| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation per hr |
1,552 |
1,447 |
$733K |
| 99284 |
|
6,054 |
5,342 |
$488K |
| 99283 |
|
4,011 |
3,506 |
$233K |
| 99285 |
|
1,566 |
1,363 |
$154K |
| 99282 |
|
1,957 |
1,645 |
$69K |
| 99281 |
|
3,122 |
2,601 |
$37K |
| 41899 |
|
12 |
12 |
$34K |
| G0463 |
Hospital outpt clinic visit |
335 |
247 |
$5K |
| 74177 |
|
665 |
642 |
$5K |
| 80048 |
|
6,255 |
4,519 |
$4K |
| 93005 |
|
7,058 |
5,234 |
$3K |
| 70450 |
|
2,286 |
2,085 |
$3K |
| 85025 |
|
7,549 |
5,674 |
$3K |
| 80053 |
|
5,620 |
4,829 |
$2K |
| 84484 |
|
5,918 |
3,936 |
$2K |
| 80307 |
|
581 |
478 |
$2K |
| 87502 |
|
115 |
109 |
$2K |
| 81001 |
|
3,286 |
2,982 |
$1K |
| 71045 |
|
3,728 |
3,386 |
$1K |
| 87636 |
|
1,310 |
1,193 |
$1K |
| 83690 |
|
1,865 |
1,678 |
$1K |
| 94640 |
|
534 |
475 |
$1K |
| 82962 |
|
4,975 |
2,140 |
$1K |
| 83735 |
|
370 |
314 |
$889.97 |
| 85027 |
|
4,254 |
3,534 |
$829.08 |
| 74176 |
|
496 |
460 |
$722.07 |
| 84703 |
|
607 |
518 |
$616.65 |
| J2270 |
Morphine sulfate injection |
1,021 |
667 |
$337.07 |
| G0480 |
Drug test def 1-7 classes |
504 |
337 |
$278.98 |
| J2704 |
Inj, propofol, 10 mg |
797 |
558 |
$250.32 |
| 71046 |
|
373 |
351 |
$249.69 |
| 99211 |
|
518 |
336 |
$155.41 |
| 87631 |
|
131 |
128 |
$139.43 |
| 80076 |
|
323 |
301 |
$130.41 |
| 71275 |
|
64 |
64 |
$128.75 |
| 83036 |
|
155 |
146 |
$125.37 |
| 83880 |
|
319 |
301 |
$118.12 |
| 87086 |
|
134 |
130 |
$117.42 |
| 72125 |
|
249 |
229 |
$108.53 |
| 85610 |
|
2,202 |
1,721 |
$66.40 |
| 84443 |
|
105 |
98 |
$41.38 |
| J1170 |
Hydromorphone injection |
35 |
24 |
$36.61 |
| 84439 |
|
12 |
12 |
$34.61 |
| 83605 |
|
299 |
230 |
$32.90 |
| J3010 |
Fentanyl citrate injection |
628 |
409 |
$28.56 |
| J2001 |
Lidocaine injection |
246 |
206 |
$12.98 |
| J2250 |
Inj midazolam hydrochloride |
142 |
121 |
$7.74 |
| J2405 |
Ondansetron hcl injection |
35 |
31 |
$6.13 |
| 86900 |
|
46 |
40 |
$2.39 |
| 86850 |
|
45 |
40 |
$2.39 |
| 86901 |
|
46 |
40 |
$2.39 |
| 80061 |
|
29 |
26 |
$0.00 |
| 97116 |
|
42 |
28 |
$0.00 |
| 94799 |
|
33 |
24 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
29 |
25 |
$0.00 |
| 87635 |
|
145 |
133 |
$0.00 |
| 82077 |
|
174 |
155 |
$0.00 |
| 82150 |
|
85 |
80 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
17 |
12 |
$0.00 |
| 97162 |
|
29 |
27 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
20 |
13 |
$0.00 |
| 87040 |
|
26 |
26 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |