| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
25,961 |
24,072 |
$4.91M |
| 99283 |
|
28,486 |
27,092 |
$3.43M |
| 99285 |
|
10,155 |
9,358 |
$3.22M |
| 96374 |
|
14,146 |
12,754 |
$1.39M |
| 74177 |
|
5,925 |
5,693 |
$837K |
| 96365 |
|
8,596 |
6,714 |
$795K |
| 99282 |
|
9,846 |
9,553 |
$723K |
| 97110 |
|
27,689 |
8,515 |
$652K |
| G0463 |
Hospital outpt clinic visit |
12,100 |
9,624 |
$622K |
| 70450 |
|
4,785 |
4,609 |
$492K |
| 96361 |
|
15,019 |
12,768 |
$482K |
| 96360 |
|
4,446 |
4,126 |
$443K |
| 96375 |
|
13,313 |
11,394 |
$420K |
| 87635 |
|
17,693 |
16,951 |
$388K |
| 71046 |
|
9,914 |
9,428 |
$353K |
| 59025 |
|
3,735 |
2,176 |
$338K |
| 93306 |
|
1,472 |
1,447 |
$319K |
| 74176 |
|
2,733 |
2,626 |
$285K |
| 71045 |
|
5,532 |
5,290 |
$228K |
| 92507 |
|
5,602 |
1,890 |
$228K |
| 11042 |
|
1,184 |
554 |
$215K |
| 71275 |
|
2,150 |
2,059 |
$211K |
| 95810 |
|
437 |
430 |
$205K |
| 97140 |
|
14,187 |
5,007 |
$199K |
| 77067 |
|
3,469 |
3,451 |
$173K |
| 76830 |
|
2,696 |
2,650 |
$161K |
| 80061 |
|
10,420 |
10,303 |
$144K |
| 76705 |
|
2,369 |
2,307 |
$139K |
| 76816 |
|
2,758 |
2,198 |
$138K |
| 97530 |
|
4,832 |
1,779 |
$137K |
| 76856 |
|
2,293 |
2,266 |
$129K |
| 97112 |
|
5,215 |
2,435 |
$125K |
| 43239 |
|
352 |
346 |
$124K |
| 94060 |
|
817 |
807 |
$109K |
| 97161 |
|
1,912 |
1,892 |
$103K |
| 96413 |
|
635 |
342 |
$100K |
| 71260 |
|
830 |
815 |
$96K |
| 96366 |
|
3,040 |
2,198 |
$88K |
| 97162 |
|
1,568 |
1,530 |
$78K |
| 76801 |
|
1,222 |
1,100 |
$75K |
| 70553 |
|
346 |
345 |
$72K |
| 76805 |
|
1,166 |
1,158 |
$70K |
| G0378 |
Hospital observation per hr |
2,998 |
1,878 |
$70K |
| G0379 |
Direct refer hospital observ |
107 |
104 |
$69K |
| 87491 |
|
6,433 |
6,325 |
$66K |
| 87591 |
|
6,377 |
6,278 |
$66K |
| 99281 |
|
1,429 |
1,401 |
$64K |
| 93005 |
|
15,383 |
13,692 |
$54K |
| 93971 |
|
943 |
911 |
$53K |
| 84443 |
|
17,270 |
16,607 |
$51K |
| 80053 |
|
50,866 |
44,189 |
$50K |
| 96367 |
|
1,328 |
850 |
$50K |
| 72148 |
|
427 |
423 |
$48K |
| 85025 |
|
55,151 |
46,370 |
$39K |
| 72100 |
|
1,125 |
1,112 |
$37K |
| 73630 |
|
3,081 |
2,878 |
$36K |
| 76857 |
|
648 |
636 |
$36K |
| 77063 |
|
2,486 |
2,479 |
$33K |
| 82306 |
|
3,764 |
3,725 |
$30K |
| 76770 |
|
505 |
491 |
$29K |
| 76536 |
|
521 |
516 |
$28K |
| 72125 |
|
1,739 |
1,700 |
$27K |
| 36591 |
|
512 |
311 |
$27K |
| 72131 |
|
531 |
526 |
$26K |
| 73030 |
|
1,829 |
1,757 |
$26K |
| 73564 |
|
1,566 |
1,480 |
$26K |
| 86900 |
|
3,319 |
3,020 |
$26K |
| 80307 |
|
4,553 |
4,318 |
$25K |
| G0108 |
Diab manage trn per indiv |
532 |
465 |
$23K |
| 73610 |
|
2,208 |
2,082 |
$22K |
| 99291 |
|
57 |
53 |
$22K |
| 87426 |
|
1,032 |
1,016 |
$22K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
2,716 |
2,709 |
$21K |
| 73721 |
|
145 |
144 |
$20K |
| 73130 |
|
2,194 |
2,068 |
$20K |
| 93225 |
|
468 |
465 |
$19K |
| 88305 |
|
3,569 |
3,452 |
$18K |
| 83036 |
|
8,213 |
8,138 |
$18K |
| 96372 |
|
8,825 |
7,614 |
$18K |
| 76642 |
|
387 |
383 |
$17K |
| 82607 |
|
4,407 |
4,280 |
$17K |
| 97116 |
|
1,201 |
557 |
$16K |
| 73110 |
|
1,342 |
1,258 |
$16K |
| 36415 |
|
53,636 |
46,037 |
$16K |
| L4350 |
Ankle control ortho pre ots |
285 |
282 |
$15K |
| 74018 |
|
1,157 |
1,111 |
$14K |
| 82728 |
|
4,416 |
4,237 |
$14K |
| 87086 |
|
11,736 |
11,061 |
$14K |
| 71271 |
|
202 |
202 |
$13K |
| 88175 |
|
1,991 |
1,990 |
$13K |
| 87653 |
|
1,216 |
1,213 |
$12K |
| 97597 |
|
181 |
74 |
$12K |
| 73562 |
|
453 |
438 |
$12K |
| 73502 |
|
699 |
658 |
$11K |
| G0476 |
Hpv combo assay ca screen |
1,167 |
1,165 |
$10K |
| 82746 |
|
2,597 |
2,497 |
$9K |
| 76700 |
|
137 |
132 |
$8K |
| 87808 |
|
2,698 |
2,658 |
$8K |
| 86803 |
|
2,273 |
2,261 |
$8K |
| 90471 |
|
859 |
832 |
$8K |
| 70491 |
|
81 |
76 |
$8K |
| 70496 |
|
128 |
123 |
$8K |
| 80306 |
|
5,980 |
5,520 |
$8K |
| 84439 |
|
4,110 |
4,009 |
$8K |
| 80048 |
|
7,010 |
6,137 |
$7K |
| 83550 |
|
3,585 |
3,445 |
$7K |
| 87081 |
|
10,205 |
9,955 |
$7K |
| 78452 |
|
14 |
14 |
$7K |
| 71250 |
|
160 |
158 |
$7K |
| 84702 |
|
2,798 |
2,118 |
$7K |
| 93017 |
|
180 |
178 |
$7K |
| G0480 |
Drug test def 1-7 classes |
6,631 |
5,846 |
$6K |
| J7030 |
Normal saline solution infus |
19,070 |
15,350 |
$6K |
| 80074 |
|
583 |
580 |
$6K |
| 97533 |
|
210 |
65 |
$6K |
| 64493 |
|
14 |
12 |
$6K |
| 87186 |
|
4,208 |
3,975 |
$6K |
| 83540 |
|
3,950 |
3,792 |
$6K |
| 88342 |
|
391 |
382 |
$6K |
| 45380 |
|
12 |
12 |
$6K |
| 85027 |
|
4,076 |
3,850 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
343 |
342 |
$5K |
| 82951 |
|
1,097 |
1,067 |
$5K |
| 81001 |
|
29,805 |
27,036 |
$5K |
| 73080 |
|
397 |
382 |
$4K |
| 88304 |
|
1,003 |
983 |
$4K |
| 80055 |
|
298 |
298 |
$4K |
| 72141 |
|
24 |
24 |
$4K |
| 70486 |
|
93 |
92 |
$4K |
| 87088 |
|
3,181 |
3,058 |
$4K |
| 45378 |
|
12 |
12 |
$4K |
| 78227 |
|
14 |
13 |
$4K |
| 87077 |
|
2,855 |
2,698 |
$4K |
| 82043 |
|
2,366 |
2,354 |
$3K |
| 83735 |
|
12,260 |
10,741 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,805 |
8,347 |
$3K |
| 86592 |
|
1,990 |
1,968 |
$3K |
| G0328 |
Fecal blood scrn immunoassay |
194 |
191 |
$3K |
| 87070 |
|
1,801 |
1,778 |
$3K |
| 74183 |
|
12 |
12 |
$3K |
| 87075 |
|
1,947 |
1,816 |
$3K |
| 83880 |
|
3,491 |
3,238 |
$3K |
| 86140 |
|
9,006 |
8,077 |
$2K |
| 72040 |
|
80 |
80 |
$2K |
| 87340 |
|
1,392 |
1,371 |
$2K |
| 86038 |
|
807 |
798 |
$2K |
| 84146 |
|
513 |
497 |
$2K |
| 72110 |
|
136 |
133 |
$2K |
| 94640 |
|
3,349 |
2,723 |
$2K |
| 85610 |
|
8,005 |
6,759 |
$2K |
| 73590 |
|
347 |
329 |
$2K |
| 87220 |
|
2,318 |
2,273 |
$2K |
| 87205 |
|
1,996 |
1,955 |
$2K |
| 80076 |
|
977 |
855 |
$2K |
| 77066 |
Tomosynthesis, mammo |
29 |
29 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| 83970 |
|
117 |
113 |
$2K |
| 74019 |
|
79 |
77 |
$2K |
| 93970 |
|
14 |
13 |
$2K |
| 85730 |
|
4,218 |
3,868 |
$1K |
| 83690 |
|
10,548 |
9,513 |
$1K |
| G0103 |
Psa screening |
246 |
246 |
$1K |
| 97163 |
|
28 |
28 |
$1K |
| 87276 |
|
11,013 |
10,665 |
$1K |
| 82570 |
|
969 |
945 |
$1K |
| 85652 |
|
3,735 |
3,528 |
$1K |
| 76817 |
|
726 |
634 |
$1K |
| 87624 |
|
66 |
66 |
$1K |
| G0279 |
Tomosynthesis, mammo |
94 |
94 |
$1K |
| 84100 |
|
1,302 |
1,076 |
$1K |
| 29515 |
|
14 |
14 |
$1K |
| 96417 |
|
22 |
12 |
$1K |
| 81025 |
|
11,272 |
10,521 |
$1K |
| 86850 |
|
3,053 |
2,776 |
$1K |
| 82784 |
|
233 |
219 |
$1K |
| 87275 |
|
11,013 |
10,665 |
$1K |
| 86703 |
|
534 |
520 |
$968.86 |
| 87430 |
|
8,284 |
8,106 |
$943.65 |
| 82550 |
|
1,372 |
1,225 |
$785.19 |
| 73090 |
|
245 |
232 |
$781.93 |
| 84481 |
|
155 |
154 |
$754.87 |
| 77080 |
|
12 |
12 |
$716.77 |
| 84703 |
|
3,370 |
3,265 |
$668.30 |
| 84403 |
|
84 |
82 |
$659.52 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$600.32 |
| 74022 |
|
203 |
200 |
$600.22 |
| 87427 |
|
127 |
107 |
$583.48 |
| 87807 |
|
3,609 |
3,509 |
$547.65 |
| 86431 |
|
409 |
403 |
$498.46 |
| 70498 |
|
102 |
99 |
$483.43 |
| 94726 |
|
340 |
338 |
$442.01 |
| 84550 |
|
458 |
430 |
$423.28 |
| 82565 |
|
298 |
266 |
$422.96 |
| 82947 |
|
350 |
338 |
$416.75 |
| 72072 |
|
12 |
12 |
$407.82 |
| 83615 |
|
427 |
368 |
$399.76 |
| 83516 |
|
99 |
92 |
$367.02 |
| 85379 |
|
4,187 |
4,009 |
$360.44 |
| 83001 |
|
81 |
81 |
$335.91 |
| G0297 |
Ldct for lung ca screen |
14 |
12 |
$316.20 |
| 85576 |
|
40 |
40 |
$301.03 |
| 86901 |
|
3,317 |
3,019 |
$299.09 |
| 76870 |
|
13 |
13 |
$285.20 |
| 81002 |
|
467 |
456 |
$270.27 |
| 90715 |
|
659 |
657 |
$244.44 |
| 82105 |
|
42 |
42 |
$243.76 |
| 82140 |
|
219 |
199 |
$241.30 |
| 87046 |
|
108 |
108 |
$237.12 |
| 87045 |
|
108 |
108 |
$237.12 |
| 84153 |
|
38 |
38 |
$236.04 |
| J7120 |
Ringers lactate infusion |
3,505 |
3,225 |
$228.00 |
| 86762 |
|
436 |
423 |
$214.84 |
| 83605 |
|
10,225 |
9,129 |
$153.34 |
| 87040 |
|
2,523 |
2,166 |
$151.52 |
| 84480 |
|
39 |
39 |
$148.33 |
| 87661 |
|
14 |
14 |
$131.04 |
| 84484 |
|
9,884 |
8,188 |
$130.63 |
| 71101 |
|
13 |
12 |
$129.68 |
| 82670 |
|
12 |
12 |
$123.33 |
| 86141 |
|
25 |
24 |
$116.83 |
| 82248 |
|
110 |
78 |
$113.81 |
| 85046 |
|
74 |
67 |
$109.13 |
| 82962 |
|
8,175 |
6,120 |
$104.84 |
| 86308 |
|
431 |
428 |
$101.39 |
| 84145 |
|
1,948 |
1,839 |
$100.62 |
| 51798 |
|
290 |
283 |
$97.79 |
| 84156 |
|
91 |
87 |
$88.10 |
| 80164 |
|
28 |
28 |
$59.72 |
| 86200 |
|
12 |
12 |
$56.43 |
| 84520 |
|
42 |
37 |
$52.36 |
| 87338 |
|
12 |
12 |
$45.45 |
| 12001 |
|
551 |
549 |
$42.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
333 |
195 |
$36.59 |
| 87449 |
|
14 |
14 |
$30.12 |
| 87324 |
|
25 |
25 |
$30.12 |
| 86706 |
|
12 |
12 |
$26.72 |
| 82310 |
|
14 |
13 |
$22.93 |
| 80069 |
|
16 |
13 |
$21.03 |
| J1885 |
Ketorolac tromethamine inj |
11,686 |
10,332 |
$20.76 |
| 82010 |
|
393 |
361 |
$20.13 |
| 82040 |
|
13 |
13 |
$18.75 |
| 29125 |
|
63 |
61 |
$17.35 |
| 85018 |
|
49 |
42 |
$12.15 |
| 85014 |
|
32 |
27 |
$11.59 |
| 82803 |
|
599 |
571 |
$10.65 |
| J2405 |
Ondansetron hcl injection |
13,295 |
10,840 |
$9.00 |
| J1100 |
Dexamethasone sodium phos |
6,810 |
6,245 |
$8.99 |
| J3010 |
Fentanyl citrate injection |
3,838 |
3,480 |
$7.56 |
| J2270 |
Morphine sulfate injection |
4,959 |
3,596 |
$5.64 |
| J1170 |
Hydromorphone injection |
4,789 |
3,420 |
$3.86 |
| A9270 |
Non-covered item or service |
2,652 |
2,080 |
$2.10 |
| J0690 |
Cefazolin sodium injection |
1,233 |
973 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,709 |
1,613 |
$0.00 |
| J2060 |
Lorazepam injection |
1,273 |
1,045 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
3,478 |
3,194 |
$0.00 |
| J2360 |
Orphenadrine injection |
752 |
719 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
998 |
890 |
$0.00 |
| 96376 |
|
3,558 |
2,670 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,937 |
1,748 |
$0.00 |
| J7050 |
Normal saline solution infus |
2,711 |
2,003 |
$0.00 |
| J1630 |
Haloperidol injection |
350 |
314 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,071 |
1,040 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
3,093 |
2,640 |
$0.00 |
| J3480 |
Inj potassium chloride |
201 |
141 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,248 |
1,084 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,308 |
1,291 |
$0.00 |
| J0500 |
Dicyclomine injection |
174 |
166 |
$0.00 |
| A9500 |
Tc99m sestamibi |
16 |
15 |
$0.00 |
| 96368 |
|
243 |
209 |
$0.00 |
| 0241U |
|
28 |
27 |
$0.00 |
| J2805 |
Sincalide injection |
13 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
105 |
99 |
$0.00 |
| J3360 |
Diazepam injection |
14 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
22 |
17 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
31 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| G0283 |
Elec stim other than wound |
20 |
12 |
$0.00 |
| 64494 |
|
19 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
643 |
501 |
$0.00 |
| J1756 |
Iron sucrose injection |
372 |
157 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
503 |
478 |
$0.00 |
| J7040 |
Normal saline solution infus |
991 |
836 |
$0.00 |
| 93226 |
|
468 |
465 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
4,228 |
3,662 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,307 |
1,106 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,804 |
1,604 |
$0.00 |
| J0780 |
Prochlorperazine injection |
29 |
29 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
23 |
12 |
$0.00 |
| 94729 |
|
395 |
393 |
$0.00 |
| G1004 |
Cdsm ndsc |
239 |
178 |
$0.00 |
| J2550 |
Promethazine hcl injection |
68 |
55 |
$0.00 |
| 86318 |
|
26 |
26 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
331 |
131 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
39 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
102 |
76 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
26 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
57 |
44 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
35 |
27 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
44 |
44 |
$0.00 |
| 12011 |
|
13 |
13 |
$0.00 |
| J1956 |
Levofloxacin injection |
13 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
17 |
12 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
14 |
14 |
$0.00 |