| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,568 |
8,941 |
$2.52M |
| 99282 |
|
6,128 |
5,285 |
$803K |
| 96374 |
|
1,387 |
1,175 |
$211K |
| 80053 |
|
5,389 |
4,873 |
$95K |
| 85025 |
|
6,246 |
5,625 |
$72K |
| 96375 |
|
416 |
351 |
$37K |
| 0241U |
|
201 |
189 |
$32K |
| 96372 |
|
522 |
429 |
$31K |
| G0378 |
Hospital observation per hr |
41 |
39 |
$31K |
| 96361 |
|
215 |
130 |
$21K |
| 86140 |
|
1,671 |
1,524 |
$15K |
| 36415 |
|
4,137 |
3,691 |
$14K |
| 99284 |
|
73 |
58 |
$13K |
| 93005 |
|
322 |
282 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
134 |
115 |
$10K |
| G0463 |
Hospital outpt clinic visit |
216 |
157 |
$8K |
| 71045 |
|
168 |
141 |
$8K |
| 70450 |
|
33 |
25 |
$6K |
| 87502 |
|
39 |
38 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
291 |
269 |
$3K |
| J2405 |
Ondansetron hcl injection |
281 |
246 |
$3K |
| 80307 |
|
32 |
28 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
242 |
196 |
$3K |
| J3010 |
Fentanyl citrate injection |
187 |
145 |
$3K |
| 94640 |
|
27 |
27 |
$2K |
| 87631 |
|
15 |
15 |
$2K |
| 99281 |
|
26 |
24 |
$2K |
| J3490 |
Drugs unclassified injection |
163 |
66 |
$2K |
| J7030 |
Normal saline solution infus |
66 |
61 |
$2K |
| 84484 |
|
137 |
105 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
86 |
76 |
$954.15 |
| 87070 |
|
88 |
84 |
$791.72 |
| 88305 |
|
21 |
15 |
$784.21 |
| 81001 |
|
299 |
236 |
$780.89 |
| J1100 |
Dexamethasone sodium phos |
63 |
57 |
$740.36 |
| J7120 |
Ringers lactate infusion |
27 |
24 |
$734.40 |
| 71046 |
|
20 |
15 |
$644.16 |
| 84703 |
|
13 |
12 |
$639.08 |
| J2001 |
Lidocaine injection |
38 |
30 |
$422.31 |
| J1170 |
Hydromorphone injection |
58 |
50 |
$357.11 |
| 87880 |
|
28 |
26 |
$322.20 |
| 85379 |
|
13 |
13 |
$309.06 |
| J2270 |
Morphine sulfate injection |
15 |
14 |
$123.65 |
| 81003 |
|
50 |
47 |
$108.68 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$97.41 |
| 80048 |
|
16 |
13 |
$53.95 |