| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
14,741 |
13,390 |
$653K |
| 99281 |
|
3,244 |
2,977 |
$218K |
| G0463 |
Hospital outpt clinic visit |
4,164 |
3,573 |
$137K |
| 74174 |
|
514 |
469 |
$126K |
| 99205 |
Prolong outpt/office vis |
607 |
559 |
$83K |
| 93005 |
|
3,357 |
3,012 |
$74K |
| 70450 |
|
474 |
437 |
$52K |
| 0510 |
|
2,110 |
1,767 |
$49K |
| 80048 |
|
5,290 |
4,618 |
$37K |
| 90792 |
|
139 |
128 |
$34K |
| 0250 |
|
6,929 |
5,675 |
$31K |
| 99215 |
Prolong outpt/office vis |
215 |
199 |
$29K |
| 85025 |
|
5,204 |
4,617 |
$28K |
| 71046 |
|
1,717 |
1,545 |
$27K |
| 99283 |
|
641 |
618 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
712 |
628 |
$20K |
| 99282 |
|
836 |
780 |
$19K |
| 87591 |
|
679 |
609 |
$16K |
| 87491 |
|
685 |
615 |
$16K |
| 59025 |
|
716 |
260 |
$15K |
| 99221 |
|
2,822 |
2,413 |
$13K |
| 99284 |
|
348 |
335 |
$13K |
| J2405 |
Ondansetron hcl injection |
969 |
832 |
$12K |
| 80076 |
|
1,710 |
1,540 |
$11K |
| J7030 |
Normal saline solution infus |
1,634 |
1,398 |
$10K |
| 71045 |
|
1,150 |
1,060 |
$10K |
| J2001 |
Lidocaine injection |
435 |
389 |
$9K |
| 94640 |
|
518 |
425 |
$9K |
| 81001 |
|
3,380 |
3,013 |
$9K |
| 84484 |
|
1,250 |
1,093 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
1,231 |
1,092 |
$9K |
| 76856 |
|
181 |
156 |
$8K |
| 83690 |
|
1,298 |
1,157 |
$7K |
| 76705 |
|
112 |
95 |
$6K |
| 87088 |
|
1,210 |
1,101 |
$5K |
| J2270 |
Morphine sulfate injection |
743 |
635 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
420 |
373 |
$5K |
| Q0162 |
Ondansetron oral |
552 |
492 |
$5K |
| 99199 |
|
588 |
494 |
$5K |
| 80306 |
|
137 |
128 |
$4K |
| 99202 |
|
205 |
187 |
$4K |
| 81025 |
|
1,365 |
1,204 |
$4K |
| 73130 |
|
148 |
129 |
$3K |
| 73610 |
|
159 |
140 |
$3K |
| 83880 |
|
144 |
130 |
$3K |
| 80053 |
|
332 |
315 |
$3K |
| 36415 |
|
4,752 |
4,146 |
$3K |
| 73110 |
|
146 |
132 |
$3K |
| 85027 |
|
690 |
614 |
$2K |
| 73630 |
|
139 |
129 |
$2K |
| 85610 |
|
838 |
760 |
$2K |
| U0005 |
Infec agen detec ampli probe |
105 |
104 |
$2K |
| 73030 |
|
108 |
94 |
$2K |
| 72125 |
|
16 |
13 |
$2K |
| 86901 |
|
452 |
415 |
$2K |
| 86900 |
|
467 |
428 |
$2K |
| 97110 |
|
299 |
149 |
$2K |
| 0516 |
|
64 |
62 |
$2K |
| 0241U |
|
79 |
79 |
$2K |
| 83605 |
|
204 |
180 |
$1K |
| 86850 |
|
399 |
370 |
$1K |
| 87502 |
|
54 |
43 |
$1K |
| 84443 |
|
149 |
129 |
$1K |
| 74177 |
|
17 |
13 |
$1K |
| 73564 |
|
56 |
50 |
$1K |
| 81015 |
|
1,015 |
818 |
$1K |
| J2060 |
Lorazepam injection |
225 |
187 |
$1K |
| 87186 |
|
161 |
141 |
$1K |
| J7611 |
Albuterol non-comp con |
434 |
347 |
$1K |
| 97161 |
|
29 |
29 |
$1K |
| 94760 |
|
179 |
145 |
$1K |
| 86141 |
|
148 |
136 |
$1K |
| 84703 |
|
133 |
111 |
$1K |
| 80305 |
|
170 |
133 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
266 |
238 |
$971.75 |
| 86703 |
|
102 |
102 |
$952.65 |
| 83036 |
|
137 |
133 |
$911.79 |
| 87210 |
|
303 |
277 |
$869.69 |
| 83735 |
|
143 |
127 |
$851.68 |
| 81000 |
|
486 |
324 |
$730.26 |
| J7644 |
Ipratropium bromide non-comp |
260 |
209 |
$715.17 |
| 85730 |
|
194 |
175 |
$681.92 |
| 99231 |
|
116 |
101 |
$672.78 |
| J7040 |
Normal saline solution infus |
165 |
139 |
$652.44 |
| 82962 |
|
413 |
357 |
$623.55 |
| 93306 |
|
12 |
12 |
$617.20 |
| 0761 |
|
219 |
195 |
$610.19 |
| J0780 |
Prochlorperazine injection |
45 |
41 |
$562.59 |
| 97010 |
|
150 |
77 |
$551.60 |
| 87040 |
|
46 |
41 |
$391.26 |
| 0760 |
|
73 |
59 |
$367.11 |
| 86592 |
|
114 |
109 |
$349.02 |
| 87086 |
|
67 |
67 |
$321.29 |
| 73562 |
|
14 |
13 |
$304.12 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$278.40 |
| J1100 |
Dexamethasone sodium phos |
15 |
14 |
$272.63 |
| 85652 |
|
135 |
123 |
$242.35 |
| J7510 |
Prednisolone oral per 5 mg |
46 |
37 |
$240.89 |
| 87070 |
|
43 |
37 |
$222.56 |
| S5102 |
Adult day care per diem |
43 |
41 |
$192.50 |
| J7120 |
Ringers lactate infusion |
28 |
26 |
$183.09 |
| 86765 |
|
20 |
20 |
$174.24 |
| 99213 |
|
14 |
13 |
$159.17 |
| 99441 |
|
15 |
14 |
$152.40 |
| 99212 |
|
14 |
12 |
$108.83 |
| 0320 |
|
70 |
63 |
$108.61 |
| J1170 |
Hydromorphone injection |
17 |
12 |
$91.09 |
| Q0163 |
Diphenhydramine hcl 50mg |
88 |
69 |
$64.86 |
| J7050 |
Normal saline solution infus |
27 |
24 |
$51.07 |
| 80329 |
|
41 |
35 |
$25.65 |
| 88142 |
|
17 |
14 |
$23.06 |
| 81003 |
|
12 |
12 |
$15.82 |
| G9008 |
Mccd,phys coor-care ovrsght |
24 |
15 |
$0.00 |