| Code | Description | Claims | Beneficiaries | Total Paid |
| 93306 |
|
941 |
889 |
$324K |
| 93017 |
|
51 |
50 |
$12K |
| 78452 |
|
15 |
14 |
$12K |
| 80048 |
|
1,913 |
1,497 |
$11K |
| J3490 |
Drugs unclassified injection |
1,592 |
290 |
$7K |
| 93005 |
|
607 |
465 |
$7K |
| 83880 |
|
381 |
323 |
$6K |
| 80053 |
|
615 |
570 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
234 |
206 |
$3K |
| 99152 |
|
270 |
238 |
$3K |
| 80061 |
|
658 |
619 |
$3K |
| 85027 |
|
622 |
505 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
478 |
389 |
$1K |
| 36415 |
|
595 |
443 |
$1K |
| J3010 |
Fentanyl citrate injection |
520 |
404 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
195 |
131 |
$595.63 |
| 85025 |
|
101 |
92 |
$394.61 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33 |
29 |
$110.00 |
| C1894 |
Intro/sheath, non-laser |
65 |
59 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
49 |
12 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
13 |
13 |
$0.00 |
| G0378 |
Hospital observation per hr |
58 |
51 |
$0.00 |
| 94760 |
|
102 |
65 |
$0.00 |
| A9500 |
Tc99m sestamibi |
15 |
14 |
$0.00 |
| J2785 |
Regadenoson injection |
15 |
14 |
$0.00 |
| C1769 |
Guide wire |
63 |
51 |
$0.00 |