| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
5,261 |
4,582 |
$506K |
| 99213 |
|
2,351 |
1,899 |
$240K |
| 99285 |
|
1,138 |
857 |
$168K |
| 99284 |
|
1,243 |
975 |
$150K |
| 99283 |
|
1,161 |
882 |
$89K |
| 99214 |
|
557 |
508 |
$57K |
| 99211 |
|
537 |
459 |
$53K |
| 76819 |
|
602 |
236 |
$51K |
| 80053 |
|
6,085 |
4,321 |
$44K |
| 70450 |
|
82 |
75 |
$29K |
| 76816 |
|
715 |
641 |
$27K |
| 93005 |
|
979 |
745 |
$23K |
| 76805 |
|
298 |
298 |
$17K |
| G0378 |
Hospital observation per hr |
170 |
90 |
$15K |
| 99202 |
|
134 |
133 |
$14K |
| 71046 |
|
304 |
276 |
$14K |
| 85025 |
|
5,656 |
3,942 |
$12K |
| 90460 |
|
375 |
371 |
$10K |
| J1050 |
Medroxyprogesterone acetate |
279 |
278 |
$9K |
| 96374 |
|
399 |
333 |
$9K |
| 80307 |
|
303 |
257 |
$8K |
| G0463 |
Hospital outpt clinic visit |
177 |
150 |
$8K |
| 87389 |
|
674 |
673 |
$7K |
| 99215 |
Prolong outpt/office vis |
72 |
70 |
$7K |
| 96375 |
|
139 |
97 |
$7K |
| 36415 |
|
1,681 |
1,131 |
$7K |
| 81025 |
|
1,472 |
1,414 |
$6K |
| 86850 |
|
570 |
545 |
$6K |
| 87491 |
|
1,609 |
1,570 |
$6K |
| 76820 |
|
48 |
25 |
$6K |
| 86901 |
|
572 |
547 |
$5K |
| 99281 |
|
75 |
63 |
$5K |
| 87591 |
|
1,609 |
1,570 |
$5K |
| 96361 |
|
182 |
142 |
$4K |
| 71045 |
|
58 |
55 |
$4K |
| 87086 |
|
976 |
913 |
$4K |
| 87340 |
|
530 |
530 |
$3K |
| 88305 |
|
26 |
25 |
$3K |
| 86787 |
|
207 |
207 |
$3K |
| 85027 |
|
1,069 |
1,004 |
$3K |
| 81001 |
|
2,820 |
2,292 |
$3K |
| 86762 |
|
229 |
229 |
$3K |
| 87661 |
|
955 |
943 |
$3K |
| 80061 |
|
433 |
430 |
$3K |
| 83655 |
|
229 |
213 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
57 |
55 |
$2K |
| 84702 |
|
442 |
392 |
$2K |
| 86592 |
|
923 |
919 |
$2K |
| 84443 |
|
356 |
352 |
$2K |
| 86703 |
|
480 |
469 |
$2K |
| 84484 |
|
251 |
195 |
$2K |
| 80320 |
|
204 |
183 |
$2K |
| 76830 |
|
15 |
13 |
$2K |
| 86900 |
|
572 |
547 |
$2K |
| 83021 |
|
216 |
214 |
$1K |
| 83036 |
|
415 |
410 |
$1K |
| 85018 |
|
615 |
613 |
$1K |
| 83690 |
|
253 |
231 |
$975.44 |
| 90715 |
|
246 |
245 |
$967.84 |
| 73560 |
|
28 |
26 |
$965.68 |
| 85610 |
|
404 |
304 |
$831.00 |
| 85730 |
|
171 |
147 |
$758.15 |
| 96372 |
|
239 |
226 |
$758.13 |
| 72170 |
|
13 |
12 |
$756.17 |
| 99282 |
|
14 |
14 |
$709.20 |
| 81003 |
|
479 |
465 |
$638.04 |
| 82947 |
|
264 |
212 |
$575.96 |
| 80048 |
|
119 |
115 |
$542.03 |
| 88142 |
|
368 |
368 |
$468.67 |
| 90656 |
|
187 |
187 |
$244.52 |
| 87186 |
|
54 |
52 |
$241.81 |
| 82950 |
|
298 |
298 |
$214.08 |
| 87077 |
|
56 |
54 |
$193.29 |
| J2270 |
Morphine sulfate injection |
107 |
76 |
$153.98 |
| 87624 |
|
87 |
87 |
$122.52 |
| J7040 |
Normal saline solution infus |
100 |
80 |
$120.50 |
| 86359 |
|
42 |
42 |
$99.42 |
| 87210 |
|
397 |
380 |
$94.98 |
| 84156 |
|
145 |
124 |
$82.56 |
| 90756 |
|
33 |
33 |
$76.70 |
| 82570 |
|
168 |
149 |
$72.80 |
| J2405 |
Ondansetron hcl injection |
120 |
102 |
$59.74 |
| J1885 |
Ketorolac tromethamine inj |
117 |
100 |
$57.22 |
| J7120 |
Ringers lactate infusion |
16 |
13 |
$42.69 |
| J3010 |
Fentanyl citrate injection |
47 |
44 |
$37.07 |
| J0696 |
Ceftriaxone sodium injection |
78 |
75 |
$35.31 |
| Q0162 |
Ondansetron oral |
13 |
12 |
$10.94 |
| 87536 |
|
14 |
13 |
$0.00 |
| 86803 |
|
13 |
13 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |