| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,105 |
2,644 |
$734K |
| 99284 |
|
4,495 |
3,359 |
$729K |
| 99285 |
|
1,277 |
647 |
$328K |
| 99214 |
|
2,422 |
2,208 |
$230K |
| 93005 |
|
2,002 |
1,414 |
$162K |
| 99213 |
|
2,966 |
2,472 |
$154K |
| 99282 |
|
1,291 |
983 |
$110K |
| 96375 |
|
946 |
761 |
$100K |
| 92507 |
|
1,358 |
503 |
$86K |
| 97530 |
|
1,411 |
520 |
$81K |
| 74177 |
|
879 |
786 |
$71K |
| 96374 |
|
1,178 |
949 |
$64K |
| 96361 |
|
964 |
754 |
$56K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
356 |
307 |
$49K |
| 87502 |
|
522 |
494 |
$40K |
| 96365 |
|
268 |
198 |
$33K |
| 80053 |
|
4,969 |
4,017 |
$30K |
| 87651 |
|
642 |
616 |
$22K |
| 87631 |
|
165 |
159 |
$22K |
| 84443 |
|
1,922 |
1,724 |
$21K |
| 96372 |
|
618 |
476 |
$20K |
| 85025 |
|
4,418 |
3,463 |
$18K |
| 71045 |
|
2,995 |
2,132 |
$18K |
| 99391 |
|
190 |
162 |
$16K |
| 70450 |
|
451 |
332 |
$13K |
| 99203 |
|
348 |
194 |
$12K |
| 93010 |
|
391 |
315 |
$11K |
| 83605 |
|
1,601 |
1,251 |
$10K |
| 71046 |
|
1,360 |
855 |
$10K |
| 36415 |
|
7,809 |
5,728 |
$10K |
| 86140 |
|
2,232 |
1,794 |
$8K |
| 83880 |
|
630 |
475 |
$7K |
| 99392 |
|
68 |
67 |
$7K |
| G0480 |
Drug test def 1-7 classes |
109 |
96 |
$7K |
| 82553 |
|
887 |
685 |
$6K |
| 84484 |
|
975 |
745 |
$6K |
| 83690 |
|
1,041 |
900 |
$5K |
| 80306 |
|
449 |
399 |
$5K |
| 81025 |
|
695 |
637 |
$5K |
| 81000 |
|
1,733 |
1,505 |
$5K |
| 97140 |
|
122 |
39 |
$4K |
| 90460 |
|
279 |
272 |
$4K |
| 85027 |
|
815 |
714 |
$4K |
| 87635 |
|
286 |
252 |
$4K |
| 71275 |
|
39 |
37 |
$4K |
| 82550 |
|
951 |
734 |
$4K |
| 73630 |
|
490 |
373 |
$4K |
| 87040 |
|
450 |
392 |
$4K |
| 80061 |
|
432 |
415 |
$4K |
| 96360 |
|
35 |
29 |
$3K |
| 97110 |
|
102 |
38 |
$3K |
| 83021 |
|
301 |
290 |
$3K |
| J7120 |
Ringers lactate infusion |
626 |
532 |
$3K |
| 85610 |
|
1,285 |
975 |
$3K |
| 90461 |
|
346 |
196 |
$3K |
| 85730 |
|
766 |
649 |
$3K |
| 80048 |
|
489 |
372 |
$2K |
| 87088 |
|
339 |
312 |
$2K |
| 84145 |
|
147 |
116 |
$2K |
| J2405 |
Ondansetron hcl injection |
699 |
589 |
$2K |
| J3010 |
Fentanyl citrate injection |
624 |
531 |
$2K |
| 83036 |
|
413 |
394 |
$1K |
| 73610 |
|
162 |
127 |
$1K |
| J7030 |
Normal saline solution infus |
744 |
597 |
$1K |
| 82803 |
|
84 |
67 |
$1K |
| 72125 |
|
13 |
12 |
$962.97 |
| A6402 |
Sterile gauze <= 16 sq in |
29 |
28 |
$933.25 |
| 73030 |
|
107 |
74 |
$805.49 |
| J2704 |
Inj, propofol, 10 mg |
46 |
38 |
$716.04 |
| 85379 |
|
84 |
77 |
$647.32 |
| 72100 |
|
50 |
41 |
$589.16 |
| 36600 |
|
31 |
25 |
$514.56 |
| J2250 |
Inj midazolam hydrochloride |
46 |
41 |
$489.72 |
| 87491 |
|
12 |
12 |
$468.00 |
| 87591 |
|
12 |
12 |
$468.00 |
| 73562 |
|
54 |
37 |
$450.02 |
| 84439 |
|
79 |
74 |
$416.57 |
| 90686 |
|
30 |
30 |
$394.05 |
| 73110 |
|
37 |
25 |
$350.50 |
| 81015 |
|
132 |
124 |
$345.76 |
| 76942 |
|
13 |
13 |
$315.04 |
| J2550 |
Promethazine hcl injection |
100 |
81 |
$275.72 |
| J1885 |
Ketorolac tromethamine inj |
152 |
130 |
$258.03 |
| 86677 |
|
16 |
16 |
$225.68 |
| J7050 |
Normal saline solution infus |
75 |
38 |
$208.43 |
| 73130 |
|
26 |
24 |
$191.08 |
| 87880 |
|
14 |
14 |
$190.15 |
| 87070 |
|
17 |
17 |
$161.87 |
| 83735 |
|
62 |
52 |
$131.32 |
| 82150 |
|
16 |
15 |
$79.20 |
| J1100 |
Dexamethasone sodium phos |
48 |
44 |
$78.85 |
| J2270 |
Morphine sulfate injection |
14 |
13 |
$78.03 |
| 86308 |
|
12 |
12 |
$57.50 |
| A4215 |
Sterile needle |
12 |
12 |
$44.92 |
| 85652 |
|
25 |
24 |
$30.31 |
| 87798 |
|
15 |
15 |
$3.08 |
| 90670 |
|
45 |
44 |
$0.41 |
| 90647 |
|
40 |
40 |
$0.39 |
| 90723 |
|
32 |
31 |
$0.28 |
| 90680 |
|
31 |
30 |
$0.27 |
| 90685 |
|
13 |
13 |
$0.13 |
| 90633 |
|
14 |
14 |
$0.13 |
| 91300 |
|
12 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
69 |
26 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
424 |
354 |
$-999.47 |