| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
24,809 |
20,599 |
$2.01M |
| 99201 |
|
3,543 |
2,489 |
$460K |
| J2704 |
Inj, propofol, 10 mg |
1,443 |
1,324 |
$334K |
| 74177 |
|
721 |
691 |
$300K |
| 97139 |
|
6,552 |
1,429 |
$252K |
| J3490 |
Drugs unclassified injection |
15,313 |
7,651 |
$218K |
| 96374 |
|
2,165 |
1,932 |
$210K |
| 96365 |
|
1,412 |
776 |
$190K |
| 70450 |
|
910 |
859 |
$188K |
| J1100 |
Dexamethasone sodium phos |
1,760 |
1,539 |
$173K |
| 72148 |
|
417 |
413 |
$160K |
| 73721 |
|
366 |
358 |
$154K |
| 93306 |
|
508 |
504 |
$134K |
| 96375 |
|
1,905 |
1,514 |
$133K |
| 93005 |
|
2,836 |
2,576 |
$107K |
| 72141 |
|
236 |
235 |
$98K |
| 77067 |
|
518 |
502 |
$88K |
| 72125 |
|
281 |
273 |
$88K |
| 95811 |
|
247 |
241 |
$87K |
| J2405 |
Ondansetron hcl injection |
2,436 |
2,159 |
$81K |
| 96372 |
|
1,788 |
1,515 |
$80K |
| 80053 |
|
8,190 |
6,582 |
$78K |
| 70551 |
|
163 |
155 |
$77K |
| 70553 |
|
100 |
100 |
$76K |
| 71260 |
|
182 |
178 |
$71K |
| 74176 |
|
352 |
342 |
$71K |
| 71046 |
|
1,988 |
1,876 |
$70K |
| 76700 |
|
651 |
628 |
$67K |
| J2710 |
Neostigmine methylslfte inj |
299 |
297 |
$64K |
| 85025 |
|
9,274 |
7,590 |
$62K |
| 95810 |
|
154 |
148 |
$58K |
| 97799 |
|
1,461 |
278 |
$56K |
| 96361 |
|
954 |
868 |
$53K |
| 73221 |
|
123 |
123 |
$48K |
| J2250 |
Inj midazolam hydrochloride |
1,739 |
1,663 |
$44K |
| 76856 |
|
409 |
400 |
$39K |
| 76830 |
|
368 |
360 |
$36K |
| 76770 |
|
341 |
319 |
$35K |
| 96366 |
|
583 |
275 |
$34K |
| 97750 |
|
388 |
388 |
$34K |
| 96413 |
|
587 |
353 |
$34K |
| G0480 |
Drug test def 1-7 classes |
538 |
515 |
$34K |
| 76705 |
|
407 |
407 |
$32K |
| J0690 |
Cefazolin sodium injection |
906 |
783 |
$31K |
| 80307 |
|
293 |
289 |
$31K |
| 77066 |
Tomosynthesis, mammo |
161 |
152 |
$31K |
| 71045 |
|
1,406 |
1,278 |
$30K |
| 70486 |
|
122 |
116 |
$30K |
| J1642 |
Inj heparin sodium per 10 u |
833 |
471 |
$29K |
| 87624 |
|
570 |
568 |
$29K |
| J0330 |
Succinycholine chloride inj |
231 |
227 |
$27K |
| 84443 |
|
1,871 |
1,582 |
$27K |
| J3010 |
Fentanyl citrate injection |
1,764 |
1,644 |
$26K |
| 96360 |
|
238 |
196 |
$25K |
| 80305 |
|
1,268 |
1,218 |
$24K |
| J1885 |
Ketorolac tromethamine inj |
1,435 |
1,338 |
$23K |
| 76641 |
|
164 |
148 |
$23K |
| 94640 |
|
781 |
632 |
$23K |
| 83880 |
|
641 |
590 |
$22K |
| J1170 |
Hydromorphone injection |
1,073 |
872 |
$22K |
| 73630 |
|
623 |
610 |
$21K |
| 87491 |
|
737 |
726 |
$21K |
| 87591 |
|
737 |
726 |
$21K |
| J3301 |
Triamcinolone acet inj nos |
103 |
97 |
$20K |
| 82306 |
|
534 |
493 |
$19K |
| 73030 |
|
469 |
447 |
$19K |
| 90715 |
|
265 |
260 |
$17K |
| J1644 |
Inj heparin sodium per 1000u |
266 |
214 |
$17K |
| 84484 |
|
1,383 |
1,186 |
$16K |
| 87400 |
|
1,099 |
1,068 |
$16K |
| 73610 |
|
403 |
394 |
$15K |
| 88305 |
|
1,689 |
1,132 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,168 |
1,080 |
$15K |
| 72100 |
|
320 |
305 |
$15K |
| 93971 |
|
97 |
93 |
$15K |
| 73130 |
|
373 |
354 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
690 |
453 |
$14K |
| 80048 |
|
1,853 |
1,533 |
$14K |
| 59025 |
|
415 |
158 |
$14K |
| 71275 |
|
42 |
37 |
$13K |
| 77063 |
|
282 |
274 |
$13K |
| 87086 |
|
1,643 |
1,427 |
$13K |
| 76642 |
|
157 |
142 |
$13K |
| 93976 |
|
41 |
40 |
$12K |
| J2270 |
Morphine sulfate injection |
653 |
559 |
$12K |
| 72040 |
|
314 |
312 |
$12K |
| 76815 |
|
131 |
88 |
$12K |
| 83690 |
|
1,560 |
1,431 |
$11K |
| 73110 |
|
295 |
290 |
$11K |
| 76801 |
|
124 |
120 |
$11K |
| 93017 |
|
91 |
91 |
$11K |
| 96367 |
|
157 |
104 |
$11K |
| 71250 |
|
65 |
61 |
$11K |
| 76536 |
|
148 |
146 |
$11K |
| G0202 |
Scr mammo bi incl cad |
55 |
39 |
$10K |
| 83605 |
|
791 |
723 |
$10K |
| 72110 |
|
143 |
143 |
$9K |
| 73562 |
|
273 |
269 |
$9K |
| 83036 |
|
1,058 |
860 |
$9K |
| J1815 |
Insulin injection |
63 |
50 |
$8K |
| 85027 |
|
1,243 |
889 |
$8K |
| 80061 |
|
792 |
733 |
$8K |
| 78452 |
|
13 |
13 |
$8K |
| 85610 |
|
2,187 |
1,965 |
$8K |
| 43239 |
|
180 |
180 |
$8K |
| 73502 |
|
165 |
143 |
$8K |
| 87040 |
|
502 |
455 |
$8K |
| 86141 |
|
531 |
510 |
$7K |
| 76816 |
|
102 |
94 |
$7K |
| 74018 |
|
268 |
254 |
$7K |
| 87186 |
|
787 |
655 |
$7K |
| 81001 |
|
2,193 |
1,924 |
$7K |
| 73564 |
|
176 |
173 |
$6K |
| 93303 |
|
25 |
25 |
$6K |
| 81003 |
|
2,281 |
2,142 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
624 |
537 |
$6K |
| 87389 |
|
345 |
342 |
$6K |
| 76805 |
|
45 |
45 |
$6K |
| 72050 |
|
99 |
99 |
$6K |
| 0450 |
|
142 |
122 |
$6K |
| 45380 |
|
94 |
92 |
$6K |
| 77065 |
Tomosynthesis, mammo |
39 |
38 |
$6K |
| 83735 |
|
932 |
711 |
$5K |
| J2060 |
Lorazepam injection |
456 |
404 |
$5K |
| 84439 |
|
730 |
623 |
$5K |
| 10060 |
|
135 |
130 |
$5K |
| J2765 |
Metoclopramide hcl injection |
488 |
471 |
$5K |
| 87081 |
|
867 |
857 |
$5K |
| 88142 |
|
1,243 |
1,243 |
$5K |
| 82962 |
|
909 |
689 |
$4K |
| J0694 |
Cefoxitin sodium injection |
114 |
102 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
99 |
96 |
$4K |
| J2930 |
Methylprednisolone injection |
202 |
152 |
$4K |
| J3370 |
Vancomycin hcl injection |
122 |
108 |
$4K |
| 81220 |
|
52 |
52 |
$4K |
| 87880 |
|
419 |
416 |
$3K |
| 85730 |
|
672 |
625 |
$3K |
| 85379 |
|
333 |
322 |
$3K |
| 96523 |
|
183 |
155 |
$3K |
| 87077 |
|
385 |
317 |
$3K |
| 96415 |
|
31 |
24 |
$3K |
| 96417 |
|
37 |
25 |
$3K |
| 86803 |
|
251 |
236 |
$3K |
| 45378 |
|
38 |
38 |
$3K |
| 87070 |
|
325 |
309 |
$3K |
| 82805 |
|
104 |
95 |
$3K |
| 76870 |
|
26 |
26 |
$2K |
| 86762 |
|
235 |
233 |
$2K |
| 82607 |
|
192 |
162 |
$2K |
| J2550 |
Promethazine hcl injection |
158 |
132 |
$2K |
| 73080 |
|
54 |
54 |
$2K |
| 80074 |
|
60 |
60 |
$2K |
| 29125 |
|
175 |
170 |
$2K |
| 87088 |
|
256 |
211 |
$2K |
| 73140 |
|
88 |
86 |
$2K |
| 76817 |
|
25 |
24 |
$2K |
| 87147 |
|
440 |
416 |
$2K |
| 86140 |
|
473 |
426 |
$2K |
| 86901 |
|
650 |
604 |
$2K |
| 86900 |
|
651 |
604 |
$2K |
| 86850 |
|
719 |
682 |
$2K |
| 82728 |
|
163 |
137 |
$2K |
| 88304 |
|
256 |
237 |
$2K |
| 84702 |
|
102 |
85 |
$2K |
| 73090 |
|
48 |
46 |
$2K |
| 83540 |
|
281 |
232 |
$1K |
| 86592 |
|
316 |
311 |
$1K |
| 72072 |
|
28 |
28 |
$1K |
| 87340 |
|
173 |
171 |
$1K |
| A9585 |
Gadobutrol injection |
288 |
271 |
$1K |
| 12001 |
|
40 |
40 |
$1K |
| Z9725 |
|
24 |
24 |
$1K |
| Z7502 |
|
26 |
24 |
$1K |
| J2370 |
Phenylephrine hcl injection |
26 |
25 |
$1K |
| 81002 |
|
545 |
244 |
$946.85 |
| 85007 |
|
331 |
287 |
$925.25 |
| 62323 |
|
24 |
24 |
$922.39 |
| 88341 |
|
13 |
13 |
$920.26 |
| 82951 |
|
100 |
100 |
$902.00 |
| 83550 |
|
150 |
136 |
$877.43 |
| 82570 |
|
158 |
128 |
$826.46 |
| 80076 |
|
153 |
148 |
$811.63 |
| 88342 |
|
52 |
50 |
$739.58 |
| 87205 |
|
209 |
197 |
$694.36 |
| 83615 |
|
153 |
122 |
$694.08 |
| 84100 |
|
158 |
124 |
$650.51 |
| 82550 |
|
95 |
88 |
$630.79 |
| 82784 |
|
59 |
53 |
$617.96 |
| 80164 |
|
58 |
55 |
$577.18 |
| 73590 |
|
15 |
13 |
$575.01 |
| 85651 |
|
212 |
199 |
$523.48 |
| 85652 |
|
249 |
227 |
$503.14 |
| 81025 |
|
162 |
162 |
$498.53 |
| 82140 |
|
27 |
24 |
$484.22 |
| 80069 |
|
54 |
28 |
$465.74 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$458.33 |
| 84156 |
|
151 |
117 |
$434.63 |
| 99212 |
|
12 |
12 |
$411.24 |
| 29515 |
|
28 |
28 |
$397.60 |
| 82378 |
|
28 |
25 |
$386.96 |
| 84153 |
|
21 |
15 |
$383.86 |
| 87420 |
|
153 |
152 |
$358.02 |
| 82746 |
|
32 |
26 |
$355.43 |
| 72081 |
|
13 |
13 |
$345.42 |
| 83516 |
|
12 |
12 |
$315.42 |
| S0020 |
Injection, bupivicaine hydro |
13 |
13 |
$305.20 |
| 86038 |
|
40 |
39 |
$274.17 |
| 82150 |
|
34 |
24 |
$247.08 |
| 88307 |
|
13 |
13 |
$227.89 |
| 82652 |
|
14 |
12 |
$223.04 |
| 82565 |
|
46 |
37 |
$189.84 |
| 84550 |
|
44 |
32 |
$156.57 |
| 84703 |
|
30 |
29 |
$149.93 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$110.24 |
| 84403 |
|
12 |
12 |
$107.00 |
| 80047 |
|
17 |
14 |
$91.56 |
| 83001 |
|
12 |
12 |
$86.76 |
| 85014 |
|
19 |
13 |
$47.09 |
| 0250 |
|
54 |
12 |
$10.00 |