| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
39,952 |
39,599 |
$6.58M |
| 99284 |
|
13,871 |
13,752 |
$3.44M |
| 99285 |
|
6,590 |
6,541 |
$2.52M |
| 99282 |
|
9,373 |
9,316 |
$867K |
| 96374 |
|
5,884 |
5,831 |
$786K |
| 87637 |
|
3,833 |
3,822 |
$524K |
| 11042 |
|
2,417 |
1,181 |
$351K |
| 80053 |
|
28,938 |
27,944 |
$292K |
| 85025 |
|
30,123 |
27,727 |
$232K |
| 96413 |
|
830 |
517 |
$165K |
| 93010 |
|
20,710 |
19,043 |
$145K |
| 36415 |
|
23,438 |
20,174 |
$145K |
| 96372 |
|
1,957 |
1,945 |
$121K |
| 71045 |
|
7,566 |
7,486 |
$94K |
| 87491 |
|
2,986 |
2,952 |
$93K |
| 87591 |
|
2,994 |
2,960 |
$91K |
| 84443 |
|
6,270 |
6,240 |
$87K |
| 87086 |
|
10,726 |
9,895 |
$77K |
| 81003 |
|
19,092 |
17,964 |
$72K |
| 96375 |
|
1,540 |
1,481 |
$65K |
| 93005 |
|
9,763 |
9,458 |
$56K |
| 11043 |
|
187 |
94 |
$51K |
| 76805 |
|
563 |
563 |
$47K |
| 87502 |
|
583 |
583 |
$46K |
| 80061 |
|
3,701 |
3,700 |
$46K |
| 93306 |
|
533 |
532 |
$44K |
| 84439 |
|
5,751 |
5,729 |
$43K |
| 85027 |
|
6,836 |
6,761 |
$40K |
| 96361 |
|
740 |
720 |
$39K |
| 87510 |
|
2,303 |
2,176 |
$39K |
| 83036 |
|
4,895 |
4,870 |
$39K |
| 87660 |
|
2,278 |
2,151 |
$39K |
| 87480 |
|
2,303 |
2,176 |
$39K |
| S9443 |
Lactation class |
388 |
388 |
$33K |
| 84703 |
|
4,785 |
4,730 |
$32K |
| G0463 |
Hospital outpt clinic visit |
3,902 |
3,625 |
$32K |
| 86850 |
|
3,837 |
3,786 |
$31K |
| 71046 |
|
1,538 |
1,537 |
$26K |
| 69436 |
|
26 |
26 |
$20K |
| 87635 |
|
359 |
356 |
$18K |
| 87389 |
|
789 |
789 |
$16K |
| 83615 |
|
2,449 |
1,974 |
$13K |
| 87651 |
|
393 |
393 |
$12K |
| 86780 |
|
1,174 |
1,160 |
$12K |
| 86803 |
|
940 |
936 |
$12K |
| 82570 |
|
1,478 |
1,144 |
$11K |
| 81001 |
|
3,725 |
3,598 |
$10K |
| 70450 |
|
168 |
167 |
$9K |
| 74177 |
|
48 |
48 |
$8K |
| 82731 |
|
144 |
126 |
$8K |
| 86762 |
|
638 |
637 |
$8K |
| 86787 |
|
701 |
695 |
$8K |
| 87661 |
|
248 |
246 |
$7K |
| 84550 |
|
2,062 |
1,612 |
$7K |
| 82962 |
|
1,480 |
1,437 |
$6K |
| 76801 |
|
107 |
107 |
$6K |
| 87340 |
|
643 |
643 |
$6K |
| 83021 |
|
361 |
357 |
$5K |
| 88175 |
|
208 |
208 |
$5K |
| 86592 |
|
1,379 |
1,370 |
$5K |
| 83690 |
|
875 |
866 |
$5K |
| 84156 |
|
1,545 |
1,137 |
$4K |
| 87624 |
|
131 |
131 |
$4K |
| 82950 |
|
882 |
879 |
$4K |
| 87081 |
|
583 |
581 |
$4K |
| 84484 |
|
199 |
175 |
$3K |
| 86900 |
|
1,233 |
1,219 |
$3K |
| 80306 |
|
211 |
209 |
$3K |
| 86901 |
|
1,213 |
1,199 |
$3K |
| 87150 |
|
83 |
80 |
$2K |
| 82728 |
|
183 |
181 |
$2K |
| 74176 |
|
25 |
25 |
$2K |
| 96365 |
|
14 |
14 |
$2K |
| 80074 |
|
40 |
40 |
$2K |
| 83735 |
|
239 |
238 |
$1K |
| 76819 |
|
56 |
38 |
$1K |
| 59025 |
|
219 |
142 |
$1K |
| 87077 |
|
101 |
89 |
$1K |
| 96367 |
|
19 |
12 |
$1K |
| 76817 |
|
27 |
27 |
$976.15 |
| 83550 |
|
132 |
130 |
$963.48 |
| 83540 |
|
155 |
153 |
$754.20 |
| 99213 |
|
13 |
12 |
$721.71 |
| 99214 |
|
13 |
12 |
$656.10 |
| 85652 |
|
301 |
301 |
$592.80 |
| 83605 |
|
56 |
54 |
$564.24 |
| 88305 |
|
12 |
12 |
$492.57 |
| 88304 |
|
12 |
12 |
$486.86 |
| 84146 |
|
26 |
26 |
$448.24 |
| 83655 |
|
37 |
37 |
$433.26 |
| 86735 |
|
39 |
38 |
$406.35 |
| 86765 |
|
39 |
38 |
$401.10 |
| 85041 |
|
145 |
143 |
$391.28 |
| 85018 |
|
165 |
162 |
$344.98 |
| 85014 |
|
165 |
162 |
$344.42 |
| 86021 |
|
24 |
24 |
$321.36 |
| J2405 |
Ondansetron hcl injection |
706 |
692 |
$313.98 |
| 73562 |
|
12 |
12 |
$312.16 |
| 86038 |
|
29 |
29 |
$311.75 |
| 80048 |
|
41 |
41 |
$277.55 |
| 86334 |
|
13 |
13 |
$258.31 |
| 87430 |
|
17 |
17 |
$235.11 |
| 82607 |
|
15 |
15 |
$212.85 |
| 82043 |
|
38 |
38 |
$208.28 |
| 86140 |
|
42 |
42 |
$177.01 |
| 82550 |
|
31 |
31 |
$175.49 |
| 94640 |
|
14 |
14 |
$159.63 |
| 86430 |
|
28 |
28 |
$152.88 |
| 84165 |
|
14 |
14 |
$133.70 |
| 87186 |
|
14 |
14 |
$115.35 |
| 87070 |
|
13 |
12 |
$110.76 |
| 81015 |
|
39 |
38 |
$105.69 |
| 85610 |
|
26 |
26 |
$95.50 |
| 85045 |
|
27 |
25 |
$54.99 |
| 85651 |
|
12 |
12 |
$45.60 |
| 82947 |
|
13 |
13 |
$45.50 |
| J3010 |
Fentanyl citrate injection |
38 |
38 |
$39.68 |
| 86696 |
|
13 |
13 |
$17.21 |
| 86695 |
|
13 |
13 |
$11.73 |
| J7030 |
Normal saline solution infus |
1,000 |
980 |
$0.00 |
| J2270 |
Morphine sulfate injection |
222 |
211 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
115 |
115 |
$0.00 |
| J7120 |
Ringers lactate infusion |
27 |
24 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
143 |
140 |
$0.00 |
| J7050 |
Normal saline solution infus |
54 |
54 |
$0.00 |
| J3490 |
Drugs unclassified injection |
36 |
36 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
40 |
40 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
31 |
26 |
$0.00 |