| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
6,373 |
5,350 |
$1.36M |
| 99283 |
|
9,574 |
8,381 |
$792K |
| 92507 |
|
5,073 |
1,259 |
$134K |
| 93005 |
|
3,653 |
3,115 |
$121K |
| 97110 |
|
6,677 |
1,455 |
$117K |
| 71046 |
|
1,752 |
1,500 |
$96K |
| A0425 |
Ground mileage |
1,837 |
1,322 |
$92K |
| G0378 |
Hospital observation per hr |
222 |
63 |
$88K |
| 99284 |
|
453 |
396 |
$55K |
| 87276 |
|
4,120 |
3,682 |
$53K |
| 97530 |
|
3,781 |
773 |
$51K |
| 96365 |
|
1,080 |
874 |
$51K |
| 87426 |
|
1,847 |
1,481 |
$48K |
| 85025 |
|
10,716 |
8,211 |
$48K |
| 80053 |
|
8,489 |
6,332 |
$47K |
| J8499 |
Oral prescrip drug non chemo |
20,037 |
5,300 |
$44K |
| J7030 |
Normal saline solution infus |
1,478 |
1,162 |
$43K |
| 96372 |
|
2,405 |
1,902 |
$42K |
| 87275 |
|
4,124 |
3,682 |
$42K |
| 36415 |
|
20,120 |
15,462 |
$38K |
| 87880 |
|
2,109 |
1,875 |
$27K |
| 97161 |
|
592 |
469 |
$21K |
| 96375 |
|
651 |
544 |
$18K |
| 87635 |
|
457 |
366 |
$16K |
| 70450 |
|
111 |
79 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
732 |
602 |
$10K |
| A0427 |
Als1-emergency |
910 |
666 |
$10K |
| 84484 |
|
1,639 |
1,240 |
$9K |
| 80050 |
|
264 |
214 |
$9K |
| 71045 |
|
394 |
301 |
$8K |
| 82553 |
|
1,715 |
1,280 |
$8K |
| G0481 |
Drug test def 8-14 classes |
68 |
63 |
$8K |
| 87420 |
|
634 |
572 |
$8K |
| 93010 |
|
2,637 |
1,910 |
$6K |
| 87811 |
|
632 |
547 |
$6K |
| 93306 |
|
116 |
67 |
$6K |
| 81001 |
|
3,208 |
2,604 |
$6K |
| 82550 |
|
1,861 |
1,395 |
$6K |
| 96366 |
|
261 |
187 |
$5K |
| A0428 |
Bls |
70 |
48 |
$5K |
| M0243 |
Casirivi and imdevi inj |
37 |
13 |
$5K |
| 80048 |
|
955 |
819 |
$4K |
| 80306 |
|
359 |
295 |
$4K |
| J3490 |
Drugs unclassified injection |
853 |
482 |
$3K |
| 94640 |
|
56 |
39 |
$3K |
| 83036 |
|
388 |
349 |
$3K |
| 82306 |
|
135 |
113 |
$3K |
| 84703 |
|
483 |
423 |
$3K |
| 87486 |
|
92 |
78 |
$3K |
| 87581 |
|
92 |
78 |
$3K |
| 80061 |
|
238 |
211 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
1,867 |
1,282 |
$2K |
| 87798 |
|
106 |
84 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
485 |
400 |
$2K |
| 92523 |
|
15 |
14 |
$2K |
| 87502 |
|
16 |
16 |
$2K |
| 87086 |
|
331 |
264 |
$1K |
| 85027 |
|
334 |
284 |
$1K |
| J7131 |
Hypertonic saline sol |
974 |
622 |
$866.94 |
| 96374 |
|
64 |
38 |
$836.23 |
| 81003 |
|
589 |
498 |
$820.29 |
| J2405 |
Ondansetron hcl injection |
109 |
92 |
$772.77 |
| 86357 |
|
16 |
16 |
$603.68 |
| 86355 |
|
16 |
16 |
$603.68 |
| 87498 |
|
16 |
16 |
$561.44 |
| 87496 |
|
16 |
16 |
$561.44 |
| 87532 |
|
16 |
16 |
$561.44 |
| 85379 |
|
92 |
78 |
$549.75 |
| 99213 |
|
159 |
90 |
$498.40 |
| 87040 |
|
55 |
37 |
$491.69 |
| 86140 |
|
146 |
128 |
$463.06 |
| J1100 |
Dexamethasone sodium phos |
89 |
79 |
$455.29 |
| 87503 |
|
16 |
16 |
$452.16 |
| 83690 |
|
70 |
39 |
$348.56 |
| 83655 |
|
27 |
27 |
$326.97 |
| 83735 |
|
75 |
65 |
$303.16 |
| 85610 |
|
116 |
81 |
$271.78 |
| 83605 |
|
45 |
27 |
$256.99 |
| 82077 |
|
33 |
12 |
$256.43 |
| 82150 |
|
55 |
28 |
$229.15 |
| 85730 |
|
68 |
55 |
$189.16 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15 |
12 |
$120.54 |
| 85651 |
|
12 |
12 |
$42.70 |
| 85018 |
|
18 |
18 |
$42.66 |
| 84436 |
|
15 |
12 |
$19.74 |
| A9270 |
Non-covered item or service |
58 |
38 |
$0.00 |
| 99214 |
|
246 |
123 |
$0.00 |
| T1015 |
Clinic service |
901 |
363 |
$0.00 |
| 87633 |
|
110 |
81 |
$0.00 |