| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,607 |
3,187 |
$682K |
| 97110 |
|
5,753 |
2,024 |
$567K |
| 99282 |
|
3,553 |
3,230 |
$514K |
| 80053 |
|
7,214 |
6,361 |
$381K |
| 85025 |
|
7,664 |
6,596 |
$322K |
| 99284 |
|
1,298 |
1,041 |
$271K |
| 74177 |
|
176 |
167 |
$206K |
| 87635 |
|
2,666 |
2,504 |
$170K |
| 36415 |
|
7,952 |
6,721 |
$110K |
| 96374 |
|
1,647 |
1,433 |
$100K |
| 80061 |
|
1,533 |
1,515 |
$99K |
| 71046 |
|
700 |
668 |
$97K |
| 96361 |
|
1,432 |
1,239 |
$97K |
| 87502 |
|
942 |
902 |
$91K |
| 93005 |
|
1,035 |
959 |
$91K |
| 97140 |
|
1,884 |
701 |
$82K |
| 99285 |
|
195 |
177 |
$82K |
| 96375 |
|
1,355 |
1,135 |
$81K |
| 87086 |
|
1,357 |
1,260 |
$74K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
641 |
599 |
$55K |
| 84443 |
|
2,468 |
2,389 |
$52K |
| 70450 |
|
118 |
112 |
$49K |
| 84484 |
|
609 |
505 |
$47K |
| 96365 |
|
422 |
342 |
$46K |
| 84703 |
|
592 |
551 |
$45K |
| 71045 |
|
477 |
448 |
$38K |
| 83690 |
|
618 |
556 |
$34K |
| 80306 |
|
315 |
295 |
$31K |
| 99281 |
|
348 |
332 |
$30K |
| 81001 |
|
1,486 |
1,378 |
$24K |
| J2405 |
Ondansetron hcl injection |
1,218 |
988 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
1,076 |
958 |
$21K |
| 86803 |
|
191 |
189 |
$16K |
| 87081 |
|
224 |
217 |
$14K |
| 74176 |
|
12 |
12 |
$14K |
| G0463 |
Hospital outpt clinic visit |
115 |
113 |
$13K |
| A0425 |
Ground mileage |
152 |
126 |
$13K |
| 81003 |
|
946 |
871 |
$13K |
| 80048 |
|
294 |
270 |
$13K |
| 83036 |
|
220 |
213 |
$11K |
| 80050 |
|
68 |
67 |
$10K |
| 85027 |
|
317 |
302 |
$10K |
| J1170 |
Hydromorphone injection |
466 |
350 |
$10K |
| 96372 |
|
375 |
320 |
$9K |
| 97162 |
|
117 |
114 |
$9K |
| 73630 |
|
56 |
53 |
$9K |
| A0429 |
Bls-emergency |
101 |
84 |
$8K |
| 86140 |
|
297 |
250 |
$8K |
| J7030 |
Normal saline solution infus |
426 |
359 |
$6K |
| 85652 |
|
185 |
167 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
347 |
302 |
$5K |
| 87186 |
|
80 |
77 |
$4K |
| 73030 |
|
28 |
28 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
171 |
116 |
$4K |
| 77067 |
|
21 |
21 |
$4K |
| 87880 |
|
108 |
107 |
$4K |
| 82306 |
|
79 |
78 |
$3K |
| 87280 |
|
41 |
39 |
$3K |
| 83605 |
|
46 |
41 |
$2K |
| 97530 |
|
34 |
13 |
$2K |
| J7050 |
Normal saline solution infus |
117 |
72 |
$2K |
| 84439 |
|
30 |
27 |
$2K |
| 83880 |
|
28 |
25 |
$2K |
| 87634 |
|
21 |
20 |
$2K |
| 82962 |
|
35 |
25 |
$1K |
| 94640 |
|
31 |
27 |
$1K |
| 83735 |
|
59 |
52 |
$1K |
| 85610 |
|
30 |
26 |
$856.51 |
| 96360 |
|
12 |
12 |
$772.66 |
| 82248 |
|
16 |
13 |
$751.63 |
| 86756 |
|
13 |
13 |
$750.26 |
| 87804 |
|
18 |
18 |
$650.47 |
| J3010 |
Fentanyl citrate injection |
51 |
39 |
$639.32 |
| 85379 |
|
13 |
13 |
$573.35 |
| 97161 |
|
12 |
12 |
$488.26 |
| 82150 |
|
13 |
12 |
$467.85 |
| 99000 |
|
337 |
330 |
$460.08 |
| 84145 |
|
15 |
14 |
$447.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
41 |
38 |
$401.96 |
| 87205 |
|
12 |
12 |
$398.86 |
| J7120 |
Ringers lactate infusion |
33 |
28 |
$370.23 |
| 87088 |
|
12 |
12 |
$335.34 |
| 77063 |
|
20 |
20 |
$284.66 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$190.38 |
| 81025 |
|
12 |
12 |
$109.46 |
| A9270 |
Non-covered item or service |
31 |
24 |
$0.00 |