| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,007 |
21,561 |
$5.17M |
| 99285 |
|
12,310 |
12,082 |
$3.76M |
| 99283 |
|
20,084 |
19,838 |
$3.28M |
| 96374 |
|
11,809 |
11,543 |
$1.37M |
| 74177 |
|
2,910 |
2,886 |
$474K |
| 87637 |
|
2,423 |
2,410 |
$326K |
| 96375 |
|
7,627 |
7,448 |
$314K |
| 97530 |
|
4,115 |
1,284 |
$246K |
| 96372 |
|
3,416 |
3,346 |
$236K |
| 92507 |
|
3,320 |
1,157 |
$222K |
| 43239 |
|
561 |
560 |
$181K |
| 97110 |
|
3,483 |
1,053 |
$164K |
| 80053 |
|
16,860 |
16,341 |
$149K |
| 96361 |
|
3,999 |
3,944 |
$145K |
| 42820 |
|
38 |
38 |
$142K |
| 85025 |
|
21,407 |
20,539 |
$139K |
| 71045 |
|
9,133 |
8,957 |
$105K |
| 80307 |
|
1,875 |
1,851 |
$96K |
| 70450 |
|
2,281 |
2,261 |
$94K |
| 36415 |
|
12,324 |
11,187 |
$90K |
| 80081 |
|
1,259 |
1,258 |
$78K |
| 90853 |
|
12,239 |
1,981 |
$77K |
| 69436 |
|
140 |
115 |
$67K |
| 87804 |
|
2,755 |
2,744 |
$59K |
| 87591 |
|
1,660 |
1,650 |
$51K |
| 80050 |
|
1,652 |
1,651 |
$50K |
| 99282 |
|
577 |
574 |
$48K |
| 87661 |
|
1,470 |
1,469 |
$47K |
| 87491 |
|
1,647 |
1,644 |
$45K |
| 87635 |
|
883 |
881 |
$44K |
| 81001 |
|
13,549 |
12,944 |
$42K |
| 87880 |
|
2,716 |
2,706 |
$38K |
| 93005 |
|
6,739 |
6,551 |
$37K |
| 81025 |
|
4,577 |
4,531 |
$34K |
| 45380 |
|
50 |
50 |
$31K |
| 87086 |
|
4,009 |
3,898 |
$27K |
| 71046 |
|
1,792 |
1,782 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,531 |
3,493 |
$25K |
| 87070 |
|
3,224 |
3,214 |
$25K |
| 76805 |
|
292 |
292 |
$23K |
| 83880 |
|
667 |
652 |
$22K |
| 74176 |
|
271 |
265 |
$20K |
| 84484 |
|
1,460 |
1,416 |
$17K |
| 83690 |
|
2,469 |
2,428 |
$14K |
| 11042 |
|
77 |
50 |
$13K |
| 86803 |
|
1,015 |
1,014 |
$12K |
| 62323 |
|
31 |
31 |
$11K |
| P9612 |
Catheterize for urine spec |
2,429 |
2,413 |
$11K |
| 87150 |
|
307 |
305 |
$9K |
| 80061 |
|
745 |
741 |
$8K |
| 87807 |
|
614 |
612 |
$7K |
| 83036 |
|
842 |
841 |
$7K |
| 83605 |
|
595 |
580 |
$6K |
| 83735 |
|
948 |
930 |
$5K |
| 82947 |
|
1,554 |
1,552 |
$5K |
| G0480 |
Drug test def 1-7 classes |
50 |
50 |
$5K |
| 94640 |
|
385 |
381 |
$4K |
| 86885 |
|
727 |
722 |
$4K |
| 85730 |
|
740 |
725 |
$4K |
| 85610 |
|
746 |
732 |
$3K |
| 85379 |
|
283 |
281 |
$2K |
| 92523 |
|
13 |
13 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$2K |
| 93306 |
|
24 |
24 |
$2K |
| 82306 |
|
66 |
66 |
$2K |
| 87081 |
|
262 |
261 |
$2K |
| 84145 |
|
72 |
72 |
$2K |
| 84443 |
|
102 |
102 |
$2K |
| 88175 |
|
69 |
69 |
$2K |
| 86592 |
|
427 |
426 |
$1K |
| 87511 |
|
53 |
52 |
$1K |
| 87798 |
|
41 |
40 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,143 |
1,135 |
$1K |
| 82550 |
|
201 |
196 |
$1K |
| 84439 |
|
145 |
144 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,433 |
2,394 |
$1K |
| 71250 |
|
33 |
33 |
$963.29 |
| 82728 |
|
94 |
93 |
$946.08 |
| 87481 |
|
26 |
26 |
$791.46 |
| 76816 |
|
14 |
13 |
$730.34 |
| 87426 |
|
15 |
15 |
$678.45 |
| 97597 |
|
73 |
41 |
$622.40 |
| 82962 |
|
234 |
230 |
$616.12 |
| 84481 |
|
34 |
34 |
$452.10 |
| 80048 |
|
69 |
66 |
$430.37 |
| 82803 |
|
13 |
12 |
$301.47 |
| 84702 |
|
26 |
26 |
$281.19 |
| 83615 |
|
47 |
39 |
$247.78 |
| 82570 |
|
34 |
26 |
$147.52 |
| 84550 |
|
34 |
26 |
$129.39 |
| 85027 |
|
26 |
24 |
$124.64 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$108.00 |
| 84156 |
|
35 |
27 |
$107.58 |
| 81050 |
|
34 |
26 |
$106.92 |
| 86901 |
|
33 |
33 |
$82.46 |
| 86900 |
|
33 |
33 |
$82.46 |
| 83550 |
|
12 |
12 |
$46.62 |
| J2360 |
Orphenadrine injection |
405 |
402 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
4,970 |
4,892 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
923 |
915 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
610 |
572 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
199 |
198 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
25 |
25 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
93 |
91 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
28 |
27 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
65 |
61 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,802 |
1,769 |
$0.00 |
| J0780 |
Prochlorperazine injection |
847 |
836 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
14 |
13 |
$0.00 |
| J2800 |
Methocarbamol injection |
13 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
14 |
14 |
$0.00 |