| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
|
4,668 |
4,527 |
$728K |
| 99285 |
|
1,044 |
1,020 |
$576K |
| 99283 |
|
2,260 |
2,192 |
$543K |
| 99284 |
|
2,724 |
2,633 |
$505K |
| 74177 |
|
864 |
844 |
$341K |
| 99203 |
|
5,678 |
5,516 |
$198K |
| 99282 |
|
1,247 |
1,223 |
$151K |
| 99213 |
|
2,189 |
2,117 |
$70K |
| 70450 |
|
362 |
356 |
$66K |
| 74176 |
|
186 |
183 |
$65K |
| 99214 |
|
845 |
807 |
$24K |
| 87634 |
|
2,337 |
2,290 |
$22K |
| 99204 |
|
526 |
518 |
$14K |
| 87635 |
|
4,999 |
4,840 |
$10K |
| 0352U |
|
137 |
136 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,447 |
1,377 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,670 |
1,623 |
$2K |
| 87591 |
|
272 |
266 |
$2K |
| 99202 |
|
62 |
62 |
$1K |
| G0463 |
Hospital outpt clinic visit |
14 |
14 |
$1K |
| 99212 |
|
32 |
32 |
$596.46 |
| 80076 |
|
1,948 |
1,856 |
$575.73 |
| 71275 |
|
12 |
12 |
$502.42 |
| 96361 |
|
1,657 |
1,550 |
$375.29 |
| 96375 |
|
1,434 |
1,335 |
$373.98 |
| 87651 |
|
4,000 |
3,874 |
$223.35 |
| 87086 |
|
294 |
283 |
$213.08 |
| 73630 |
|
226 |
222 |
$201.17 |
| 94640 |
|
255 |
250 |
$143.02 |
| J0696 |
Ceftriaxone sodium injection |
364 |
345 |
$132.37 |
| 76705 |
|
60 |
60 |
$99.53 |
| 84484 |
|
1,114 |
1,005 |
$69.36 |
| 71045 |
|
1,258 |
1,212 |
$58.06 |
| 96372 |
|
767 |
748 |
$45.97 |
| 85025 |
|
3,711 |
3,507 |
$41.79 |
| 87491 |
|
272 |
266 |
$39.57 |
| 81025 |
|
2,121 |
2,039 |
$8.95 |
| 73090 |
|
14 |
12 |
$0.00 |
| 82330 |
|
1,043 |
1,003 |
$0.00 |
| 96374 |
|
2,181 |
2,062 |
$0.00 |
| 80047 |
|
2,724 |
2,522 |
$0.00 |
| 83880 |
|
108 |
105 |
$0.00 |
| 84132 |
|
1,032 |
993 |
$0.00 |
| 85379 |
|
445 |
430 |
$0.00 |
| 83605 |
|
348 |
301 |
$0.00 |
| 85730 |
|
17 |
17 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$0.00 |
| 82962 |
|
13 |
13 |
$0.00 |
| 96376 |
|
30 |
24 |
$0.00 |
| 90471 |
|
13 |
12 |
$0.00 |
| 82553 |
|
23 |
20 |
$0.00 |
| 82435 |
|
1,035 |
994 |
$0.00 |
| 96365 |
|
91 |
89 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
85 |
80 |
$0.00 |
| 87040 |
|
20 |
13 |
$0.00 |
| 83874 |
|
23 |
20 |
$0.00 |
| 87077 |
|
28 |
25 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
176 |
172 |
$0.00 |
| 73610 |
|
137 |
135 |
$0.00 |
| 93005 |
|
1,697 |
1,574 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,286 |
1,204 |
$0.00 |
| 96360 |
|
369 |
365 |
$0.00 |
| 81003 |
|
3,312 |
3,160 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,287 |
1,261 |
$0.00 |
| 71046 |
|
1,352 |
1,315 |
$0.00 |
| 82947 |
|
1,035 |
992 |
$0.00 |
| 73130 |
|
52 |
50 |
$0.00 |
| 82565 |
|
935 |
907 |
$0.00 |
| 73110 |
|
42 |
42 |
$0.00 |
| 84295 |
|
1,030 |
991 |
$0.00 |
| J2270 |
Morphine sulfate injection |
280 |
247 |
$0.00 |
| 80306 |
|
14 |
13 |
$0.00 |
| 85610 |
|
58 |
58 |
$0.00 |
| 72100 |
|
13 |
12 |
$0.00 |
| 73562 |
|
52 |
51 |
$0.00 |
| 82977 |
|
13 |
13 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 76856 |
|
34 |
34 |
$0.00 |