| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,756 |
6,318 |
$604K |
| 99284 |
|
2,998 |
2,365 |
$224K |
| 99281 |
|
1,627 |
1,415 |
$115K |
| 99282 |
|
1,252 |
1,138 |
$101K |
| 97110 |
|
3,037 |
684 |
$100K |
| 70450 |
|
970 |
724 |
$98K |
| 99285 |
|
1,589 |
1,177 |
$95K |
| 96361 |
|
734 |
605 |
$75K |
| 96365 |
|
1,057 |
474 |
$62K |
| 94640 |
|
1,578 |
980 |
$58K |
| 74176 |
|
373 |
294 |
$54K |
| 36415 |
|
5,868 |
3,834 |
$21K |
| G0378 |
Hospital observation per hr |
218 |
148 |
$12K |
| 77067 |
|
378 |
350 |
$11K |
| 80053 |
|
3,509 |
2,489 |
$11K |
| 97161 |
|
444 |
345 |
$8K |
| 74177 |
|
37 |
31 |
$6K |
| 80048 |
|
2,042 |
1,452 |
$6K |
| 86756 |
|
443 |
415 |
$6K |
| 71046 |
|
657 |
541 |
$5K |
| 87430 |
|
1,235 |
1,111 |
$5K |
| 43239 |
|
16 |
12 |
$5K |
| 80307 |
|
696 |
493 |
$4K |
| 81025 |
|
1,281 |
1,042 |
$4K |
| 85025 |
|
5,327 |
3,574 |
$4K |
| J3490 |
Drugs unclassified injection |
4,330 |
1,752 |
$3K |
| 96360 |
|
49 |
39 |
$3K |
| 71045 |
|
2,145 |
1,549 |
$3K |
| 84484 |
|
2,068 |
1,222 |
$3K |
| 81001 |
|
3,440 |
2,625 |
$3K |
| 87804 |
|
1,924 |
1,674 |
$2K |
| 83880 |
|
768 |
537 |
$2K |
| 84443 |
|
559 |
381 |
$2K |
| 96375 |
|
1,192 |
925 |
$2K |
| 87040 |
|
293 |
179 |
$2K |
| 93306 |
|
14 |
12 |
$2K |
| 93005 |
|
2,451 |
1,721 |
$1K |
| 73564 |
|
93 |
77 |
$1K |
| 82962 |
|
856 |
559 |
$1K |
| 83605 |
|
470 |
315 |
$1K |
| 96374 |
|
1,814 |
1,393 |
$714.53 |
| 96372 |
|
1,935 |
1,511 |
$712.64 |
| 97016 |
|
68 |
25 |
$687.32 |
| 80320 |
|
200 |
135 |
$587.34 |
| 80061 |
|
71 |
41 |
$521.37 |
| 83735 |
|
1,184 |
800 |
$496.70 |
| J1885 |
Ketorolac tromethamine inj |
934 |
737 |
$437.89 |
| 73630 |
|
51 |
44 |
$400.54 |
| J2405 |
Ondansetron hcl injection |
680 |
514 |
$381.76 |
| 85610 |
|
1,324 |
958 |
$335.13 |
| 73130 |
|
41 |
38 |
$306.45 |
| 83874 |
|
92 |
62 |
$248.68 |
| 83690 |
|
643 |
511 |
$242.33 |
| 85730 |
|
1,216 |
907 |
$229.71 |
| 87591 |
|
14 |
13 |
$220.88 |
| 96366 |
|
18 |
12 |
$215.02 |
| Q0162 |
Ondansetron oral |
492 |
402 |
$192.75 |
| 87086 |
|
173 |
125 |
$181.60 |
| 85027 |
|
58 |
50 |
$156.50 |
| 83036 |
|
94 |
65 |
$95.56 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$78.12 |
| G0480 |
Drug test def 1-7 classes |
20 |
15 |
$73.03 |
| 73610 |
|
17 |
16 |
$57.42 |
| J7030 |
Normal saline solution infus |
342 |
251 |
$30.89 |
| 82553 |
|
19 |
12 |
$17.98 |
| 82150 |
|
48 |
40 |
$16.01 |
| 84702 |
|
13 |
12 |
$14.85 |
| J2930 |
Methylprednisolone injection |
145 |
100 |
$13.22 |
| J3010 |
Fentanyl citrate injection |
132 |
111 |
$10.70 |
| 87491 |
|
14 |
13 |
$10.46 |
| 87186 |
|
38 |
24 |
$9.98 |
| J0696 |
Ceftriaxone sodium injection |
111 |
83 |
$9.36 |
| 87077 |
|
92 |
63 |
$9.33 |
| J7512 |
Prednisone ir or dr oral 1mg |
59 |
43 |
$6.63 |
| J2270 |
Morphine sulfate injection |
35 |
27 |
$2.60 |
| J7040 |
Normal saline solution infus |
14 |
12 |
$1.65 |
| J1940 |
Furosemide injection |
18 |
12 |
$0.46 |
| C1751 |
Cath, inf, per/cent/midline |
194 |
149 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
18 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
270 |
225 |
$0.00 |
| 96376 |
|
73 |
65 |
$0.00 |
| 82550 |
|
41 |
26 |
$0.00 |
| 88305 |
|
13 |
13 |
$0.00 |