| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,949 |
10,880 |
$823K |
| 99284 |
|
5,572 |
5,108 |
$750K |
| 41899 |
|
666 |
622 |
$323K |
| 87502 |
|
1,126 |
991 |
$232K |
| 99285 |
|
1,070 |
888 |
$216K |
| 0202U |
|
400 |
375 |
$207K |
| 87635 |
|
1,447 |
1,287 |
$133K |
| 87651 |
|
1,200 |
1,084 |
$97K |
| 85025 |
|
3,909 |
3,239 |
$65K |
| 93325 |
|
369 |
347 |
$55K |
| 69436 |
|
37 |
37 |
$34K |
| 42820 |
|
35 |
34 |
$32K |
| 76770 |
|
150 |
137 |
$29K |
| 80053 |
|
1,639 |
1,376 |
$28K |
| 96374 |
|
725 |
604 |
$25K |
| 71046 |
|
583 |
554 |
$25K |
| 93321 |
|
182 |
181 |
$23K |
| 96360 |
|
386 |
341 |
$22K |
| 87634 |
|
86 |
84 |
$15K |
| 96361 |
|
786 |
649 |
$14K |
| 43239 |
|
14 |
13 |
$13K |
| 93304 |
|
53 |
53 |
$11K |
| G0378 |
Hospital observation per hr |
29 |
24 |
$11K |
| 80047 |
|
496 |
423 |
$10K |
| 59025 |
|
1,196 |
915 |
$9K |
| 96375 |
|
347 |
281 |
$8K |
| 87086 |
|
141 |
128 |
$6K |
| 87076 |
|
57 |
55 |
$5K |
| 81001 |
|
1,465 |
1,219 |
$4K |
| 86141 |
|
69 |
65 |
$3K |
| 84702 |
|
64 |
56 |
$3K |
| 94640 |
|
56 |
38 |
$3K |
| 99282 |
|
74 |
68 |
$2K |
| 81003 |
|
870 |
751 |
$2K |
| 85027 |
|
56 |
38 |
$2K |
| 83690 |
|
170 |
145 |
$2K |
| 74019 |
|
48 |
38 |
$2K |
| 95812 |
|
13 |
12 |
$2K |
| 80076 |
|
216 |
178 |
$2K |
| 93005 |
|
124 |
104 |
$2K |
| 80048 |
|
173 |
133 |
$1K |
| 86900 |
|
124 |
110 |
$1K |
| 86901 |
|
124 |
110 |
$1K |
| 85007 |
|
56 |
38 |
$1K |
| 83615 |
|
148 |
121 |
$1K |
| 82570 |
|
141 |
117 |
$992.78 |
| 85384 |
|
62 |
53 |
$916.42 |
| 81025 |
|
95 |
86 |
$914.94 |
| 72081 |
|
12 |
12 |
$831.51 |
| 84550 |
|
146 |
120 |
$804.39 |
| 85730 |
|
53 |
44 |
$789.45 |
| 74018 |
|
15 |
15 |
$779.68 |
| 72170 |
|
12 |
12 |
$670.71 |
| L8699 |
Prosthetic implant nos |
37 |
37 |
$570.38 |
| J1100 |
Dexamethasone sodium phos |
776 |
726 |
$556.14 |
| 94010 |
|
12 |
12 |
$526.26 |
| 85610 |
|
52 |
43 |
$518.04 |
| 84156 |
|
145 |
117 |
$417.18 |
| 83605 |
|
13 |
13 |
$389.52 |
| G0463 |
Hospital outpt clinic visit |
542 |
241 |
$366.19 |
| 86850 |
|
16 |
13 |
$356.48 |
| 83735 |
|
19 |
15 |
$202.44 |
| J2470 |
Inj pantoprazole sodium 40mg |
52 |
48 |
$74.79 |
| J2405 |
Ondansetron hcl injection |
891 |
822 |
$73.57 |
| 36415 |
|
19 |
13 |
$51.50 |
| J2550 |
Promethazine hcl injection |
12 |
12 |
$14.13 |
| 85014 |
|
34 |
33 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
90 |
74 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
24 |
21 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
909 |
825 |
$0.00 |
| J2001 |
Lidocaine injection |
184 |
150 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
426 |
389 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
15 |
$0.00 |
| 85018 |
|
34 |
33 |
$0.00 |