| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,935 |
12,226 |
$2.74M |
| 99285 |
|
5,031 |
4,496 |
$1.42M |
| 99283 |
|
22,766 |
21,946 |
$1.32M |
| 87804 |
|
28,403 |
13,834 |
$710K |
| 87880 |
|
15,339 |
14,823 |
$381K |
| 71045 |
|
6,654 |
6,182 |
$326K |
| 93005 |
|
3,004 |
2,701 |
$314K |
| 87426 |
|
4,174 |
3,991 |
$283K |
| 80053 |
|
7,949 |
7,174 |
$99K |
| 87081 |
|
9,689 |
9,359 |
$97K |
| 85025 |
|
9,109 |
8,092 |
$78K |
| 70450 |
|
751 |
702 |
$65K |
| 80307 |
|
638 |
557 |
$53K |
| 87807 |
|
2,146 |
2,077 |
$45K |
| 74177 |
|
68 |
65 |
$41K |
| 99282 |
|
609 |
587 |
$31K |
| 74176 |
|
115 |
107 |
$30K |
| 87086 |
|
2,739 |
2,576 |
$25K |
| 81001 |
|
5,572 |
5,197 |
$23K |
| 81025 |
|
1,822 |
1,740 |
$20K |
| J7030 |
Normal saline solution infus |
2,025 |
1,600 |
$15K |
| 96374 |
|
1,062 |
976 |
$14K |
| 76805 |
|
45 |
42 |
$12K |
| 84484 |
|
1,221 |
785 |
$10K |
| 99281 |
|
206 |
198 |
$8K |
| 96361 |
|
213 |
199 |
$6K |
| 96375 |
|
421 |
372 |
$5K |
| 94640 |
|
113 |
107 |
$4K |
| 83690 |
|
598 |
549 |
$4K |
| G0463 |
Hospital outpt clinic visit |
918 |
870 |
$3K |
| 59025 |
|
20 |
15 |
$3K |
| 87400 |
|
90 |
66 |
$2K |
| 72125 |
|
30 |
26 |
$2K |
| 83735 |
|
281 |
250 |
$2K |
| 71046 |
|
75 |
73 |
$2K |
| 99291 |
|
12 |
12 |
$2K |
| 81003 |
|
539 |
515 |
$1K |
| 76817 |
|
12 |
12 |
$1K |
| 80048 |
|
217 |
198 |
$1K |
| 85610 |
|
493 |
459 |
$1K |
| J1100 |
Dexamethasone sodium phos |
284 |
270 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
608 |
566 |
$1K |
| 83605 |
|
176 |
143 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
134 |
128 |
$877.54 |
| J2405 |
Ondansetron hcl injection |
984 |
821 |
$768.99 |
| J2270 |
Morphine sulfate injection |
310 |
233 |
$658.86 |
| 87088 |
|
65 |
62 |
$653.01 |
| 82553 |
|
87 |
77 |
$565.52 |
| 96365 |
|
12 |
12 |
$560.85 |
| J2930 |
Methylprednisolone injection |
28 |
27 |
$542.75 |
| 96372 |
|
541 |
508 |
$529.22 |
| 87186 |
|
78 |
77 |
$497.04 |
| 84702 |
|
49 |
40 |
$470.29 |
| 87077 |
|
77 |
76 |
$457.56 |
| 85730 |
|
125 |
115 |
$404.92 |
| 87040 |
|
39 |
24 |
$266.78 |
| 86850 |
|
14 |
14 |
$259.83 |
| 36415 |
|
8,973 |
7,834 |
$244.51 |
| 88305 |
|
25 |
25 |
$243.10 |
| 86901 |
|
144 |
134 |
$219.98 |
| 86900 |
|
144 |
134 |
$219.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
277 |
270 |
$211.37 |
| 82550 |
|
24 |
24 |
$157.80 |
| 82947 |
|
47 |
36 |
$157.07 |
| J7120 |
Ringers lactate infusion |
51 |
40 |
$134.92 |
| J7040 |
Normal saline solution infus |
30 |
28 |
$35.77 |
| J3010 |
Fentanyl citrate injection |
43 |
39 |
$26.88 |
| J2250 |
Inj midazolam hydrochloride |
40 |
27 |
$11.31 |
| 82962 |
|
327 |
209 |
$4.00 |
| J2704 |
Inj, propofol, 10 mg |
360 |
311 |
$0.00 |
| A9270 |
Non-covered item or service |
1,125 |
527 |
$0.00 |
| J2001 |
Lidocaine injection |
31 |
27 |
$0.00 |