| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
50,371 |
45,664 |
$1.57M |
| 87428 |
|
17,162 |
15,979 |
$1.50M |
| 97110 |
|
29,595 |
6,945 |
$1.39M |
| 80053 |
|
35,060 |
28,462 |
$1.28M |
| A9585 |
Gadobutrol injection |
1,334 |
1,257 |
$1.15M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,569 |
7,525 |
$1.12M |
| 99282 |
|
10,582 |
9,798 |
$940K |
| 11042 |
|
2,171 |
998 |
$584K |
| 70553 |
|
1,648 |
1,522 |
$474K |
| 81025 |
|
17,286 |
15,986 |
$468K |
| 96372 |
|
11,798 |
8,482 |
$446K |
| 87070 |
|
8,713 |
7,875 |
$405K |
| 99284 |
|
32,925 |
29,284 |
$380K |
| 80048 |
|
13,310 |
10,402 |
$344K |
| 87400 |
|
11,337 |
5,803 |
$314K |
| 96374 |
|
13,237 |
11,416 |
$313K |
| 76376 |
|
4,135 |
3,688 |
$307K |
| 80307 |
|
7,159 |
6,417 |
$297K |
| 93306 |
|
3,460 |
3,196 |
$282K |
| 97140 |
|
16,935 |
4,223 |
$249K |
| 84702 |
|
2,916 |
2,367 |
$226K |
| 77067 |
|
2,631 |
2,583 |
$219K |
| 71250 |
|
1,196 |
1,110 |
$198K |
| 96365 |
|
7,938 |
6,038 |
$196K |
| 96360 |
|
4,807 |
4,326 |
$180K |
| 87086 |
|
7,987 |
7,254 |
$167K |
| 87426 |
|
2,259 |
2,059 |
$165K |
| 96375 |
|
10,715 |
8,233 |
$164K |
| 72148 |
|
417 |
403 |
$158K |
| 70450 |
|
7,302 |
6,414 |
$152K |
| 96361 |
|
12,266 |
9,994 |
$142K |
| 99213 |
|
3,699 |
2,974 |
$142K |
| 71046 |
|
7,882 |
7,091 |
$140K |
| 85025 |
|
45,207 |
36,349 |
$138K |
| 81001 |
|
25,482 |
22,650 |
$124K |
| 72141 |
|
235 |
222 |
$122K |
| 73630 |
|
2,533 |
2,279 |
$120K |
| 93971 |
|
1,261 |
1,111 |
$114K |
| 36415 |
|
61,177 |
45,004 |
$112K |
| 99285 |
|
17,943 |
15,631 |
$110K |
| G0463 |
Hospital outpt clinic visit |
12,036 |
9,693 |
$109K |
| 78452 |
|
1,570 |
1,408 |
$105K |
| 88305 |
|
4,156 |
3,769 |
$105K |
| 88304 |
|
1,690 |
1,617 |
$104K |
| 76705 |
|
2,208 |
2,065 |
$101K |
| 71045 |
|
15,165 |
13,242 |
$100K |
| 93005 |
|
16,080 |
12,809 |
$89K |
| 93356 |
|
597 |
580 |
$84K |
| 73564 |
|
2,655 |
2,291 |
$83K |
| 99281 |
|
934 |
872 |
$83K |
| 73130 |
|
1,527 |
1,384 |
$80K |
| 73610 |
|
2,030 |
1,869 |
$71K |
| 76536 |
|
862 |
837 |
$69K |
| 96376 |
|
5,692 |
3,152 |
$65K |
| 76770 |
|
857 |
806 |
$65K |
| 81003 |
|
8,319 |
7,549 |
$65K |
| 74176 |
|
2,598 |
2,341 |
$63K |
| 87591 |
|
3,255 |
3,110 |
$62K |
| 74018 |
|
1,941 |
1,753 |
$59K |
| 99212 |
|
1,995 |
1,762 |
$56K |
| 87186 |
|
2,868 |
2,573 |
$55K |
| 87430 |
|
6,924 |
6,529 |
$54K |
| 0240U |
|
727 |
708 |
$51K |
| 59025 |
|
1,379 |
1,054 |
$50K |
| 72100 |
|
2,181 |
1,957 |
$48K |
| 87651 |
|
4,265 |
4,098 |
$46K |
| 77066 |
Tomosynthesis, mammo |
259 |
253 |
$44K |
| 87635 |
|
341 |
334 |
$43K |
| 82247 |
|
2,915 |
1,489 |
$40K |
| 87633 |
|
279 |
267 |
$40K |
| 74177 |
|
6,270 |
5,624 |
$39K |
| 96366 |
|
3,103 |
1,941 |
$39K |
| 76641 |
|
787 |
656 |
$37K |
| 73030 |
|
1,709 |
1,483 |
$37K |
| 87491 |
|
3,315 |
3,166 |
$37K |
| 69436 |
|
234 |
233 |
$36K |
| G0378 |
Hospital observation per hr |
9,994 |
4,340 |
$36K |
| 85027 |
|
6,865 |
5,318 |
$35K |
| 82728 |
|
1,539 |
1,459 |
$34K |
| 86900 |
|
5,234 |
4,496 |
$30K |
| 87804 |
|
1,074 |
591 |
$29K |
| 73502 |
|
979 |
832 |
$28K |
| 85018 |
|
1,160 |
947 |
$26K |
| 97161 |
|
3,673 |
3,380 |
$25K |
| 73110 |
|
1,009 |
910 |
$25K |
| 93017 |
|
1,767 |
1,597 |
$25K |
| 76830 |
|
491 |
476 |
$24K |
| J2405 |
Ondansetron hcl injection |
17,173 |
13,740 |
$24K |
| 84443 |
|
5,703 |
5,085 |
$23K |
| 94640 |
|
5,824 |
4,054 |
$20K |
| 43239 |
|
1,725 |
1,529 |
$18K |
| 87077 |
|
3,147 |
2,829 |
$17K |
| 76642 |
|
475 |
453 |
$17K |
| 87420 |
|
4,626 |
4,417 |
$15K |
| 97032 |
|
7,642 |
2,089 |
$15K |
| J1650 |
Inj enoxaparin sodium |
2,526 |
1,296 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
10,581 |
9,242 |
$15K |
| J7030 |
Normal saline solution infus |
261 |
197 |
$14K |
| 76856 |
|
307 |
292 |
$14K |
| 83036 |
|
2,967 |
2,724 |
$14K |
| 76811 |
|
51 |
46 |
$13K |
| 85007 |
|
3,513 |
3,006 |
$13K |
| 87507 |
|
50 |
48 |
$13K |
| 70486 |
|
318 |
298 |
$11K |
| 83735 |
|
8,303 |
6,099 |
$11K |
| 73080 |
|
397 |
364 |
$11K |
| 76700 |
|
101 |
98 |
$11K |
| 84484 |
|
10,583 |
7,103 |
$11K |
| 93225 |
|
31 |
29 |
$10K |
| 73140 |
|
169 |
157 |
$10K |
| J2270 |
Morphine sulfate injection |
4,843 |
3,602 |
$10K |
| 82565 |
|
408 |
343 |
$10K |
| 87040 |
|
2,551 |
1,799 |
$10K |
| 95810 |
|
40 |
36 |
$9K |
| 73721 |
|
14 |
12 |
$9K |
| 85610 |
|
7,928 |
6,556 |
$9K |
| 76801 |
|
1,522 |
1,403 |
$9K |
| 0241U |
|
184 |
177 |
$8K |
| J2550 |
Promethazine hcl injection |
1,374 |
1,028 |
$7K |
| 73221 |
|
12 |
12 |
$7K |
| 10060 |
|
243 |
220 |
$7K |
| 72125 |
|
2,499 |
2,227 |
$6K |
| 76805 |
|
90 |
88 |
$6K |
| 95813 |
|
42 |
42 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
4,284 |
3,250 |
$6K |
| 72040 |
|
162 |
143 |
$6K |
| J3475 |
Inj magnesium sulfate |
1,040 |
608 |
$5K |
| 87147 |
|
472 |
434 |
$5K |
| 97530 |
|
2,571 |
1,181 |
$5K |
| 87880 |
|
2,295 |
2,239 |
$5K |
| 85730 |
|
3,849 |
3,338 |
$5K |
| 96367 |
|
683 |
447 |
$5K |
| 97150 |
|
510 |
164 |
$4K |
| 83690 |
|
11,191 |
9,746 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
11,917 |
9,788 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
921 |
497 |
$4K |
| J2930 |
Methylprednisolone injection |
1,455 |
1,068 |
$4K |
| 84112 |
|
32 |
25 |
$4K |
| 87045 |
|
111 |
96 |
$4K |
| J1170 |
Hydromorphone injection |
3,479 |
2,536 |
$4K |
| 83550 |
|
1,650 |
1,563 |
$4K |
| 82731 |
|
32 |
28 |
$4K |
| 83540 |
|
1,740 |
1,641 |
$4K |
| J2060 |
Lorazepam injection |
1,119 |
804 |
$3K |
| 87210 |
|
2,656 |
2,530 |
$3K |
| 83880 |
|
2,332 |
1,893 |
$3K |
| 72070 |
|
76 |
66 |
$3K |
| J3370 |
Vancomycin hcl injection |
595 |
306 |
$3K |
| 82272 |
|
553 |
476 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,563 |
1,878 |
$3K |
| 77065 |
Tomosynthesis, mammo |
31 |
28 |
$3K |
| 83605 |
|
1,688 |
1,414 |
$3K |
| J2785 |
Regadenoson injection |
1,290 |
1,155 |
$2K |
| 80061 |
|
2,149 |
1,946 |
$2K |
| 94060 |
|
16 |
16 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,398 |
526 |
$2K |
| J1100 |
Dexamethasone sodium phos |
8,986 |
7,449 |
$2K |
| 71275 |
|
1,102 |
1,002 |
$2K |
| J3010 |
Fentanyl citrate injection |
8,632 |
7,386 |
$2K |
| 80076 |
|
181 |
159 |
$2K |
| 86140 |
|
1,459 |
1,257 |
$2K |
| 42820 |
|
102 |
101 |
$2K |
| J0330 |
Succinycholine chloride inj |
2,161 |
1,995 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,290 |
1,885 |
$2K |
| J2001 |
Lidocaine injection |
11,002 |
7,998 |
$2K |
| 85379 |
|
999 |
919 |
$2K |
| 97022 |
|
58 |
12 |
$1K |
| 82550 |
|
2,425 |
1,557 |
$1K |
| 86592 |
|
795 |
784 |
$1K |
| 82784 |
|
28 |
26 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
738 |
673 |
$1K |
| J1756 |
Iron sucrose injection |
398 |
204 |
$1K |
| 96413 |
|
204 |
93 |
$1K |
| 70491 |
|
42 |
42 |
$980.44 |
| 12001 |
|
205 |
188 |
$940.85 |
| 82553 |
|
1,784 |
1,057 |
$927.92 |
| 80329 |
|
2,053 |
1,396 |
$811.28 |
| G0480 |
Drug test def 1-7 classes |
310 |
262 |
$765.31 |
| 93970 |
|
13 |
13 |
$760.29 |
| 82570 |
|
497 |
421 |
$736.32 |
| J2765 |
Metoclopramide hcl injection |
908 |
783 |
$721.42 |
| J2250 |
Inj midazolam hydrochloride |
5,883 |
5,310 |
$714.06 |
| J0280 |
Aminophyllin 250 mg inj |
243 |
200 |
$692.38 |
| 73090 |
|
29 |
24 |
$665.42 |
| 76870 |
|
15 |
12 |
$662.83 |
| 82607 |
|
894 |
848 |
$639.22 |
| 97597 |
|
52 |
29 |
$626.43 |
| 99203 |
|
13 |
12 |
$597.08 |
| J7050 |
Normal saline solution infus |
1,141 |
702 |
$576.50 |
| 71260 |
|
623 |
582 |
$525.14 |
| 80164 |
|
12 |
12 |
$491.21 |
| 76000 |
|
195 |
175 |
$480.26 |
| 74019 |
|
26 |
25 |
$371.40 |
| A9500 |
Tc99m sestamibi |
717 |
684 |
$346.93 |
| 90715 |
|
1,142 |
1,025 |
$345.52 |
| 97162 |
|
131 |
101 |
$341.82 |
| 85651 |
|
1,659 |
1,495 |
$338.41 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
31 |
29 |
$315.91 |
| 97116 |
|
995 |
427 |
$236.94 |
| 73590 |
|
47 |
36 |
$211.36 |
| 84165 |
|
430 |
377 |
$120.59 |
| 84550 |
|
199 |
177 |
$119.39 |
| 86901 |
|
5,232 |
4,494 |
$107.17 |
| 94664 |
|
316 |
288 |
$105.13 |
| 87205 |
|
1,485 |
986 |
$103.68 |
| J0702 |
Betamethasone acet&sod phosp |
79 |
65 |
$100.08 |
| J1642 |
Inj heparin sodium per 10 u |
169 |
87 |
$96.68 |
| 77063 |
|
2,390 |
2,366 |
$87.98 |
| 84439 |
|
1,436 |
1,318 |
$83.33 |
| 97165 |
|
15 |
15 |
$65.02 |
| 84030 |
|
14 |
13 |
$63.81 |
| J8540 |
Oral dexamethasone |
522 |
500 |
$50.00 |
| 85045 |
|
173 |
153 |
$44.61 |
| 82248 |
|
2,663 |
1,441 |
$32.38 |
| 90471 |
|
677 |
581 |
$25.23 |
| 87389 |
|
13 |
12 |
$23.66 |
| 84132 |
|
125 |
98 |
$22.08 |
| 90686 |
|
92 |
88 |
$19.03 |
| 86308 |
|
40 |
39 |
$6.45 |
| 86850 |
|
1,668 |
1,419 |
$5.55 |
| J7510 |
Prednisolone oral per 5 mg |
718 |
659 |
$1.00 |
| J0690 |
Cefazolin sodium injection |
2,769 |
2,192 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
420 |
282 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
984 |
869 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
403 |
378 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
170 |
154 |
$0.00 |
| 83615 |
|
422 |
387 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
158 |
127 |
$0.00 |
| D7140 |
|
189 |
149 |
$0.00 |
| D1208 |
|
185 |
135 |
$0.00 |
| J1439 |
Inj ferric carboxymaltos 1mg |
20 |
13 |
$0.00 |
| C1889 |
Implant/insert device, noc |
308 |
303 |
$0.00 |
| J3480 |
Inj potassium chloride |
42 |
31 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
40 |
30 |
$0.00 |
| G0008 |
Admin influenza virus vac |
141 |
132 |
$0.00 |
| J1940 |
Furosemide injection |
120 |
50 |
$0.00 |
| 95851 |
|
13 |
12 |
$0.00 |
| 88307 |
|
40 |
36 |
$0.00 |
| D3220 |
|
139 |
101 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
43 |
39 |
$0.00 |
| 82306 |
|
30 |
25 |
$0.00 |
| 45380 |
|
77 |
53 |
$0.00 |
| 51798 |
|
18 |
13 |
$0.00 |
| 82746 |
|
67 |
66 |
$0.00 |
| 82150 |
|
24 |
21 |
$0.00 |
| D2392 |
|
39 |
24 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
262 |
225 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,114 |
307 |
$0.00 |
| C1769 |
Guide wire |
13 |
12 |
$0.00 |
| J0706 |
Caffeine citrate injection |
20 |
13 |
$0.00 |
| D2330 |
|
22 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
12 |
$0.00 |
| 83050 |
|
13 |
13 |
$0.00 |
| 87449 |
|
12 |
12 |
$0.00 |
| 85014 |
|
90 |
78 |
$0.00 |
| J1953 |
Levetiracetam injection |
16 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
166 |
105 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
188 |
181 |
$0.00 |
| 77062 |
|
146 |
145 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
769 |
720 |
$0.00 |
| 84481 |
|
14 |
12 |
$0.00 |
| D2930 |
|
583 |
428 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
46 |
39 |
$0.00 |
| J0780 |
Prochlorperazine injection |
99 |
81 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
669 |
551 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
226 |
221 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
181 |
156 |
$0.00 |
| G8978 |
Mobility current status |
153 |
100 |
$0.00 |
| 45385 |
|
42 |
38 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
42 |
$0.00 |
| D2391 |
|
38 |
29 |
$0.00 |
| 87324 |
|
12 |
12 |
$0.00 |
| 84100 |
|
51 |
38 |
$0.00 |
| 47562 |
|
12 |
12 |
$0.00 |
| 99218 |
|
36 |
13 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| 93226 |
|
13 |
12 |
$0.00 |
| 94729 |
|
13 |
13 |
$0.00 |
| 99219 |
|
43 |
16 |
$0.00 |
| 86038 |
|
14 |
13 |
$0.00 |
| D2934 |
|
18 |
15 |
$0.00 |
| 82375 |
|
15 |
13 |
$0.00 |
| 82805 |
|
14 |
13 |
$0.00 |
| 94726 |
|
12 |
12 |
$0.00 |