| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,146 |
2,907 |
$489K |
| 99283 |
|
4,387 |
4,130 |
$436K |
| 99285 |
|
1,283 |
1,107 |
$196K |
| G0378 |
Hospital observation per hr |
510 |
364 |
$162K |
| 97530 |
|
2,181 |
579 |
$138K |
| 92507 |
|
1,910 |
505 |
$115K |
| 96374 |
|
1,518 |
1,377 |
$52K |
| 43239 |
|
109 |
96 |
$39K |
| 96372 |
|
1,417 |
1,249 |
$38K |
| 99281 |
|
699 |
664 |
$30K |
| 87502 |
|
668 |
647 |
$27K |
| 85025 |
|
5,007 |
4,173 |
$21K |
| 45380 |
|
46 |
36 |
$20K |
| 69436 |
|
13 |
12 |
$15K |
| 93010 |
|
2,701 |
2,054 |
$11K |
| 80053 |
|
3,117 |
2,728 |
$9K |
| 87430 |
|
899 |
873 |
$9K |
| 96361 |
|
506 |
414 |
$6K |
| 96375 |
|
450 |
363 |
$5K |
| 36415 |
|
3,411 |
3,047 |
$4K |
| J2405 |
Ondansetron hcl injection |
838 |
705 |
$4K |
| G0463 |
Hospital outpt clinic visit |
685 |
397 |
$4K |
| 70450 |
|
81 |
74 |
$4K |
| 87077 |
|
982 |
942 |
$3K |
| 11042 |
|
95 |
50 |
$3K |
| 81003 |
|
3,011 |
2,645 |
$3K |
| 84484 |
|
357 |
276 |
$3K |
| 99282 |
|
47 |
45 |
$2K |
| 93005 |
|
732 |
585 |
$2K |
| 97597 |
|
104 |
55 |
$2K |
| 87804 |
|
380 |
369 |
$2K |
| 80048 |
|
716 |
598 |
$2K |
| 71046 |
|
232 |
213 |
$1K |
| 83690 |
|
304 |
275 |
$1K |
| 71045 |
|
514 |
457 |
$922.57 |
| 84703 |
|
125 |
119 |
$771.40 |
| 82150 |
|
132 |
120 |
$499.02 |
| 87807 |
|
40 |
39 |
$395.82 |
| 87086 |
|
518 |
412 |
$304.61 |
| 94760 |
|
115 |
67 |
$135.12 |
| J2930 |
Methylprednisolone injection |
29 |
27 |
$110.86 |
| J1100 |
Dexamethasone sodium phos |
158 |
125 |
$107.87 |
| 77067 |
|
49 |
48 |
$84.06 |
| 84153 |
|
131 |
121 |
$78.18 |
| 96376 |
|
30 |
12 |
$76.93 |
| 94640 |
|
16 |
14 |
$73.92 |
| 85730 |
|
13 |
12 |
$67.76 |
| 87040 |
|
30 |
12 |
$61.34 |
| 85610 |
|
29 |
27 |
$55.55 |
| 88305 |
|
155 |
121 |
$37.49 |
| 77063 |
|
30 |
30 |
$21.35 |
| J2704 |
Inj, propofol, 10 mg |
556 |
375 |
$11.89 |
| J0690 |
Cefazolin sodium injection |
70 |
37 |
$10.41 |
| J2001 |
Lidocaine injection |
582 |
408 |
$10.07 |
| 82962 |
|
224 |
102 |
$9.39 |
| J2175 |
Meperidine hydrochl /100 mg |
52 |
40 |
$1.88 |
| J7030 |
Normal saline solution infus |
627 |
459 |
$0.00 |
| 99211 |
|
88 |
70 |
$0.00 |
| J2270 |
Morphine sulfate injection |
18 |
15 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
883 |
816 |
$0.00 |
| A9270 |
Non-covered item or service |
763 |
636 |
$0.00 |
| J7050 |
Normal saline solution infus |
16 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
47 |
25 |
$0.00 |