| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,397 |
7,398 |
$1.47M |
| 99284 |
|
4,537 |
3,965 |
$1.26M |
| 99285 |
|
590 |
498 |
$332K |
| G0378 |
Hospital observation per hr |
63 |
55 |
$138K |
| 80053 |
|
6,883 |
5,723 |
$88K |
| 85025 |
|
7,564 |
6,167 |
$63K |
| 99282 |
|
490 |
460 |
$59K |
| 0241U |
|
493 |
469 |
$58K |
| 96374 |
|
654 |
589 |
$55K |
| 96361 |
|
656 |
527 |
$46K |
| 96375 |
|
487 |
401 |
$43K |
| 70450 |
|
83 |
71 |
$39K |
| 93005 |
|
885 |
752 |
$38K |
| 71045 |
|
793 |
685 |
$33K |
| 36415 |
|
11,531 |
9,191 |
$32K |
| 74177 |
|
13 |
12 |
$32K |
| J7030 |
Normal saline solution infus |
478 |
336 |
$18K |
| 87651 |
|
391 |
354 |
$15K |
| 87804 |
|
1,134 |
578 |
$15K |
| 0240U |
|
122 |
111 |
$13K |
| 71046 |
|
174 |
159 |
$12K |
| 96372 |
|
299 |
242 |
$11K |
| 87635 |
|
518 |
484 |
$11K |
| 82306 |
|
44 |
39 |
$11K |
| 59025 |
|
96 |
70 |
$11K |
| G0463 |
Hospital outpt clinic visit |
94 |
81 |
$10K |
| 83735 |
|
312 |
251 |
$5K |
| 87880 |
|
329 |
302 |
$5K |
| 96360 |
|
40 |
26 |
$5K |
| 96365 |
|
27 |
24 |
$4K |
| 87491 |
|
45 |
44 |
$3K |
| 83690 |
|
323 |
290 |
$3K |
| 83550 |
|
75 |
67 |
$3K |
| 87086 |
|
385 |
355 |
$3K |
| 87480 |
|
117 |
109 |
$3K |
| 81001 |
|
987 |
886 |
$2K |
| 87081 |
|
371 |
349 |
$2K |
| 84484 |
|
260 |
203 |
$2K |
| 85027 |
|
367 |
325 |
$2K |
| 96376 |
|
22 |
13 |
$2K |
| 87660 |
|
117 |
109 |
$2K |
| 87510 |
|
117 |
109 |
$2K |
| 84443 |
|
136 |
121 |
$2K |
| 87591 |
|
45 |
44 |
$2K |
| 87807 |
|
114 |
108 |
$2K |
| 88175 |
|
53 |
50 |
$2K |
| 80305 |
|
172 |
155 |
$1K |
| 81025 |
|
218 |
208 |
$1K |
| 80061 |
|
108 |
103 |
$1K |
| 86850 |
|
153 |
140 |
$1K |
| 94640 |
|
40 |
29 |
$1K |
| 83036 |
|
110 |
101 |
$1K |
| 80048 |
|
99 |
74 |
$961.11 |
| 84702 |
|
100 |
80 |
$919.24 |
| J2405 |
Ondansetron hcl injection |
356 |
294 |
$879.01 |
| 82728 |
|
29 |
25 |
$861.44 |
| J3490 |
Drugs unclassified injection |
159 |
93 |
$639.91 |
| 81003 |
|
219 |
188 |
$609.12 |
| 85610 |
|
137 |
115 |
$551.70 |
| 87040 |
|
85 |
49 |
$460.64 |
| 82950 |
|
85 |
81 |
$442.38 |
| 87186 |
|
63 |
56 |
$408.10 |
| J1885 |
Ketorolac tromethamine inj |
202 |
180 |
$155.82 |
| 86900 |
|
48 |
44 |
$125.73 |
| 86901 |
|
48 |
44 |
$121.92 |
| 87088 |
|
14 |
13 |
$103.20 |
| 86592 |
|
13 |
13 |
$54.50 |
| 82150 |
|
13 |
12 |
$49.62 |
| J7040 |
Normal saline solution infus |
252 |
199 |
$39.88 |
| J7120 |
Ringers lactate infusion |
20 |
15 |
$32.95 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
61 |
55 |
$15.17 |
| 93010 |
|
35 |
23 |
$0.00 |
| A9270 |
Non-covered item or service |
2,204 |
1,213 |
$0.00 |
| 99214 |
|
96 |
87 |
$0.00 |
| 99213 |
|
76 |
66 |
$0.00 |