| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
42,638 |
37,862 |
$16.19M |
| 99283 |
|
28,859 |
26,597 |
$7.36M |
| G0378 |
Hospital observation per hr |
4,682 |
3,724 |
$3.67M |
| 99285 |
|
8,600 |
7,725 |
$3.28M |
| 74177 |
|
4,349 |
4,194 |
$929K |
| 93306 |
|
2,401 |
2,308 |
$916K |
| 97530 |
|
27,710 |
8,259 |
$857K |
| 43239 |
|
580 |
541 |
$833K |
| 70450 |
|
7,863 |
7,387 |
$722K |
| 97110 |
|
43,376 |
11,053 |
$714K |
| 74176 |
|
3,780 |
3,592 |
$620K |
| 99282 |
|
4,181 |
4,042 |
$613K |
| OP272 |
|
5,352 |
4,284 |
$477K |
| 93005 |
|
19,631 |
17,599 |
$446K |
| 96372 |
|
19,828 |
15,331 |
$437K |
| OP370 |
|
3,218 |
3,102 |
$393K |
| 71275 |
|
1,722 |
1,632 |
$367K |
| 77067 |
|
2,794 |
2,752 |
$350K |
| 71045 |
|
12,145 |
11,175 |
$330K |
| 11042 |
|
1,928 |
1,233 |
$322K |
| 99281 |
|
2,950 |
2,781 |
$320K |
| 71046 |
|
7,814 |
7,558 |
$308K |
| 0241U |
|
5,287 |
4,946 |
$246K |
| 85025 |
|
37,090 |
30,806 |
$234K |
| 97140 |
|
7,440 |
2,679 |
$215K |
| 72125 |
|
1,686 |
1,605 |
$200K |
| 97112 |
|
8,447 |
2,682 |
$197K |
| 76856 |
|
1,571 |
1,531 |
$197K |
| 80048 |
|
40,258 |
32,356 |
$196K |
| 76830 |
|
1,325 |
1,295 |
$190K |
| OP259 |
|
45,004 |
30,040 |
$181K |
| 73721 |
|
238 |
231 |
$179K |
| 96375 |
|
3,901 |
3,634 |
$177K |
| 73562 |
|
2,168 |
1,994 |
$175K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,868 |
6,416 |
$155K |
| 73030 |
|
2,710 |
2,554 |
$137K |
| 97161 |
|
3,894 |
3,720 |
$137K |
| 70551 |
|
277 |
271 |
$134K |
| 73610 |
|
2,741 |
2,523 |
$131K |
| 73564 |
|
2,431 |
2,271 |
$129K |
| 88305 |
|
1,606 |
1,557 |
$125K |
| 96361 |
|
4,274 |
4,095 |
$122K |
| 73630 |
|
3,031 |
2,825 |
$121K |
| 72110 |
|
1,356 |
1,335 |
$118K |
| OP710 |
|
1,670 |
1,649 |
$116K |
| 95957 |
|
148 |
148 |
$115K |
| 80076 |
|
27,347 |
23,986 |
$113K |
| 80307 |
|
3,823 |
3,639 |
$113K |
| 73130 |
|
2,629 |
2,454 |
$105K |
| 76700 |
|
469 |
462 |
$104K |
| 96365 |
|
2,124 |
2,004 |
$100K |
| 87635 |
|
6,537 |
6,055 |
$97K |
| OP258 |
|
14,693 |
11,559 |
$97K |
| 71250 |
|
697 |
669 |
$95K |
| 96374 |
|
5,321 |
5,046 |
$91K |
| 93017 |
|
382 |
377 |
$88K |
| 45380 |
|
109 |
91 |
$88K |
| 93971 |
|
864 |
841 |
$88K |
| 84484 |
|
15,083 |
12,758 |
$87K |
| 77063 |
|
2,092 |
2,053 |
$75K |
| 97162 |
|
1,771 |
1,742 |
$73K |
| 76705 |
|
895 |
867 |
$72K |
| 80320 |
|
6,507 |
5,996 |
$69K |
| 73502 |
|
1,701 |
1,592 |
$67K |
| 83880 |
|
4,777 |
4,327 |
$66K |
| 36415 |
|
33,454 |
26,351 |
$64K |
| 73110 |
|
1,371 |
1,273 |
$62K |
| 94640 |
|
4,928 |
3,541 |
$62K |
| 45378 |
|
42 |
40 |
$59K |
| A9270 |
Non-covered item or service |
2,426 |
1,784 |
$56K |
| 97164 |
|
1,514 |
1,439 |
$53K |
| 95816 |
|
183 |
178 |
$53K |
| 85730 |
|
14,550 |
13,413 |
$52K |
| 0240U |
|
1,449 |
1,390 |
$52K |
| 96360 |
|
1,648 |
1,625 |
$52K |
| 85610 |
|
15,138 |
13,830 |
$49K |
| OP250 |
|
5,312 |
3,000 |
$48K |
| 90715 |
|
2,008 |
1,977 |
$47K |
| 80329 |
|
2,424 |
2,200 |
$39K |
| 70486 |
|
320 |
317 |
$35K |
| 84443 |
|
4,264 |
3,906 |
$34K |
| 72148 |
|
64 |
63 |
$34K |
| 83605 |
|
3,403 |
3,089 |
$34K |
| 72100 |
|
624 |
595 |
$32K |
| 78452 |
|
92 |
91 |
$32K |
| 87040 |
|
2,940 |
2,681 |
$31K |
| 93970 |
|
215 |
208 |
$30K |
| 83735 |
|
7,561 |
6,286 |
$30K |
| 83690 |
|
10,867 |
9,818 |
$29K |
| 73590 |
|
738 |
701 |
$29K |
| 81001 |
|
14,521 |
13,603 |
$28K |
| 85027 |
|
5,228 |
4,548 |
$26K |
| 87086 |
|
4,824 |
4,519 |
$26K |
| 80306 |
|
4,360 |
3,958 |
$26K |
| 87491 |
|
1,634 |
1,577 |
$26K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
24 |
24 |
$23K |
| 76536 |
|
172 |
165 |
$23K |
| 70496 |
|
136 |
119 |
$22K |
| 87591 |
|
1,620 |
1,563 |
$22K |
| 87804 |
|
2,017 |
2,003 |
$22K |
| 87070 |
|
3,151 |
3,001 |
$20K |
| J1644 |
Inj heparin sodium per 1000u |
2,775 |
1,211 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
2,634 |
2,133 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
10,572 |
9,428 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
3,729 |
3,209 |
$19K |
| 95810 |
|
13 |
13 |
$19K |
| 76801 |
|
336 |
315 |
$18K |
| J2405 |
Ondansetron hcl injection |
8,903 |
7,509 |
$18K |
| 77080 |
|
342 |
323 |
$18K |
| 70498 |
|
123 |
107 |
$18K |
| 94664 |
|
2,330 |
1,611 |
$18K |
| 96376 |
|
794 |
769 |
$17K |
| 88342 |
|
382 |
372 |
$16K |
| J1100 |
Dexamethasone sodium phos |
2,638 |
2,368 |
$16K |
| 96366 |
|
307 |
306 |
$16K |
| A9500 |
Tc99m sestamibi |
118 |
114 |
$15K |
| 86900 |
|
1,624 |
1,531 |
$14K |
| 87430 |
|
2,928 |
2,838 |
$14K |
| J2710 |
Neostigmine methylslfte inj |
339 |
337 |
$13K |
| 80053 |
|
1,560 |
1,483 |
$13K |
| J1200 |
Diphenhydramine hcl injectio |
2,912 |
2,347 |
$13K |
| 96367 |
|
284 |
278 |
$13K |
| 80061 |
|
1,638 |
1,542 |
$13K |
| J2270 |
Morphine sulfate injection |
4,482 |
3,394 |
$13K |
| J2785 |
Regadenoson injection |
52 |
51 |
$12K |
| 90471 |
|
1,998 |
1,880 |
$12K |
| 72050 |
|
152 |
150 |
$12K |
| G0480 |
Drug test def 1-7 classes |
1,035 |
882 |
$12K |
| J1170 |
Hydromorphone injection |
3,268 |
2,080 |
$11K |
| 70553 |
|
12 |
12 |
$11K |
| 76817 |
|
180 |
168 |
$11K |
| 81003 |
|
5,687 |
5,413 |
$11K |
| 73080 |
|
258 |
243 |
$10K |
| J3010 |
Fentanyl citrate injection |
2,438 |
2,196 |
$10K |
| 74018 |
|
263 |
245 |
$9K |
| 82550 |
|
3,251 |
2,979 |
$9K |
| 96413 |
|
82 |
55 |
$9K |
| 71260 |
|
42 |
42 |
$9K |
| 87636 |
|
182 |
177 |
$9K |
| J2060 |
Lorazepam injection |
2,099 |
1,690 |
$8K |
| 85379 |
|
2,572 |
2,401 |
$8K |
| J3370 |
Vancomycin hcl injection |
268 |
195 |
$8K |
| 84702 |
|
1,315 |
1,178 |
$7K |
| 86901 |
|
1,639 |
1,534 |
$7K |
| 82962 |
|
6,203 |
3,842 |
$7K |
| A9585 |
Gadobutrol injection |
269 |
245 |
$7K |
| 85007 |
|
1,536 |
1,340 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
1,490 |
1,441 |
$7K |
| J0690 |
Cefazolin sodium injection |
917 |
768 |
$7K |
| 87186 |
|
1,379 |
1,283 |
$7K |
| 87077 |
|
1,432 |
1,338 |
$7K |
| 86850 |
|
783 |
735 |
$7K |
| 74022 |
|
168 |
165 |
$6K |
| Q0162 |
Ondansetron oral |
1,030 |
898 |
$6K |
| 84100 |
|
1,821 |
1,428 |
$6K |
| OP229 |
|
121 |
116 |
$6K |
| J7030 |
Normal saline solution infus |
848 |
500 |
$6K |
| 97535 |
|
300 |
210 |
$6K |
| 83036 |
|
1,422 |
1,312 |
$5K |
| 93976 |
|
66 |
64 |
$5K |
| J3490 |
Drugs unclassified injection |
17,457 |
10,059 |
$5K |
| 76642 |
|
47 |
45 |
$5K |
| C9113 |
Inj pantoprazole sodium, via |
341 |
237 |
$5K |
| 73090 |
|
164 |
155 |
$5K |
| 84703 |
|
1,980 |
1,865 |
$5K |
| 87088 |
|
1,302 |
1,265 |
$5K |
| 94760 |
|
2,536 |
1,768 |
$4K |
| J2543 |
Piperacillin/tazobactam |
206 |
109 |
$4K |
| 82803 |
|
99 |
97 |
$4K |
| J1630 |
Haloperidol injection |
828 |
633 |
$4K |
| 82150 |
|
418 |
406 |
$4K |
| 86885 |
|
322 |
316 |
$4K |
| 86140 |
|
1,647 |
1,444 |
$3K |
| J2930 |
Methylprednisolone injection |
492 |
414 |
$3K |
| 86403 |
|
495 |
462 |
$3K |
| J1650 |
Inj enoxaparin sodium |
901 |
424 |
$3K |
| J3475 |
Inj magnesium sulfate |
303 |
255 |
$3K |
| 85378 |
|
422 |
414 |
$2K |
| 87631 |
|
51 |
51 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
1,824 |
1,363 |
$2K |
| 80164 |
|
214 |
191 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 84439 |
|
252 |
239 |
$2K |
| J1940 |
Furosemide injection |
19 |
14 |
$2K |
| 12001 |
|
13 |
13 |
$2K |
| 72040 |
|
18 |
17 |
$2K |
| 29125 |
|
13 |
13 |
$2K |
| 74174 |
|
13 |
12 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,020 |
914 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,008 |
2,672 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| 88313 |
|
55 |
53 |
$1K |
| 73140 |
|
67 |
66 |
$1K |
| J2001 |
Lidocaine injection |
229 |
226 |
$1K |
| J1815 |
Insulin injection |
637 |
236 |
$1K |
| 97150 |
|
39 |
12 |
$1K |
| G8979 |
Mobility goal status |
93 |
85 |
$964.31 |
| 76641 |
|
12 |
12 |
$958.35 |
| G8978 |
Mobility current status |
64 |
60 |
$936.25 |
| 73552 |
|
57 |
52 |
$905.66 |
| 36591 |
|
215 |
145 |
$846.41 |
| 82607 |
|
132 |
124 |
$812.96 |
| 82728 |
|
118 |
109 |
$805.33 |
| J3480 |
Inj potassium chloride |
48 |
36 |
$799.31 |
| 72070 |
|
25 |
25 |
$780.57 |
| J0171 |
Adrenalin epinephrine inject |
28 |
28 |
$775.39 |
| 71101 |
|
25 |
24 |
$739.02 |
| A9579 |
Gad-base mr contrast nos,1ml |
39 |
38 |
$615.33 |
| 97163 |
|
12 |
12 |
$510.65 |
| 93356 |
|
14 |
14 |
$481.89 |
| 82306 |
|
27 |
25 |
$435.56 |
| 73060 |
|
14 |
12 |
$427.42 |
| 85651 |
|
179 |
174 |
$418.40 |
| J2919 |
Inj, methylpred sod succ 5mg |
161 |
123 |
$417.33 |
| 85652 |
|
587 |
545 |
$412.71 |
| G0463 |
Hospital outpt clinic visit |
69 |
66 |
$352.74 |
| OP637 |
|
371 |
147 |
$335.89 |
| 82746 |
|
60 |
57 |
$322.83 |
| J1956 |
Levofloxacin injection |
12 |
12 |
$310.39 |
| 97116 |
|
54 |
25 |
$291.77 |
| L1830 |
Ko immob canvas long pre ots |
25 |
25 |
$255.09 |
| 88304 |
|
12 |
12 |
$254.20 |
| J0780 |
Prochlorperazine injection |
61 |
60 |
$250.96 |
| 99001 |
|
73 |
73 |
$234.87 |
| 95851 |
|
46 |
41 |
$215.08 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
96 |
35 |
$211.02 |
| J7050 |
Normal saline solution infus |
47 |
38 |
$161.04 |
| J7613 |
Albuterol non-comp unit |
268 |
196 |
$133.12 |
| J3411 |
Thiamine hcl 100 mg |
14 |
13 |
$118.37 |
| 97165 |
|
26 |
25 |
$109.89 |
| J2360 |
Orphenadrine injection |
15 |
14 |
$100.38 |
| 83550 |
|
30 |
29 |
$97.11 |
| Q0163 |
Diphenhydramine hcl 50mg |
496 |
393 |
$91.42 |
| 87661 |
|
12 |
12 |
$56.14 |
| 82248 |
|
18 |
16 |
$37.35 |
| 87880 |
|
14 |
14 |
$36.10 |
| 87081 |
|
16 |
16 |
$36.00 |
| 81025 |
|
19 |
19 |
$26.79 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$15.60 |
| J7643 |
Glycopyrrolate comp unit |
65 |
52 |
$4.94 |