| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,085 |
3,651 |
$406K |
| 99284 |
|
1,396 |
1,245 |
$272K |
| 74176 |
|
238 |
220 |
$146K |
| 71046 |
|
1,547 |
1,192 |
$64K |
| 70450 |
|
220 |
178 |
$52K |
| 99285 |
|
214 |
181 |
$48K |
| 93005 |
|
695 |
433 |
$36K |
| 74177 |
|
39 |
38 |
$33K |
| 99282 |
|
476 |
414 |
$33K |
| G0378 |
Hospital observation per hr |
184 |
148 |
$32K |
| 80053 |
|
3,426 |
2,774 |
$32K |
| 72110 |
|
633 |
548 |
$28K |
| 73562 |
|
361 |
272 |
$24K |
| 96372 |
|
678 |
608 |
$24K |
| 85025 |
|
2,823 |
2,354 |
$22K |
| 96361 |
|
345 |
222 |
$19K |
| 73030 |
|
325 |
268 |
$18K |
| 87804 |
|
1,236 |
647 |
$16K |
| 36415 |
|
7,322 |
4,110 |
$15K |
| 99281 |
|
461 |
411 |
$15K |
| 96375 |
|
296 |
254 |
$15K |
| 94640 |
|
264 |
173 |
$15K |
| 96374 |
|
395 |
340 |
$15K |
| 80074 |
|
340 |
289 |
$15K |
| 84443 |
|
836 |
766 |
$13K |
| 80061 |
|
1,018 |
918 |
$13K |
| 73630 |
|
222 |
187 |
$11K |
| 71045 |
|
495 |
326 |
$11K |
| 80307 |
|
203 |
174 |
$11K |
| 73610 |
|
179 |
144 |
$11K |
| 82306 |
|
473 |
415 |
$10K |
| 72070 |
|
207 |
173 |
$10K |
| 96365 |
|
128 |
84 |
$9K |
| 72050 |
|
116 |
100 |
$7K |
| 83036 |
|
733 |
663 |
$7K |
| 77067 |
|
77 |
72 |
$7K |
| 73130 |
|
127 |
104 |
$6K |
| 99050 |
|
281 |
252 |
$6K |
| 73502 |
|
131 |
81 |
$6K |
| 80048 |
|
617 |
492 |
$6K |
| 72052 |
|
78 |
63 |
$5K |
| 87430 |
|
404 |
378 |
$5K |
| 70220 |
|
82 |
54 |
$4K |
| 87806 |
|
202 |
151 |
$4K |
| 73110 |
|
56 |
48 |
$4K |
| 76700 |
|
29 |
28 |
$4K |
| 87086 |
|
433 |
390 |
$3K |
| 84484 |
|
262 |
208 |
$3K |
| J2930 |
Methylprednisolone injection |
289 |
260 |
$3K |
| 83690 |
|
413 |
375 |
$3K |
| 81001 |
|
639 |
511 |
$3K |
| 81025 |
|
437 |
389 |
$3K |
| 85027 |
|
430 |
361 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
171 |
143 |
$3K |
| 87077 |
|
282 |
253 |
$2K |
| 36000 |
|
156 |
143 |
$2K |
| 82607 |
|
168 |
146 |
$2K |
| 86677 |
|
157 |
136 |
$2K |
| 81003 |
|
843 |
728 |
$2K |
| 94761 |
|
78 |
70 |
$2K |
| 87186 |
|
192 |
174 |
$2K |
| 80305 |
|
157 |
135 |
$2K |
| 97597 |
|
53 |
32 |
$2K |
| 74018 |
|
45 |
43 |
$2K |
| 86038 |
|
166 |
136 |
$2K |
| 96360 |
|
14 |
12 |
$2K |
| 59025 |
|
20 |
12 |
$2K |
| 83880 |
|
53 |
41 |
$1K |
| 76536 |
|
13 |
12 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
254 |
229 |
$1K |
| 87070 |
|
130 |
106 |
$1K |
| 85610 |
|
239 |
169 |
$984.43 |
| J1885 |
Ketorolac tromethamine inj |
211 |
188 |
$929.81 |
| 85007 |
|
234 |
199 |
$774.84 |
| 87040 |
|
70 |
43 |
$751.33 |
| 87420 |
|
57 |
53 |
$735.56 |
| 73080 |
|
20 |
12 |
$732.42 |
| J2405 |
Ondansetron hcl injection |
484 |
407 |
$729.37 |
| 82550 |
|
122 |
99 |
$725.80 |
| 86430 |
|
134 |
112 |
$707.67 |
| 84439 |
|
77 |
70 |
$694.48 |
| 86706 |
|
60 |
46 |
$647.72 |
| 84550 |
|
141 |
120 |
$608.71 |
| 85652 |
|
231 |
185 |
$607.66 |
| 82962 |
|
199 |
104 |
$560.82 |
| 72100 |
|
15 |
13 |
$530.31 |
| J2270 |
Morphine sulfate injection |
212 |
170 |
$529.58 |
| 84153 |
|
27 |
26 |
$522.47 |
| 87521 |
Neg quan hep c or qual rna |
15 |
13 |
$506.46 |
| 82150 |
|
64 |
56 |
$476.34 |
| J7512 |
Prednisone ir or dr oral 1mg |
266 |
247 |
$442.86 |
| 82043 |
|
69 |
68 |
$441.77 |
| 83721 |
|
341 |
315 |
$337.95 |
| 82570 |
|
57 |
52 |
$319.70 |
| 82172 |
|
20 |
16 |
$307.30 |
| 83735 |
|
33 |
30 |
$276.91 |
| 83883 |
|
20 |
16 |
$243.25 |
| 83010 |
|
20 |
16 |
$224.99 |
| J3010 |
Fentanyl citrate injection |
71 |
58 |
$211.02 |
| J2250 |
Inj midazolam hydrochloride |
101 |
90 |
$197.18 |
| J2550 |
Promethazine hcl injection |
114 |
104 |
$185.20 |
| 86140 |
|
35 |
28 |
$177.13 |
| 82977 |
|
20 |
16 |
$128.80 |
| J7030 |
Normal saline solution infus |
48 |
32 |
$117.00 |
| 83605 |
|
14 |
13 |
$108.84 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$86.99 |
| 84156 |
|
13 |
12 |
$40.77 |
| J7510 |
Prednisolone oral per 5 mg |
21 |
16 |
$14.08 |