| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,423 |
4,250 |
$379K |
| 99284 |
|
3,600 |
3,308 |
$307K |
| 99212 |
|
4,506 |
3,926 |
$175K |
| 96361 |
|
1,754 |
1,313 |
$161K |
| 99285 |
|
2,199 |
2,002 |
$158K |
| 80053 |
|
6,067 |
5,248 |
$80K |
| 96365 |
|
671 |
505 |
$68K |
| 70450 |
|
405 |
370 |
$54K |
| 74177 |
|
266 |
222 |
$51K |
| 99282 |
|
574 |
558 |
$47K |
| 99281 |
|
331 |
324 |
$28K |
| 84484 |
|
2,311 |
1,652 |
$22K |
| 74176 |
|
90 |
82 |
$17K |
| 87502 |
|
742 |
703 |
$15K |
| 80048 |
|
881 |
769 |
$12K |
| 80307 |
|
729 |
646 |
$11K |
| 87651 |
|
493 |
478 |
$10K |
| 80061 |
|
566 |
541 |
$10K |
| 11721 |
|
679 |
652 |
$10K |
| G0378 |
Hospital observation per hr |
190 |
79 |
$9K |
| 85025 |
|
6,862 |
5,731 |
$8K |
| 85379 |
|
382 |
349 |
$5K |
| 83615 |
|
584 |
370 |
$4K |
| 84443 |
|
338 |
321 |
$4K |
| 99213 |
|
180 |
162 |
$4K |
| 99214 |
|
143 |
140 |
$4K |
| 85027 |
|
460 |
442 |
$3K |
| 96366 |
|
66 |
24 |
$3K |
| 36415 |
|
5,332 |
4,206 |
$3K |
| 83036 |
|
231 |
221 |
$3K |
| 95886 |
|
24 |
12 |
$2K |
| 84145 |
|
138 |
124 |
$2K |
| 87040 |
|
245 |
132 |
$2K |
| 83880 |
|
143 |
130 |
$2K |
| 87798 |
|
123 |
118 |
$2K |
| 20610 |
|
13 |
13 |
$2K |
| 82378 |
|
177 |
160 |
$2K |
| 96360 |
|
14 |
12 |
$2K |
| 87486 |
|
111 |
106 |
$1K |
| 87581 |
|
111 |
106 |
$1K |
| 87631 |
|
57 |
53 |
$1K |
| 87633 |
|
43 |
43 |
$1K |
| 71046 |
|
543 |
524 |
$1K |
| 83605 |
|
99 |
91 |
$1K |
| 11056 |
|
15 |
13 |
$1K |
| 71045 |
|
2,027 |
1,853 |
$862.70 |
| 82553 |
|
84 |
82 |
$797.21 |
| 83690 |
|
2,913 |
2,619 |
$539.99 |
| 81001 |
|
3,011 |
2,728 |
$525.09 |
| 86301 |
|
19 |
16 |
$449.44 |
| 99203 |
|
12 |
12 |
$373.90 |
| 87661 |
|
12 |
12 |
$297.75 |
| 93005 |
|
2,748 |
2,378 |
$293.91 |
| 82803 |
|
675 |
577 |
$200.61 |
| 87801 |
|
12 |
12 |
$181.71 |
| 82550 |
|
373 |
347 |
$163.43 |
| 82043 |
|
25 |
25 |
$150.39 |
| 85730 |
|
974 |
859 |
$141.01 |
| 94770 |
|
13 |
13 |
$134.44 |
| 85610 |
|
975 |
855 |
$130.76 |
| 84550 |
|
27 |
24 |
$98.88 |
| 85652 |
|
13 |
12 |
$91.50 |
| 80359 |
|
12 |
12 |
$87.48 |
| 80346 |
|
18 |
16 |
$76.57 |
| 80358 |
|
12 |
12 |
$43.76 |
| 80324 |
|
12 |
12 |
$43.76 |
| 80353 |
|
12 |
12 |
$43.76 |
| 80365 |
|
13 |
12 |
$43.76 |
| 80348 |
|
12 |
12 |
$43.76 |
| 80354 |
|
12 |
12 |
$43.76 |
| 80373 |
|
12 |
12 |
$43.76 |
| 80372 |
|
12 |
12 |
$43.76 |
| 73630 |
|
76 |
55 |
$40.07 |
| 94664 |
|
48 |
44 |
$29.25 |
| 36600 |
|
169 |
147 |
$22.08 |
| 81025 |
|
14 |
12 |
$7.10 |
| J1885 |
Ketorolac tromethamine inj |
1,305 |
1,177 |
$1.43 |
| J2405 |
Ondansetron hcl injection |
1,378 |
1,237 |
$0.46 |
| 96374 |
|
2,167 |
1,962 |
$0.00 |
| 96375 |
|
1,886 |
1,634 |
$0.00 |
| 96372 |
|
1,150 |
1,044 |
$0.00 |
| 94644 |
|
76 |
69 |
$0.00 |
| 96376 |
|
182 |
93 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
14 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
211 |
193 |
$0.00 |
| 72100 |
|
14 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
27 |
25 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
189 |
144 |
$0.00 |
| 82140 |
|
14 |
14 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
15 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$0.00 |
| 80305 |
|
44 |
41 |
$0.00 |
| 00812 |
|
12 |
12 |
$0.00 |