| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,284 |
16,566 |
$5.14M |
| 99285 |
|
10,577 |
6,653 |
$3.35M |
| 74177 |
|
5,131 |
3,871 |
$2.46M |
| 99283 |
|
13,822 |
12,175 |
$2.22M |
| 96374 |
|
14,721 |
10,073 |
$1.28M |
| 74176 |
|
2,399 |
1,758 |
$913K |
| 70450 |
|
4,562 |
3,286 |
$878K |
| 97110 |
|
22,544 |
5,790 |
$806K |
| 96375 |
|
12,137 |
8,585 |
$726K |
| 93306 |
|
1,733 |
1,510 |
$684K |
| 96365 |
|
10,297 |
4,197 |
$658K |
| 43239 |
|
2,332 |
1,462 |
$542K |
| 71045 |
|
9,622 |
6,138 |
$378K |
| 80053 |
|
51,273 |
33,885 |
$377K |
| G0378 |
Hospital observation per hr |
6,479 |
2,605 |
$371K |
| 71046 |
|
6,491 |
4,932 |
$327K |
| 97112 |
|
7,919 |
2,860 |
$292K |
| 93005 |
|
9,856 |
8,186 |
$286K |
| 85025 |
|
45,555 |
36,372 |
$277K |
| 59025 |
|
2,313 |
1,546 |
$261K |
| 99282 |
|
2,424 |
2,217 |
$259K |
| 70553 |
|
493 |
384 |
$239K |
| 88305 |
|
4,984 |
4,457 |
$236K |
| G0463 |
Hospital outpt clinic visit |
3,014 |
1,989 |
$215K |
| 96413 |
|
908 |
393 |
$205K |
| 36415 |
|
56,343 |
28,363 |
$198K |
| 96361 |
|
6,564 |
2,747 |
$183K |
| 45380 |
|
610 |
361 |
$183K |
| 97530 |
|
3,776 |
1,230 |
$179K |
| 96372 |
|
10,009 |
5,651 |
$176K |
| 96360 |
|
3,818 |
1,363 |
$173K |
| 71275 |
|
654 |
486 |
$171K |
| 77067 |
|
2,218 |
2,165 |
$167K |
| 97140 |
|
5,775 |
2,309 |
$159K |
| 97161 |
|
2,815 |
1,956 |
$145K |
| 84443 |
|
9,671 |
9,032 |
$131K |
| 96376 |
|
3,612 |
1,986 |
$129K |
| 97803 |
|
3,507 |
3,378 |
$124K |
| 82306 |
|
4,160 |
3,267 |
$110K |
| 76830 |
|
786 |
743 |
$107K |
| 72125 |
|
521 |
450 |
$105K |
| 73721 |
|
315 |
292 |
$102K |
| 36600 |
|
6,105 |
3,146 |
$102K |
| 76705 |
|
739 |
678 |
$90K |
| 80061 |
|
6,620 |
5,883 |
$82K |
| 94640 |
|
2,402 |
1,182 |
$81K |
| 87635 |
|
2,523 |
1,676 |
$79K |
| 73630 |
|
1,325 |
1,219 |
$75K |
| G0480 |
Drug test def 1-7 classes |
2,233 |
1,302 |
$72K |
| 73610 |
|
1,120 |
1,031 |
$70K |
| 96366 |
|
1,092 |
670 |
$68K |
| 73562 |
|
1,316 |
1,133 |
$67K |
| 78452 |
|
124 |
65 |
$64K |
| 92507 |
|
1,369 |
416 |
$64K |
| 74018 |
|
1,135 |
1,019 |
$58K |
| 43248 |
|
290 |
195 |
$55K |
| 82607 |
|
4,206 |
3,986 |
$53K |
| 72110 |
|
453 |
401 |
$51K |
| 87400 |
|
3,863 |
3,551 |
$51K |
| 77063 |
|
2,419 |
2,079 |
$51K |
| 93017 |
|
291 |
254 |
$48K |
| 97162 |
|
898 |
681 |
$48K |
| 58661 |
|
21 |
13 |
$47K |
| 73030 |
|
824 |
639 |
$47K |
| 80305 |
|
7,157 |
6,395 |
$46K |
| J2704 |
Inj, propofol, 10 mg |
9,698 |
7,700 |
$46K |
| 84702 |
|
3,754 |
2,435 |
$46K |
| 84484 |
|
6,004 |
4,981 |
$43K |
| 76700 |
|
313 |
298 |
$42K |
| 94060 |
|
446 |
262 |
$40K |
| 73130 |
|
752 |
649 |
$40K |
| 80048 |
|
7,203 |
5,030 |
$39K |
| 82803 |
|
3,876 |
2,811 |
$39K |
| 87086 |
|
7,316 |
6,118 |
$38K |
| 83036 |
|
4,709 |
4,462 |
$38K |
| 86900 |
|
2,213 |
1,879 |
$38K |
| 82746 |
|
2,898 |
2,768 |
$35K |
| 47563 |
|
12 |
12 |
$35K |
| 76856 |
|
393 |
379 |
$35K |
| 83735 |
|
7,751 |
5,916 |
$35K |
| 71260 |
|
113 |
94 |
$34K |
| 97164 |
|
1,070 |
929 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,174 |
3,515 |
$32K |
| 97802 |
|
411 |
399 |
$32K |
| 86140 |
|
12,286 |
10,336 |
$31K |
| 84439 |
|
3,882 |
3,654 |
$31K |
| J2405 |
Ondansetron hcl injection |
17,649 |
13,007 |
$31K |
| 58558 |
|
30 |
28 |
$31K |
| J1885 |
Ketorolac tromethamine inj |
11,209 |
8,915 |
$29K |
| 83690 |
|
7,470 |
6,395 |
$28K |
| 82728 |
|
2,437 |
2,258 |
$28K |
| J3010 |
Fentanyl citrate injection |
8,035 |
6,009 |
$27K |
| 78227 |
|
85 |
69 |
$27K |
| 87077 |
|
4,977 |
3,488 |
$27K |
| 96367 |
|
790 |
396 |
$26K |
| 87880 |
|
3,203 |
3,039 |
$25K |
| 83880 |
|
1,318 |
1,182 |
$24K |
| 87389 |
|
1,530 |
1,453 |
$24K |
| J7050 |
Normal saline solution infus |
2,765 |
1,473 |
$23K |
| 81025 |
|
6,226 |
5,324 |
$23K |
| 81001 |
|
11,463 |
9,961 |
$23K |
| 84403 |
|
1,006 |
902 |
$22K |
| J1100 |
Dexamethasone sodium phos |
8,384 |
6,497 |
$22K |
| 85027 |
|
4,545 |
3,574 |
$21K |
| 86803 |
|
1,716 |
1,560 |
$21K |
| 88304 |
|
761 |
684 |
$20K |
| 70486 |
|
70 |
65 |
$19K |
| J1170 |
Hydromorphone injection |
6,795 |
4,128 |
$19K |
| 73110 |
|
311 |
282 |
$18K |
| J2250 |
Inj midazolam hydrochloride |
6,671 |
5,395 |
$18K |
| 87491 |
|
570 |
555 |
$18K |
| C9290 |
Inj, bupivacaine liposome |
394 |
308 |
$17K |
| 87081 |
|
4,096 |
3,805 |
$17K |
| 87591 |
|
567 |
553 |
$16K |
| 84703 |
|
3,670 |
3,363 |
$16K |
| 82948 |
|
3,782 |
2,200 |
$16K |
| 82150 |
|
4,263 |
3,704 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
2,787 |
2,133 |
$15K |
| 84425 |
|
728 |
711 |
$15K |
| 81003 |
|
6,717 |
6,000 |
$14K |
| 72131 |
|
59 |
52 |
$14K |
| 95806 |
|
131 |
111 |
$14K |
| J2060 |
Lorazepam injection |
1,279 |
918 |
$13K |
| 97113 |
|
247 |
87 |
$13K |
| 76641 |
|
142 |
129 |
$13K |
| 83540 |
|
2,410 |
2,307 |
$13K |
| 87186 |
|
2,222 |
1,809 |
$13K |
| J1200 |
Diphenhydramine hcl injectio |
2,343 |
1,504 |
$13K |
| 99281 |
|
209 |
194 |
$13K |
| 83655 |
|
1,045 |
1,030 |
$13K |
| 87040 |
|
1,810 |
1,612 |
$13K |
| 85379 |
|
2,352 |
2,157 |
$12K |
| 86328 |
|
369 |
329 |
$12K |
| 72100 |
|
202 |
175 |
$12K |
| 69436 |
|
13 |
13 |
$10K |
| 80320 |
|
766 |
668 |
$10K |
| J2175 |
Meperidine hydrochl /100 mg |
895 |
668 |
$10K |
| 86905 |
|
100 |
90 |
$10K |
| M0243 |
Casirivi and imdevi inj |
37 |
35 |
$10K |
| 95811 |
|
15 |
13 |
$10K |
| J0330 |
Succinycholine chloride inj |
1,471 |
1,186 |
$10K |
| 83605 |
|
1,591 |
1,385 |
$9K |
| J0690 |
Cefazolin sodium injection |
3,521 |
2,705 |
$9K |
| 72148 |
|
27 |
27 |
$9K |
| 93225 |
|
140 |
123 |
$9K |
| 85610 |
|
3,269 |
2,762 |
$8K |
| 87070 |
|
1,642 |
1,210 |
$8K |
| 88307 |
|
148 |
105 |
$8K |
| 83970 |
|
272 |
219 |
$8K |
| A9270 |
Non-covered item or service |
6,770 |
2,511 |
$8K |
| 83001 |
|
352 |
337 |
$7K |
| 83550 |
|
1,053 |
996 |
$7K |
| 45385 |
|
13 |
13 |
$7K |
| 86850 |
|
1,826 |
1,546 |
$7K |
| 87506 |
|
56 |
47 |
$7K |
| 80143 |
|
682 |
617 |
$7K |
| 74021 |
|
100 |
81 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
1,002 |
543 |
$7K |
| 80179 |
|
664 |
604 |
$7K |
| 93226 |
|
117 |
107 |
$7K |
| J2270 |
Morphine sulfate injection |
2,078 |
1,398 |
$6K |
| 85730 |
|
1,742 |
1,574 |
$6K |
| J1650 |
Inj enoxaparin sodium |
929 |
394 |
$6K |
| 87807 |
|
947 |
896 |
$6K |
| 12001 |
|
102 |
88 |
$6K |
| 73080 |
|
57 |
55 |
$6K |
| 82550 |
|
806 |
700 |
$6K |
| 82570 |
|
1,160 |
1,063 |
$5K |
| 70551 |
|
14 |
13 |
$5K |
| 86038 |
|
517 |
483 |
$5K |
| J2550 |
Promethazine hcl injection |
2,979 |
1,912 |
$5K |
| 82248 |
|
1,127 |
1,073 |
$5K |
| 82784 |
|
483 |
429 |
$5K |
| 90471 |
|
405 |
357 |
$5K |
| 83516 |
|
286 |
269 |
$5K |
| 93971 |
|
25 |
25 |
$5K |
| 84481 |
|
302 |
279 |
$5K |
| 74220 |
|
43 |
39 |
$5K |
| 86592 |
|
1,330 |
1,237 |
$5K |
| 82670 |
|
194 |
187 |
$4K |
| 45378 |
|
13 |
13 |
$4K |
| 80055 |
|
78 |
77 |
$4K |
| 84550 |
|
980 |
894 |
$4K |
| 73221 |
|
12 |
12 |
$3K |
| 75574 |
|
14 |
12 |
$3K |
| 71271 |
|
36 |
30 |
$3K |
| 94726 |
|
82 |
77 |
$3K |
| 84436 |
|
835 |
796 |
$3K |
| 83525 |
|
226 |
223 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
343 |
314 |
$3K |
| 85652 |
|
1,323 |
1,212 |
$3K |
| 84146 |
|
187 |
173 |
$3K |
| 86901 |
|
2,222 |
1,887 |
$3K |
| 94729 |
|
83 |
78 |
$3K |
| 97035 |
|
250 |
88 |
$3K |
| 76536 |
|
24 |
24 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
264 |
198 |
$3K |
| 88112 |
|
69 |
65 |
$3K |
| J2930 |
Methylprednisolone injection |
742 |
668 |
$3K |
| 97116 |
|
113 |
64 |
$3K |
| 90715 |
|
189 |
176 |
$3K |
| 87340 |
|
665 |
626 |
$3K |
| 80074 |
|
76 |
64 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
13 |
$3K |
| 86787 |
|
122 |
118 |
$2K |
| 86738 |
|
311 |
293 |
$2K |
| 86757 |
|
90 |
88 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,096 |
554 |
$2K |
| J3475 |
Inj magnesium sulfate |
415 |
301 |
$2K |
| 83921 |
|
205 |
96 |
$2K |
| G8978 |
Mobility current status |
595 |
266 |
$2K |
| 86762 |
|
456 |
437 |
$2K |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
104 |
83 |
$2K |
| 87205 |
|
637 |
481 |
$2K |
| G0103 |
Psa screening |
147 |
116 |
$2K |
| 86618 |
|
109 |
89 |
$2K |
| 86769 |
|
30 |
27 |
$2K |
| 87046 |
|
212 |
103 |
$1K |
| 72050 |
|
17 |
13 |
$1K |
| J3480 |
Inj potassium chloride |
326 |
159 |
$1K |
| 73502 |
|
43 |
37 |
$1K |
| J1335 |
Ertapenem injection |
32 |
24 |
$1K |
| 72114 |
|
15 |
12 |
$1K |
| 74022 |
|
24 |
24 |
$1K |
| 87324 |
|
169 |
154 |
$1K |
| 86666 |
|
71 |
71 |
$1K |
| 76870 |
|
12 |
12 |
$970.36 |
| 82043 |
|
192 |
180 |
$966.39 |
| 90714 |
|
126 |
111 |
$932.74 |
| A9537 |
Tc99m mebrofenin |
58 |
54 |
$922.95 |
| 97804 |
|
12 |
12 |
$920.78 |
| 87209 |
|
87 |
83 |
$915.07 |
| 87427 |
|
105 |
101 |
$914.00 |
| 71101 |
|
13 |
13 |
$870.85 |
| 86003 |
|
14 |
12 |
$851.61 |
| 86308 |
|
240 |
232 |
$797.90 |
| 97012 |
|
35 |
13 |
$772.34 |
| 82565 |
|
96 |
91 |
$737.00 |
| J1040 |
Methylprednisolone 80 mg inj |
129 |
121 |
$730.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
289 |
241 |
$675.01 |
| 82378 |
|
31 |
25 |
$623.97 |
| 84165 |
|
45 |
43 |
$614.80 |
| J1010 |
Inj, methylpred acetate 1 mg |
69 |
65 |
$600.01 |
| 87045 |
|
106 |
102 |
$596.69 |
| 88302 |
|
24 |
16 |
$594.51 |
| 87177 |
|
89 |
83 |
$586.74 |
| A9500 |
Tc99m sestamibi |
15 |
12 |
$563.88 |
| 82140 |
|
103 |
52 |
$498.90 |
| 84520 |
|
65 |
64 |
$474.83 |
| 86037 |
|
15 |
15 |
$468.78 |
| J1644 |
Inj heparin sodium per 1000u |
55 |
38 |
$445.62 |
| 86696 |
|
27 |
27 |
$443.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
132 |
93 |
$437.45 |
| 87329 |
|
88 |
84 |
$420.63 |
| 74300 |
|
12 |
12 |
$407.10 |
| G8979 |
Mobility goal status |
352 |
260 |
$404.42 |
| 86695 |
|
27 |
27 |
$396.09 |
| 86671 |
|
14 |
14 |
$325.90 |
| J2360 |
Orphenadrine injection |
94 |
82 |
$294.10 |
| 84144 |
|
14 |
14 |
$281.44 |
| 88104 |
|
13 |
12 |
$239.06 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
62 |
44 |
$227.10 |
| 82947 |
|
44 |
32 |
$226.45 |
| 84156 |
|
71 |
64 |
$204.74 |
| J2795 |
Ropivacaine hcl injection |
22 |
15 |
$170.25 |
| J0780 |
Prochlorperazine injection |
25 |
24 |
$164.78 |
| 86430 |
|
35 |
33 |
$162.76 |
| C1769 |
Guide wire |
17 |
14 |
$158.09 |
| J2765 |
Metoclopramide hcl injection |
111 |
88 |
$145.65 |
| 84100 |
|
34 |
29 |
$136.98 |
| 89055 |
|
34 |
30 |
$84.76 |
| 83615 |
|
13 |
12 |
$81.37 |
| 80329 |
|
76 |
67 |
$51.60 |
| J2470 |
Inj pantoprazole sodium 40mg |
26 |
15 |
$45.19 |
| 80050 |
|
18 |
17 |
$44.93 |
| J0171 |
Adrenalin epinephrine inject |
52 |
42 |
$33.78 |
| 84155 |
|
57 |
55 |
$26.55 |
| G8984 |
Carry current status |
19 |
12 |
$15.87 |
| G8985 |
Carry goal status |
46 |
38 |
$15.14 |