| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
11,335 |
10,193 |
$2.78M |
| 99284 |
|
9,092 |
8,393 |
$1.61M |
| 99283 |
|
9,930 |
9,367 |
$1.59M |
| G0378 |
Hospital observation per hr |
1,386 |
1,224 |
$192K |
| 99282 |
|
954 |
918 |
$142K |
| 96374 |
|
6,856 |
6,163 |
$67K |
| 87502 |
|
1,979 |
1,863 |
$55K |
| 85025 |
|
13,175 |
11,391 |
$46K |
| 11042 |
|
1,189 |
453 |
$44K |
| 74177 |
|
679 |
621 |
$38K |
| 84484 |
|
4,034 |
3,053 |
$35K |
| 70450 |
|
1,427 |
1,271 |
$33K |
| 80053 |
|
12,116 |
10,108 |
$31K |
| 96375 |
|
3,995 |
3,399 |
$30K |
| G0481 |
Drug test def 8-14 classes |
594 |
544 |
$24K |
| 87635 |
|
656 |
616 |
$21K |
| 93005 |
|
6,357 |
4,855 |
$17K |
| 87086 |
|
3,265 |
3,007 |
$15K |
| 36415 |
|
14,686 |
11,190 |
$15K |
| 96372 |
|
2,926 |
2,524 |
$13K |
| 71046 |
|
1,861 |
1,735 |
$12K |
| 83690 |
|
3,229 |
2,925 |
$11K |
| J2405 |
Ondansetron hcl injection |
1,638 |
1,437 |
$11K |
| 85730 |
|
3,503 |
3,090 |
$9K |
| 83605 |
|
2,178 |
1,877 |
$8K |
| 71045 |
|
4,636 |
4,140 |
$8K |
| 96361 |
|
1,665 |
1,520 |
$7K |
| G0463 |
Hospital outpt clinic visit |
607 |
327 |
$7K |
| 83874 |
|
1,226 |
914 |
$7K |
| 85610 |
|
3,822 |
3,309 |
$6K |
| 59025 |
|
408 |
287 |
$6K |
| 87430 |
|
1,236 |
1,182 |
$6K |
| 99281 |
|
31 |
27 |
$6K |
| 81025 |
|
2,435 |
2,266 |
$6K |
| 81003 |
|
7,812 |
7,095 |
$5K |
| 87634 |
|
140 |
133 |
$4K |
| 95810 |
|
13 |
13 |
$4K |
| 80307 |
|
170 |
151 |
$4K |
| 80048 |
|
1,894 |
1,581 |
$3K |
| 87081 |
|
1,118 |
1,054 |
$3K |
| 87040 |
|
778 |
475 |
$3K |
| 87400 |
|
911 |
647 |
$3K |
| 97597 |
|
52 |
25 |
$2K |
| 96376 |
|
688 |
306 |
$2K |
| 85027 |
|
980 |
548 |
$2K |
| 85379 |
|
302 |
276 |
$2K |
| 84443 |
|
110 |
108 |
$1K |
| 72125 |
|
30 |
25 |
$1K |
| 74176 |
|
26 |
26 |
$1K |
| 77067 |
|
12 |
12 |
$910.82 |
| 80299 |
|
111 |
53 |
$884.10 |
| 82962 |
|
432 |
130 |
$838.63 |
| 87426 |
|
42 |
40 |
$805.60 |
| 94640 |
|
165 |
143 |
$739.81 |
| 87651 |
|
39 |
38 |
$468.87 |
| J1100 |
Dexamethasone sodium phos |
292 |
257 |
$445.60 |
| 84702 |
|
41 |
39 |
$430.25 |
| 87301 |
|
42 |
40 |
$413.90 |
| 96365 |
|
30 |
25 |
$326.62 |
| 82803 |
|
56 |
48 |
$286.20 |
| 73630 |
|
34 |
30 |
$269.33 |
| 94727 |
|
13 |
12 |
$265.95 |
| 81001 |
|
473 |
449 |
$250.50 |
| 87420 |
|
39 |
37 |
$243.28 |
| 83735 |
|
61 |
38 |
$216.81 |
| 82150 |
|
62 |
57 |
$210.65 |
| 94729 |
|
13 |
12 |
$199.84 |
| 87186 |
|
32 |
29 |
$178.99 |
| 80061 |
|
15 |
15 |
$172.68 |
| J7040 |
Normal saline solution infus |
511 |
343 |
$170.73 |
| 83880 |
|
41 |
37 |
$166.59 |
| 84703 |
|
31 |
28 |
$132.30 |
| 96360 |
|
26 |
24 |
$66.05 |
| 87088 |
|
14 |
14 |
$47.28 |
| 82550 |
|
15 |
12 |
$38.30 |
| 87070 |
|
17 |
13 |
$18.50 |
| 87385 |
|
13 |
13 |
$12.88 |
| 87205 |
|
17 |
13 |
$9.18 |
| J1885 |
Ketorolac tromethamine inj |
122 |
114 |
$0.00 |
| A9270 |
Non-covered item or service |
41 |
39 |
$0.00 |
| 88305 |
|
35 |
25 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
96 |
82 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
506 |
470 |
$0.00 |
| J7120 |
Ringers lactate infusion |
16 |
13 |
$0.00 |