| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
1,957 |
1,877 |
$221K |
| 99283 |
|
1,812 |
1,738 |
$217K |
| 99282 |
|
810 |
769 |
$103K |
| 74177 |
|
251 |
248 |
$75K |
| 76856 |
|
141 |
138 |
$63K |
| 99214 |
|
642 |
587 |
$61K |
| 97110 |
|
1,143 |
380 |
$50K |
| 11042 |
|
343 |
157 |
$48K |
| 70450 |
|
240 |
233 |
$48K |
| 80053 |
|
2,012 |
1,860 |
$42K |
| 99285 |
|
405 |
399 |
$34K |
| 96361 |
|
131 |
130 |
$30K |
| 96365 |
|
210 |
186 |
$29K |
| 77067 |
|
274 |
274 |
$26K |
| 97140 |
|
674 |
246 |
$23K |
| 74176 |
|
84 |
84 |
$22K |
| 87491 |
|
404 |
396 |
$15K |
| 76705 |
|
149 |
148 |
$15K |
| 80307 |
|
409 |
382 |
$13K |
| 93010 |
|
1,613 |
1,366 |
$11K |
| G0463 |
Hospital outpt clinic visit |
713 |
583 |
$9K |
| 93975 |
|
35 |
35 |
$9K |
| 99213 |
|
92 |
88 |
$8K |
| 10060 |
|
27 |
27 |
$8K |
| 87591 |
|
404 |
396 |
$7K |
| 87651 |
|
221 |
219 |
$7K |
| 96372 |
|
611 |
584 |
$7K |
| 29515 |
|
38 |
38 |
$7K |
| 93971 |
|
56 |
56 |
$6K |
| 12001 |
|
24 |
24 |
$6K |
| 71046 |
|
1,140 |
1,120 |
$6K |
| 64402 |
|
12 |
12 |
$5K |
| 97162 |
|
41 |
41 |
$4K |
| 77063 |
|
273 |
273 |
$4K |
| 87502 |
|
115 |
115 |
$4K |
| 76770 |
|
12 |
12 |
$4K |
| G0480 |
Drug test def 1-7 classes |
38 |
36 |
$4K |
| 71275 |
|
12 |
12 |
$4K |
| 80348 |
|
200 |
179 |
$3K |
| 86901 |
|
90 |
85 |
$3K |
| 29125 |
|
16 |
16 |
$3K |
| 80048 |
|
184 |
156 |
$3K |
| 76830 |
|
118 |
118 |
$3K |
| 76536 |
|
29 |
29 |
$2K |
| 86900 |
|
90 |
85 |
$2K |
| 86850 |
|
57 |
57 |
$2K |
| 81025 |
|
657 |
640 |
$2K |
| 97035 |
|
143 |
63 |
$2K |
| 97165 |
|
25 |
25 |
$2K |
| 97010 |
|
99 |
46 |
$2K |
| 84443 |
|
205 |
203 |
$1K |
| 90715 |
|
51 |
51 |
$1K |
| 82306 |
|
42 |
42 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| 96374 |
|
1,016 |
921 |
$1K |
| 90682 |
|
37 |
36 |
$994.83 |
| 86701 |
|
96 |
95 |
$909.59 |
| 97112 |
|
28 |
13 |
$909.13 |
| 85025 |
|
2,013 |
1,839 |
$891.82 |
| 80061 |
|
137 |
136 |
$878.03 |
| 36416 |
|
283 |
150 |
$860.46 |
| 76870 |
|
12 |
12 |
$852.72 |
| 82043 |
|
145 |
136 |
$741.91 |
| 93005 |
|
801 |
758 |
$731.93 |
| 73564 |
|
91 |
82 |
$730.01 |
| 84439 |
|
85 |
84 |
$688.48 |
| 90686 |
|
28 |
28 |
$686.63 |
| 83036 |
|
88 |
88 |
$663.59 |
| 72125 |
|
16 |
16 |
$622.09 |
| 36415 |
|
2,353 |
2,125 |
$614.89 |
| 94760 |
|
5,155 |
4,692 |
$582.40 |
| 97760 |
|
21 |
13 |
$550.84 |
| 81003 |
|
932 |
883 |
$476.20 |
| 97535 |
|
23 |
17 |
$456.54 |
| 76641 |
|
14 |
14 |
$416.77 |
| 82570 |
|
133 |
117 |
$392.87 |
| 71045 |
|
102 |
99 |
$318.44 |
| 73030 |
|
82 |
76 |
$317.78 |
| J2405 |
Ondansetron hcl injection |
720 |
685 |
$306.52 |
| 96375 |
|
681 |
647 |
$303.61 |
| 85610 |
|
97 |
75 |
$275.45 |
| 73630 |
|
114 |
106 |
$218.15 |
| 90471 |
|
147 |
142 |
$217.56 |
| 73130 |
|
60 |
55 |
$164.72 |
| 83735 |
|
213 |
180 |
$113.43 |
| 81001 |
|
714 |
689 |
$110.79 |
| 73610 |
|
64 |
61 |
$108.87 |
| 87660 |
|
261 |
257 |
$69.85 |
| 87510 |
|
262 |
258 |
$69.85 |
| 87480 |
|
261 |
257 |
$69.85 |
| 83690 |
|
638 |
615 |
$63.12 |
| 84702 |
|
108 |
101 |
$61.68 |
| J7050 |
Normal saline solution infus |
28 |
26 |
$57.62 |
| 73110 |
|
16 |
14 |
$57.50 |
| J2930 |
Methylprednisolone injection |
36 |
36 |
$55.00 |
| 87086 |
|
276 |
270 |
$53.56 |
| 94664 |
|
356 |
325 |
$51.87 |
| 74018 |
|
12 |
12 |
$50.00 |
| 73502 |
|
13 |
13 |
$45.11 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
286 |
282 |
$45.00 |
| 86618 |
|
12 |
12 |
$37.66 |
| 84703 |
|
414 |
408 |
$33.58 |
| 85027 |
|
13 |
13 |
$31.90 |
| 82947 |
|
178 |
141 |
$29.94 |
| 87186 |
|
90 |
86 |
$25.83 |
| 80320 |
|
70 |
69 |
$20.00 |
| 84484 |
|
400 |
370 |
$17.56 |
| 83605 |
|
106 |
103 |
$9.30 |
| 94640 |
|
64 |
52 |
$9.00 |
| J1200 |
Diphenhydramine hcl injectio |
245 |
240 |
$8.57 |
| 87040 |
|
46 |
46 |
$8.15 |
| 87070 |
|
14 |
14 |
$6.01 |
| 87077 |
|
80 |
79 |
$5.66 |
| 87205 |
|
13 |
13 |
$5.54 |
| J2704 |
Inj, propofol, 10 mg |
267 |
266 |
$5.35 |
| J1885 |
Ketorolac tromethamine inj |
724 |
687 |
$4.26 |
| J2765 |
Metoclopramide hcl injection |
228 |
212 |
$3.64 |
| J3010 |
Fentanyl citrate injection |
38 |
38 |
$2.83 |
| J2250 |
Inj midazolam hydrochloride |
239 |
237 |
$2.23 |
| J0696 |
Ceftriaxone sodium injection |
252 |
245 |
$1.65 |
| S0028 |
Injection, famotidine, 20 mg |
115 |
111 |
$1.07 |
| J7620 |
Albuterol ipratrop non-comp |
251 |
221 |
$0.32 |
| J2270 |
Morphine sulfate injection |
219 |
199 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
13 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
42 |
42 |
$0.00 |
| 87088 |
|
85 |
84 |
$0.00 |
| 85379 |
|
52 |
52 |
$0.00 |
| 96376 |
|
103 |
91 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
154 |
134 |
$0.00 |
| J2060 |
Lorazepam injection |
26 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
164 |
156 |
$0.00 |