| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
7,441 |
1,328 |
$443K |
| 92507 |
|
3,009 |
884 |
$177K |
| 97110 |
|
4,826 |
950 |
$167K |
| 99285 |
|
1,788 |
1,234 |
$129K |
| 87633 |
|
395 |
376 |
$129K |
| G0480 |
Drug test def 1-7 classes |
1,559 |
551 |
$113K |
| 88305 |
|
2,267 |
1,671 |
$108K |
| 43239 |
|
287 |
240 |
$101K |
| 99284 |
|
2,620 |
1,805 |
$96K |
| 80081 |
|
1,206 |
1,175 |
$90K |
| 80053 |
|
13,014 |
11,036 |
$88K |
| 93005 |
|
4,305 |
3,231 |
$88K |
| 85025 |
|
15,969 |
13,368 |
$87K |
| 84443 |
|
6,536 |
6,161 |
$82K |
| 99153 |
Mod sedat endo service >5yrs |
1,099 |
763 |
$74K |
| 87491 |
|
2,014 |
1,935 |
$70K |
| 74177 |
|
408 |
374 |
$69K |
| 87591 |
|
2,013 |
1,934 |
$69K |
| 87653 |
|
1,245 |
1,234 |
$46K |
| 99152 |
|
1,410 |
920 |
$46K |
| 82306 |
|
2,152 |
2,079 |
$41K |
| G0483 |
Drug test def 22+ classes |
245 |
230 |
$41K |
| 93306 |
|
139 |
113 |
$41K |
| 36415 |
|
16,108 |
11,401 |
$40K |
| 87507 |
|
102 |
100 |
$37K |
| 70450 |
|
800 |
719 |
$34K |
| 88175 |
|
1,168 |
1,144 |
$30K |
| 87088 |
|
4,670 |
4,273 |
$28K |
| 82947 |
|
8,120 |
805 |
$27K |
| 76805 |
|
378 |
364 |
$26K |
| 88342 |
|
360 |
289 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
2,640 |
2,277 |
$23K |
| 97140 |
|
1,180 |
379 |
$23K |
| J3010 |
Fentanyl citrate injection |
3,095 |
2,714 |
$23K |
| 99214 |
|
4,506 |
1,627 |
$21K |
| 71046 |
|
1,819 |
1,616 |
$20K |
| 99283 |
|
691 |
538 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
2,097 |
1,963 |
$20K |
| 80061 |
|
2,563 |
2,485 |
$19K |
| 97161 |
|
386 |
369 |
$19K |
| 87624 |
|
555 |
544 |
$18K |
| 74176 |
|
154 |
147 |
$18K |
| 80048 |
|
2,222 |
1,831 |
$17K |
| 87798 |
|
499 |
476 |
$17K |
| 86141 |
|
2,641 |
2,251 |
$17K |
| 84439 |
|
2,749 |
2,648 |
$16K |
| J7050 |
Normal saline solution infus |
5,705 |
3,778 |
$16K |
| 88313 |
|
185 |
143 |
$15K |
| 80306 |
|
1,316 |
1,174 |
$15K |
| 81001 |
|
6,038 |
5,285 |
$15K |
| 76700 |
|
263 |
253 |
$15K |
| 83880 |
|
1,011 |
857 |
$15K |
| 84702 |
|
845 |
691 |
$13K |
| 87660 |
|
582 |
562 |
$13K |
| 84484 |
|
2,406 |
1,523 |
$12K |
| 83036 |
|
2,488 |
2,367 |
$12K |
| 87186 |
|
1,884 |
1,544 |
$12K |
| 81025 |
|
1,475 |
1,337 |
$12K |
| 87486 |
|
395 |
376 |
$11K |
| 87581 |
|
395 |
376 |
$11K |
| 87510 |
|
582 |
562 |
$11K |
| 87480 |
|
582 |
562 |
$11K |
| 87631 |
|
87 |
84 |
$11K |
| 82607 |
|
1,038 |
1,005 |
$11K |
| 97116 |
|
559 |
153 |
$10K |
| 82553 |
|
1,858 |
1,415 |
$10K |
| 90870 |
|
40 |
13 |
$10K |
| 87077 |
|
1,776 |
1,450 |
$9K |
| 99213 |
|
1,074 |
489 |
$9K |
| 73030 |
|
666 |
503 |
$9K |
| 82728 |
|
905 |
873 |
$9K |
| 83690 |
|
1,507 |
1,330 |
$9K |
| 87641 |
|
359 |
329 |
$8K |
| 83605 |
|
1,624 |
1,291 |
$8K |
| 87635 |
|
608 |
532 |
$8K |
| J2405 |
Ondansetron hcl injection |
3,317 |
2,708 |
$8K |
| J0690 |
Cefazolin sodium injection |
558 |
486 |
$8K |
| 72100 |
|
537 |
493 |
$8K |
| 85730 |
|
1,977 |
1,697 |
$8K |
| 87502 |
|
109 |
104 |
$8K |
| 71275 |
|
43 |
40 |
$8K |
| 82550 |
|
2,147 |
1,620 |
$7K |
| 85610 |
|
2,519 |
1,988 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,921 |
1,728 |
$7K |
| 88304 |
|
210 |
192 |
$7K |
| 83735 |
|
2,167 |
1,814 |
$7K |
| 84481 |
|
538 |
521 |
$7K |
| 73562 |
|
329 |
264 |
$6K |
| 84145 |
|
519 |
436 |
$6K |
| 82950 |
|
1,244 |
1,224 |
$6K |
| 97014 |
|
450 |
116 |
$6K |
| 73630 |
|
412 |
337 |
$5K |
| G0283 |
Elec stim other than wound |
417 |
122 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,514 |
1,321 |
$5K |
| 97016 |
|
328 |
93 |
$4K |
| J0330 |
Succinycholine chloride inj |
833 |
780 |
$4K |
| 82746 |
|
381 |
374 |
$4K |
| A4218 |
Sterile saline or water |
3,847 |
2,489 |
$4K |
| 83525 |
|
518 |
399 |
$4K |
| 87651 |
|
132 |
130 |
$4K |
| 83540 |
|
766 |
742 |
$4K |
| J1170 |
Hydromorphone injection |
431 |
349 |
$4K |
| 85380 |
|
483 |
420 |
$3K |
| 96374 |
|
671 |
551 |
$3K |
| 99282 |
|
270 |
196 |
$3K |
| 88142 |
|
156 |
154 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
261 |
163 |
$3K |
| 83970 |
|
134 |
123 |
$3K |
| 85652 |
|
1,186 |
1,044 |
$3K |
| 84403 |
|
130 |
128 |
$3K |
| 73610 |
|
196 |
161 |
$3K |
| 83550 |
|
388 |
379 |
$3K |
| 87640 |
|
357 |
329 |
$3K |
| 99215 |
Prolong outpt/office vis |
210 |
70 |
$2K |
| 87070 |
|
404 |
344 |
$2K |
| 73130 |
|
144 |
114 |
$2K |
| 76830 |
|
27 |
26 |
$2K |
| 96365 |
|
168 |
94 |
$2K |
| 82570 |
|
477 |
452 |
$2K |
| 84270 |
|
93 |
92 |
$2K |
| J2550 |
Promethazine hcl injection |
348 |
276 |
$2K |
| 87389 |
|
70 |
69 |
$2K |
| 84550 |
|
531 |
506 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| J2270 |
Morphine sulfate injection |
649 |
529 |
$2K |
| 86038 |
|
137 |
135 |
$1K |
| 76817 |
|
29 |
26 |
$1K |
| 83516 |
|
147 |
75 |
$1K |
| 73560 |
|
91 |
74 |
$1K |
| 86769 |
|
44 |
43 |
$1K |
| 73502 |
|
81 |
68 |
$1K |
| 84703 |
|
180 |
175 |
$1K |
| 86850 |
|
184 |
169 |
$1K |
| 73564 |
|
71 |
52 |
$1K |
| 87040 |
|
164 |
73 |
$1K |
| 86677 |
|
82 |
77 |
$1K |
| 85027 |
|
510 |
428 |
$1K |
| 73110 |
|
66 |
52 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
235 |
204 |
$1K |
| 71045 |
|
214 |
166 |
$981.32 |
| 82951 |
|
74 |
74 |
$964.06 |
| 72148 |
|
14 |
14 |
$960.91 |
| 87899 |
|
68 |
68 |
$914.81 |
| 76937 |
|
55 |
40 |
$869.54 |
| 93971 |
|
17 |
12 |
$846.19 |
| 82670 |
|
37 |
36 |
$839.40 |
| 99204 |
|
60 |
25 |
$810.49 |
| 20610 |
|
16 |
12 |
$796.57 |
| 97112 |
|
24 |
18 |
$787.02 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
948 |
816 |
$784.87 |
| 83520 |
|
57 |
55 |
$777.00 |
| 97597 |
|
60 |
26 |
$737.63 |
| 96375 |
|
307 |
242 |
$716.04 |
| 72040 |
|
47 |
43 |
$638.80 |
| 85007 |
|
792 |
664 |
$633.74 |
| J3475 |
Inj magnesium sulfate |
399 |
305 |
$628.18 |
| 76856 |
|
13 |
12 |
$623.70 |
| 96361 |
|
402 |
344 |
$621.95 |
| 83001 |
|
30 |
30 |
$598.85 |
| 82677 |
|
24 |
24 |
$594.95 |
| 82248 |
|
131 |
113 |
$581.30 |
| J2360 |
Orphenadrine injection |
57 |
54 |
$571.60 |
| 80069 |
|
131 |
113 |
$556.20 |
| 82150 |
|
84 |
84 |
$510.86 |
| 82105 |
|
27 |
27 |
$468.63 |
| J2060 |
Lorazepam injection |
327 |
271 |
$446.65 |
| 84156 |
|
164 |
148 |
$443.56 |
| 86376 |
|
38 |
37 |
$441.49 |
| 73080 |
|
19 |
16 |
$436.30 |
| 99053 |
|
771 |
694 |
$417.11 |
| 84482 |
|
29 |
27 |
$390.72 |
| 82952 |
|
99 |
80 |
$384.75 |
| 86336 |
|
24 |
24 |
$383.48 |
| 88300 |
|
34 |
29 |
$339.38 |
| 80050 |
|
149 |
146 |
$315.29 |
| 84630 |
|
36 |
28 |
$304.73 |
| 36591 |
|
96 |
78 |
$258.20 |
| Q0092 |
Set up port xray equipment |
197 |
162 |
$217.07 |
| 84144 |
|
14 |
14 |
$209.60 |
| R0070 |
Transport portable x-ray |
197 |
162 |
$205.48 |
| 82542 |
|
12 |
12 |
$201.96 |
| 82627 |
|
12 |
12 |
$198.70 |
| J0131 |
Inj, acetaminophen (nos) |
235 |
201 |
$189.38 |
| 86901 |
|
90 |
48 |
$180.52 |
| 83090 |
|
13 |
13 |
$169.54 |
| 83615 |
|
27 |
27 |
$161.04 |
| 86664 |
|
12 |
12 |
$153.62 |
| 82043 |
|
30 |
30 |
$141.97 |
| J0706 |
Caffeine citrate injection |
69 |
15 |
$132.37 |
| 86663 |
|
12 |
12 |
$131.85 |
| J2930 |
Methylprednisolone injection |
34 |
27 |
$127.09 |
| 82784 |
|
22 |
13 |
$123.96 |
| 84100 |
|
44 |
34 |
$100.76 |
| 86900 |
|
52 |
25 |
$99.60 |
| 94760 |
|
95 |
83 |
$96.39 |
| J7070 |
D5w infusion |
107 |
86 |
$96.34 |
| 82800 |
|
13 |
12 |
$93.44 |
| 96360 |
|
35 |
33 |
$78.24 |
| 86430 |
|
15 |
15 |
$76.45 |
| 87081 |
|
13 |
12 |
$60.80 |
| 86592 |
|
16 |
15 |
$58.15 |
| 87205 |
|
14 |
13 |
$42.66 |
| J7120 |
Ringers lactate infusion |
49 |
41 |
$41.41 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
12 |
$40.07 |
| S0119 |
Ondansetron 4 mg |
149 |
144 |
$28.97 |
| J1040 |
Methylprednisolone 80 mg inj |
12 |
12 |
$27.25 |
| J0171 |
Adrenalin epinephrine inject |
13 |
13 |
$26.66 |
| 81003 |
|
13 |
12 |
$4.35 |
| A6235 |
Hydrocolld drg >16<=48 w/o b |
18 |
13 |
$0.65 |
| G8978 |
Mobility current status |
22 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
23 |
15 |
$0.00 |
| 80307 |
|
84 |
52 |
$-43.27 |
| 96372 |
|
29 |
24 |
$-661.99 |