| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,034 |
2,550 |
$407K |
| 99284 |
|
2,337 |
1,840 |
$372K |
| 99285 |
|
943 |
715 |
$165K |
| 96374 |
|
877 |
701 |
$74K |
| 74177 |
|
395 |
320 |
$57K |
| 87635 |
|
1,698 |
1,381 |
$48K |
| 99281 |
|
834 |
754 |
$38K |
| G0378 |
Hospital observation per hr |
225 |
168 |
$37K |
| 71045 |
|
1,207 |
921 |
$36K |
| 96365 |
|
545 |
425 |
$36K |
| 96372 |
|
1,051 |
787 |
$31K |
| 93005 |
|
1,396 |
1,054 |
$27K |
| 80307 |
|
915 |
658 |
$25K |
| 96375 |
|
801 |
601 |
$20K |
| 87400 |
|
2,968 |
1,202 |
$19K |
| 70450 |
|
534 |
443 |
$18K |
| 96361 |
|
497 |
322 |
$17K |
| 87651 |
|
657 |
578 |
$16K |
| 94640 |
|
269 |
123 |
$14K |
| 80053 |
|
2,605 |
1,903 |
$11K |
| 85025 |
|
2,847 |
1,918 |
$8K |
| 87502 |
|
118 |
102 |
$6K |
| 84484 |
|
1,152 |
801 |
$5K |
| 71046 |
|
131 |
108 |
$5K |
| 74176 |
|
68 |
55 |
$5K |
| 81025 |
|
716 |
616 |
$4K |
| 87428 |
|
87 |
76 |
$3K |
| 83880 |
|
265 |
193 |
$2K |
| 96360 |
|
29 |
24 |
$2K |
| 83735 |
|
755 |
566 |
$2K |
| 83605 |
|
439 |
339 |
$2K |
| 83690 |
|
596 |
483 |
$2K |
| 73630 |
|
47 |
43 |
$2K |
| 81003 |
|
1,656 |
1,344 |
$2K |
| 73610 |
|
33 |
28 |
$2K |
| 87426 |
|
72 |
65 |
$2K |
| 73560 |
|
31 |
26 |
$1K |
| 72125 |
|
31 |
24 |
$1K |
| 87634 |
|
20 |
20 |
$1K |
| 84443 |
|
199 |
163 |
$1K |
| 85379 |
|
292 |
227 |
$1K |
| 71275 |
|
53 |
35 |
$1K |
| G0481 |
Drug test def 8-14 classes |
17 |
13 |
$845.58 |
| G0480 |
Drug test def 1-7 classes |
14 |
12 |
$721.96 |
| 80048 |
|
312 |
185 |
$695.58 |
| 87086 |
|
149 |
114 |
$520.22 |
| 85610 |
|
326 |
252 |
$456.76 |
| 82803 |
|
60 |
43 |
$424.35 |
| 85732 |
|
139 |
109 |
$315.76 |
| 87807 |
|
19 |
19 |
$165.18 |
| 81001 |
|
81 |
69 |
$128.25 |
| 87040 |
|
18 |
12 |
$92.90 |
| 36415 |
|
18 |
15 |
$69.58 |
| 82962 |
|
42 |
21 |
$48.21 |
| J7030 |
Normal saline solution infus |
785 |
530 |
$36.96 |
| J1885 |
Ketorolac tromethamine inj |
627 |
524 |
$5.50 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
12 |
$4.32 |
| J2405 |
Ondansetron hcl injection |
561 |
428 |
$4.32 |
| J1100 |
Dexamethasone sodium phos |
54 |
48 |
$1.30 |
| J0696 |
Ceftriaxone sodium injection |
110 |
81 |
$1.06 |
| A9270 |
Non-covered item or service |
4,354 |
1,764 |
$0.00 |
| J1170 |
Hydromorphone injection |
21 |
12 |
$0.00 |
| 96376 |
|
94 |
58 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
688 |
561 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
130 |
96 |
$0.00 |
| J2270 |
Morphine sulfate injection |
118 |
84 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
50 |
37 |
$0.00 |