| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,682 |
4,008 |
$425K |
| 99284 |
|
3,813 |
3,097 |
$398K |
| 99285 |
|
2,052 |
1,585 |
$222K |
| 96361 |
|
1,148 |
909 |
$111K |
| 99282 |
|
1,126 |
1,029 |
$99K |
| 97110 |
|
3,327 |
680 |
$93K |
| 99281 |
|
855 |
779 |
$81K |
| 96365 |
|
782 |
627 |
$64K |
| 93306 |
|
445 |
359 |
$61K |
| 70450 |
|
851 |
650 |
$59K |
| 74177 |
|
296 |
252 |
$38K |
| 74176 |
|
247 |
208 |
$28K |
| 96360 |
|
295 |
252 |
$28K |
| 94640 |
|
903 |
624 |
$27K |
| G0378 |
Hospital observation per hr |
672 |
498 |
$25K |
| 71046 |
|
2,082 |
1,720 |
$20K |
| 80048 |
|
3,784 |
2,502 |
$15K |
| 80053 |
|
2,943 |
2,318 |
$12K |
| 87400 |
|
1,525 |
967 |
$11K |
| 80307 |
|
675 |
537 |
$9K |
| 77067 |
|
188 |
179 |
$8K |
| 84484 |
|
2,734 |
1,361 |
$7K |
| 97161 |
|
279 |
237 |
$6K |
| 93005 |
|
3,136 |
1,994 |
$5K |
| 83690 |
|
977 |
776 |
$5K |
| 83880 |
|
694 |
498 |
$5K |
| 36415 |
|
2,865 |
2,046 |
$5K |
| 85025 |
|
5,898 |
3,929 |
$5K |
| 96374 |
|
1,858 |
1,424 |
$3K |
| 81001 |
|
3,138 |
2,471 |
$3K |
| 80061 |
|
796 |
668 |
$3K |
| 71275 |
|
15 |
13 |
$2K |
| 96375 |
|
1,169 |
916 |
$2K |
| 71045 |
|
1,185 |
872 |
$2K |
| 87661 |
|
115 |
105 |
$2K |
| 82553 |
|
758 |
571 |
$2K |
| 83605 |
|
680 |
414 |
$2K |
| 87880 |
|
472 |
447 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
572 |
382 |
$1K |
| 84443 |
|
855 |
705 |
$1K |
| 73564 |
|
91 |
80 |
$1K |
| J1650 |
Inj enoxaparin sodium |
346 |
143 |
$1K |
| 86756 |
|
79 |
74 |
$1K |
| 81025 |
|
909 |
802 |
$1K |
| 83874 |
|
374 |
295 |
$860.28 |
| 85378 |
|
242 |
202 |
$828.93 |
| 76536 |
|
14 |
12 |
$828.18 |
| 74018 |
|
74 |
63 |
$826.25 |
| 80076 |
|
15 |
12 |
$760.74 |
| 83036 |
|
789 |
675 |
$752.27 |
| 83735 |
|
1,096 |
667 |
$744.40 |
| 82550 |
|
905 |
696 |
$734.15 |
| 85027 |
|
630 |
503 |
$666.45 |
| 87591 |
|
115 |
105 |
$665.53 |
| J3490 |
Drugs unclassified injection |
3,496 |
1,314 |
$624.47 |
| 82306 |
|
110 |
101 |
$575.95 |
| 73630 |
|
34 |
24 |
$465.29 |
| 87040 |
|
78 |
39 |
$416.24 |
| J2405 |
Ondansetron hcl injection |
1,075 |
854 |
$303.17 |
| 73030 |
|
34 |
27 |
$288.14 |
| 87086 |
|
869 |
678 |
$267.80 |
| 87077 |
|
120 |
86 |
$229.59 |
| 97116 |
|
51 |
14 |
$221.72 |
| 87186 |
|
417 |
320 |
$221.09 |
| 96372 |
|
1,130 |
900 |
$212.43 |
| 72110 |
|
14 |
12 |
$175.13 |
| 84702 |
|
93 |
76 |
$125.64 |
| J1885 |
Ketorolac tromethamine inj |
1,339 |
1,064 |
$116.17 |
| Q0162 |
Ondansetron oral |
373 |
324 |
$91.16 |
| G8978 |
Mobility current status |
39 |
25 |
$84.04 |
| 85610 |
|
727 |
513 |
$82.30 |
| J1100 |
Dexamethasone sodium phos |
443 |
362 |
$68.42 |
| 82150 |
|
77 |
63 |
$53.34 |
| 84466 |
|
14 |
14 |
$50.73 |
| 82607 |
|
14 |
14 |
$48.09 |
| J7030 |
Normal saline solution infus |
446 |
326 |
$46.64 |
| J3010 |
Fentanyl citrate injection |
305 |
255 |
$43.41 |
| 85730 |
|
139 |
100 |
$43.07 |
| J2250 |
Inj midazolam hydrochloride |
477 |
366 |
$36.37 |
| 83540 |
|
30 |
26 |
$27.24 |
| 82728 |
|
13 |
13 |
$26.96 |
| J0696 |
Ceftriaxone sodium injection |
209 |
158 |
$25.86 |
| 94760 |
|
94 |
29 |
$23.36 |
| J2704 |
Inj, propofol, 10 mg |
653 |
528 |
$18.18 |
| 87491 |
|
86 |
77 |
$17.45 |
| J1170 |
Hydromorphone injection |
102 |
59 |
$16.28 |
| J2060 |
Lorazepam injection |
112 |
84 |
$11.39 |
| 84439 |
|
12 |
12 |
$10.45 |
| J0690 |
Cefazolin sodium injection |
103 |
75 |
$8.91 |
| J7512 |
Prednisone ir or dr oral 1mg |
127 |
71 |
$7.19 |
| J2930 |
Methylprednisolone injection |
44 |
30 |
$3.94 |
| J3475 |
Inj magnesium sulfate |
68 |
54 |
$3.94 |
| J7040 |
Normal saline solution infus |
36 |
27 |
$3.49 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
14 |
$1.39 |
| J2550 |
Promethazine hcl injection |
21 |
15 |
$1.15 |
| C9113 |
Inj pantoprazole sodium, via |
14 |
12 |
$0.46 |
| J0330 |
Succinycholine chloride inj |
16 |
13 |
$0.01 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
564 |
464 |
$0.00 |
| 87210 |
|
33 |
30 |
$0.00 |
| 86900 |
|
33 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
39 |
25 |
$0.00 |
| 96376 |
|
37 |
31 |
$0.00 |
| 86901 |
|
33 |
25 |
$0.00 |
| 88305 |
|
27 |
24 |
$0.00 |
| 73502 |
|
20 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
107 |
32 |
$0.00 |