| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,411 |
10,054 |
$2.43M |
| 99285 |
|
6,342 |
5,088 |
$1.51M |
| 99283 |
|
10,105 |
8,407 |
$1.47M |
| 96374 |
|
4,644 |
3,575 |
$356K |
| 99282 |
|
4,200 |
3,453 |
$344K |
| 96372 |
|
8,116 |
6,448 |
$327K |
| 96365 |
|
3,247 |
2,356 |
$284K |
| 71045 |
|
6,369 |
4,967 |
$250K |
| 96360 |
|
2,794 |
2,159 |
$244K |
| 94640 |
|
2,810 |
1,540 |
$231K |
| 70450 |
|
2,675 |
2,158 |
$210K |
| 74177 |
|
756 |
629 |
$193K |
| G0378 |
Hospital observation per hr |
438 |
331 |
$175K |
| 93005 |
|
5,550 |
4,255 |
$126K |
| 97110 |
|
3,169 |
480 |
$119K |
| 74176 |
|
771 |
620 |
$114K |
| 87426 |
|
3,782 |
3,308 |
$112K |
| 93041 |
|
4,264 |
3,420 |
$108K |
| 87880 |
|
8,827 |
7,432 |
$105K |
| 96375 |
|
2,931 |
2,132 |
$97K |
| 87804 |
|
8,068 |
6,801 |
$96K |
| 80053 |
|
11,209 |
8,219 |
$89K |
| 87635 |
|
2,598 |
2,117 |
$83K |
| 85025 |
|
13,355 |
9,578 |
$65K |
| 92507 |
|
1,118 |
218 |
$58K |
| 96361 |
|
1,115 |
794 |
$58K |
| 71046 |
|
1,257 |
1,005 |
$52K |
| 83880 |
|
2,280 |
1,595 |
$43K |
| 80306 |
|
3,254 |
2,611 |
$35K |
| 36415 |
|
15,358 |
10,889 |
$35K |
| J0561 |
Penicillin g benzathine inj |
1,363 |
1,157 |
$34K |
| 94799 |
|
1,089 |
866 |
$33K |
| 84484 |
|
4,935 |
3,361 |
$30K |
| 81025 |
|
3,912 |
3,256 |
$26K |
| 51702 |
|
549 |
453 |
$25K |
| 81001 |
|
9,579 |
7,616 |
$22K |
| 93010 |
|
1,012 |
689 |
$18K |
| 36600 |
|
427 |
285 |
$17K |
| 99214 |
|
638 |
551 |
$17K |
| 74018 |
|
374 |
289 |
$15K |
| 96366 |
|
424 |
280 |
$15K |
| 87420 |
|
1,208 |
1,035 |
$14K |
| 99281 |
|
285 |
246 |
$14K |
| 82553 |
|
1,695 |
1,215 |
$11K |
| 73560 |
|
247 |
187 |
$10K |
| 72125 |
|
116 |
91 |
$10K |
| 80048 |
|
1,649 |
1,149 |
$9K |
| 82550 |
|
1,894 |
1,364 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,494 |
1,693 |
$8K |
| 83735 |
|
2,265 |
1,761 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
3,509 |
2,752 |
$8K |
| 83874 |
|
919 |
650 |
$7K |
| 83605 |
|
1,138 |
793 |
$7K |
| 99213 |
|
319 |
291 |
$7K |
| 83690 |
|
1,379 |
1,074 |
$7K |
| 87086 |
|
1,051 |
811 |
$6K |
| 82803 |
|
438 |
287 |
$6K |
| 85379 |
|
838 |
641 |
$5K |
| 73630 |
|
77 |
64 |
$4K |
| 87040 |
|
740 |
373 |
$4K |
| 94664 |
|
1,284 |
919 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
3,201 |
2,451 |
$4K |
| 11042 |
|
22 |
13 |
$4K |
| 73610 |
|
66 |
56 |
$3K |
| 11721 |
|
167 |
134 |
$3K |
| 36416 |
|
969 |
801 |
$3K |
| 82150 |
|
690 |
543 |
$3K |
| 77067 |
|
41 |
38 |
$3K |
| 73030 |
|
78 |
64 |
$3K |
| 83036 |
|
542 |
418 |
$3K |
| 80061 |
|
305 |
303 |
$2K |
| 84443 |
|
207 |
200 |
$2K |
| 90471 |
|
58 |
52 |
$2K |
| 71275 |
|
13 |
12 |
$1K |
| 96376 |
|
186 |
112 |
$1K |
| 99221 |
|
89 |
81 |
$1K |
| 73130 |
|
22 |
13 |
$1K |
| J2550 |
Promethazine hcl injection |
87 |
64 |
$893.88 |
| 99239 |
|
49 |
46 |
$798.52 |
| J2270 |
Morphine sulfate injection |
256 |
165 |
$735.59 |
| 85610 |
|
352 |
250 |
$732.18 |
| 85730 |
|
250 |
172 |
$719.55 |
| J1100 |
Dexamethasone sodium phos |
639 |
541 |
$683.55 |
| 71250 |
|
13 |
12 |
$639.44 |
| 87400 |
|
63 |
32 |
$632.19 |
| 01992 |
|
30 |
15 |
$605.15 |
| J3490 |
Drugs unclassified injection |
649 |
419 |
$547.48 |
| 86677 |
|
51 |
41 |
$473.15 |
| J7620 |
Albuterol ipratrop non-comp |
1,290 |
640 |
$421.42 |
| 87430 |
|
32 |
30 |
$409.66 |
| 99232 |
|
69 |
24 |
$400.66 |
| 84703 |
|
55 |
50 |
$397.25 |
| 84520 |
|
99 |
80 |
$386.72 |
| 82565 |
|
98 |
79 |
$277.78 |
| 87651 |
|
20 |
14 |
$265.26 |
| 87070 |
|
13 |
12 |
$264.52 |
| 82306 |
|
16 |
16 |
$238.42 |
| 84439 |
|
27 |
27 |
$228.15 |
| J2930 |
Methylprednisolone injection |
627 |
426 |
$169.88 |
| J1815 |
Insulin injection |
126 |
42 |
$144.37 |
| J1650 |
Inj enoxaparin sodium |
75 |
40 |
$77.71 |
| Q0162 |
Ondansetron oral |
475 |
393 |
$59.57 |
| J2360 |
Orphenadrine injection |
42 |
37 |
$53.89 |
| 82607 |
|
13 |
13 |
$47.04 |
| J7510 |
Prednisolone oral per 5 mg |
502 |
453 |
$36.26 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$28.00 |
| 80320 |
|
62 |
45 |
$23.30 |
| J2780 |
Ranitidine hydrochloride inj |
33 |
25 |
$18.01 |
| 90715 |
|
44 |
40 |
$17.84 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
15 |
$15.84 |
| J3010 |
Fentanyl citrate injection |
108 |
64 |
$11.80 |
| 81015 |
|
16 |
13 |
$8.25 |
| J1940 |
Furosemide injection |
29 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
111 |
94 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
68 |
46 |
$0.00 |
| J7611 |
Albuterol non-comp con |
32 |
29 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
22 |
14 |
$0.00 |
| J1170 |
Hydromorphone injection |
16 |
12 |
$0.00 |
| 77063 |
|
14 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
20 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23 |
15 |
$0.00 |