| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,296 |
9,304 |
$2.14M |
| 99284 |
|
6,469 |
5,705 |
$2.08M |
| 96372 |
|
7,469 |
5,138 |
$507K |
| 0223U |
|
756 |
672 |
$282K |
| 87637 |
|
1,402 |
1,318 |
$148K |
| 87635 |
|
2,180 |
2,012 |
$80K |
| 99285 |
|
188 |
171 |
$76K |
| 87502 |
|
965 |
888 |
$73K |
| 80053 |
|
6,569 |
5,834 |
$52K |
| 85025 |
|
8,817 |
6,568 |
$48K |
| 71045 |
|
631 |
570 |
$46K |
| 87633 |
|
87 |
76 |
$35K |
| 80061 |
|
2,193 |
2,086 |
$26K |
| 93005 |
|
374 |
322 |
$17K |
| 84443 |
|
1,131 |
1,072 |
$17K |
| 11042 |
|
214 |
81 |
$13K |
| 82306 |
|
517 |
485 |
$13K |
| 94640 |
|
68 |
57 |
$12K |
| 84439 |
|
1,235 |
1,168 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
1,020 |
908 |
$7K |
| 80050 |
|
184 |
172 |
$7K |
| 36415 |
|
3,784 |
2,752 |
$7K |
| 87651 |
|
206 |
199 |
$6K |
| G0378 |
Hospital observation per hr |
13 |
13 |
$6K |
| 81001 |
|
3,059 |
2,679 |
$6K |
| 99282 |
|
39 |
36 |
$3K |
| 87486 |
|
87 |
76 |
$3K |
| 87798 |
|
87 |
76 |
$3K |
| 87581 |
|
87 |
76 |
$3K |
| 87591 |
|
91 |
84 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
184 |
155 |
$3K |
| 80306 |
|
167 |
147 |
$2K |
| 71046 |
|
12 |
12 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
96 |
88 |
$1K |
| 83735 |
|
245 |
224 |
$1K |
| C1751 |
Cath, inf, per/cent/midline |
92 |
84 |
$1K |
| 80048 |
|
151 |
105 |
$856.95 |
| 0012A |
|
27 |
25 |
$821.68 |
| 0011A |
|
30 |
28 |
$709.96 |
| 81025 |
|
90 |
83 |
$640.20 |
| 84484 |
|
82 |
75 |
$611.03 |
| J2405 |
Ondansetron hcl injection |
65 |
40 |
$605.87 |
| 97597 |
|
21 |
13 |
$473.40 |
| 94760 |
|
87 |
61 |
$460.62 |
| J2175 |
Meperidine hydrochl /100 mg |
40 |
13 |
$439.77 |
| 86140 |
|
69 |
57 |
$248.34 |
| 83036 |
|
30 |
28 |
$233.04 |
| 82607 |
|
15 |
15 |
$226.20 |
| 82746 |
|
15 |
15 |
$220.50 |
| 84481 |
|
14 |
14 |
$188.02 |
| 82553 |
|
42 |
37 |
$184.80 |
| J3301 |
Triamcinolone acet inj nos |
17 |
17 |
$177.38 |
| 82728 |
|
13 |
13 |
$177.19 |
| 87086 |
|
30 |
27 |
$169.47 |
| J2550 |
Promethazine hcl injection |
16 |
12 |
$166.22 |
| 83655 |
|
13 |
13 |
$157.43 |
| 80305 |
|
15 |
14 |
$151.20 |
| 87070 |
|
15 |
12 |
$117.04 |
| 83550 |
|
14 |
14 |
$113.62 |
| 83540 |
|
15 |
15 |
$90.58 |
| J2001 |
Lidocaine injection |
15 |
13 |
$67.13 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$23.40 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |
| 91301 |
|
63 |
55 |
$0.00 |