| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,842 |
7,279 |
$957K |
| 99284 |
|
6,624 |
5,061 |
$810K |
| 74177 |
|
886 |
565 |
$513K |
| 99285 |
|
4,113 |
2,878 |
$499K |
| 70450 |
|
1,204 |
880 |
$322K |
| G0378 |
Hospital observation per hr |
2,044 |
988 |
$221K |
| 99282 |
|
2,233 |
1,963 |
$163K |
| 87591 |
|
1,745 |
1,387 |
$110K |
| 80053 |
|
16,638 |
11,678 |
$107K |
| 82306 |
|
1,503 |
1,350 |
$53K |
| 93306 |
|
339 |
300 |
$52K |
| 80050 |
|
420 |
403 |
$46K |
| 86703 |
|
1,139 |
931 |
$43K |
| 99213 |
|
2,002 |
1,407 |
$42K |
| 84443 |
|
6,868 |
5,682 |
$39K |
| 93005 |
|
4,763 |
3,476 |
$39K |
| 74176 |
|
133 |
104 |
$35K |
| 77067 |
|
384 |
357 |
$29K |
| 97530 |
|
1,096 |
144 |
$28K |
| 80307 |
|
1,939 |
1,396 |
$23K |
| 80061 |
|
4,994 |
4,291 |
$23K |
| 87086 |
|
3,172 |
2,505 |
$20K |
| 87635 |
|
2,881 |
2,117 |
$20K |
| 76805 |
|
202 |
150 |
$19K |
| 71046 |
|
1,636 |
1,306 |
$18K |
| 85025 |
|
19,452 |
13,515 |
$17K |
| 87811 |
|
342 |
329 |
$17K |
| 96365 |
|
1,799 |
947 |
$16K |
| 84702 |
|
1,866 |
1,291 |
$15K |
| 99203 |
|
591 |
473 |
$14K |
| 80048 |
|
3,687 |
3,031 |
$9K |
| 97110 |
|
761 |
87 |
$9K |
| 36415 |
|
24,161 |
17,209 |
$7K |
| 83880 |
|
607 |
459 |
$7K |
| 96374 |
|
3,872 |
2,406 |
$6K |
| 99212 |
|
396 |
309 |
$6K |
| 86850 |
|
1,321 |
970 |
$5K |
| 73630 |
|
166 |
100 |
$5K |
| A4649 |
Surgical supplies |
3,689 |
1,438 |
$4K |
| 76815 |
|
101 |
51 |
$4K |
| 59025 |
|
146 |
64 |
$4K |
| 73030 |
|
83 |
65 |
$4K |
| 81000 |
|
5,231 |
3,857 |
$3K |
| 87804 |
|
2,037 |
1,317 |
$3K |
| 96360 |
|
221 |
131 |
$3K |
| 81002 |
|
657 |
533 |
$3K |
| 99214 |
|
122 |
70 |
$3K |
| 88305 |
|
328 |
208 |
$3K |
| 83540 |
|
347 |
313 |
$2K |
| 83036 |
|
5,273 |
4,633 |
$2K |
| 71045 |
|
3,034 |
2,261 |
$2K |
| 80076 |
|
184 |
164 |
$2K |
| 76801 |
|
28 |
24 |
$2K |
| 87081 |
|
1,286 |
1,049 |
$2K |
| 88174 |
|
70 |
64 |
$2K |
| 96372 |
|
2,453 |
1,742 |
$2K |
| 96375 |
|
2,447 |
1,593 |
$2K |
| 96361 |
|
2,133 |
1,367 |
$2K |
| 73564 |
|
87 |
71 |
$1K |
| 83690 |
|
2,720 |
1,916 |
$1K |
| 99204 |
|
55 |
40 |
$1K |
| 82607 |
|
499 |
459 |
$1K |
| 73130 |
|
32 |
25 |
$1K |
| 99202 |
|
65 |
55 |
$1K |
| 83735 |
|
1,335 |
949 |
$1K |
| G0480 |
Drug test def 1-7 classes |
623 |
459 |
$1K |
| 87077 |
|
928 |
743 |
$1K |
| 87624 |
|
39 |
27 |
$829.40 |
| 82728 |
|
61 |
54 |
$777.48 |
| 94640 |
|
936 |
626 |
$769.59 |
| 73110 |
|
15 |
13 |
$735.85 |
| 82652 |
|
17 |
16 |
$555.46 |
| 84439 |
|
2,079 |
1,755 |
$514.03 |
| 82570 |
|
1,478 |
1,230 |
$510.45 |
| 80069 |
|
115 |
100 |
$456.41 |
| 85027 |
|
1,294 |
982 |
$400.91 |
| 85610 |
|
1,756 |
1,175 |
$394.29 |
| 73610 |
|
18 |
13 |
$355.72 |
| 82043 |
|
1,133 |
994 |
$354.47 |
| 82784 |
|
114 |
94 |
$342.71 |
| 86803 |
|
367 |
315 |
$329.58 |
| 84703 |
|
1,036 |
683 |
$327.97 |
| 84484 |
|
3,268 |
2,179 |
$256.61 |
| 87340 |
|
713 |
579 |
$246.14 |
| 81001 |
|
2,184 |
1,709 |
$210.56 |
| 86901 |
|
1,043 |
744 |
$189.12 |
| J3010 |
Fentanyl citrate injection |
833 |
402 |
$182.97 |
| 87880 |
|
48 |
43 |
$173.54 |
| 82951 |
|
73 |
52 |
$126.81 |
| J7040 |
Normal saline solution infus |
3,937 |
1,552 |
$126.53 |
| 88142 |
|
86 |
57 |
$110.56 |
| 87430 |
|
489 |
425 |
$88.21 |
| J1885 |
Ketorolac tromethamine inj |
2,287 |
1,331 |
$72.15 |
| 36416 |
|
70 |
43 |
$61.41 |
| 87070 |
|
12 |
12 |
$58.80 |
| 86317 |
|
206 |
190 |
$49.10 |
| J2704 |
Inj, propofol, 10 mg |
1,060 |
458 |
$48.61 |
| 87661 |
|
28 |
24 |
$47.86 |
| J1100 |
Dexamethasone sodium phos |
837 |
453 |
$46.78 |
| 94664 |
|
80 |
53 |
$37.08 |
| 82950 |
|
29 |
24 |
$33.93 |
| 83605 |
|
368 |
253 |
$32.97 |
| 87210 |
|
159 |
121 |
$32.01 |
| 86593 |
|
672 |
542 |
$30.73 |
| J7030 |
Normal saline solution infus |
904 |
563 |
$27.92 |
| 85730 |
|
324 |
218 |
$27.07 |
| 86900 |
|
1,176 |
853 |
$22.84 |
| J2270 |
Morphine sulfate injection |
205 |
131 |
$20.77 |
| J2405 |
Ondansetron hcl injection |
2,881 |
1,473 |
$20.09 |
| 85379 |
|
107 |
88 |
$18.99 |
| 82948 |
|
394 |
161 |
$18.16 |
| 86140 |
|
835 |
635 |
$14.12 |
| 87040 |
|
204 |
105 |
$14.10 |
| 86592 |
|
1,010 |
816 |
$11.64 |
| 87181 |
|
1,103 |
866 |
$11.50 |
| 85651 |
|
625 |
492 |
$11.04 |
| J7120 |
Ringers lactate infusion |
1,748 |
832 |
$10.10 |
| A4216 |
Sterile water/saline, 10 ml |
1,169 |
341 |
$7.09 |
| Q0162 |
Ondansetron oral |
371 |
282 |
$3.20 |
| J0696 |
Ceftriaxone sodium injection |
98 |
52 |
$0.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
626 |
372 |
$0.14 |
| J8499 |
Oral prescrip drug non chemo |
47 |
25 |
$0.02 |
| 84550 |
|
85 |
63 |
$0.00 |
| G9656 |
Pt trans from anest to pacu |
507 |
213 |
$0.00 |
| 87491 |
|
48 |
47 |
$0.00 |
| A0425 |
Ground mileage |
216 |
156 |
$0.00 |
| 84481 |
|
48 |
41 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
141 |
81 |
$0.00 |
| 84100 |
|
45 |
33 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
38 |
27 |
$0.00 |
| 84207 |
|
15 |
13 |
$0.00 |
| 99001 |
|
40 |
25 |
$0.00 |
| 84425 |
|
13 |
12 |
$0.00 |
| 84295 |
|
13 |
12 |
$0.00 |
| 86708 |
|
14 |
12 |
$0.00 |
| 80179 |
|
15 |
12 |
$0.00 |
| 80143 |
|
15 |
12 |
$0.00 |
| 82746 |
|
175 |
162 |
$0.00 |
| A9270 |
Non-covered item or service |
1,121 |
286 |
$0.00 |
| 94761 |
|
653 |
483 |
$0.00 |
| 84436 |
|
64 |
58 |
$0.00 |
| 77063 |
|
353 |
332 |
$0.00 |
| J2001 |
Lidocaine injection |
312 |
142 |
$0.00 |
| 86706 |
|
105 |
92 |
$0.00 |
| A4657 |
Syringe w/wo needle |
590 |
378 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
207 |
121 |
$0.00 |
| 83550 |
|
170 |
154 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
32 |
24 |
$0.00 |
| 86762 |
|
12 |
12 |
$0.00 |
| 99002 |
|
88 |
51 |
$0.00 |
| Q9964 |
Hocm>= 400mg/ml iodine, 1ml |
48 |
27 |
$0.00 |
| 82550 |
|
52 |
43 |
$0.00 |
| J1170 |
Hydromorphone injection |
159 |
69 |
$0.00 |
| J3490 |
Drugs unclassified injection |
92 |
33 |
$0.00 |
| 84479 |
|
29 |
26 |
$0.00 |
| 96376 |
|
32 |
27 |
$0.00 |
| J2060 |
Lorazepam injection |
19 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
21 |
13 |
$0.00 |
| 80329 |
|
17 |
13 |
$0.00 |
| 81015 |
|
17 |
14 |
$0.00 |
| 86704 |
|
14 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$0.00 |