| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,420 |
8,183 |
$1.53M |
| 99284 |
|
1,458 |
1,360 |
$389K |
| 87426 |
|
3,103 |
2,806 |
$130K |
| CP007 |
|
5,061 |
613 |
$118K |
| 92507 |
|
666 |
142 |
$83K |
| 99282 |
|
778 |
763 |
$77K |
| CP008 |
|
1,923 |
195 |
$65K |
| 99213 |
|
1,043 |
962 |
$28K |
| 85025 |
|
4,398 |
3,975 |
$25K |
| 71045 |
|
753 |
711 |
$24K |
| 99214 |
|
714 |
667 |
$24K |
| 80053 |
|
3,802 |
3,399 |
$24K |
| 87804 |
|
901 |
515 |
$21K |
| 93005 |
|
916 |
753 |
$14K |
| 96374 |
|
406 |
369 |
$9K |
| 99285 |
|
59 |
57 |
$7K |
| 81001 |
|
2,538 |
2,365 |
$7K |
| 87633 |
|
12 |
12 |
$6K |
| 96365 |
|
135 |
130 |
$6K |
| 87635 |
|
198 |
99 |
$6K |
| 96375 |
|
273 |
239 |
$5K |
| J7030 |
Normal saline solution infus |
991 |
683 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
333 |
327 |
$4K |
| 70450 |
|
67 |
65 |
$3K |
| 87086 |
|
865 |
806 |
$3K |
| 90682 |
|
55 |
53 |
$2K |
| 96361 |
|
45 |
38 |
$2K |
| 80061 |
|
933 |
923 |
$2K |
| 84484 |
|
442 |
300 |
$2K |
| 87389 |
|
40 |
38 |
$1K |
| 0011A |
|
121 |
119 |
$1K |
| 96372 |
|
180 |
132 |
$1K |
| 84443 |
|
739 |
727 |
$1K |
| 80048 |
|
734 |
580 |
$1K |
| 0012A |
|
101 |
101 |
$1K |
| 87147 |
|
129 |
128 |
$858.35 |
| 99281 |
|
12 |
12 |
$790.90 |
| 0071A |
|
14 |
14 |
$743.00 |
| 97110 |
|
49 |
13 |
$723.14 |
| 83036 |
|
659 |
652 |
$697.18 |
| 87070 |
|
70 |
69 |
$657.30 |
| 85027 |
|
809 |
743 |
$568.03 |
| 99309 |
|
13 |
12 |
$507.60 |
| 83735 |
|
464 |
382 |
$483.21 |
| 87420 |
|
27 |
27 |
$481.10 |
| 90471 |
|
65 |
63 |
$400.93 |
| 86592 |
|
54 |
50 |
$336.41 |
| 87186 |
|
218 |
204 |
$307.70 |
| 88305 |
|
12 |
12 |
$284.63 |
| J7040 |
Normal saline solution infus |
88 |
82 |
$274.26 |
| 82947 |
|
357 |
175 |
$197.30 |
| 85610 |
|
235 |
198 |
$161.62 |
| 82306 |
|
209 |
208 |
$121.65 |
| J2405 |
Ondansetron hcl injection |
178 |
135 |
$107.95 |
| 83880 |
|
28 |
26 |
$107.56 |
| 99211 |
|
17 |
12 |
$82.24 |
| 36415 |
|
6,382 |
5,396 |
$81.39 |
| J1885 |
Ketorolac tromethamine inj |
65 |
61 |
$79.14 |
| 84439 |
|
108 |
106 |
$70.41 |
| 0241U |
|
24 |
24 |
$64.61 |
| J7120 |
Ringers lactate infusion |
32 |
28 |
$64.04 |
| J3010 |
Fentanyl citrate injection |
231 |
175 |
$59.12 |
| 87088 |
|
71 |
70 |
$56.30 |
| J2704 |
Inj, propofol, 10 mg |
263 |
240 |
$51.37 |
| A9270 |
Non-covered item or service |
6,248 |
5,870 |
$49.04 |
| J1100 |
Dexamethasone sodium phos |
173 |
139 |
$45.97 |
| 82607 |
|
84 |
84 |
$41.30 |
| J2250 |
Inj midazolam hydrochloride |
46 |
42 |
$33.76 |
| 83605 |
|
13 |
12 |
$15.85 |
| 88300 |
|
26 |
24 |
$0.00 |