| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,397 |
1,286 |
$126K |
| 99284 |
|
488 |
449 |
$65K |
| 70450 |
|
153 |
146 |
$58K |
| 99282 |
|
607 |
583 |
$34K |
| 41899 |
|
78 |
77 |
$32K |
| 71046 |
|
406 |
382 |
$29K |
| 97110 |
|
755 |
188 |
$24K |
| 87502 |
|
234 |
229 |
$21K |
| 74177 |
|
18 |
17 |
$17K |
| 93005 |
|
283 |
255 |
$16K |
| G0463 |
Hospital outpt clinic visit |
1,595 |
1,237 |
$16K |
| 97530 |
|
164 |
41 |
$11K |
| 93306 |
|
44 |
42 |
$10K |
| 87491 |
|
208 |
204 |
$8K |
| 87651 |
|
205 |
203 |
$8K |
| 96375 |
|
198 |
180 |
$8K |
| 96374 |
|
307 |
287 |
$8K |
| 87591 |
|
203 |
200 |
$8K |
| 80053 |
|
962 |
820 |
$8K |
| 71045 |
|
200 |
189 |
$8K |
| 76700 |
|
38 |
37 |
$8K |
| 36415 |
|
1,937 |
1,487 |
$7K |
| 85025 |
|
1,094 |
926 |
$6K |
| G0378 |
Hospital observation per hr |
30 |
14 |
$6K |
| 96372 |
|
375 |
319 |
$6K |
| J8499 |
Oral prescrip drug non chemo |
616 |
280 |
$6K |
| J3490 |
Drugs unclassified injection |
690 |
523 |
$5K |
| 94640 |
|
141 |
84 |
$5K |
| 80307 |
|
109 |
102 |
$5K |
| 77067 |
|
101 |
101 |
$5K |
| J7030 |
Normal saline solution infus |
210 |
183 |
$4K |
| 99281 |
|
129 |
124 |
$4K |
| 88305 |
|
51 |
48 |
$4K |
| 99213 |
|
75 |
69 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
181 |
168 |
$4K |
| 80048 |
|
592 |
520 |
$3K |
| 96361 |
|
165 |
150 |
$3K |
| 73630 |
|
31 |
31 |
$3K |
| J7120 |
Ringers lactate infusion |
111 |
99 |
$3K |
| 84443 |
|
246 |
235 |
$3K |
| 87086 |
|
353 |
329 |
$2K |
| 87088 |
|
352 |
328 |
$2K |
| 99211 |
|
87 |
67 |
$2K |
| J2405 |
Ondansetron hcl injection |
194 |
180 |
$2K |
| 73610 |
|
35 |
31 |
$2K |
| 87653 |
|
53 |
53 |
$2K |
| 81001 |
|
718 |
660 |
$2K |
| 99212 |
|
33 |
24 |
$2K |
| 80061 |
|
223 |
217 |
$2K |
| 84484 |
|
199 |
156 |
$2K |
| 85027 |
|
409 |
375 |
$2K |
| 81025 |
|
200 |
199 |
$2K |
| 80055 |
|
25 |
25 |
$1K |
| 87634 |
|
29 |
29 |
$1K |
| 84439 |
|
186 |
179 |
$1K |
| 83690 |
|
190 |
179 |
$1K |
| Q0162 |
Ondansetron oral |
65 |
59 |
$1K |
| 74018 |
|
12 |
12 |
$969.19 |
| 96360 |
|
12 |
12 |
$889.20 |
| 87186 |
|
169 |
153 |
$867.60 |
| 87077 |
|
172 |
156 |
$827.03 |
| 80050 |
|
14 |
14 |
$693.85 |
| J2704 |
Inj, propofol, 10 mg |
37 |
36 |
$686.15 |
| 87804 |
|
44 |
43 |
$676.13 |
| 83036 |
|
148 |
145 |
$627.88 |
| J3010 |
Fentanyl citrate injection |
82 |
74 |
$543.61 |
| 87661 |
|
13 |
13 |
$519.96 |
| 85610 |
|
196 |
129 |
$465.83 |
| A9270 |
Non-covered item or service |
30 |
12 |
$459.93 |
| 97161 |
|
12 |
12 |
$403.61 |
| 96365 |
|
12 |
12 |
$371.60 |
| 77063 |
|
72 |
72 |
$340.44 |
| 83880 |
|
12 |
12 |
$340.36 |
| 97162 |
|
12 |
12 |
$291.72 |
| 82948 |
|
97 |
62 |
$226.02 |
| 83735 |
|
52 |
38 |
$210.16 |
| 87040 |
|
30 |
14 |
$206.48 |
| 83605 |
|
29 |
26 |
$205.68 |
| 82947 |
|
46 |
46 |
$203.70 |
| 82728 |
|
15 |
13 |
$186.45 |
| J2270 |
Morphine sulfate injection |
14 |
13 |
$171.84 |
| J7620 |
Albuterol ipratrop non-comp |
47 |
43 |
$167.33 |
| 85379 |
|
15 |
14 |
$163.28 |
| A4216 |
Sterile water/saline, 10 ml |
14 |
13 |
$153.04 |
| 86140 |
|
28 |
28 |
$137.03 |
| 87880 |
|
12 |
12 |
$136.60 |
| 85730 |
|
13 |
12 |
$60.73 |
| 85651 |
|
13 |
13 |
$33.98 |
| 83540 |
|
13 |
12 |
$31.96 |
| G0008 |
Admin influenza virus vac |
19 |
18 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
24 |
$0.00 |
| 90682 |
|
13 |
13 |
$0.00 |