| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,850 |
3,585 |
$701K |
| 99284 |
|
2,519 |
2,349 |
$437K |
| 99282 |
|
1,155 |
1,082 |
$170K |
| 96361 |
|
297 |
234 |
$108K |
| 99214 |
|
257 |
153 |
$52K |
| 99285 |
|
157 |
148 |
$44K |
| 0241U |
|
191 |
180 |
$23K |
| 87426 |
|
707 |
690 |
$19K |
| 99281 |
|
136 |
133 |
$18K |
| 74177 |
|
33 |
31 |
$9K |
| 70450 |
|
37 |
37 |
$7K |
| 96365 |
|
31 |
28 |
$5K |
| 80053 |
|
2,330 |
1,995 |
$5K |
| 85025 |
|
3,179 |
2,621 |
$3K |
| 74176 |
|
12 |
12 |
$3K |
| G0378 |
Hospital observation per hr |
52 |
42 |
$3K |
| 96360 |
|
13 |
13 |
$3K |
| G0238 |
Oth resp proc, indiv |
18 |
12 |
$2K |
| 36415 |
|
2,241 |
1,778 |
$1K |
| 93005 |
|
538 |
478 |
$808.35 |
| 87637 |
|
14 |
14 |
$741.33 |
| 71045 |
|
387 |
352 |
$583.66 |
| 71046 |
|
13 |
13 |
$352.30 |
| 80048 |
|
419 |
325 |
$346.75 |
| 87635 |
|
13 |
12 |
$319.24 |
| 96375 |
|
380 |
306 |
$146.90 |
| 96374 |
|
752 |
679 |
$115.70 |
| 81001 |
|
886 |
822 |
$100.42 |
| 82077 |
|
27 |
25 |
$89.10 |
| 83690 |
|
382 |
340 |
$86.16 |
| 81003 |
|
411 |
386 |
$75.98 |
| 96372 |
|
507 |
411 |
$75.42 |
| 84443 |
|
15 |
15 |
$73.02 |
| 80069 |
|
13 |
13 |
$64.85 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
159 |
145 |
$53.72 |
| 82570 |
|
12 |
12 |
$45.79 |
| 87086 |
|
150 |
145 |
$44.11 |
| 86140 |
|
27 |
26 |
$41.10 |
| 81025 |
|
367 |
353 |
$40.14 |
| 85027 |
|
12 |
12 |
$35.50 |
| 87651 |
|
32 |
32 |
$35.09 |
| 87804 |
|
427 |
244 |
$33.10 |
| 85610 |
|
57 |
41 |
$30.10 |
| J7030 |
Normal saline solution infus |
898 |
706 |
$26.44 |
| 84484 |
|
257 |
205 |
$23.09 |
| 84156 |
|
12 |
12 |
$22.86 |
| J3490 |
Drugs unclassified injection |
1,035 |
584 |
$21.19 |
| 80306 |
|
15 |
14 |
$17.14 |
| 82962 |
|
118 |
50 |
$14.32 |
| J2405 |
Ondansetron hcl injection |
380 |
321 |
$10.24 |
| 83735 |
|
30 |
27 |
$6.48 |
| J1885 |
Ketorolac tromethamine inj |
258 |
240 |
$1.95 |
| J3010 |
Fentanyl citrate injection |
80 |
75 |
$0.00 |
| 87807 |
|
43 |
41 |
$0.00 |
| 84703 |
|
29 |
29 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
39 |
38 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
37 |
36 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
47 |
46 |
$0.00 |
| 85379 |
|
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
18 |
12 |
$0.00 |
| 83605 |
|
27 |
26 |
$0.00 |
| 87040 |
|
17 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
20 |
15 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
565 |
384 |
$0.00 |
| J7120 |
Ringers lactate infusion |
44 |
40 |
$0.00 |
| 87400 |
|
30 |
30 |
$0.00 |