| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
1,634 |
1,395 |
$620K |
| 99283 |
|
3,111 |
2,875 |
$349K |
| 99284 |
|
2,663 |
2,469 |
$224K |
| 99285 |
|
2,509 |
2,307 |
$170K |
| 74177 |
|
508 |
495 |
$108K |
| 96365 |
|
695 |
580 |
$90K |
| 70450 |
|
432 |
419 |
$78K |
| 99282 |
|
656 |
629 |
$72K |
| 96360 |
|
308 |
305 |
$51K |
| 80053 |
|
4,194 |
3,575 |
$35K |
| 84484 |
|
1,402 |
963 |
$13K |
| G0480 |
Drug test def 1-7 classes |
1,079 |
765 |
$9K |
| G0378 |
Hospital observation per hr |
181 |
157 |
$9K |
| 93306 |
|
25 |
25 |
$8K |
| 97110 |
|
228 |
110 |
$7K |
| 87502 |
|
479 |
468 |
$7K |
| 83605 |
|
523 |
486 |
$6K |
| 87040 |
|
176 |
169 |
$3K |
| 76705 |
|
24 |
24 |
$3K |
| 80048 |
|
290 |
233 |
$2K |
| 85379 |
|
256 |
248 |
$2K |
| 85025 |
|
4,710 |
3,791 |
$2K |
| 87631 |
|
94 |
94 |
$2K |
| 71046 |
|
1,192 |
1,149 |
$2K |
| 87635 |
|
36 |
36 |
$2K |
| 36415 |
|
4,728 |
3,755 |
$2K |
| 83880 |
|
109 |
103 |
$1K |
| 90715 |
|
58 |
55 |
$1K |
| 97140 |
|
49 |
24 |
$1K |
| 80307 |
|
75 |
72 |
$984.03 |
| 93005 |
|
1,475 |
1,322 |
$925.53 |
| 80305 |
|
854 |
757 |
$624.21 |
| 84443 |
|
776 |
702 |
$417.95 |
| 83735 |
|
703 |
606 |
$351.56 |
| 84703 |
|
1,329 |
1,201 |
$315.16 |
| 71045 |
|
471 |
448 |
$242.88 |
| 87420 |
|
12 |
12 |
$220.31 |
| 81001 |
|
1,766 |
1,621 |
$206.44 |
| 87086 |
|
506 |
485 |
$176.19 |
| 85610 |
|
634 |
565 |
$163.05 |
| 83690 |
|
1,680 |
1,531 |
$146.53 |
| 72125 |
|
13 |
13 |
$62.80 |
| 96374 |
|
1,672 |
1,487 |
$49.82 |
| 85027 |
|
17 |
12 |
$33.30 |
| 87081 |
|
61 |
61 |
$23.99 |
| 96375 |
|
1,564 |
1,295 |
$21.29 |
| 87186 |
|
136 |
132 |
$21.19 |
| 87430 |
|
24 |
24 |
$14.12 |
| 86140 |
|
38 |
38 |
$13.68 |
| 84439 |
|
31 |
30 |
$11.80 |
| J1170 |
Hydromorphone injection |
885 |
678 |
$9.17 |
| 85652 |
|
77 |
75 |
$8.31 |
| 86850 |
|
13 |
13 |
$6.84 |
| 87070 |
|
24 |
24 |
$6.28 |
| 87147 |
|
82 |
79 |
$6.28 |
| 86900 |
|
13 |
13 |
$4.93 |
| J2405 |
Ondansetron hcl injection |
1,388 |
1,159 |
$4.78 |
| 87205 |
|
67 |
64 |
$3.14 |
| 86901 |
|
13 |
13 |
$2.46 |
| 85730 |
|
35 |
34 |
$1.76 |
| J2060 |
Lorazepam injection |
298 |
258 |
$0.00 |
| 96372 |
|
809 |
616 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
530 |
472 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
759 |
685 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
482 |
423 |
$0.00 |
| 96376 |
|
437 |
318 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
579 |
454 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
321 |
296 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
126 |
111 |
$0.00 |
| 90471 |
|
73 |
69 |
$0.00 |
| 88305 |
|
39 |
38 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
147 |
131 |
$0.00 |
| J1630 |
Haloperidol injection |
58 |
52 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
12 |
$0.00 |
| 82550 |
|
33 |
27 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
826 |
798 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
362 |
320 |
$0.00 |
| J2270 |
Morphine sulfate injection |
46 |
41 |
$0.00 |
| 82075 |
|
27 |
24 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |