| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,567 |
1,347 |
$144K |
| 99284 |
|
605 |
513 |
$70K |
| 99285 |
|
355 |
332 |
$61K |
| G0379 |
Direct admission of patient for hospital observation care |
41 |
38 |
$18K |
| 85025 |
|
1,478 |
1,201 |
$6K |
| G0378 |
Hospital observation service, per hour |
79 |
69 |
$6K |
| 96372 |
|
482 |
399 |
$3K |
| 84484 |
|
255 |
185 |
$2K |
| 36415 |
|
1,926 |
1,497 |
$2K |
| 80053 |
|
860 |
739 |
$2K |
| 96374 |
|
153 |
129 |
$2K |
| 99282 |
|
38 |
27 |
$2K |
| 93005 |
|
278 |
230 |
$1K |
| 87400 |
|
481 |
228 |
$1K |
| 99281 |
|
13 |
13 |
$1K |
| 87070 |
|
112 |
96 |
$1K |
| 97597 |
|
28 |
12 |
$959.65 |
| 74176 |
|
30 |
26 |
$945.63 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
168 |
92 |
$915.82 |
| 87450 |
|
167 |
135 |
$846.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
74 |
64 |
$657.84 |
| 71046 |
|
101 |
83 |
$477.23 |
| 80047 |
|
76 |
57 |
$461.50 |
| 71045 |
|
189 |
163 |
$426.96 |
| 96375 |
|
32 |
24 |
$372.13 |
| 99213 |
|
35 |
12 |
$354.15 |
| 96361 |
|
30 |
26 |
$197.42 |
| 80048 |
|
50 |
40 |
$166.66 |
| 81001 |
|
249 |
221 |
$132.34 |
| 94640 |
|
38 |
30 |
$114.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
83 |
$113.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
161 |
137 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
27 |
25 |
$0.00 |