| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,538 |
16,499 |
$1.08M |
| 0450 |
|
20,834 |
19,443 |
$1.07M |
| 99284 |
|
9,015 |
7,999 |
$870K |
| 99281 |
|
4,449 |
4,121 |
$659K |
| 74176 |
|
3,585 |
1,815 |
$402K |
| 87635 |
|
7,652 |
7,431 |
$364K |
| 99199 |
|
6,936 |
6,448 |
$352K |
| 70450 |
|
2,751 |
1,422 |
$319K |
| 80053 |
|
20,165 |
19,066 |
$245K |
| 96374 |
|
3,371 |
3,214 |
$242K |
| 77067 |
|
3,115 |
1,892 |
$239K |
| 96372 |
|
8,060 |
7,360 |
$191K |
| 93005 |
|
6,245 |
5,994 |
$178K |
| 74177 |
|
722 |
360 |
$175K |
| 76700 |
|
2,153 |
1,106 |
$170K |
| 85025 |
|
17,770 |
16,905 |
$151K |
| 99285 |
|
1,080 |
938 |
$130K |
| 84443 |
|
6,185 |
6,119 |
$117K |
| 71046 |
|
5,511 |
2,777 |
$113K |
| 97110 |
|
5,115 |
1,525 |
$110K |
| 96365 |
|
896 |
873 |
$103K |
| 77063 |
|
2,763 |
1,676 |
$102K |
| 96375 |
|
2,308 |
2,185 |
$98K |
| 0360 |
|
600 |
574 |
$89K |
| 71045 |
|
6,636 |
3,348 |
$88K |
| A4217 |
Sterile water/saline, 500 ml |
12,950 |
12,289 |
$87K |
| 80061 |
|
6,032 |
6,009 |
$78K |
| 72125 |
|
362 |
185 |
$74K |
| 82306 |
|
2,889 |
2,873 |
$70K |
| 80306 |
|
4,122 |
4,021 |
$66K |
| 97140 |
|
1,700 |
568 |
$65K |
| 83036 |
|
6,015 |
5,984 |
$65K |
| Z7502 |
|
1,602 |
1,575 |
$60K |
| 76856 |
|
534 |
267 |
$58K |
| 73564 |
|
2,174 |
1,110 |
$54K |
| 96360 |
|
543 |
526 |
$53K |
| 96361 |
|
1,892 |
1,818 |
$51K |
| 97112 |
|
2,941 |
914 |
$51K |
| 73630 |
|
1,805 |
905 |
$43K |
| 84484 |
|
4,246 |
3,894 |
$42K |
| 83880 |
|
1,529 |
1,439 |
$42K |
| 84439 |
|
3,883 |
3,859 |
$40K |
| 87804 |
|
4,169 |
4,103 |
$38K |
| 81001 |
|
8,764 |
8,470 |
$36K |
| 83605 |
|
3,289 |
3,117 |
$36K |
| 99070 |
|
2,145 |
2,029 |
$32K |
| 73610 |
|
1,334 |
674 |
$32K |
| 73030 |
|
1,266 |
646 |
$32K |
| 81025 |
|
4,937 |
4,792 |
$31K |
| 83690 |
|
3,887 |
3,713 |
$31K |
| J1885 |
Ketorolac tromethamine inj |
5,843 |
5,429 |
$29K |
| 73130 |
|
1,054 |
537 |
$27K |
| 99282 |
|
586 |
560 |
$22K |
| 82746 |
|
1,293 |
1,291 |
$20K |
| 87086 |
|
2,696 |
2,591 |
$20K |
| 87880 |
|
1,821 |
1,809 |
$19K |
| 72131 |
|
54 |
27 |
$19K |
| J2405 |
Ondansetron hcl injection |
3,863 |
3,560 |
$18K |
| 94640 |
|
923 |
837 |
$18K |
| 76830 |
|
131 |
65 |
$17K |
| 72110 |
|
613 |
316 |
$16K |
| 85379 |
|
1,347 |
1,315 |
$15K |
| 85730 |
|
2,285 |
2,230 |
$14K |
| 73110 |
|
581 |
314 |
$14K |
| 85027 |
|
2,071 |
1,959 |
$14K |
| 87040 |
|
1,343 |
1,210 |
$13K |
| 83540 |
|
1,963 |
1,957 |
$12K |
| 83735 |
|
1,656 |
1,548 |
$12K |
| J1741 |
Ibuprofen injection |
1,488 |
1,467 |
$12K |
| 0270 |
|
335 |
319 |
$11K |
| 85610 |
|
2,491 |
2,378 |
$10K |
| 82607 |
|
1,350 |
1,347 |
$9K |
| 87491 |
|
280 |
279 |
$9K |
| 71250 |
|
82 |
43 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
1,655 |
1,534 |
$9K |
| 45380 |
|
153 |
153 |
$8K |
| 90715 |
|
210 |
208 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
1,108 |
1,072 |
$8K |
| 96367 |
|
41 |
39 |
$8K |
| 82043 |
|
1,229 |
1,227 |
$8K |
| 87807 |
|
825 |
809 |
$7K |
| 96366 |
|
123 |
122 |
$7K |
| 76641 |
|
52 |
26 |
$7K |
| J2270 |
Morphine sulfate injection |
874 |
787 |
$7K |
| 72100 |
|
214 |
110 |
$7K |
| G0279 |
Tomosynthesis, mammo |
130 |
67 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
950 |
934 |
$7K |
| 82150 |
|
936 |
911 |
$7K |
| 85007 |
|
2,038 |
1,936 |
$6K |
| 84466 |
|
645 |
644 |
$5K |
| 74018 |
|
248 |
124 |
$5K |
| 76705 |
|
126 |
64 |
$5K |
| 85652 |
|
1,670 |
1,643 |
$5K |
| J2001 |
Lidocaine injection |
1,003 |
964 |
$5K |
| 0250 |
|
233 |
215 |
$4K |
| 81002 |
|
1,425 |
1,357 |
$4K |
| 97530 |
|
174 |
88 |
$4K |
| 00811 |
|
62 |
62 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,303 |
1,276 |
$3K |
| 82948 |
|
681 |
593 |
$2K |
| 93306 |
|
23 |
12 |
$2K |
| J1100 |
Dexamethasone sodium phos |
376 |
367 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
330 |
315 |
$2K |
| J3490 |
Drugs unclassified injection |
117 |
108 |
$2K |
| 84153 |
|
80 |
80 |
$2K |
| 99291 |
|
18 |
12 |
$2K |
| 82626 |
|
40 |
39 |
$1K |
| 81003 |
|
2,386 |
2,307 |
$1K |
| J3010 |
Fentanyl citrate injection |
226 |
221 |
$1K |
| 76642 |
|
24 |
12 |
$975.60 |
| 72050 |
|
47 |
24 |
$943.16 |
| 96368 |
|
15 |
15 |
$808.20 |
| 84100 |
|
189 |
177 |
$785.28 |
| J2704 |
Inj, propofol, 10 mg |
163 |
159 |
$759.00 |
| 43239 |
|
13 |
13 |
$681.99 |
| 84588 |
|
13 |
12 |
$603.47 |
| 88312 |
|
12 |
12 |
$572.18 |
| J2765 |
Metoclopramide hcl injection |
102 |
98 |
$555.03 |
| 97014 |
|
41 |
14 |
$550.22 |
| 73080 |
|
30 |
15 |
$547.14 |
| J2060 |
Lorazepam injection |
97 |
88 |
$533.28 |
| 87186 |
|
143 |
137 |
$516.47 |
| 80048 |
|
52 |
47 |
$497.40 |
| J1170 |
Hydromorphone injection |
60 |
55 |
$495.74 |
| 73090 |
|
30 |
15 |
$394.40 |
| 36415 |
|
8,382 |
7,843 |
$338.53 |
| 87070 |
|
38 |
36 |
$319.83 |
| J1071 |
Inj testosterone cypionate |
38 |
28 |
$164.20 |
| J2250 |
Inj midazolam hydrochloride |
38 |
32 |
$125.28 |
| 86376 |
|
13 |
12 |
$120.67 |
| J7030 |
Normal saline solution infus |
15 |
14 |
$109.78 |
| 84436 |
|
12 |
12 |
$99.18 |
| 86430 |
|
12 |
12 |
$89.88 |
| J2550 |
Promethazine hcl injection |
14 |
13 |
$88.50 |
| 84481 |
|
12 |
12 |
$85.25 |
| J3420 |
Vitamin b12 injection |
13 |
12 |
$84.97 |
| 82550 |
|
14 |
12 |
$74.84 |
| 86140 |
|
13 |
13 |
$68.07 |
| 90471 |
|
16 |
16 |
$67.88 |
| 86038 |
|
13 |
13 |
$67.20 |
| 87088 |
|
45 |
42 |
$54.69 |
| 94760 |
|
14 |
12 |
$49.16 |
| 97161 |
|
13 |
13 |
$0.00 |
| 0250R |
|
51 |
46 |
$0.00 |
| 97166 |
|
14 |
14 |
$0.00 |