| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,414 |
12,380 |
$1.49M |
| 99284 |
|
4,103 |
3,759 |
$834K |
| 99282 |
|
8,384 |
7,960 |
$692K |
| 69436 |
|
195 |
188 |
$220K |
| 0202U |
|
879 |
834 |
$200K |
| 92507 |
|
2,825 |
947 |
$133K |
| 42820 |
|
87 |
82 |
$127K |
| 99285 |
|
551 |
517 |
$117K |
| 96374 |
|
3,755 |
3,422 |
$113K |
| 85025 |
|
17,571 |
15,862 |
$66K |
| 59025 |
|
1,016 |
731 |
$56K |
| 80053 |
|
16,841 |
15,361 |
$44K |
| 71045 |
|
5,938 |
5,375 |
$39K |
| 99281 |
|
695 |
649 |
$38K |
| 97597 |
|
747 |
431 |
$36K |
| 84484 |
|
4,152 |
3,455 |
$35K |
| 87428 |
|
636 |
588 |
$25K |
| 96375 |
|
1,790 |
1,606 |
$24K |
| G0378 |
Hospital observation per hr |
121 |
103 |
$22K |
| 36415 |
|
19,083 |
15,121 |
$21K |
| 80307 |
|
573 |
490 |
$18K |
| 93005 |
|
6,350 |
5,542 |
$18K |
| 11042 |
|
153 |
108 |
$9K |
| 76856 |
|
152 |
144 |
$7K |
| 99211 |
|
698 |
518 |
$6K |
| 76805 |
|
90 |
83 |
$5K |
| 94761 |
|
3,237 |
2,982 |
$5K |
| G0463 |
Hospital outpt clinic visit |
756 |
487 |
$5K |
| 96361 |
|
353 |
318 |
$5K |
| 70450 |
|
134 |
126 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,044 |
1,857 |
$4K |
| 76830 |
|
71 |
67 |
$3K |
| 74177 |
|
44 |
38 |
$3K |
| 99291 |
|
13 |
12 |
$3K |
| 94375 |
|
146 |
136 |
$3K |
| 96372 |
|
469 |
421 |
$3K |
| 83690 |
|
822 |
758 |
$3K |
| 83880 |
|
463 |
402 |
$3K |
| 71260 |
|
38 |
36 |
$2K |
| 81025 |
|
821 |
763 |
$2K |
| 83735 |
|
646 |
578 |
$2K |
| 76816 |
|
40 |
39 |
$2K |
| 71046 |
|
90 |
86 |
$2K |
| 81001 |
|
2,740 |
2,517 |
$2K |
| 85610 |
|
1,082 |
977 |
$1K |
| 87880 |
|
230 |
222 |
$1K |
| 81003 |
|
2,642 |
2,442 |
$1K |
| 86900 |
|
56 |
52 |
$1K |
| 0598T |
|
41 |
39 |
$1K |
| 87400 |
|
607 |
570 |
$1K |
| 76820 |
|
26 |
25 |
$1K |
| 85730 |
|
561 |
500 |
$1K |
| 94729 |
|
118 |
111 |
$969.18 |
| 78452 |
|
14 |
12 |
$861.33 |
| 96365 |
|
27 |
26 |
$777.28 |
| 82150 |
|
243 |
226 |
$686.59 |
| 80048 |
|
427 |
390 |
$685.45 |
| 86850 |
|
57 |
53 |
$635.22 |
| 87635 |
|
13 |
13 |
$615.72 |
| 87081 |
|
133 |
128 |
$593.69 |
| 83605 |
|
119 |
101 |
$536.96 |
| 94727 |
|
73 |
66 |
$512.70 |
| 74018 |
|
59 |
51 |
$439.57 |
| 84145 |
|
60 |
56 |
$438.21 |
| 74176 |
|
14 |
12 |
$427.76 |
| 87040 |
|
97 |
52 |
$419.68 |
| 84443 |
|
73 |
67 |
$383.76 |
| 82553 |
|
262 |
233 |
$376.99 |
| 82950 |
|
39 |
36 |
$314.78 |
| 96360 |
|
15 |
13 |
$305.45 |
| 80305 |
|
26 |
25 |
$296.74 |
| 86901 |
|
56 |
52 |
$251.96 |
| 85027 |
|
61 |
52 |
$214.04 |
| J0702 |
Betamethasone acet&sod phosp |
19 |
13 |
$175.92 |
| 82550 |
|
41 |
38 |
$164.30 |
| 86140 |
|
28 |
27 |
$111.61 |
| 80061 |
|
29 |
28 |
$85.83 |
| 94640 |
|
13 |
12 |
$81.44 |
| 93017 |
|
15 |
13 |
$81.36 |
| 85007 |
|
48 |
40 |
$78.99 |
| 87070 |
|
29 |
27 |
$61.13 |
| 85014 |
|
12 |
12 |
$45.18 |
| 85018 |
|
12 |
12 |
$45.18 |
| J7030 |
Normal saline solution infus |
1,777 |
1,574 |
$45.16 |
| 80076 |
|
29 |
27 |
$33.96 |
| 99213 |
|
19 |
12 |
$31.73 |
| 82565 |
|
31 |
27 |
$29.56 |
| 87086 |
|
25 |
24 |
$28.89 |
| A9270 |
Non-covered item or service |
3,689 |
3,312 |
$20.18 |
| J2270 |
Morphine sulfate injection |
62 |
54 |
$19.84 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
353 |
317 |
$0.00 |
| J7120 |
Ringers lactate infusion |
85 |
80 |
$0.00 |
| G1004 |
Cdsm ndsc |
157 |
147 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
14 |
12 |
$0.00 |
| 99001 |
|
24 |
24 |
$0.00 |
| J2001 |
Lidocaine injection |
416 |
377 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
833 |
751 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
532 |
458 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,077 |
966 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
755 |
663 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
91 |
73 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
24 |
24 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
12 |
$0.00 |