| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
31,125 |
27,921 |
$1.54M |
| 99283 |
|
18,231 |
16,876 |
$944K |
| 80307 |
|
10,136 |
9,521 |
$620K |
| 70450 |
|
4,043 |
3,947 |
$505K |
| 96374 |
|
7,402 |
7,010 |
$473K |
| 74177 |
|
1,753 |
1,708 |
$386K |
| 74176 |
|
2,636 |
2,565 |
$280K |
| 96372 |
|
8,837 |
8,197 |
$279K |
| 99070 |
|
22,895 |
12,141 |
$250K |
| 96361 |
|
5,052 |
4,692 |
$245K |
| 80053 |
|
18,284 |
16,920 |
$237K |
| 96365 |
|
2,782 |
2,677 |
$218K |
| 96375 |
|
5,202 |
4,624 |
$210K |
| 85025 |
|
20,279 |
18,563 |
$190K |
| G0480 |
Drug test def 1-7 classes |
2,033 |
1,931 |
$160K |
| 84484 |
|
9,656 |
8,663 |
$132K |
| 99499 |
|
2,141 |
1,951 |
$129K |
| 0360 |
|
1,113 |
545 |
$116K |
| Z7502 |
|
3,212 |
3,106 |
$107K |
| 72125 |
|
631 |
624 |
$102K |
| 71045 |
|
8,536 |
8,197 |
$95K |
| 96366 |
|
1,091 |
992 |
$91K |
| 96360 |
|
1,090 |
1,078 |
$73K |
| 81001 |
|
15,841 |
15,023 |
$71K |
| J3490 |
Drugs unclassified injection |
22,444 |
10,741 |
$71K |
| 82330 |
|
3,155 |
3,038 |
$71K |
| 87635 |
|
1,317 |
1,278 |
$70K |
| 93005 |
|
2,468 |
2,363 |
$66K |
| 83690 |
|
7,053 |
6,634 |
$62K |
| 76705 |
|
989 |
951 |
$55K |
| 71046 |
|
2,318 |
2,255 |
$55K |
| 83880 |
|
2,459 |
2,355 |
$52K |
| 83605 |
|
2,858 |
2,505 |
$45K |
| 99284 |
|
620 |
594 |
$44K |
| 85730 |
|
6,060 |
5,806 |
$40K |
| 87040 |
|
1,757 |
1,623 |
$39K |
| 99285 |
|
372 |
362 |
$39K |
| 81025 |
|
5,458 |
5,222 |
$38K |
| J7030 |
Normal saline solution infus |
9,071 |
7,954 |
$34K |
| 94640 |
|
1,553 |
1,399 |
$33K |
| 82947 |
|
4,497 |
4,106 |
$33K |
| 85610 |
|
6,906 |
6,595 |
$29K |
| 87088 |
|
4,210 |
4,014 |
$28K |
| 87070 |
|
1,700 |
1,611 |
$22K |
| 84703 |
|
1,730 |
1,689 |
$21K |
| 82565 |
|
3,027 |
2,914 |
$20K |
| 87186 |
|
1,790 |
1,723 |
$20K |
| 84132 |
|
3,060 |
2,940 |
$20K |
| 84295 |
|
3,025 |
2,909 |
$20K |
| 82435 |
|
3,027 |
2,914 |
$19K |
| 83735 |
|
2,528 |
2,391 |
$19K |
| 84520 |
|
3,031 |
2,917 |
$18K |
| 71250 |
|
97 |
97 |
$17K |
| 73610 |
|
649 |
628 |
$16K |
| 80048 |
|
1,657 |
1,560 |
$16K |
| 73630 |
|
629 |
616 |
$15K |
| 76856 |
|
222 |
220 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
7,317 |
6,931 |
$14K |
| 73130 |
|
524 |
507 |
$14K |
| 87086 |
|
1,695 |
1,630 |
$13K |
| 87077 |
|
2,100 |
2,021 |
$13K |
| 74178 |
|
50 |
46 |
$11K |
| 84702 |
|
657 |
597 |
$10K |
| 0710 |
|
371 |
361 |
$10K |
| 85014 |
|
2,995 |
2,883 |
$10K |
| Z7610 |
|
1,223 |
583 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
3,816 |
3,576 |
$9K |
| 82150 |
|
1,041 |
991 |
$9K |
| 72131 |
|
65 |
65 |
$9K |
| 87804 |
|
1,055 |
1,023 |
$8K |
| 87491 |
|
237 |
229 |
$8K |
| 73564 |
|
300 |
293 |
$8K |
| 87591 |
|
246 |
237 |
$8K |
| J2930 |
Methylprednisolone injection |
1,184 |
1,117 |
$7K |
| 76830 |
|
105 |
104 |
$7K |
| 84443 |
|
351 |
345 |
$7K |
| 87880 |
|
538 |
530 |
$6K |
| 0202U |
|
16 |
16 |
$6K |
| 73110 |
|
208 |
204 |
$6K |
| 81003 |
|
2,040 |
1,911 |
$6K |
| J2270 |
Morphine sulfate injection |
1,466 |
1,223 |
$6K |
| 73030 |
|
252 |
241 |
$6K |
| 93971 |
|
57 |
50 |
$6K |
| J1170 |
Hydromorphone injection |
1,091 |
721 |
$5K |
| J2405 |
Ondansetron hcl injection |
5,024 |
4,601 |
$5K |
| 76801 |
|
62 |
54 |
$4K |
| 90715 |
|
97 |
96 |
$4K |
| 76815 |
|
26 |
24 |
$3K |
| J7120 |
Ringers lactate infusion |
664 |
488 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,772 |
1,678 |
$3K |
| 86756 |
|
160 |
157 |
$3K |
| 71275 |
|
14 |
14 |
$3K |
| 72100 |
|
87 |
87 |
$2K |
| 85379 |
|
170 |
169 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
282 |
256 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| 90471 |
|
417 |
414 |
$2K |
| J0690 |
Cefazolin sodium injection |
772 |
515 |
$2K |
| J2060 |
Lorazepam injection |
870 |
720 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,007 |
905 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,913 |
1,795 |
$2K |
| 74018 |
|
76 |
76 |
$1K |
| 82550 |
|
170 |
165 |
$1K |
| 82140 |
|
96 |
96 |
$1K |
| 29125 |
|
89 |
88 |
$1K |
| J7050 |
Normal saline solution infus |
742 |
588 |
$1K |
| 36415 |
|
2,870 |
2,527 |
$996.79 |
| J3010 |
Fentanyl citrate injection |
636 |
513 |
$909.71 |
| J2001 |
Lidocaine injection |
1,123 |
1,009 |
$898.74 |
| 59025 |
|
50 |
38 |
$748.50 |
| J7060 |
5% dextrose/water |
388 |
363 |
$670.31 |
| 0250 |
|
1,033 |
355 |
$621.76 |
| 73090 |
|
27 |
26 |
$570.72 |
| J2765 |
Metoclopramide hcl injection |
394 |
379 |
$565.64 |
| 74022 |
|
13 |
13 |
$499.59 |
| 80076 |
|
82 |
82 |
$468.12 |
| 12001 |
|
14 |
14 |
$457.17 |
| J2919 |
Inj, methylpred sod succ 5mg |
65 |
64 |
$407.47 |
| 82803 |
|
31 |
30 |
$369.07 |
| 29515 |
|
26 |
26 |
$367.58 |
| J2250 |
Inj midazolam hydrochloride |
532 |
506 |
$361.94 |
| A0429 |
Bls-emergency |
16 |
15 |
$347.20 |
| 0270 |
|
241 |
132 |
$336.05 |
| 86901 |
|
87 |
80 |
$318.34 |
| 71020 |
|
12 |
12 |
$289.67 |
| J2704 |
Inj, propofol, 10 mg |
435 |
408 |
$288.36 |
| 71010 |
|
13 |
12 |
$266.70 |
| 86900 |
|
88 |
80 |
$258.93 |
| J7040 |
Normal saline solution infus |
131 |
124 |
$253.07 |
| S0164 |
Injection pantroprazole |
26 |
24 |
$202.78 |
| J3475 |
Inj magnesium sulfate |
121 |
118 |
$182.66 |
| S0077 |
Injection, clindamycin phosp |
25 |
25 |
$126.84 |
| 80320 |
|
172 |
161 |
$121.68 |
| J2920 |
Methylprednisolone injection |
12 |
12 |
$108.40 |
| J1630 |
Haloperidol injection |
71 |
63 |
$105.53 |
| J2470 |
Inj pantoprazole sodium 40mg |
23 |
22 |
$92.87 |
| J2550 |
Promethazine hcl injection |
29 |
29 |
$81.69 |
| 86850 |
|
15 |
14 |
$40.56 |
| 85651 |
|
14 |
14 |
$28.40 |
| J0131 |
Inj, acetaminophen (nos) |
16 |
15 |
$0.98 |
| 96376 |
|
67 |
52 |
$0.00 |
| 80329 |
|
38 |
35 |
$0.00 |