| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
|
133,356 |
115,554 |
$493K |
| 99214 |
|
14,854 |
14,462 |
$467K |
| 93306 |
|
14,760 |
14,308 |
$396K |
| 99204 |
|
995 |
968 |
$66K |
| 99215 |
Prolong outpt/office vis |
844 |
808 |
$40K |
| 96361 |
|
95 |
82 |
$37K |
| G0463 |
Hospital outpt clinic visit |
373 |
257 |
$37K |
| 99284 |
|
194 |
177 |
$19K |
| 99283 |
|
183 |
167 |
$19K |
| 93296 |
|
2,996 |
2,948 |
$18K |
| 93295 |
|
1,219 |
1,194 |
$14K |
| 99205 |
Prolong outpt/office vis |
136 |
135 |
$11K |
| 99244 |
|
99 |
99 |
$11K |
| 93000 |
|
1,895 |
1,843 |
$10K |
| 93016 |
|
1,211 |
1,190 |
$9K |
| 99285 |
|
79 |
74 |
$8K |
| 96413 |
|
54 |
38 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
100 |
62 |
$5K |
| 93294 |
|
950 |
937 |
$5K |
| 99282 |
|
53 |
49 |
$5K |
| 93005 |
|
2,170 |
2,098 |
$5K |
| 99203 |
|
94 |
92 |
$5K |
| 93018 |
|
847 |
820 |
$4K |
| 99213 |
|
123 |
121 |
$3K |
| 80053 |
|
340 |
275 |
$3K |
| 93308 |
|
242 |
221 |
$2K |
| 96365 |
|
19 |
13 |
$2K |
| 93248 |
|
180 |
177 |
$2K |
| G2211 |
Complex e/m visit add on |
321 |
318 |
$1K |
| 76805 |
|
15 |
15 |
$1K |
| 99232 |
|
34 |
25 |
$947.41 |
| 87635 |
|
15 |
15 |
$808.20 |
| 75561 |
|
12 |
12 |
$755.60 |
| 77067 |
|
13 |
13 |
$650.65 |
| 99442 |
|
23 |
22 |
$626.85 |
| 93321 |
|
152 |
141 |
$402.35 |
| 85025 |
|
401 |
332 |
$391.68 |
| 0298T |
|
12 |
12 |
$294.94 |
| 93325 |
|
238 |
226 |
$280.26 |
| 71046 |
|
31 |
30 |
$252.90 |
| 36415 |
|
65 |
44 |
$183.60 |
| 78452 |
|
12 |
12 |
$179.24 |
| 80307 |
|
12 |
12 |
$153.24 |
| 80048 |
|
17 |
13 |
$145.03 |
| 93280 |
|
14 |
14 |
$143.22 |
| 83605 |
|
14 |
12 |
$140.44 |
| 71045 |
|
48 |
47 |
$138.18 |
| 84484 |
|
16 |
14 |
$134.03 |
| 93880 |
|
14 |
14 |
$96.60 |
| 80047 |
|
14 |
14 |
$87.87 |
| 99152 |
|
12 |
12 |
$70.03 |
| 85027 |
|
19 |
15 |
$34.56 |
| 88305 |
|
37 |
35 |
$23.35 |
| 81001 |
|
43 |
40 |
$18.84 |
| 83690 |
|
62 |
54 |
$16.72 |
| 82962 |
|
31 |
16 |
$16.56 |
| 85610 |
|
18 |
13 |
$7.28 |
| 81003 |
|
114 |
94 |
$6.42 |
| 80305 |
|
14 |
13 |
$4.18 |
| 84703 |
|
65 |
62 |
$4.18 |
| 3078F |
|
745 |
731 |
$0.00 |
| J7030 |
Normal saline solution infus |
111 |
90 |
$0.00 |
| 3077F |
|
26 |
25 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
34 |
34 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
104 |
87 |
$0.00 |
| J7120 |
Ringers lactate infusion |
44 |
39 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
56 |
45 |
$0.00 |
| 3079F |
|
80 |
80 |
$0.00 |
| J7050 |
Normal saline solution infus |
184 |
79 |
$0.00 |
| 3074F |
|
815 |
801 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
39 |
36 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
53 |
46 |
$0.00 |
| 96374 |
|
101 |
89 |
$0.00 |
| 96375 |
|
109 |
79 |
$0.00 |
| 96372 |
|
16 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
38 |
37 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
37 |
36 |
$0.00 |
| J2001 |
Lidocaine injection |
20 |
17 |
$0.00 |