| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7030 |
Normal saline solution infus |
777 |
531 |
$118K |
| J3490 |
Drugs unclassified injection |
81 |
44 |
$43K |
| J2001 |
Lidocaine injection |
114 |
90 |
$41K |
| J2270 |
Morphine sulfate injection |
33 |
25 |
$16K |
| 99285 |
|
1,158 |
824 |
$7K |
| 96361 |
|
375 |
291 |
$7K |
| J7050 |
Normal saline solution infus |
41 |
30 |
$6K |
| G0378 |
Hospital observation per hr |
705 |
510 |
$6K |
| 80053 |
|
684 |
513 |
$6K |
| 99284 |
|
924 |
764 |
$5K |
| 85025 |
|
2,604 |
1,441 |
$5K |
| 87086 |
|
445 |
347 |
$4K |
| 80048 |
|
2,173 |
1,202 |
$4K |
| 70450 |
|
426 |
321 |
$4K |
| 81025 |
|
259 |
234 |
$4K |
| 36415 |
|
1,658 |
1,035 |
$3K |
| 84702 |
|
203 |
167 |
$3K |
| 74176 |
|
305 |
253 |
$3K |
| J0690 |
Cefazolin sodium injection |
155 |
115 |
$3K |
| 82962 |
|
1,044 |
312 |
$3K |
| 99283 |
|
191 |
160 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
422 |
204 |
$2K |
| 81001 |
|
1,285 |
983 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
481 |
393 |
$2K |
| 71045 |
|
1,270 |
915 |
$2K |
| 93005 |
|
1,089 |
788 |
$2K |
| 96360 |
|
119 |
95 |
$1K |
| 84484 |
|
547 |
365 |
$1K |
| 87400 |
|
75 |
57 |
$1K |
| 94762 |
|
587 |
492 |
$1K |
| 87186 |
|
42 |
25 |
$896.67 |
| 80076 |
|
513 |
402 |
$865.12 |
| 82550 |
|
814 |
527 |
$837.16 |
| 85027 |
|
219 |
135 |
$677.36 |
| J2405 |
Ondansetron hcl injection |
484 |
390 |
$666.81 |
| 93306 |
|
16 |
13 |
$604.90 |
| 82553 |
|
689 |
466 |
$523.31 |
| J1956 |
Levofloxacin injection |
95 |
38 |
$408.83 |
| 83690 |
|
494 |
403 |
$322.74 |
| 96374 |
|
651 |
518 |
$276.58 |
| G0480 |
Drug test def 1-7 classes |
156 |
134 |
$237.85 |
| 82150 |
|
136 |
103 |
$188.52 |
| J2060 |
Lorazepam injection |
503 |
296 |
$143.42 |
| 36000 |
|
175 |
144 |
$97.60 |
| 80307 |
|
274 |
226 |
$86.31 |
| 85610 |
|
473 |
387 |
$37.81 |
| 85730 |
|
357 |
297 |
$37.36 |
| 96375 |
|
291 |
238 |
$36.77 |
| 82607 |
|
83 |
65 |
$18.44 |
| 86850 |
|
132 |
102 |
$8.47 |
| 86900 |
|
169 |
132 |
$4.31 |
| 85007 |
|
194 |
120 |
$0.90 |
| 71046 |
|
22 |
16 |
$0.75 |
| 96372 |
|
146 |
126 |
$0.45 |
| 86901 |
|
169 |
132 |
$0.14 |
| 83520 |
|
21 |
14 |
$0.14 |
| J1200 |
Diphenhydramine hcl injectio |
75 |
54 |
$0.14 |
| J3010 |
Fentanyl citrate injection |
137 |
104 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
356 |
308 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
98 |
83 |
$0.00 |
| 94760 |
|
94 |
26 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
141 |
115 |
$0.00 |
| 88305 |
|
216 |
190 |
$0.00 |
| 84479 |
|
17 |
15 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
364 |
308 |
$0.00 |
| 82746 |
|
66 |
53 |
$0.00 |
| 87040 |
|
14 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
18 |
13 |
$0.00 |
| 93041 |
|
396 |
330 |
$0.00 |
| 82140 |
|
87 |
47 |
$0.00 |
| 80164 |
|
45 |
25 |
$0.00 |
| 58558 |
|
61 |
54 |
$0.00 |
| 94664 |
|
46 |
32 |
$0.00 |