| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
35,205 |
33,290 |
$4.61M |
| 25600 |
|
911 |
907 |
$397K |
| 97110 |
|
7,762 |
3,497 |
$369K |
| 97530 |
|
2,840 |
1,316 |
$202K |
| 97161 |
|
2,323 |
2,248 |
$132K |
| 92507 |
|
1,464 |
557 |
$108K |
| 99211 |
|
1,652 |
1,599 |
$65K |
| 29075 |
|
116 |
108 |
$31K |
| 87635 |
|
541 |
531 |
$26K |
| 99202 |
|
150 |
150 |
$25K |
| 72082 |
|
4,266 |
4,213 |
$18K |
| 97112 |
|
521 |
257 |
$17K |
| J3490 |
Drugs unclassified injection |
7,969 |
2,547 |
$11K |
| 73100 |
|
3,030 |
2,583 |
$9K |
| 97140 |
|
271 |
158 |
$8K |
| 76000 |
|
1,195 |
1,152 |
$8K |
| 29405 |
|
17 |
15 |
$7K |
| 99201 |
|
402 |
400 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
233 |
222 |
$6K |
| 77073 |
|
3,690 |
3,640 |
$6K |
| 73090 |
|
1,032 |
801 |
$6K |
| 72081 |
|
1,312 |
1,263 |
$5K |
| 72170 |
|
2,168 |
2,145 |
$5K |
| 97165 |
|
72 |
72 |
$5K |
| 73590 |
|
1,192 |
996 |
$3K |
| 96001 |
|
127 |
127 |
$3K |
| 73620 |
|
1,039 |
896 |
$3K |
| 73070 |
|
1,094 |
951 |
$3K |
| 73610 |
|
935 |
861 |
$2K |
| J0690 |
Cefazolin sodium injection |
2,165 |
1,877 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,379 |
2,237 |
$2K |
| 73560 |
|
869 |
791 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,390 |
2,232 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,407 |
2,342 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,307 |
1,264 |
$1K |
| J7120 |
Ringers lactate infusion |
1,269 |
1,211 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,415 |
2,338 |
$1K |
| 97162 |
|
13 |
13 |
$1K |
| 73140 |
|
572 |
521 |
$1K |
| A6250 |
Skin seal protect moisturizr |
113 |
112 |
$1K |
| 73630 |
|
765 |
708 |
$887.29 |
| 99213 |
|
16 |
16 |
$624.40 |
| 76001 |
|
197 |
192 |
$603.39 |
| 94762 |
|
43 |
24 |
$535.30 |
| 73080 |
|
95 |
82 |
$350.80 |
| 81025 |
|
201 |
197 |
$310.01 |
| 94681 |
|
13 |
13 |
$244.40 |
| 73110 |
|
128 |
115 |
$232.18 |
| 80053 |
|
27 |
27 |
$208.46 |
| 73600 |
|
68 |
58 |
$198.02 |
| 85025 |
|
52 |
52 |
$121.51 |
| 73562 |
|
24 |
24 |
$71.36 |
| 36415 |
|
69 |
69 |
$62.49 |
| 73130 |
|
44 |
42 |
$51.58 |
| 73000 |
|
14 |
13 |
$0.00 |
| 71046 |
|
31 |
31 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
142 |
130 |
$0.00 |
| 72020 |
|
21 |
21 |
$0.00 |