| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
2,431 |
2,077 |
$1.50M |
| 99283 |
|
11,001 |
9,867 |
$1.31M |
| 99284 |
|
6,406 |
5,500 |
$979K |
| 99282 |
|
7,353 |
6,732 |
$953K |
| 74177 |
|
543 |
474 |
$422K |
| 87633 |
|
850 |
795 |
$372K |
| 99281 |
|
4,688 |
4,313 |
$329K |
| 70450 |
|
1,410 |
1,022 |
$202K |
| 71046 |
|
2,427 |
1,936 |
$100K |
| 99285 |
|
484 |
402 |
$99K |
| 80053 |
|
7,843 |
6,614 |
$91K |
| 97110 |
|
2,656 |
832 |
$60K |
| 74176 |
|
475 |
424 |
$57K |
| 86328 |
|
1,464 |
1,292 |
$54K |
| 95065 |
|
2,101 |
1,818 |
$45K |
| 96365 |
|
802 |
589 |
$40K |
| 96375 |
|
3,114 |
2,589 |
$40K |
| 96361 |
|
2,631 |
2,282 |
$39K |
| 71045 |
|
3,142 |
2,279 |
$28K |
| 93005 |
|
2,321 |
2,013 |
$26K |
| 94640 |
|
475 |
409 |
$16K |
| 97161 |
|
141 |
128 |
$14K |
| 73630 |
|
270 |
192 |
$12K |
| 93010 |
|
1,554 |
1,359 |
$11K |
| 72110 |
|
64 |
54 |
$9K |
| 80320 |
|
995 |
770 |
$8K |
| 73562 |
|
119 |
79 |
$8K |
| 96372 |
|
1,794 |
1,629 |
$7K |
| 96374 |
|
3,715 |
3,230 |
$7K |
| G0378 |
Hospital observation per hr |
38 |
24 |
$6K |
| 85025 |
|
8,576 |
7,247 |
$6K |
| 73030 |
|
125 |
99 |
$6K |
| 84443 |
|
1,720 |
1,612 |
$5K |
| 87635 |
|
3,825 |
2,219 |
$4K |
| 73610 |
|
43 |
37 |
$4K |
| 87804 |
|
550 |
522 |
$3K |
| G0480 |
Drug test def 1-7 classes |
208 |
179 |
$3K |
| 80306 |
|
1,292 |
1,118 |
$3K |
| 99214 |
|
94 |
77 |
$3K |
| 84484 |
|
1,736 |
1,474 |
$2K |
| 99291 |
|
12 |
12 |
$2K |
| 87086 |
|
1,453 |
1,314 |
$2K |
| 80048 |
|
1,439 |
1,273 |
$2K |
| 73130 |
|
28 |
27 |
$2K |
| 96360 |
|
214 |
200 |
$2K |
| 94664 |
|
652 |
573 |
$2K |
| 96376 |
|
476 |
377 |
$1K |
| 73110 |
|
59 |
50 |
$1K |
| 36415 |
|
11,618 |
9,544 |
$1K |
| 99213 |
|
120 |
104 |
$908.42 |
| 83880 |
|
140 |
121 |
$760.38 |
| 83690 |
|
1,885 |
1,644 |
$717.26 |
| 84703 |
|
1,431 |
1,298 |
$695.15 |
| 97032 |
|
1,228 |
369 |
$572.61 |
| 80061 |
|
658 |
621 |
$523.35 |
| 83036 |
|
542 |
511 |
$479.97 |
| 87081 |
|
262 |
247 |
$464.08 |
| 81002 |
|
3,118 |
2,781 |
$423.05 |
| 85610 |
|
1,164 |
1,018 |
$357.01 |
| J7030 |
Normal saline solution infus |
3,464 |
2,941 |
$341.87 |
| 87651 |
|
63 |
61 |
$323.48 |
| 87899 |
|
550 |
522 |
$310.19 |
| 81000 |
|
1,553 |
1,363 |
$301.96 |
| 87880 |
|
281 |
268 |
$277.73 |
| 85379 |
|
429 |
373 |
$270.88 |
| 83605 |
|
365 |
318 |
$214.55 |
| 85730 |
|
453 |
399 |
$197.89 |
| 87426 |
|
186 |
158 |
$196.37 |
| J2405 |
Ondansetron hcl injection |
2,247 |
1,986 |
$191.27 |
| 83735 |
|
574 |
508 |
$187.79 |
| J1885 |
Ketorolac tromethamine inj |
1,670 |
1,485 |
$170.34 |
| A4216 |
Sterile water/saline, 10 ml |
973 |
845 |
$169.44 |
| 85027 |
|
228 |
194 |
$112.61 |
| 85007 |
|
233 |
198 |
$86.89 |
| 82550 |
|
68 |
64 |
$57.39 |
| J1100 |
Dexamethasone sodium phos |
571 |
528 |
$56.46 |
| J0696 |
Ceftriaxone sodium injection |
181 |
152 |
$48.73 |
| 94760 |
|
31 |
26 |
$40.78 |
| 84439 |
|
99 |
94 |
$25.66 |
| 87280 |
|
98 |
97 |
$21.80 |
| J2250 |
Inj midazolam hydrochloride |
61 |
50 |
$21.26 |
| J2060 |
Lorazepam injection |
366 |
302 |
$16.79 |
| 90471 |
|
26 |
25 |
$7.36 |
| J2360 |
Orphenadrine injection |
30 |
27 |
$0.00 |
| J1170 |
Hydromorphone injection |
48 |
41 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
45 |
37 |
$0.00 |
| 93000 |
|
65 |
61 |
$0.00 |
| 84480 |
|
16 |
14 |
$0.00 |
| 87040 |
|
17 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
380 |
354 |
$0.00 |
| 87502 |
|
12 |
12 |
$0.00 |
| 77003 |
|
13 |
13 |
$0.00 |
| 80305 |
|
16 |
13 |
$0.00 |
| 99203 |
|
22 |
21 |
$0.00 |
| 99212 |
|
17 |
15 |
$0.00 |