| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,559 |
14,893 |
$1.97M |
| 99284 |
|
19,734 |
15,040 |
$1.77M |
| 99285 |
|
7,757 |
6,622 |
$1.15M |
| 99281 |
|
2,975 |
2,773 |
$364K |
| 70450 |
|
1,064 |
935 |
$215K |
| 80053 |
|
19,442 |
16,547 |
$188K |
| 99282 |
|
3,978 |
3,219 |
$183K |
| 43239 |
|
252 |
229 |
$173K |
| 80307 |
|
2,430 |
2,065 |
$131K |
| 74177 |
|
190 |
174 |
$60K |
| 87633 |
|
416 |
384 |
$42K |
| 96361 |
|
108 |
97 |
$38K |
| 87635 |
|
438 |
387 |
$28K |
| 71046 |
|
4,889 |
4,074 |
$24K |
| 83880 |
|
2,190 |
1,848 |
$21K |
| 87651 |
|
781 |
714 |
$20K |
| 96365 |
|
176 |
162 |
$18K |
| 59025 |
|
113 |
99 |
$18K |
| 84484 |
|
2,479 |
2,038 |
$14K |
| 80320 |
|
193 |
163 |
$12K |
| 94640 |
|
122 |
104 |
$11K |
| 77067 |
|
476 |
361 |
$11K |
| 93005 |
|
4,144 |
3,538 |
$11K |
| 72125 |
|
60 |
51 |
$6K |
| 83605 |
|
1,547 |
1,308 |
$6K |
| G0480 |
Drug test def 1-7 classes |
1,036 |
873 |
$5K |
| 92507 |
|
32 |
12 |
$5K |
| 87040 |
|
316 |
264 |
$3K |
| 85025 |
|
5,106 |
4,377 |
$3K |
| 36415 |
|
20,712 |
16,896 |
$2K |
| 97110 |
|
59 |
12 |
$2K |
| M0243 |
Casirivi and imdevi inj |
16 |
13 |
$2K |
| 96374 |
|
4,748 |
4,187 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,010 |
830 |
$2K |
| 84443 |
|
295 |
263 |
$2K |
| 73562 |
|
27 |
24 |
$2K |
| 76856 |
|
13 |
12 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 96372 |
|
2,899 |
2,538 |
$1K |
| 73100 |
|
17 |
14 |
$1K |
| 84145 |
|
713 |
598 |
$876.23 |
| 83036 |
|
201 |
180 |
$875.58 |
| 82306 |
|
92 |
79 |
$869.38 |
| 80061 |
|
77 |
70 |
$805.01 |
| 76817 |
|
12 |
12 |
$650.76 |
| G0378 |
Hospital observation per hr |
13 |
12 |
$647.54 |
| 96375 |
|
2,212 |
1,952 |
$540.14 |
| 88305 |
|
560 |
489 |
$476.39 |
| 80048 |
|
34 |
25 |
$361.76 |
| 85379 |
|
84 |
74 |
$323.56 |
| 87804 |
|
988 |
915 |
$304.13 |
| 36000 |
|
630 |
556 |
$275.73 |
| J2250 |
Inj midazolam hydrochloride |
114 |
89 |
$262.02 |
| 82728 |
|
12 |
12 |
$247.52 |
| 73030 |
|
73 |
37 |
$216.19 |
| 87880 |
|
1,558 |
1,481 |
$215.82 |
| 83721 |
|
14 |
14 |
$143.88 |
| 71045 |
|
346 |
305 |
$125.80 |
| 87086 |
|
3,346 |
2,939 |
$121.71 |
| 83735 |
|
463 |
382 |
$100.49 |
| 76000 |
|
40 |
25 |
$99.32 |
| 84439 |
|
15 |
12 |
$94.85 |
| 83690 |
|
2,590 |
2,294 |
$91.15 |
| 82150 |
|
1,227 |
1,092 |
$79.50 |
| 83540 |
|
12 |
12 |
$78.48 |
| J2704 |
Inj, propofol, 10 mg |
762 |
695 |
$74.72 |
| 84703 |
|
546 |
497 |
$71.66 |
| 81001 |
|
3,908 |
3,400 |
$70.36 |
| 81003 |
|
2,472 |
2,192 |
$66.31 |
| 83550 |
|
12 |
12 |
$65.40 |
| 72100 |
|
21 |
12 |
$57.88 |
| J2405 |
Ondansetron hcl injection |
969 |
823 |
$31.34 |
| J1885 |
Ketorolac tromethamine inj |
3,768 |
3,352 |
$18.23 |
| 87081 |
|
52 |
50 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
136 |
98 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
57 |
51 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
30 |
27 |
$0.00 |
| 87077 |
|
29 |
24 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
17 |
14 |
$0.00 |
| 82803 |
|
12 |
12 |
$0.00 |
| 83615 |
|
14 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
799 |
701 |
$0.00 |
| 93010 |
|
78 |
77 |
$0.00 |
| 88313 |
|
45 |
40 |
$0.00 |
| 88312 |
|
75 |
63 |
$0.00 |
| 87186 |
|
29 |
24 |
$0.00 |
| 00731 |
|
13 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
26 |
24 |
$0.00 |