| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
4,044 |
3,207 |
$805K |
| 99213 |
|
22,701 |
16,459 |
$784K |
| 97110 |
|
5,286 |
1,814 |
$605K |
| 99284 |
|
2,390 |
1,863 |
$587K |
| 99282 |
|
2,556 |
2,204 |
$447K |
| 99285 |
|
1,266 |
969 |
$447K |
| 99214 |
|
13,380 |
8,462 |
$423K |
| 96361 |
|
1,969 |
1,474 |
$409K |
| 74177 |
|
463 |
421 |
$379K |
| 80053 |
|
12,819 |
10,527 |
$359K |
| 96365 |
|
2,003 |
1,315 |
$332K |
| 85025 |
|
13,702 |
10,982 |
$291K |
| 96374 |
|
2,194 |
1,714 |
$290K |
| 96375 |
|
2,086 |
1,513 |
$244K |
| 87635 |
|
1,571 |
1,475 |
$208K |
| 97112 |
|
2,156 |
827 |
$196K |
| G0378 |
Hospital observation per hr |
66 |
52 |
$160K |
| 70450 |
|
380 |
339 |
$155K |
| 93005 |
|
2,632 |
2,134 |
$118K |
| 36415 |
|
12,814 |
10,639 |
$118K |
| 84443 |
|
4,910 |
4,643 |
$115K |
| 96366 |
|
156 |
75 |
$76K |
| 96372 |
|
2,208 |
1,677 |
$76K |
| 97140 |
|
922 |
353 |
$74K |
| 80061 |
|
2,803 |
2,711 |
$70K |
| 84484 |
|
2,019 |
1,400 |
$69K |
| 96360 |
|
328 |
170 |
$67K |
| 99281 |
|
609 |
563 |
$66K |
| 71046 |
|
956 |
895 |
$62K |
| 83036 |
|
3,254 |
3,107 |
$62K |
| 71045 |
|
1,638 |
1,405 |
$61K |
| 80307 |
|
871 |
751 |
$52K |
| 88305 |
|
423 |
254 |
$50K |
| 82607 |
|
1,253 |
1,211 |
$46K |
| 83605 |
|
1,527 |
1,094 |
$42K |
| 81025 |
|
1,325 |
1,234 |
$34K |
| 87086 |
|
1,603 |
1,446 |
$34K |
| 80050 |
|
284 |
282 |
$33K |
| 84439 |
|
1,268 |
1,223 |
$32K |
| 87637 |
|
225 |
217 |
$32K |
| 86140 |
|
1,939 |
1,649 |
$32K |
| 81001 |
|
2,706 |
2,366 |
$26K |
| J2704 |
Inj, propofol, 10 mg |
1,254 |
982 |
$25K |
| 45380 |
|
15 |
14 |
$23K |
| 85651 |
|
1,854 |
1,625 |
$22K |
| 83880 |
|
787 |
622 |
$21K |
| 83690 |
|
957 |
812 |
$19K |
| 87880 |
|
791 |
768 |
$19K |
| 84145 |
|
770 |
643 |
$19K |
| 99307 |
|
2,929 |
823 |
$17K |
| 81003 |
|
1,674 |
1,506 |
$17K |
| 83735 |
|
993 |
845 |
$17K |
| 97161 |
|
193 |
181 |
$15K |
| 82746 |
|
496 |
480 |
$15K |
| 87186 |
|
704 |
576 |
$15K |
| 97113 |
|
126 |
37 |
$14K |
| 87426 |
|
751 |
704 |
$13K |
| 80305 |
|
798 |
684 |
$13K |
| 83540 |
|
662 |
622 |
$12K |
| 97530 |
|
168 |
81 |
$12K |
| 0241U |
|
223 |
210 |
$11K |
| 81002 |
|
1,715 |
1,582 |
$11K |
| 77067 |
|
55 |
55 |
$11K |
| 74176 |
|
13 |
12 |
$11K |
| 85610 |
|
1,072 |
772 |
$10K |
| 99212 |
|
242 |
213 |
$8K |
| 82728 |
|
224 |
212 |
$8K |
| 82306 |
|
861 |
829 |
$8K |
| 73030 |
|
78 |
70 |
$7K |
| 83550 |
|
356 |
332 |
$7K |
| 87804 |
|
254 |
143 |
$7K |
| J7030 |
Normal saline solution infus |
797 |
566 |
$6K |
| 87088 |
|
371 |
333 |
$6K |
| 96376 |
|
55 |
39 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
253 |
223 |
$6K |
| 90686 |
|
249 |
244 |
$5K |
| 87400 |
|
75 |
69 |
$5K |
| 84153 |
|
129 |
125 |
$4K |
| 73630 |
|
38 |
38 |
$4K |
| 80048 |
|
169 |
153 |
$3K |
| 82150 |
|
170 |
150 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,476 |
1,225 |
$3K |
| 80306 |
|
51 |
45 |
$3K |
| 82962 |
|
280 |
157 |
$3K |
| 82553 |
|
145 |
108 |
$3K |
| 99215 |
Prolong outpt/office vis |
179 |
85 |
$3K |
| 82550 |
|
345 |
285 |
$3K |
| 87811 |
|
38 |
38 |
$3K |
| J1170 |
Hydromorphone injection |
866 |
495 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,535 |
1,316 |
$3K |
| 99394 |
|
25 |
25 |
$3K |
| 90688 |
|
96 |
94 |
$3K |
| 99211 |
|
162 |
162 |
$3K |
| J0690 |
Cefazolin sodium injection |
222 |
169 |
$2K |
| 72100 |
|
13 |
13 |
$2K |
| 73560 |
|
36 |
28 |
$2K |
| J7050 |
Normal saline solution infus |
353 |
243 |
$2K |
| J2405 |
Ondansetron hcl injection |
966 |
738 |
$2K |
| 85379 |
|
26 |
24 |
$2K |
| 90837 |
|
16 |
12 |
$2K |
| 87077 |
|
86 |
76 |
$2K |
| J7120 |
Ringers lactate infusion |
117 |
104 |
$2K |
| 99335 |
|
44 |
43 |
$2K |
| 0124A |
|
36 |
36 |
$1K |
| 87040 |
|
30 |
12 |
$1K |
| G0480 |
Drug test def 1-7 classes |
19 |
12 |
$1K |
| 84550 |
|
60 |
59 |
$1K |
| 90471 |
|
219 |
211 |
$1K |
| 82570 |
|
64 |
57 |
$1K |
| 84481 |
|
45 |
45 |
$1K |
| J2001 |
Lidocaine injection |
510 |
399 |
$1K |
| 87081 |
|
29 |
26 |
$952.84 |
| J2270 |
Morphine sulfate injection |
139 |
100 |
$938.77 |
| J3010 |
Fentanyl citrate injection |
221 |
137 |
$842.56 |
| 77063 |
|
55 |
55 |
$780.11 |
| J0696 |
Ceftriaxone sodium injection |
320 |
239 |
$756.50 |
| 86803 |
|
12 |
12 |
$640.79 |
| 83874 |
|
22 |
14 |
$557.92 |
| 82043 |
|
50 |
43 |
$525.84 |
| 85730 |
|
14 |
12 |
$518.77 |
| 90662 |
|
91 |
87 |
$419.62 |
| 84702 |
|
14 |
13 |
$413.54 |
| 99334 |
|
13 |
12 |
$159.04 |
| A9270 |
Non-covered item or service |
4,687 |
1,956 |
$53.18 |
| J2250 |
Inj midazolam hydrochloride |
41 |
37 |
$26.24 |
| G0008 |
Admin influenza virus vac |
227 |
219 |
$0.00 |
| 91307 |
|
17 |
15 |
$0.00 |
| 80320 |
|
14 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
228 |
71 |
$0.00 |
| 93010 |
|
15 |
13 |
$0.00 |
| T1015 |
Clinic service |
28 |
24 |
$0.00 |
| 91312 |
|
34 |
34 |
$0.00 |
| 91300 |
|
16 |
15 |
$0.00 |