| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
5,890 |
4,792 |
$648K |
| 99282 |
|
2,709 |
2,500 |
$279K |
| 99281 |
|
928 |
863 |
$154K |
| 87430 |
|
1,681 |
1,563 |
$140K |
| 99283 |
|
5,847 |
5,280 |
$128K |
| 97110 |
|
915 |
253 |
$51K |
| 82962 |
|
1,094 |
577 |
$46K |
| 87491 |
|
551 |
502 |
$45K |
| 81001 |
|
4,081 |
3,591 |
$44K |
| 71046 |
|
1,911 |
1,733 |
$43K |
| 81025 |
|
2,042 |
1,843 |
$43K |
| 87400 |
|
2,151 |
1,461 |
$40K |
| 11042 |
|
115 |
53 |
$39K |
| 99284 |
|
3,484 |
3,122 |
$38K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
630 |
579 |
$35K |
| 87070 |
|
201 |
183 |
$32K |
| 87420 |
|
445 |
411 |
$28K |
| 73630 |
|
210 |
194 |
$25K |
| 87086 |
|
1,144 |
1,056 |
$23K |
| 70450 |
|
623 |
581 |
$23K |
| G0463 |
Hospital outpt clinic visit |
819 |
575 |
$23K |
| 59025 |
|
388 |
288 |
$23K |
| 73610 |
|
190 |
179 |
$22K |
| 84702 |
|
596 |
446 |
$18K |
| 73562 |
|
203 |
188 |
$16K |
| 87186 |
|
516 |
469 |
$16K |
| 93971 |
|
90 |
84 |
$14K |
| 80053 |
|
3,739 |
3,204 |
$13K |
| 86850 |
|
303 |
270 |
$13K |
| 74018 |
|
459 |
362 |
$13K |
| 93306 |
|
88 |
87 |
$13K |
| 73130 |
|
102 |
97 |
$12K |
| 72100 |
|
253 |
221 |
$11K |
| C8929 |
Tte w or wo fol wcon,doppler |
76 |
72 |
$11K |
| 88305 |
|
351 |
324 |
$10K |
| 96372 |
|
783 |
697 |
$10K |
| 74176 |
|
277 |
260 |
$10K |
| 76705 |
|
202 |
191 |
$9K |
| 77067 |
|
166 |
160 |
$9K |
| 73030 |
|
117 |
106 |
$9K |
| 73110 |
|
59 |
56 |
$8K |
| 80048 |
|
1,393 |
1,235 |
$8K |
| 81003 |
|
470 |
429 |
$7K |
| 10060 |
|
44 |
39 |
$6K |
| 76830 |
|
141 |
131 |
$6K |
| 76700 |
|
29 |
29 |
$5K |
| 97140 |
|
175 |
71 |
$5K |
| 72148 |
|
13 |
13 |
$5K |
| 84112 |
|
39 |
30 |
$5K |
| 66984 |
|
16 |
15 |
$5K |
| 80306 |
|
470 |
431 |
$5K |
| 71045 |
|
516 |
465 |
$4K |
| 72050 |
|
58 |
51 |
$4K |
| 93005 |
|
1,706 |
1,466 |
$4K |
| J2930 |
Methylprednisolone injection |
131 |
96 |
$4K |
| G0378 |
Hospital observation per hr |
270 |
243 |
$3K |
| 99285 |
|
1,038 |
952 |
$3K |
| 96360 |
|
182 |
158 |
$3K |
| 87210 |
|
541 |
494 |
$3K |
| 97530 |
|
245 |
95 |
$3K |
| 96374 |
|
997 |
880 |
$2K |
| 87081 |
|
210 |
199 |
$2K |
| 87077 |
|
213 |
199 |
$2K |
| J3010 |
Fentanyl citrate injection |
740 |
688 |
$2K |
| 85025 |
|
5,135 |
4,329 |
$2K |
| 84443 |
|
266 |
240 |
$2K |
| 74022 |
|
156 |
144 |
$2K |
| 83880 |
|
279 |
250 |
$2K |
| 97161 |
|
46 |
45 |
$2K |
| 76642 |
|
42 |
38 |
$1K |
| 76817 |
|
295 |
250 |
$1K |
| 74177 |
|
468 |
435 |
$1K |
| 96365 |
|
561 |
479 |
$979.33 |
| 85379 |
|
323 |
299 |
$966.61 |
| 86901 |
|
649 |
562 |
$962.41 |
| 86738 |
|
347 |
318 |
$890.86 |
| J2274 |
Inj morphine pf epid ithc |
280 |
248 |
$704.46 |
| 87088 |
|
410 |
379 |
$645.79 |
| J2270 |
Morphine sulfate injection |
226 |
191 |
$644.06 |
| G0480 |
Drug test def 1-7 classes |
17 |
13 |
$555.84 |
| Q0162 |
Ondansetron oral |
713 |
667 |
$552.67 |
| 94640 |
|
631 |
498 |
$552.66 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$546.04 |
| 72125 |
|
17 |
16 |
$497.84 |
| J2765 |
Metoclopramide hcl injection |
118 |
103 |
$485.24 |
| 12001 |
|
27 |
24 |
$476.42 |
| J1650 |
Inj enoxaparin sodium |
49 |
24 |
$392.98 |
| 84484 |
|
1,231 |
943 |
$392.12 |
| 97597 |
|
63 |
37 |
$374.54 |
| 96375 |
|
775 |
701 |
$307.11 |
| 85027 |
|
608 |
532 |
$280.87 |
| 82553 |
|
714 |
612 |
$256.95 |
| 83605 |
|
297 |
257 |
$244.75 |
| 97162 |
|
14 |
12 |
$238.37 |
| 82272 |
|
17 |
14 |
$210.18 |
| J1100 |
Dexamethasone sodium phos |
789 |
733 |
$161.72 |
| 80061 |
|
64 |
61 |
$140.13 |
| 74021 |
|
27 |
25 |
$136.72 |
| 88304 |
|
58 |
57 |
$126.59 |
| J1885 |
Ketorolac tromethamine inj |
1,120 |
1,029 |
$114.35 |
| 84550 |
|
32 |
26 |
$112.03 |
| 84703 |
|
179 |
161 |
$65.97 |
| 87040 |
|
482 |
306 |
$13.84 |
| J2704 |
Inj, propofol, 10 mg |
592 |
569 |
$9.73 |
| J2550 |
Promethazine hcl injection |
211 |
195 |
$8.12 |
| J2405 |
Ondansetron hcl injection |
1,763 |
1,494 |
$4.88 |
| 83690 |
|
1,251 |
1,095 |
$4.05 |
| 86900 |
|
649 |
562 |
$3.69 |
| 82009 |
|
31 |
30 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
149 |
142 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
159 |
143 |
$0.00 |
| J2300 |
Inj nalbuphine hydrochloride |
48 |
42 |
$0.00 |
| 85610 |
|
468 |
407 |
$0.00 |
| 80307 |
|
139 |
111 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
157 |
146 |
$0.00 |
| 43239 |
|
108 |
94 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
16 |
13 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 82570 |
|
14 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
394 |
356 |
$0.00 |
| 45380 |
|
13 |
13 |
$0.00 |
| 86140 |
|
154 |
146 |
$0.00 |
| 87591 |
|
552 |
503 |
$0.00 |
| 96361 |
|
506 |
453 |
$0.00 |
| J1170 |
Hydromorphone injection |
456 |
368 |
$0.00 |
| J2060 |
Lorazepam injection |
226 |
206 |
$0.00 |
| 71275 |
|
95 |
91 |
$0.00 |
| 83735 |
|
610 |
511 |
$0.00 |
| 96366 |
|
235 |
189 |
$0.00 |
| 82550 |
|
784 |
677 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
234 |
220 |
$0.00 |
| 85730 |
|
264 |
234 |
$0.00 |
| J2360 |
Orphenadrine injection |
42 |
39 |
$0.00 |
| 96376 |
|
90 |
85 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
748 |
693 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
432 |
375 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
19 |
18 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
26 |
25 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
71 |
66 |
$0.00 |
| 85652 |
|
40 |
37 |
$0.00 |
| 94760 |
|
63 |
27 |
$0.00 |
| 80349 |
|
15 |
15 |
$0.00 |
| 86308 |
|
16 |
13 |
$0.00 |