| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,610 |
4,148 |
$395K |
| 99283 |
|
3,949 |
3,717 |
$321K |
| 99284 |
|
3,279 |
2,964 |
$288K |
| 96361 |
|
1,094 |
958 |
$146K |
| 99285 |
|
740 |
663 |
$72K |
| 99282 |
|
711 |
680 |
$50K |
| 80053 |
|
3,202 |
2,838 |
$48K |
| 94640 |
|
326 |
253 |
$39K |
| 70450 |
|
258 |
227 |
$39K |
| 96360 |
|
199 |
183 |
$30K |
| D7140 |
|
428 |
166 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,085 |
884 |
$20K |
| 83605 |
|
781 |
649 |
$11K |
| 74176 |
|
40 |
39 |
$10K |
| 84484 |
|
634 |
530 |
$8K |
| D2392 |
|
152 |
112 |
$8K |
| G0378 |
Hospital observation per hr |
126 |
69 |
$7K |
| 96365 |
|
71 |
61 |
$7K |
| 80048 |
|
397 |
328 |
$5K |
| 74177 |
|
26 |
24 |
$5K |
| D2391 |
|
93 |
65 |
$5K |
| 80307 |
|
339 |
274 |
$5K |
| 80061 |
|
488 |
444 |
$4K |
| 82306 |
|
291 |
271 |
$4K |
| D0140 |
|
202 |
194 |
$4K |
| D1110 |
|
104 |
103 |
$3K |
| 88142 |
|
202 |
191 |
$2K |
| D0330 |
|
54 |
53 |
$2K |
| 88305 |
|
115 |
102 |
$2K |
| 87624 |
|
81 |
77 |
$2K |
| 99281 |
|
25 |
24 |
$2K |
| 87591 |
|
53 |
50 |
$1K |
| D0150 |
|
48 |
48 |
$1K |
| D0220 |
|
261 |
246 |
$1K |
| 85025 |
|
3,510 |
3,084 |
$1K |
| 96374 |
|
1,338 |
1,198 |
$1K |
| 83880 |
|
114 |
99 |
$1K |
| D2393 |
|
19 |
12 |
$1K |
| G0123 |
Screen cerv/vag thin layer |
80 |
73 |
$926.75 |
| D0272 |
|
97 |
97 |
$920.00 |
| 36415 |
|
3,304 |
2,614 |
$841.80 |
| 71046 |
|
648 |
597 |
$819.19 |
| D0120 |
|
52 |
51 |
$804.84 |
| 85379 |
|
28 |
28 |
$591.71 |
| 83036 |
|
687 |
643 |
$487.35 |
| 85027 |
|
195 |
172 |
$380.63 |
| 81025 |
|
1,250 |
1,151 |
$371.86 |
| 87086 |
|
519 |
465 |
$350.27 |
| 71045 |
|
273 |
244 |
$339.38 |
| 96375 |
|
662 |
583 |
$320.22 |
| 81001 |
|
1,866 |
1,691 |
$307.74 |
| 87804 |
|
814 |
431 |
$280.81 |
| 93005 |
|
1,142 |
1,012 |
$279.90 |
| 87590 |
|
17 |
14 |
$278.35 |
| 82553 |
|
31 |
28 |
$267.42 |
| 84443 |
|
282 |
260 |
$264.35 |
| D1120 |
|
12 |
12 |
$240.00 |
| 84703 |
|
172 |
166 |
$224.10 |
| D1208 |
|
13 |
13 |
$195.00 |
| 96372 |
|
1,119 |
1,015 |
$189.24 |
| 83690 |
|
531 |
481 |
$175.86 |
| 83735 |
|
162 |
140 |
$86.58 |
| 81003 |
|
588 |
533 |
$63.21 |
| 87491 |
|
53 |
50 |
$32.14 |
| 85730 |
|
191 |
173 |
$28.38 |
| 85610 |
|
353 |
315 |
$28.20 |
| 82150 |
|
125 |
116 |
$28.16 |
| J1885 |
Ketorolac tromethamine inj |
775 |
691 |
$24.75 |
| J7030 |
Normal saline solution infus |
526 |
415 |
$19.58 |
| 87430 |
|
246 |
235 |
$10.85 |
| J0696 |
Ceftriaxone sodium injection |
183 |
159 |
$8.94 |
| 87081 |
|
45 |
45 |
$8.05 |
| 87880 |
|
45 |
45 |
$8.05 |
| J2405 |
Ondansetron hcl injection |
887 |
779 |
$5.98 |
| 81002 |
|
134 |
115 |
$4.53 |
| J3010 |
Fentanyl citrate injection |
285 |
242 |
$2.68 |
| J7120 |
Ringers lactate infusion |
100 |
48 |
$2.64 |
| J7040 |
Normal saline solution infus |
35 |
28 |
$2.30 |
| J1170 |
Hydromorphone injection |
58 |
44 |
$1.63 |
| J2250 |
Inj midazolam hydrochloride |
141 |
123 |
$1.15 |
| J1100 |
Dexamethasone sodium phos |
106 |
90 |
$0.49 |
| Q0162 |
Ondansetron oral |
27 |
26 |
$0.06 |
| J2704 |
Inj, propofol, 10 mg |
275 |
209 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
70 |
62 |
$0.00 |
| 82550 |
|
88 |
82 |
$0.00 |
| 74022 |
|
19 |
19 |
$0.00 |
| 90471 |
|
27 |
26 |
$0.00 |
| J2360 |
Orphenadrine injection |
16 |
12 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| 87186 |
|
44 |
37 |
$0.00 |
| J2270 |
Morphine sulfate injection |
166 |
134 |
$0.00 |
| J2550 |
Promethazine hcl injection |
47 |
40 |
$0.00 |
| 73562 |
|
15 |
12 |
$0.00 |