| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,664 |
5,220 |
$2.00M |
| 99283 |
|
7,422 |
6,074 |
$1.29M |
| 99285 |
|
716 |
570 |
$296K |
| 80053 |
|
4,885 |
4,365 |
$78K |
| 96374 |
|
871 |
771 |
$68K |
| 96375 |
|
457 |
395 |
$64K |
| 85025 |
|
4,514 |
4,031 |
$56K |
| 96361 |
|
496 |
446 |
$39K |
| 93005 |
|
381 |
338 |
$34K |
| 36415 |
|
9,101 |
7,826 |
$33K |
| 0241U |
|
149 |
140 |
$17K |
| 71045 |
|
720 |
557 |
$16K |
| 70450 |
|
113 |
96 |
$16K |
| 71046 |
|
206 |
181 |
$12K |
| 96372 |
|
253 |
219 |
$12K |
| 96365 |
|
65 |
58 |
$9K |
| 83735 |
|
478 |
435 |
$9K |
| 74177 |
|
70 |
59 |
$9K |
| J7030 |
Normal saline solution infus |
183 |
153 |
$6K |
| 87804 |
|
303 |
165 |
$5K |
| 86140 |
|
667 |
587 |
$5K |
| 99282 |
|
43 |
37 |
$4K |
| 87635 |
|
89 |
82 |
$3K |
| 81001 |
|
732 |
668 |
$3K |
| J1170 |
Hydromorphone injection |
413 |
270 |
$3K |
| 87491 |
|
64 |
60 |
$3K |
| 59025 |
|
18 |
14 |
$2K |
| 80307 |
|
19 |
12 |
$2K |
| 87591 |
|
64 |
60 |
$2K |
| 80050 |
|
48 |
45 |
$2K |
| 87430 |
|
136 |
128 |
$2K |
| 96360 |
|
15 |
14 |
$2K |
| 94640 |
|
35 |
30 |
$1K |
| 85027 |
|
404 |
374 |
$1K |
| J2405 |
Ondansetron hcl injection |
306 |
262 |
$1K |
| 96376 |
|
14 |
13 |
$1K |
| 83690 |
|
159 |
147 |
$1K |
| 87086 |
|
199 |
184 |
$1K |
| 84484 |
|
148 |
127 |
$1K |
| 87081 |
|
133 |
121 |
$1K |
| 80048 |
|
109 |
96 |
$1K |
| 84443 |
|
94 |
89 |
$1K |
| 87808 |
|
66 |
61 |
$943.43 |
| 74018 |
|
14 |
13 |
$920.51 |
| 81025 |
|
86 |
84 |
$706.20 |
| 85007 |
|
317 |
294 |
$590.02 |
| 80306 |
|
43 |
40 |
$575.36 |
| 87807 |
|
35 |
33 |
$473.99 |
| 93010 |
|
73 |
51 |
$445.40 |
| 87040 |
|
61 |
44 |
$434.30 |
| 84703 |
|
48 |
48 |
$384.00 |
| J1885 |
Ketorolac tromethamine inj |
209 |
191 |
$370.62 |
| 81003 |
|
152 |
110 |
$343.20 |
| 87210 |
|
63 |
60 |
$330.55 |
| 85610 |
|
71 |
59 |
$137.96 |
| J3490 |
Drugs unclassified injection |
17 |
12 |
$111.46 |
| 83036 |
|
13 |
12 |
$86.73 |
| 87088 |
|
13 |
12 |
$72.25 |
| J7120 |
Ringers lactate infusion |
34 |
24 |
$67.52 |
| J3010 |
Fentanyl citrate injection |
76 |
51 |
$25.44 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$4.90 |
| J7040 |
Normal saline solution infus |
232 |
173 |
$3.30 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$2.64 |
| A9270 |
Non-covered item or service |
957 |
644 |
$0.00 |
| 99213 |
|
269 |
114 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
48 |
$0.00 |