| Code | Description | Claims | Beneficiaries | Total Paid |
| G0299 |
Hhs/hospice of rn ea 15 min |
13,136 |
3,826 |
$1.72M |
| 0112 |
|
3,175 |
2,839 |
$1.14M |
| G0151 |
Hhcp-serv of pt,ea 15 min |
6,786 |
2,658 |
$982K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
7,156 |
1,834 |
$947K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
3,346 |
1,320 |
$468K |
| 0206 |
|
357 |
347 |
$225K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
2,617 |
620 |
$176K |
| 0111 |
|
1,288 |
1,229 |
$164K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
995 |
563 |
$139K |
| G0157 |
Hhc pt assistant ea 15 |
1,130 |
677 |
$129K |
| 0200 |
|
328 |
314 |
$89K |
| 99283 |
|
12,002 |
11,087 |
$80K |
| G0162 |
Hhc rn e&m plan svs, 15 min |
487 |
291 |
$66K |
| 81220 |
|
316 |
312 |
$44K |
| Q5001 |
Hospice or home hlth in home |
2,263 |
2,065 |
$38K |
| 99284 |
|
1,664 |
1,585 |
$27K |
| 0113 |
|
184 |
165 |
$23K |
| G0493 |
Rn care ea 15 min hh/hospice |
137 |
90 |
$21K |
| 36902 |
|
14 |
14 |
$14K |
| 0122 |
|
1,081 |
766 |
$13K |
| G2168 |
Svs by pt in home health |
105 |
78 |
$8K |
| 99282 |
|
1,299 |
1,265 |
$8K |
| 66984 |
|
320 |
306 |
$7K |
| G0378 |
Hospital observation per hr |
808 |
558 |
$6K |
| 99291 |
|
129 |
129 |
$4K |
| 88305 |
|
1,249 |
914 |
$4K |
| 86003 |
|
342 |
336 |
$3K |
| 86885 |
|
771 |
713 |
$3K |
| 0637 |
|
1,772 |
1,004 |
$3K |
| 74177 |
|
1,304 |
1,282 |
$2K |
| 86900 |
|
1,513 |
1,309 |
$2K |
| 72148 |
|
290 |
281 |
$2K |
| 70553 |
|
326 |
314 |
$2K |
| 76705 |
|
677 |
669 |
$2K |
| 70450 |
|
1,514 |
1,457 |
$2K |
| 70551 |
|
303 |
301 |
$2K |
| 85025 |
|
10,265 |
9,285 |
$1K |
| 86480 |
|
151 |
144 |
$1K |
| 0121 |
|
854 |
820 |
$1K |
| 78452 |
|
208 |
200 |
$1K |
| 78815 |
|
62 |
62 |
$1K |
| 85027 |
|
12,986 |
12,396 |
$1K |
| 83036 |
|
6,062 |
5,842 |
$1K |
| 86901 |
|
1,516 |
1,312 |
$1K |
| 82306 |
|
2,430 |
2,405 |
$1K |
| 87389 |
|
1,253 |
1,113 |
$1K |
| 76770 |
|
281 |
279 |
$929.20 |
| 86235 |
|
64 |
63 |
$920.00 |
| 74183 |
|
120 |
115 |
$878.00 |
| 99285 |
|
78 |
75 |
$720.00 |
| 84443 |
|
5,014 |
4,909 |
$711.00 |
| 86762 |
|
802 |
646 |
$694.00 |
| 83880 |
|
690 |
599 |
$667.00 |
| 83655 |
|
1,408 |
1,347 |
$651.00 |
| 73721 |
|
274 |
263 |
$620.00 |
| 80051 |
|
8,138 |
7,507 |
$618.00 |
| 86787 |
|
817 |
663 |
$611.00 |
| 82728 |
|
1,465 |
1,440 |
$577.80 |
| 72141 |
|
160 |
160 |
$546.00 |
| 71046 |
|
946 |
905 |
$518.31 |
| 82565 |
|
10,459 |
9,680 |
$503.20 |
| 85610 |
|
5,272 |
3,914 |
$500.00 |
| 87340 |
|
1,146 |
1,003 |
$466.00 |
| 83970 |
|
772 |
762 |
$456.00 |
| 76856 |
|
748 |
733 |
$446.18 |
| 93970 |
|
55 |
40 |
$437.52 |
| 84702 |
|
1,856 |
1,599 |
$432.00 |
| 72156 |
|
19 |
18 |
$430.00 |
| 83021 |
|
627 |
486 |
$412.00 |
| 84460 |
|
7,596 |
7,136 |
$375.20 |
| 74176 |
|
573 |
566 |
$372.00 |
| 82607 |
|
1,017 |
998 |
$340.40 |
| 76830 |
|
652 |
638 |
$336.18 |
| 72158 |
|
27 |
25 |
$315.00 |
| 86160 |
|
140 |
138 |
$312.00 |
| 80307 |
|
512 |
297 |
$312.00 |
| 82785 |
|
80 |
70 |
$311.00 |
| 70544 |
|
69 |
68 |
$298.00 |
| 71260 |
|
236 |
232 |
$290.00 |
| 80061 |
|
3,637 |
3,593 |
$254.00 |
| 87522 |
Neg quan hep c or qual rna |
79 |
75 |
$243.00 |
| 73562 |
|
243 |
228 |
$240.48 |
| 84163 |
|
85 |
75 |
$232.00 |
| 83550 |
|
1,540 |
1,507 |
$231.20 |
| 86038 |
|
359 |
334 |
$227.20 |
| 86147 |
|
29 |
28 |
$220.00 |
| 71045 |
|
700 |
653 |
$211.26 |
| 76801 |
|
323 |
271 |
$210.60 |
| 76817 |
|
213 |
176 |
$210.60 |
| 88342 |
|
71 |
71 |
$202.00 |
| 83540 |
|
1,537 |
1,481 |
$198.80 |
| 85652 |
|
2,324 |
2,233 |
$190.40 |
| 84075 |
|
3,933 |
3,617 |
$182.00 |
| 82784 |
|
165 |
165 |
$180.00 |
| 76536 |
|
164 |
158 |
$170.00 |
| 82247 |
|
4,287 |
3,839 |
$167.00 |
| 87046 |
|
113 |
111 |
$160.00 |
| 87088 |
|
1,243 |
1,195 |
$153.00 |
| 83735 |
|
1,407 |
1,179 |
$152.80 |
| 74170 |
|
17 |
17 |
$145.00 |
| 86803 |
|
517 |
497 |
$142.00 |
| 73610 |
|
267 |
253 |
$136.74 |
| 84439 |
|
722 |
689 |
$132.00 |
| 83520 |
|
405 |
272 |
$131.00 |
| 70360 |
|
13 |
13 |
$131.00 |
| 86140 |
|
1,459 |
1,388 |
$130.40 |
| 82105 |
|
172 |
169 |
$126.00 |
| 73221 |
|
119 |
114 |
$124.00 |
| 74240 |
|
12 |
12 |
$124.00 |
| 76805 |
|
212 |
208 |
$123.50 |
| 81003 |
|
4,679 |
4,440 |
$118.00 |
| 84450 |
|
2,875 |
2,596 |
$117.00 |
| 87591 |
|
1,536 |
1,496 |
$114.00 |
| 82670 |
|
72 |
69 |
$114.00 |
| 87491 |
|
1,510 |
1,471 |
$114.00 |
| 84403 |
|
205 |
199 |
$112.00 |
| 84520 |
|
4,335 |
3,889 |
$110.00 |
| 82310 |
|
2,245 |
2,041 |
$100.20 |
| 76700 |
|
142 |
142 |
$100.00 |
| 73502 |
|
143 |
139 |
$99.00 |
| 76380 |
|
85 |
85 |
$99.00 |
| 84134 |
|
194 |
190 |
$96.20 |
| J3480 |
Inj potassium chloride |
43 |
25 |
$90.40 |
| 93005 |
|
75 |
74 |
$89.50 |
| 83001 |
|
153 |
149 |
$89.00 |
| 70486 |
|
166 |
164 |
$88.18 |
| A9585 |
Gadobutrol injection |
582 |
567 |
$88.14 |
| 86780 |
|
530 |
489 |
$84.00 |
| 83615 |
|
578 |
523 |
$84.00 |
| 84165 |
|
233 |
224 |
$84.00 |
| 82746 |
|
444 |
435 |
$83.00 |
| 84550 |
|
620 |
589 |
$82.00 |
| 87040 |
|
306 |
200 |
$80.00 |
| 84132 |
|
576 |
553 |
$72.60 |
| 80197 |
|
116 |
101 |
$71.00 |
| 83690 |
|
1,405 |
1,354 |
$70.00 |
| 86256 |
|
32 |
31 |
$70.00 |
| 86431 |
|
215 |
204 |
$68.40 |
| 87505 |
|
44 |
44 |
$68.00 |
| 82570 |
|
1,483 |
1,328 |
$67.00 |
| 82043 |
|
1,456 |
1,443 |
$65.40 |
| 85730 |
|
490 |
470 |
$64.00 |
| 74018 |
|
96 |
95 |
$62.75 |
| 76870 |
|
107 |
104 |
$62.00 |
| 73200 |
|
13 |
13 |
$62.00 |
| 72100 |
|
157 |
157 |
$62.00 |
| 84146 |
|
139 |
135 |
$61.00 |
| J7030 |
Normal saline solution infus |
354 |
268 |
$60.50 |
| 44970 |
|
43 |
43 |
$60.00 |
| 82947 |
|
3,763 |
3,525 |
$60.00 |
| 86039 |
|
74 |
69 |
$60.00 |
| 88341 |
|
32 |
32 |
$59.63 |
| 74178 |
|
68 |
68 |
$57.79 |
| 86376 |
|
40 |
40 |
$56.00 |
| 85379 |
|
210 |
205 |
$54.00 |
| 86665 |
|
163 |
83 |
$54.00 |
| 84156 |
|
1,390 |
1,249 |
$52.00 |
| 82248 |
|
684 |
614 |
$52.00 |
| 78306 |
|
32 |
32 |
$50.00 |
| 86360 |
|
323 |
315 |
$50.00 |
| 87045 |
|
160 |
149 |
$50.00 |
| 84295 |
|
346 |
335 |
$50.00 |
| 86225 |
|
111 |
101 |
$49.00 |
| 87210 |
|
1,620 |
1,585 |
$49.00 |
| 82550 |
|
248 |
236 |
$48.80 |
| 82950 |
|
742 |
677 |
$47.00 |
| 84100 |
|
1,175 |
1,042 |
$46.00 |
| 82040 |
|
1,511 |
1,416 |
$43.00 |
| 85014 |
|
1,128 |
1,056 |
$42.00 |
| 86357 |
|
47 |
45 |
$40.00 |
| 86355 |
|
47 |
45 |
$40.00 |
| 42820 |
|
12 |
12 |
$40.00 |
| 86359 |
|
323 |
315 |
$40.00 |
| 87324 |
|
197 |
190 |
$40.00 |
| 84153 |
|
294 |
292 |
$39.00 |
| 82677 |
|
43 |
42 |
$39.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,108 |
1,077 |
$37.73 |
| 87449 |
|
176 |
167 |
$35.00 |
| 73110 |
|
153 |
151 |
$33.00 |
| 73590 |
|
79 |
76 |
$33.00 |
| 73030 |
|
244 |
233 |
$33.00 |
| 80185 |
|
54 |
46 |
$32.00 |
| 86317 |
|
198 |
193 |
$32.00 |
| 83002 |
|
82 |
82 |
$30.00 |
| 89051 |
|
69 |
57 |
$30.00 |
| 80164 |
|
144 |
139 |
$30.00 |
| 86704 |
|
158 |
152 |
$28.00 |
| 82977 |
|
108 |
106 |
$28.00 |
| 87186 |
|
133 |
129 |
$25.00 |
| 86664 |
|
83 |
83 |
$24.00 |
| 86336 |
|
43 |
42 |
$24.00 |
| 86677 |
|
347 |
340 |
$22.20 |
| 88312 |
|
39 |
38 |
$22.00 |
| 82330 |
|
157 |
147 |
$21.00 |
| 86708 |
|
57 |
54 |
$21.00 |
| 85613 |
|
34 |
28 |
$20.00 |
| 82390 |
|
51 |
48 |
$18.00 |
| 85046 |
|
381 |
363 |
$18.00 |
| 80306 |
|
66 |
61 |
$16.00 |
| 85018 |
|
419 |
387 |
$15.00 |
| 83721 |
|
488 |
483 |
$15.00 |
| J0696 |
Ceftriaxone sodium injection |
71 |
65 |
$14.80 |
| 83935 |
|
12 |
12 |
$12.00 |
| 84270 |
|
16 |
15 |
$12.00 |
| 87205 |
|
376 |
353 |
$12.00 |
| 82150 |
|
109 |
103 |
$12.00 |
| 82627 |
|
51 |
51 |
$12.00 |
| 85670 |
|
33 |
27 |
$12.00 |
| 86709 |
|
52 |
51 |
$12.00 |
| 86304 |
|
13 |
12 |
$11.00 |
| 80162 |
|
47 |
43 |
$10.00 |
| 87804 |
|
230 |
115 |
$10.00 |
| 0250 |
|
1,872 |
712 |
$9.68 |
| 82533 |
|
14 |
13 |
$9.00 |
| 0258 |
|
856 |
728 |
$8.92 |
| J2060 |
Lorazepam injection |
29 |
25 |
$8.46 |
| 80178 |
|
79 |
74 |
$8.00 |
| 84480 |
|
109 |
105 |
$8.00 |
| 80156 |
|
35 |
35 |
$8.00 |
| 84155 |
|
176 |
162 |
$8.00 |
| 83718 |
|
281 |
278 |
$8.00 |
| 82140 |
|
78 |
69 |
$8.00 |
| 82103 |
|
13 |
12 |
$7.00 |
| J1815 |
Insulin injection |
60 |
28 |
$6.16 |
| 86308 |
|
147 |
145 |
$6.00 |
| 82272 |
|
97 |
95 |
$6.00 |
| J2250 |
Inj midazolam hydrochloride |
282 |
279 |
$5.56 |
| 87070 |
|
37 |
33 |
$5.00 |
| 84484 |
|
346 |
289 |
$5.00 |
| 83930 |
|
13 |
13 |
$4.00 |
| 80076 |
|
35 |
31 |
$4.00 |
| 82465 |
|
322 |
318 |
$4.00 |
| J3010 |
Fentanyl citrate injection |
322 |
316 |
$3.93 |
| 86300 |
|
108 |
104 |
$2.00 |
| 81015 |
|
94 |
94 |
$2.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 73700 |
|
27 |
25 |
$0.00 |
| 73090 |
|
75 |
72 |
$0.00 |
| 74181 |
|
33 |
33 |
$0.00 |
| 72170 |
|
48 |
47 |
$0.00 |
| 87081 |
|
49 |
48 |
$0.00 |
| 72040 |
|
65 |
64 |
$0.00 |
| 0410 |
|
42 |
42 |
$0.00 |
| 93971 |
|
193 |
181 |
$0.00 |
| 72081 |
|
42 |
42 |
$0.00 |
| 87624 |
|
92 |
92 |
$0.00 |
| 83605 |
|
174 |
154 |
$0.00 |
| 82951 |
|
122 |
122 |
$0.00 |
| J2280 |
Inj, moxifloxacin 100 mg |
31 |
30 |
$0.00 |
| 74022 |
|
129 |
129 |
$0.00 |
| 87536 |
|
127 |
125 |
$0.00 |
| 76816 |
|
101 |
96 |
$0.00 |
| 0305 |
|
383 |
376 |
$0.00 |
| 88304 |
|
48 |
42 |
$0.00 |
| 0171 |
Inj, epinephrine (belcher) |
74 |
71 |
$0.00 |
| 86335 |
|
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
59 |
59 |
$0.00 |
| 0370 |
|
291 |
288 |
$0.00 |
| 82378 |
|
128 |
107 |
$0.00 |
| 76815 |
|
52 |
50 |
$0.00 |
| 0306 |
|
138 |
133 |
$0.00 |
| 73560 |
|
53 |
49 |
$0.00 |
| G0008 |
Admin influenza virus vac |
46 |
45 |
$0.00 |
| 0324 |
|
38 |
38 |
$0.00 |
| 73060 |
|
14 |
14 |
$0.00 |
| 94640 |
|
31 |
23 |
$0.00 |
| 84478 |
|
45 |
44 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
15 |
$0.00 |
| 12001 |
|
14 |
14 |
$0.00 |
| 0023 |
Pin srv add 30 min pr m |
27 |
27 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
47 |
45 |
$0.00 |
| 0307 |
|
113 |
111 |
$0.00 |
| 70491 |
|
81 |
79 |
$0.00 |
| 0301 |
|
245 |
237 |
$0.00 |
| 45380 |
|
15 |
15 |
$0.00 |
| 72157 |
|
12 |
12 |
$0.00 |
| 70543 |
|
26 |
24 |
$0.00 |
| A9500 |
Tc99m sestamibi |
55 |
51 |
$0.00 |
| 84157 |
|
13 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
28 |
24 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
112 |
76 |
$0.00 |
| 88307 |
|
18 |
15 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
128 |
127 |
$0.00 |
| 0352 |
|
15 |
15 |
$0.00 |
| 0420 |
|
27 |
27 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
79 |
72 |
$0.00 |
| 0471 |
|
12 |
12 |
$0.00 |
| 90688 |
|
30 |
29 |
$0.00 |
| 0350 |
|
23 |
23 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
33 |
32 |
$0.00 |
| 82952 |
|
76 |
76 |
$0.00 |
| 86301 |
|
20 |
14 |
$0.00 |
| 72146 |
|
45 |
45 |
$0.00 |
| 80320 |
|
35 |
33 |
$0.00 |
| 82945 |
|
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
108 |
103 |
$0.00 |
| J1170 |
Hydromorphone injection |
78 |
74 |
$0.00 |
| J3490 |
Drugs unclassified injection |
141 |
120 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 86635 |
|
34 |
17 |
$0.00 |
| 80329 |
|
47 |
25 |
$0.00 |
| 86880 |
|
20 |
17 |
$0.00 |
| 0710 |
|
220 |
218 |
$0.00 |
| 86695 |
|
18 |
17 |
$0.00 |
| 0255 |
|
29 |
26 |
$0.00 |
| 84425 |
|
29 |
29 |
$0.00 |
| 73130 |
|
201 |
192 |
$0.00 |
| 0300 |
|
288 |
259 |
$0.00 |
| 86923 |
|
67 |
57 |
$0.00 |
| 82274 |
|
54 |
53 |
$0.00 |
| 0302 |
|
60 |
59 |
$0.00 |
| 0320 |
|
91 |
88 |
$0.00 |
| 73630 |
|
366 |
351 |
$0.00 |
| 77002 |
|
18 |
16 |
$0.00 |
| 86735 |
|
12 |
12 |
$0.00 |
| A9552 |
F18 fdg |
72 |
72 |
$0.00 |
| 71250 |
|
69 |
69 |
$0.00 |
| 47562 |
|
49 |
49 |
$0.00 |
| 0390 |
|
15 |
15 |
$0.00 |
| 0272 |
|
21 |
21 |
$0.00 |
| 88313 |
|
15 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
199 |
190 |
$0.00 |
| 77080 |
|
101 |
101 |
$0.00 |
| 0351 |
|
13 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
34 |
31 |
$0.00 |
| 76881 |
|
49 |
49 |
$0.00 |
| G0297 |
Ldct for lung ca screen |
71 |
71 |
$0.00 |
| 73100 |
|
13 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
272 |
254 |
$0.00 |
| 0312 |
|
46 |
46 |
$0.00 |
| 73140 |
|
103 |
96 |
$0.00 |
| 82705 |
|
14 |
13 |
$0.00 |
| 86696 |
|
18 |
17 |
$0.00 |
| 0722 |
|
178 |
178 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
17 |
17 |
$0.00 |
| 73080 |
|
77 |
75 |
$0.00 |
| 0483 |
|
24 |
24 |
$0.00 |
| J2270 |
Morphine sulfate injection |
105 |
97 |
$0.00 |
| 72197 |
|
13 |
12 |
$0.00 |
| 0360 |
|
130 |
126 |
$0.00 |
| 72131 |
|
39 |
38 |
$0.00 |
| 87633 |
|
27 |
27 |
$0.00 |
| 74220 |
|
12 |
12 |
$0.00 |
| 86334 |
|
18 |
17 |
$0.00 |
| 93880 |
|
49 |
45 |
$0.00 |
| 78472 |
|
12 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
28 |
27 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
54 |
37 |
$0.00 |
| 72125 |
|
145 |
144 |
$0.00 |
| 86765 |
|
15 |
15 |
$0.00 |
| 88173 |
|
29 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
19 |
19 |
$0.00 |
| 0203 |
|
30 |
26 |
$0.00 |
| 0730 |
|
24 |
24 |
$0.00 |
| 73718 |
|
14 |
14 |
$0.00 |
| 0309 |
|
21 |
21 |
$0.00 |
| 0450 |
|
99 |
97 |
$0.00 |
| 83525 |
|
12 |
12 |
$0.00 |
| 43239 |
|
13 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
19 |
15 |
$0.00 |
| 0424 |
|
38 |
38 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
15 |
$0.00 |
| 0278 |
|
18 |
18 |
$0.00 |
| 99281 |
|
12 |
12 |
$0.00 |
| 76706 |
|
13 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
19 |
15 |
$0.00 |
| 0361 |
|
13 |
13 |
$0.00 |
| 76857 |
|
12 |
12 |
$0.00 |
| 72070 |
|
12 |
12 |
$0.00 |
| 0762 |
|
52 |
52 |
$0.00 |
| 0402 |
|
36 |
36 |
$0.00 |