| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
74,219 |
64,103 |
$3.76M |
| 99283 |
|
45,239 |
40,220 |
$2.84M |
| 87633 |
|
4,803 |
4,695 |
$1.77M |
| 74177 |
|
6,952 |
6,723 |
$1.49M |
| 96374 |
|
19,887 |
18,409 |
$1.31M |
| 70450 |
|
8,026 |
7,738 |
$1.29M |
| 80053 |
|
39,271 |
34,596 |
$731K |
| 93005 |
|
23,062 |
21,123 |
$723K |
| 85025 |
|
44,568 |
38,450 |
$590K |
| 93976 |
|
2,890 |
2,781 |
$573K |
| 96375 |
|
13,400 |
12,397 |
$503K |
| G0480 |
Drug test def 1-7 classes |
6,652 |
6,014 |
$477K |
| 74176 |
|
4,157 |
4,028 |
$434K |
| 72125 |
|
1,979 |
1,940 |
$428K |
| 96365 |
|
5,296 |
5,030 |
$415K |
| 96372 |
|
13,668 |
12,836 |
$372K |
| Z7502 |
|
8,998 |
8,788 |
$333K |
| 87635 |
|
4,907 |
4,725 |
$265K |
| 99285 |
|
1,719 |
1,627 |
$257K |
| 99070 |
|
48,749 |
28,034 |
$246K |
| 84484 |
|
13,358 |
10,837 |
$239K |
| 71045 |
|
19,652 |
18,378 |
$233K |
| 82553 |
|
12,444 |
10,695 |
$212K |
| 96361 |
|
6,860 |
6,552 |
$212K |
| 71275 |
|
1,196 |
1,167 |
$210K |
| 83690 |
|
16,089 |
14,823 |
$187K |
| 99499 |
|
3,001 |
2,557 |
$173K |
| 76705 |
|
2,953 |
2,877 |
$169K |
| 96360 |
|
2,384 |
2,334 |
$158K |
| 99284 |
|
1,747 |
1,638 |
$156K |
| 71046 |
|
6,764 |
6,521 |
$154K |
| 0762 |
|
2,551 |
1,786 |
$149K |
| 81001 |
|
24,135 |
22,450 |
$145K |
| 77067 |
|
1,472 |
1,463 |
$140K |
| 87088 |
|
16,146 |
15,063 |
$133K |
| 90853 |
|
10,217 |
1,221 |
$131K |
| 83880 |
|
4,961 |
4,514 |
$124K |
| 87076 |
|
4,365 |
4,209 |
$124K |
| 76856 |
|
1,866 |
1,824 |
$120K |
| J3490 |
Drugs unclassified injection |
25,694 |
17,585 |
$116K |
| 93971 |
|
857 |
833 |
$109K |
| G0378 |
Hospital observation per hr |
1,828 |
1,049 |
$107K |
| 81025 |
|
13,089 |
11,946 |
$104K |
| 85730 |
|
11,708 |
10,975 |
$104K |
| 87491 |
|
2,105 |
2,042 |
$102K |
| 94640 |
|
4,211 |
3,628 |
$100K |
| 82550 |
|
9,642 |
8,158 |
$91K |
| 83605 |
|
4,566 |
3,888 |
$82K |
| 84703 |
|
6,080 |
5,794 |
$80K |
| 87040 |
|
4,628 |
3,034 |
$79K |
| 87186 |
|
4,848 |
4,569 |
$79K |
| 85610 |
|
12,063 |
11,228 |
$70K |
| 84443 |
|
2,370 |
2,266 |
$66K |
| 90715 |
|
1,931 |
1,905 |
$65K |
| 76801 |
|
1,042 |
915 |
$63K |
| 72100 |
|
2,038 |
2,005 |
$60K |
| 73030 |
|
2,219 |
2,157 |
$59K |
| 70486 |
|
321 |
318 |
$58K |
| 73562 |
|
2,417 |
2,364 |
$56K |
| 73610 |
|
2,042 |
1,985 |
$54K |
| 87430 |
|
2,943 |
2,897 |
$53K |
| 73130 |
|
1,967 |
1,916 |
$52K |
| 84702 |
|
2,637 |
2,246 |
$50K |
| 73630 |
|
2,012 |
1,958 |
$49K |
| 84145 |
|
2,436 |
2,160 |
$48K |
| 72131 |
|
257 |
256 |
$46K |
| 0710 |
|
1,122 |
1,089 |
$42K |
| 82962 |
|
6,521 |
5,416 |
$40K |
| 96366 |
|
774 |
759 |
$39K |
| 73110 |
|
1,376 |
1,332 |
$37K |
| 83735 |
|
3,654 |
2,882 |
$37K |
| J2274 |
Inj morphine pf epid ithc |
2,967 |
2,638 |
$36K |
| 80305 |
|
2,961 |
2,758 |
$34K |
| Z7610 |
|
2,357 |
1,642 |
$34K |
| 82803 |
|
974 |
865 |
$33K |
| 85379 |
|
2,008 |
1,955 |
$33K |
| 59025 |
|
1,222 |
778 |
$32K |
| 80047 |
|
4,136 |
3,691 |
$31K |
| 87335 |
|
2,272 |
2,202 |
$30K |
| 76805 |
|
383 |
340 |
$30K |
| J1885 |
Ketorolac tromethamine inj |
16,419 |
15,388 |
$29K |
| 81002 |
|
6,493 |
6,241 |
$27K |
| 84481 |
|
1,151 |
1,119 |
$27K |
| 84439 |
|
1,657 |
1,602 |
$26K |
| 87070 |
|
1,933 |
1,824 |
$25K |
| 74018 |
|
1,135 |
1,092 |
$22K |
| 70496 |
|
118 |
115 |
$21K |
| 93970 |
|
95 |
93 |
$19K |
| 0370 |
|
121 |
120 |
$19K |
| 86901 |
|
2,391 |
1,998 |
$16K |
| J1100 |
Dexamethasone sodium phos |
7,463 |
7,190 |
$16K |
| 84100 |
|
2,678 |
2,074 |
$16K |
| 88305 |
|
426 |
401 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
745 |
725 |
$16K |
| 72040 |
|
568 |
554 |
$14K |
| 70498 |
|
131 |
128 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
5,570 |
5,190 |
$14K |
| J2405 |
Ondansetron hcl injection |
11,775 |
10,773 |
$14K |
| 73080 |
|
496 |
486 |
$13K |
| 83036 |
|
827 |
798 |
$13K |
| 99221 |
|
67 |
67 |
$13K |
| 73590 |
|
618 |
601 |
$13K |
| 73090 |
|
599 |
576 |
$12K |
| 96367 |
|
281 |
275 |
$12K |
| 0270 |
|
451 |
300 |
$12K |
| 86900 |
|
2,012 |
1,876 |
$11K |
| 87086 |
|
1,347 |
1,286 |
$11K |
| 71250 |
|
50 |
50 |
$11K |
| 99238 |
|
301 |
288 |
$10K |
| 12001 |
|
601 |
588 |
$10K |
| J2270 |
Morphine sulfate injection |
2,832 |
2,484 |
$10K |
| 82010 |
|
705 |
637 |
$10K |
| 86140 |
|
1,274 |
1,232 |
$10K |
| 90471 |
|
1,961 |
1,925 |
$10K |
| 72070 |
|
332 |
329 |
$10K |
| 99282 |
|
217 |
207 |
$10K |
| 36415 |
|
4,871 |
4,079 |
$10K |
| 73620 |
|
519 |
513 |
$10K |
| 82140 |
|
480 |
452 |
$9K |
| 86850 |
|
712 |
676 |
$9K |
| 71101 |
|
193 |
192 |
$8K |
| 93306 |
|
62 |
62 |
$8K |
| P9016 |
Rbc leukocytes reduced |
25 |
12 |
$8K |
| 87652 |
|
485 |
473 |
$7K |
| 87210 |
|
862 |
831 |
$7K |
| 73502 |
|
250 |
243 |
$7K |
| J2930 |
Methylprednisolone injection |
1,053 |
968 |
$7K |
| 85651 |
|
1,274 |
1,236 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,548 |
7,264 |
$6K |
| 76770 |
|
92 |
92 |
$6K |
| 87400 |
|
1,102 |
1,084 |
$6K |
| 87075 |
|
313 |
311 |
$6K |
| 45378 |
|
384 |
370 |
$6K |
| 97530 |
|
335 |
194 |
$6K |
| 73560 |
|
295 |
292 |
$6K |
| S0164 |
Injection pantroprazole |
816 |
696 |
$6K |
| 73600 |
|
273 |
270 |
$6K |
| 76870 |
|
91 |
86 |
$6K |
| 73120 |
|
298 |
293 |
$5K |
| 73140 |
|
320 |
307 |
$5K |
| 0259 |
|
2,107 |
1,422 |
$5K |
| 86904 |
|
672 |
628 |
$5K |
| 87811 |
|
108 |
107 |
$5K |
| J7120 |
Ringers lactate infusion |
1,015 |
846 |
$5K |
| 80061 |
|
250 |
244 |
$4K |
| 99281 |
|
172 |
164 |
$4K |
| J7040 |
Normal saline solution infus |
1,874 |
1,439 |
$4K |
| J2765 |
Metoclopramide hcl injection |
2,523 |
2,351 |
$4K |
| 82728 |
|
192 |
184 |
$3K |
| 81015 |
|
851 |
806 |
$3K |
| J1170 |
Hydromorphone injection |
803 |
695 |
$3K |
| 43239 |
|
254 |
243 |
$3K |
| 99231 |
|
39 |
39 |
$3K |
| J2060 |
Lorazepam injection |
2,161 |
1,880 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,067 |
1,908 |
$3K |
| 70491 |
|
13 |
13 |
$3K |
| 99219 |
|
26 |
19 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,170 |
2,027 |
$2K |
| J2001 |
Lidocaine injection |
1,705 |
1,621 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
342 |
305 |
$2K |
| 87420 |
|
124 |
123 |
$2K |
| 96376 |
|
144 |
138 |
$2K |
| 99217 |
|
65 |
61 |
$2K |
| 10060 |
|
107 |
105 |
$2K |
| 72128 |
|
12 |
12 |
$2K |
| 29125 |
|
215 |
203 |
$2K |
| 97110 |
|
112 |
59 |
$2K |
| 83615 |
|
201 |
191 |
$2K |
| J1940 |
Furosemide injection |
547 |
369 |
$1K |
| J2543 |
Piperacillin/tazobactam |
311 |
252 |
$1K |
| 82947 |
|
284 |
269 |
$1K |
| 96368 |
|
56 |
56 |
$1K |
| 74022 |
|
31 |
31 |
$1K |
| 87449 |
|
116 |
114 |
$1K |
| Z9725 |
|
33 |
33 |
$1K |
| J0690 |
Cefazolin sodium injection |
565 |
542 |
$1K |
| J3370 |
Vancomycin hcl injection |
169 |
139 |
$1K |
| 76641 |
|
14 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,725 |
1,643 |
$1K |
| 12011 |
|
55 |
55 |
$1K |
| Q0162 |
Ondansetron oral |
1,568 |
1,544 |
$987.24 |
| 12002 |
|
12 |
12 |
$963.09 |
| J1650 |
Inj enoxaparin sodium |
482 |
317 |
$921.07 |
| J0780 |
Prochlorperazine injection |
260 |
254 |
$916.62 |
| J3475 |
Inj magnesium sulfate |
167 |
152 |
$826.47 |
| J1644 |
Inj heparin sodium per 1000u |
300 |
152 |
$792.63 |
| 94760 |
|
153 |
94 |
$742.71 |
| 72170 |
|
46 |
46 |
$710.06 |
| 97116 |
|
68 |
41 |
$686.87 |
| 71020 |
|
28 |
27 |
$674.19 |
| J1815 |
Insulin injection |
80 |
72 |
$656.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
112 |
88 |
$522.35 |
| 29515 |
|
71 |
69 |
$478.97 |
| J0735 |
Clonidine hydrochloride |
28 |
24 |
$463.34 |
| 73100 |
|
26 |
25 |
$463.32 |
| 84597 |
|
20 |
20 |
$436.80 |
| 82247 |
|
62 |
37 |
$434.11 |
| J2175 |
Meperidine hydrochl /100 mg |
105 |
97 |
$425.99 |
| Q0144 |
Azithromycin dihydrate, oral |
63 |
62 |
$399.77 |
| 0258 |
|
229 |
208 |
$340.35 |
| J2550 |
Promethazine hcl injection |
113 |
104 |
$302.31 |
| Q0163 |
Diphenhydramine hcl 50mg |
837 |
805 |
$280.00 |
| 73060 |
|
14 |
14 |
$254.73 |
| 73070 |
|
13 |
12 |
$241.68 |
| S0077 |
Injection, clindamycin phosp |
21 |
13 |
$225.47 |
| 85007 |
|
69 |
62 |
$205.21 |
| 87185 |
|
107 |
102 |
$162.21 |
| 87592 |
|
13 |
13 |
$153.60 |
| J0456 |
Azithromycin |
72 |
70 |
$133.10 |
| J3480 |
Inj potassium chloride |
46 |
38 |
$122.52 |
| 87147 |
|
26 |
25 |
$120.45 |
| J1630 |
Haloperidol injection |
53 |
38 |
$84.88 |
| J7613 |
Albuterol non-comp unit |
167 |
150 |
$76.25 |
| J2300 |
Inj nalbuphine hydrochloride |
21 |
20 |
$58.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
75 |
69 |
$44.90 |
| 90834 |
|
253 |
52 |
$30.45 |
| J8540 |
Oral dexamethasone |
26 |
26 |
$25.30 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
16 |
$1.53 |
| 90832 |
|
85 |
27 |
$0.00 |
| Q4051 |
Splint supplies misc |
27 |
17 |
$0.00 |
| 0250 |
|
16 |
12 |
$0.00 |