| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
378 |
353 |
$1.58M |
| 99285 |
|
3,103 |
2,614 |
$531K |
| 99284 |
|
4,821 |
4,113 |
$526K |
| G0378 |
Hospital observation per hr |
1,119 |
901 |
$434K |
| 11042 |
|
1,605 |
699 |
$241K |
| 99283 |
|
2,207 |
1,947 |
$146K |
| 99281 |
|
1,326 |
1,058 |
$20K |
| 99282 |
|
633 |
541 |
$18K |
| 74177 |
|
990 |
892 |
$10K |
| 80053 |
|
9,272 |
6,598 |
$9K |
| G0463 |
Hospital outpt clinic visit |
830 |
609 |
$5K |
| 84484 |
|
5,244 |
3,730 |
$5K |
| 85025 |
|
11,121 |
7,132 |
$3K |
| 87633 |
|
118 |
110 |
$2K |
| J1100 |
Dexamethasone sodium phos |
106 |
75 |
$2K |
| 71046 |
|
491 |
459 |
$2K |
| 70450 |
|
1,703 |
1,542 |
$1K |
| 36415 |
|
1,604 |
717 |
$1K |
| 81001 |
|
3,384 |
2,939 |
$937.18 |
| 80307 |
|
262 |
235 |
$870.35 |
| J2405 |
Ondansetron hcl injection |
2,398 |
1,763 |
$867.37 |
| 71045 |
|
4,089 |
3,459 |
$692.42 |
| 87086 |
|
888 |
816 |
$681.27 |
| 93005 |
|
5,469 |
4,313 |
$675.42 |
| 87040 |
|
169 |
146 |
$540.82 |
| 87804 |
|
270 |
257 |
$361.34 |
| 73562 |
|
51 |
50 |
$331.76 |
| 74176 |
|
137 |
123 |
$323.42 |
| 83690 |
|
1,968 |
1,628 |
$323.38 |
| 80048 |
|
2,268 |
1,460 |
$315.04 |
| 83735 |
|
4,723 |
3,242 |
$309.09 |
| J2270 |
Morphine sulfate injection |
1,519 |
939 |
$308.54 |
| 87581 |
|
108 |
99 |
$270.46 |
| 93971 |
|
12 |
12 |
$222.59 |
| 82550 |
|
3,325 |
2,541 |
$212.61 |
| 87635 |
|
1,128 |
976 |
$176.93 |
| 82553 |
|
1,120 |
983 |
$167.49 |
| 94640 |
|
244 |
166 |
$121.86 |
| 83605 |
|
702 |
605 |
$86.80 |
| 84443 |
|
371 |
322 |
$76.13 |
| 85379 |
|
315 |
302 |
$72.95 |
| J3490 |
Drugs unclassified injection |
500 |
281 |
$59.36 |
| 71275 |
|
61 |
57 |
$48.79 |
| 85730 |
|
1,468 |
1,340 |
$41.53 |
| 94664 |
|
239 |
136 |
$36.52 |
| J1885 |
Ketorolac tromethamine inj |
565 |
471 |
$29.53 |
| 87798 |
|
118 |
110 |
$23.19 |
| 87070 |
|
39 |
36 |
$22.86 |
| 85610 |
|
2,186 |
1,932 |
$22.37 |
| 83880 |
|
709 |
619 |
$16.32 |
| 87428 |
|
35 |
34 |
$6.50 |
| J3010 |
Fentanyl citrate injection |
712 |
626 |
$4.30 |
| 87426 |
|
127 |
113 |
$4.12 |
| J2250 |
Inj midazolam hydrochloride |
296 |
269 |
$0.66 |
| J7050 |
Normal saline solution infus |
459 |
284 |
$0.46 |
| 84100 |
|
701 |
475 |
$0.26 |
| 87107 |
|
187 |
175 |
$0.00 |
| J7030 |
Normal saline solution infus |
444 |
358 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
107 |
85 |
$0.00 |
| 97161 |
|
13 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
101 |
45 |
$0.00 |
| J7120 |
Ringers lactate infusion |
388 |
304 |
$0.00 |
| G8978 |
Mobility current status |
18 |
14 |
$0.00 |
| 85007 |
|
16 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
14 |
$0.00 |
| 71250 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
44 |
24 |
$0.00 |
| 84439 |
|
15 |
15 |
$0.00 |
| 87186 |
|
26 |
25 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |
| 94760 |
|
388 |
216 |
$0.00 |
| 87077 |
|
208 |
196 |
$0.00 |
| 0241U |
|
84 |
76 |
$0.00 |
| G0379 |
Direct refer hospital observ |
162 |
151 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
237 |
179 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
132 |
109 |
$0.00 |
| 82077 |
|
13 |
12 |
$0.00 |
| 85027 |
|
16 |
14 |
$0.00 |
| 87205 |
|
29 |
26 |
$0.00 |
| 87486 |
|
20 |
18 |
$0.00 |
| 85651 |
|
13 |
12 |
$0.00 |
| 87280 |
|
14 |
14 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
17 |
12 |
$0.00 |
| 97597 |
|
36 |
12 |
$0.00 |