| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
12,173 |
9,584 |
$824K |
| 99283 |
|
16,439 |
15,551 |
$658K |
| 99282 |
|
5,546 |
5,291 |
$319K |
| 87635 |
|
3,596 |
3,312 |
$303K |
| 99284 |
|
9,897 |
8,953 |
$279K |
| 87804 |
|
3,687 |
1,826 |
$158K |
| 97110 |
|
4,346 |
1,071 |
$155K |
| 87880 |
|
2,775 |
2,663 |
$103K |
| 96372 |
|
2,714 |
2,494 |
$85K |
| 81001 |
|
3,412 |
3,064 |
$73K |
| 81003 |
|
1,737 |
1,576 |
$48K |
| 99281 |
|
371 |
352 |
$39K |
| 70450 |
|
1,178 |
1,088 |
$25K |
| 94760 |
|
4,880 |
4,179 |
$25K |
| 71046 |
|
1,009 |
968 |
$20K |
| A4215 |
Needle, sterile, any size, each |
201 |
184 |
$18K |
| 73630 |
|
399 |
323 |
$16K |
| 82962 |
|
1,228 |
924 |
$15K |
| 71045 |
|
3,922 |
3,418 |
$14K |
| 87086 |
|
1,182 |
1,046 |
$14K |
| 81025 |
|
800 |
773 |
$14K |
| 73560 |
|
444 |
355 |
$13K |
| 99285 |
|
4,059 |
3,594 |
$12K |
| 97161 |
|
252 |
221 |
$11K |
| 74022 |
|
649 |
595 |
$10K |
| 80307 |
|
1,648 |
1,505 |
$9K |
| 73610 |
|
95 |
81 |
$8K |
| 93010 |
|
1,226 |
1,123 |
$5K |
| 85025 |
|
10,289 |
8,405 |
$4K |
| 93005 |
|
4,019 |
3,566 |
$3K |
| 93041 |
|
5,846 |
4,922 |
$3K |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
421 |
397 |
$3K |
| 96365 |
|
1,929 |
1,708 |
$3K |
| 87807 |
|
156 |
151 |
$2K |
| 96374 |
|
3,308 |
2,837 |
$2K |
| 87070 |
|
46 |
42 |
$1K |
| 82803 |
|
610 |
526 |
$804.12 |
| 80053 |
|
7,549 |
6,478 |
$775.09 |
| A9270 |
Non-covered item or service |
275 |
241 |
$703.43 |
| 96360 |
|
2,262 |
2,009 |
$660.72 |
| 73130 |
|
16 |
12 |
$639.48 |
| 74177 |
|
28 |
25 |
$557.86 |
| 94640 |
|
713 |
518 |
$531.40 |
| 74176 |
|
40 |
39 |
$526.12 |
| 97162 |
|
25 |
25 |
$495.90 |
| 74019 |
|
12 |
12 |
$471.13 |
| 97530 |
|
81 |
36 |
$385.78 |
| 72100 |
|
12 |
12 |
$350.46 |
| 80048 |
|
3,229 |
2,692 |
$252.76 |
| 97140 |
|
84 |
44 |
$178.55 |
| 83880 |
|
387 |
343 |
$92.62 |
| 87040 |
|
1,823 |
1,608 |
$88.08 |
| 82550 |
|
1,009 |
900 |
$68.67 |
| 80061 |
|
356 |
330 |
$21.75 |
| 84439 |
|
461 |
423 |
$8.54 |
| 85610 |
|
1,215 |
1,058 |
$5.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,059 |
1,917 |
$5.35 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
433 |
304 |
$3.81 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,612 |
1,390 |
$2.28 |
| 86140 |
|
713 |
644 |
$0.00 |
| 84443 |
|
1,253 |
1,156 |
$0.00 |
| 80320 |
|
1,096 |
991 |
$0.00 |
| 84484 |
|
2,941 |
2,458 |
$0.00 |
| 96376 |
|
272 |
241 |
$0.00 |
| 83605 |
|
1,525 |
1,327 |
$0.00 |
| 83690 |
|
1,805 |
1,608 |
$0.00 |
| 96361 |
|
1,159 |
1,043 |
$0.00 |
| 96375 |
|
1,411 |
1,218 |
$0.00 |
| 83036 |
|
244 |
224 |
$0.00 |
| 83735 |
|
4,021 |
3,543 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
264 |
242 |
$0.00 |
| 85379 |
|
210 |
190 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
21 |
13 |
$0.00 |
| 85730 |
|
900 |
832 |
$0.00 |
| 85027 |
|
152 |
141 |
$0.00 |
| 96366 |
|
70 |
65 |
$0.00 |
| 82150 |
|
149 |
129 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
714 |
654 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
238 |
220 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
73 |
67 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
230 |
194 |
$0.00 |
| 83615 |
|
32 |
29 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
32 |
27 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
13 |
12 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
80 |
29 |
$0.00 |
| 80164 |
|
50 |
42 |
$0.00 |
| 85378 |
|
73 |
71 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
179 |
146 |
$0.00 |
| 51701 |
|
357 |
320 |
$0.00 |
| 96367 |
|
116 |
104 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
361 |
271 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
489 |
424 |
$0.00 |
| A4311 |
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
43 |
40 |
$0.00 |
| 51702 |
|
102 |
90 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
14 |
13 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
17 |
14 |
$0.00 |
| 71010 |
|
38 |
29 |
$0.00 |