| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
3,691 |
3,268 |
$989K |
| 99283 |
|
24,711 |
21,285 |
$931K |
| 99284 |
|
14,722 |
12,547 |
$865K |
| 87635 |
|
6,513 |
6,207 |
$303K |
| 80053 |
|
11,060 |
9,632 |
$117K |
| 85025 |
|
13,080 |
11,332 |
$109K |
| 99282 |
|
2,649 |
2,452 |
$103K |
| 87880 |
|
6,593 |
5,825 |
$102K |
| 87400 |
|
16,633 |
7,025 |
$86K |
| 70450 |
|
795 |
606 |
$54K |
| 69436 |
|
301 |
151 |
$47K |
| 70551 |
|
225 |
210 |
$44K |
| 74177 |
|
250 |
227 |
$42K |
| 93005 |
|
3,400 |
2,918 |
$35K |
| J1750 |
Inj iron dextran |
160 |
150 |
$32K |
| 87081 |
|
2,968 |
2,833 |
$31K |
| 81001 |
|
7,361 |
6,395 |
$28K |
| 11042 |
|
161 |
72 |
$25K |
| 96365 |
|
508 |
416 |
$21K |
| 70544 |
|
75 |
66 |
$20K |
| 86756 |
|
876 |
836 |
$19K |
| G0480 |
Drug test def 1-7 classes |
504 |
375 |
$18K |
| 81025 |
|
4,044 |
3,689 |
$14K |
| 87088 |
|
1,414 |
1,243 |
$13K |
| 96366 |
|
188 |
180 |
$11K |
| 84484 |
|
1,188 |
822 |
$9K |
| 83690 |
|
1,327 |
1,203 |
$9K |
| Q0138 |
Ferumoxytol, non-esrd |
36 |
25 |
$8K |
| 80048 |
|
956 |
910 |
$8K |
| 0001A |
|
200 |
199 |
$7K |
| 0002A |
|
171 |
168 |
$6K |
| 97110 |
|
589 |
218 |
$5K |
| 82150 |
|
635 |
589 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
3,693 |
3,286 |
$4K |
| 97597 |
|
264 |
101 |
$4K |
| 59025 |
|
767 |
552 |
$4K |
| 94640 |
|
1,281 |
179 |
$3K |
| 81003 |
|
1,017 |
893 |
$3K |
| 95810 |
|
20 |
14 |
$3K |
| 72141 |
|
13 |
12 |
$2K |
| 80076 |
|
288 |
275 |
$2K |
| 87106 |
|
208 |
189 |
$2K |
| 83735 |
|
176 |
170 |
$1K |
| 97112 |
|
429 |
169 |
$1K |
| 96374 |
|
4,578 |
4,142 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
805 |
754 |
$1K |
| 0003A |
|
29 |
29 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,472 |
2,074 |
$587.11 |
| 82550 |
|
174 |
99 |
$528.00 |
| 82553 |
|
70 |
62 |
$527.31 |
| 96372 |
|
7,288 |
6,258 |
$525.81 |
| 86140 |
|
192 |
180 |
$375.16 |
| 71046 |
|
27 |
24 |
$305.75 |
| J7040 |
Normal saline solution infus |
185 |
177 |
$272.89 |
| J2930 |
Methylprednisolone injection |
57 |
55 |
$259.75 |
| 85610 |
|
52 |
49 |
$224.37 |
| 87186 |
|
32 |
31 |
$210.80 |
| 83605 |
|
19 |
15 |
$168.15 |
| J1100 |
Dexamethasone sodium phos |
384 |
265 |
$140.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
155 |
151 |
$95.29 |
| 85730 |
|
37 |
36 |
$93.05 |
| J7050 |
Normal saline solution infus |
128 |
88 |
$58.65 |
| 96375 |
|
1,004 |
834 |
$34.00 |
| J7120 |
Ringers lactate infusion |
58 |
55 |
$22.05 |
| 71045 |
|
14 |
13 |
$19.86 |
| J7030 |
Normal saline solution infus |
661 |
623 |
$10.38 |
| J0690 |
Cefazolin sodium injection |
14 |
12 |
$3.08 |
| J3010 |
Fentanyl citrate injection |
120 |
54 |
$0.98 |
| Q0163 |
Diphenhydramine hcl 50mg |
13 |
13 |
$0.00 |
| 96376 |
|
222 |
203 |
$0.00 |
| 36415 |
|
716 |
345 |
$0.00 |
| 99213 |
|
13 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
179 |
175 |
$0.00 |
| 82962 |
|
34 |
29 |
$0.00 |
| 96361 |
|
37 |
37 |
$0.00 |
| 94760 |
|
117 |
45 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
61 |
57 |
$0.00 |
| 94761 |
|
16 |
14 |
$0.00 |