86 |
35 |
$0.00 |
| 59050 |
|
20 |
13 |
$0.00 |
| 86592 |
|
42 |
29 |
$0.00 |
| 94760 |
|
43 |
24 |
$0.00 |
| 87081 |
|
17 |
12 |
$0.00 |
| 86901 |
|
21 |
15 |
$0.00 |
| 83036 |
|
23 |
12 |
$0.00 |
| 86850 |
|
18 |
13 |
$0.00 |
| D0230 |
|
25 |
12 |
$0.00 |
| 96365 |
|
27 |
17 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
36 |
15 |
$0.00 |