| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,782 |
3,422 |
$1.30M |
| 99283 |
|
4,453 |
4,298 |
$1.20M |
| 99285 |
|
1,422 |
1,363 |
$429K |
| 92507 |
|
3,565 |
760 |
$384K |
| 90832 |
|
3,183 |
1,784 |
$376K |
| G0378 |
Hospital observation per hr |
839 |
767 |
$317K |
| 95810 |
|
225 |
225 |
$279K |
| 97110 |
|
3,964 |
1,039 |
$189K |
| 99282 |
|
746 |
733 |
$157K |
| 95782 |
|
105 |
105 |
$147K |
| 74177 |
|
440 |
439 |
$118K |
| 96365 |
|
1,617 |
1,525 |
$102K |
| 97140 |
|
2,803 |
776 |
$101K |
| 43239 |
|
136 |
133 |
$99K |
| 70450 |
|
834 |
816 |
$89K |
| 80053 |
|
4,852 |
4,151 |
$88K |
| 85025 |
|
4,883 |
4,264 |
$80K |
| 97530 |
|
1,200 |
346 |
$80K |
| 76816 |
|
816 |
743 |
$77K |
| 90863 |
|
468 |
465 |
$75K |
| 96361 |
|
1,636 |
1,577 |
$73K |
| 36415 |
|
5,904 |
4,609 |
$72K |
| 93306 |
|
270 |
269 |
$66K |
| 93005 |
|
2,280 |
1,982 |
$64K |
| 45380 |
|
86 |
82 |
$63K |
| 76817 |
|
478 |
397 |
$61K |
| OP250 |
|
8,498 |
7,326 |
$54K |
| 97112 |
|
1,757 |
589 |
$52K |
| 59025 |
|
399 |
328 |
$50K |
| 96375 |
|
1,116 |
1,070 |
$48K |
| 97535 |
|
832 |
567 |
$47K |
| 76818 |
|
279 |
106 |
$47K |
| 74176 |
|
279 |
274 |
$46K |
| 76801 |
|
419 |
394 |
$43K |
| 97010 |
|
2,371 |
695 |
$40K |
| 71046 |
|
1,275 |
1,258 |
$39K |
| 76811 |
|
177 |
176 |
$38K |
| 76830 |
|
281 |
279 |
$34K |
| 96360 |
|
572 |
559 |
$34K |
| 71045 |
|
1,012 |
968 |
$33K |
| 90791 |
|
211 |
209 |
$30K |
| 76819 |
|
265 |
210 |
$28K |
| 76856 |
|
254 |
253 |
$27K |
| 82948 |
|
1,752 |
1,297 |
$26K |
| A9270 |
Non-covered item or service |
164 |
113 |
$26K |
| 84484 |
|
1,299 |
1,069 |
$26K |
| 85610 |
|
1,662 |
1,490 |
$26K |
| 76805 |
|
153 |
152 |
$25K |
| 90847 |
|
253 |
195 |
$25K |
| 62323 |
|
27 |
27 |
$25K |
| 90792 |
|
391 |
379 |
$25K |
| 96372 |
|
862 |
820 |
$25K |
| 85730 |
|
1,509 |
1,437 |
$24K |
| 88305 |
|
390 |
378 |
$23K |
| 82553 |
|
1,189 |
976 |
$23K |
| OP272 |
|
1,382 |
1,324 |
$22K |
| 97161 |
|
425 |
425 |
$22K |
| 82550 |
|
1,241 |
1,025 |
$22K |
| 96374 |
|
807 |
789 |
$22K |
| 95811 |
|
24 |
24 |
$20K |
| 83735 |
|
889 |
720 |
$20K |
| 81001 |
|
1,897 |
1,801 |
$19K |
| 77067 |
|
211 |
211 |
$19K |
| 87651 |
|
1,206 |
1,200 |
$19K |
| 87400 |
|
1,681 |
1,665 |
$19K |
| 93017 |
|
125 |
125 |
$16K |
| 92523 |
|
137 |
113 |
$16K |
| 90834 |
|
219 |
149 |
$15K |
| 76813 |
|
120 |
117 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
245 |
243 |
$15K |
| 87086 |
|
1,037 |
1,003 |
$14K |
| 83880 |
|
643 |
625 |
$14K |
| 81003 |
|
1,355 |
1,319 |
$14K |
| 96367 |
|
316 |
312 |
$13K |
| 84703 |
|
2,548 |
2,395 |
$13K |
| 87040 |
|
524 |
512 |
$13K |
| OP370 |
|
695 |
677 |
$13K |
| 70486 |
|
65 |
65 |
$13K |
| 80048 |
|
733 |
677 |
$13K |
| 83605 |
|
551 |
524 |
$12K |
| 78452 |
|
72 |
72 |
$11K |
| OP710 |
|
343 |
341 |
$11K |
| 76700 |
|
122 |
122 |
$11K |
| 72125 |
|
102 |
102 |
$11K |
| 84100 |
|
325 |
264 |
$11K |
| 97016 |
|
333 |
93 |
$10K |
| 73610 |
|
226 |
222 |
$10K |
| 97165 |
|
107 |
107 |
$10K |
| 73562 |
|
252 |
240 |
$10K |
| 99291 |
|
30 |
30 |
$10K |
| 76705 |
|
164 |
164 |
$9K |
| 97116 |
|
323 |
149 |
$9K |
| 70551 |
|
26 |
26 |
$9K |
| 84443 |
|
525 |
517 |
$9K |
| 77063 |
|
212 |
212 |
$9K |
| 73630 |
|
245 |
238 |
$9K |
| 83690 |
|
1,286 |
1,243 |
$9K |
| 93970 |
|
52 |
52 |
$9K |
| 85027 |
|
623 |
522 |
$9K |
| 73130 |
|
204 |
197 |
$8K |
| 97162 |
|
146 |
146 |
$8K |
| 96366 |
|
154 |
148 |
$8K |
| 87070 |
|
1,067 |
1,057 |
$8K |
| 72100 |
|
236 |
234 |
$8K |
| 77080 |
|
80 |
80 |
$8K |
| 73030 |
|
180 |
172 |
$7K |
| 80061 |
|
512 |
510 |
$7K |
| OP258 |
|
814 |
628 |
$7K |
| 86900 |
|
416 |
388 |
$6K |
| 80306 |
|
401 |
384 |
$6K |
| 82306 |
|
208 |
207 |
$6K |
| 76536 |
|
57 |
57 |
$6K |
| 80320 |
|
521 |
399 |
$6K |
| 74241 |
|
88 |
82 |
$6K |
| 84702 |
|
400 |
332 |
$6K |
| 71250 |
|
51 |
51 |
$5K |
| 76770 |
|
60 |
60 |
$5K |
| 76642 |
|
68 |
68 |
$5K |
| 94640 |
|
85 |
43 |
$5K |
| 86850 |
|
196 |
191 |
$4K |
| 87077 |
|
249 |
245 |
$4K |
| 77066 |
Tomosynthesis, mammo |
40 |
40 |
$4K |
| 87420 |
|
429 |
428 |
$4K |
| OP270 |
|
435 |
427 |
$4K |
| 12011 |
|
90 |
90 |
$4K |
| 99281 |
|
34 |
34 |
$4K |
| 83036 |
|
409 |
406 |
$4K |
| T2034 |
Crisis interven waiver/diem |
13 |
12 |
$4K |
| G0279 |
Tomosynthesis, mammo |
95 |
91 |
$4K |
| 73110 |
|
126 |
120 |
$4K |
| 82150 |
|
455 |
444 |
$3K |
| 86901 |
|
200 |
196 |
$3K |
| 87186 |
|
206 |
203 |
$3K |
| 73502 |
|
87 |
85 |
$3K |
| 82607 |
|
128 |
126 |
$3K |
| 51701 |
|
67 |
66 |
$3K |
| 96368 |
|
68 |
67 |
$3K |
| 82746 |
|
122 |
120 |
$2K |
| 77065 |
Tomosynthesis, mammo |
42 |
40 |
$2K |
| 73080 |
|
67 |
64 |
$2K |
| 87185 |
|
123 |
121 |
$2K |
| 93971 |
|
14 |
13 |
$2K |
| 90471 |
|
160 |
152 |
$2K |
| 96376 |
|
44 |
44 |
$2K |
| 85651 |
|
113 |
102 |
$2K |
| 82728 |
|
79 |
78 |
$2K |
| J3490 |
Drugs unclassified injection |
143 |
137 |
$2K |
| C1894 |
Intro/sheath, non-laser |
31 |
31 |
$2K |
| 90715 |
|
108 |
108 |
$2K |
| 82570 |
|
153 |
149 |
$2K |
| 84439 |
|
173 |
170 |
$2K |
| 85378 |
|
112 |
112 |
$1K |
| J2060 |
Lorazepam injection |
104 |
96 |
$1K |
| 73090 |
|
39 |
39 |
$1K |
| 87491 |
|
53 |
53 |
$1K |
| 87591 |
|
53 |
53 |
$1K |
| 83550 |
|
89 |
89 |
$1K |
| 83540 |
|
103 |
103 |
$1K |
| G0463 |
Hospital outpt clinic visit |
158 |
98 |
$1K |
| 12001 |
|
32 |
32 |
$1K |
| 88304 |
|
57 |
56 |
$1K |
| 82043 |
|
104 |
103 |
$989.21 |
| 74019 |
|
27 |
27 |
$975.14 |
| 93880 |
|
15 |
15 |
$811.16 |
| 97597 |
|
15 |
12 |
$733.44 |
| G8979 |
Mobility goal status |
629 |
589 |
$707.25 |
| A9502 |
Tc99m tetrofosmin |
57 |
57 |
$686.00 |
| G8978 |
Mobility current status |
537 |
522 |
$673.07 |
| 73590 |
|
12 |
12 |
$667.34 |
| J2765 |
Metoclopramide hcl injection |
466 |
454 |
$643.62 |
| J2785 |
Regadenoson injection |
33 |
33 |
$638.62 |
| 80076 |
|
134 |
130 |
$638.40 |
| G8980 |
Mobility d/c status |
146 |
146 |
$596.25 |
| 85044 |
|
14 |
14 |
$561.07 |
| 76857 |
|
17 |
17 |
$556.67 |
| 73060 |
|
12 |
12 |
$546.30 |
| 88300 |
|
39 |
39 |
$535.40 |
| 29125 |
|
12 |
12 |
$511.27 |
| 87801 |
|
30 |
30 |
$416.93 |
| 71101 |
|
12 |
12 |
$334.13 |
| 88313 |
|
12 |
12 |
$317.70 |
| J1200 |
Diphenhydramine hcl injectio |
184 |
177 |
$279.40 |
| 80329 |
|
13 |
13 |
$267.92 |
| A9585 |
Gadobutrol injection |
43 |
43 |
$221.95 |
| J1030 |
Methylprednisolone 40 mg inj |
44 |
43 |
$207.37 |
| G8997 |
Swallow goal status |
13 |
13 |
$173.34 |
| G8996 |
Swallow current status |
13 |
13 |
$172.34 |
| 86592 |
|
51 |
51 |
$159.58 |
| 90714 |
|
26 |
24 |
$113.33 |
| 82272 |
|
34 |
33 |
$96.46 |
| J1885 |
Ketorolac tromethamine inj |
76 |
71 |
$81.03 |
| 85384 |
|
17 |
17 |
$77.80 |
| J2270 |
Morphine sulfate injection |
95 |
84 |
$75.20 |
| G8985 |
Carry goal status |
129 |
125 |
$63.60 |
| G8984 |
Carry current status |
107 |
106 |
$56.60 |
| G8988 |
Self care goal status |
205 |
186 |
$39.00 |
| G8987 |
Self care current status |
184 |
174 |
$36.00 |
| 87449 |
|
15 |
14 |
$31.53 |
| G8982 |
Body pos goal status |
117 |
110 |
$29.00 |
| 84520 |
|
12 |
12 |
$28.40 |
| G8981 |
Body pos current status |
87 |
85 |
$19.00 |
| 94664 |
|
27 |
15 |
$0.00 |