| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
13,841 |
12,369 |
$1.29M |
| 99214 |
|
14,096 |
13,372 |
$918K |
| 96413 |
|
6,641 |
5,273 |
$538K |
| 78815 |
|
298 |
280 |
$335K |
| 96367 |
|
3,957 |
3,025 |
$131K |
| 74177 |
|
708 |
659 |
$120K |
| 77014 |
|
1,279 |
369 |
$104K |
| G6015 |
Radiation tx delivery imrt |
438 |
111 |
$102K |
| 71260 |
|
764 |
712 |
$76K |
| A9552 |
F18 fdg |
257 |
248 |
$73K |
| 96375 |
|
3,188 |
2,420 |
$58K |
| 99233 |
Prolong inpt eval add15 m |
553 |
230 |
$49K |
| 99205 |
Prolong outpt/office vis |
291 |
290 |
$45K |
| 77427 |
|
373 |
217 |
$44K |
| S9999 |
Sales tax |
725 |
497 |
$38K |
| G2211 |
Complex e/m visit add on |
3,511 |
3,349 |
$37K |
| 99213 |
|
669 |
661 |
$36K |
| J2469 |
Palonosetron hcl |
1,374 |
1,037 |
$31K |
| 77336 |
|
411 |
251 |
$20K |
| 99232 |
|
348 |
126 |
$15K |
| 94060 |
|
354 |
351 |
$13K |
| 99442 |
|
154 |
142 |
$11K |
| 99204 |
|
95 |
93 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,244 |
1,341 |
$10K |
| 96523 |
|
464 |
383 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
6,349 |
4,765 |
$7K |
| 96415 |
|
296 |
239 |
$7K |
| 73130 |
|
95 |
95 |
$6K |
| 77334 |
|
31 |
25 |
$6K |
| 94618 |
|
218 |
211 |
$5K |
| 96365 |
|
113 |
104 |
$4K |
| 96416 |
|
35 |
26 |
$4K |
| 94726 |
|
108 |
106 |
$4K |
| 94729 |
|
107 |
105 |
$4K |
| 36415 |
|
1,252 |
1,045 |
$4K |
| 71046 |
|
154 |
153 |
$3K |
| 99245 |
|
14 |
14 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,566 |
1,896 |
$3K |
| 99358 |
Prolong nursin fac eval 15m |
46 |
46 |
$2K |
| J0640 |
Leucovorin calcium injection |
52 |
38 |
$2K |
| 96372 |
|
208 |
179 |
$2K |
| 99443 |
|
13 |
13 |
$2K |
| J9190 |
Fluorouracil injection |
56 |
38 |
$2K |
| 20610 |
|
25 |
25 |
$2K |
| 96417 |
|
48 |
36 |
$1K |
| 73630 |
|
29 |
29 |
$1K |
| 92511 |
|
12 |
12 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
192 |
185 |
$1K |
| 96401 |
|
14 |
13 |
$756.81 |
| 81003 |
|
437 |
418 |
$491.16 |
| 96402 |
|
13 |
13 |
$355.50 |
| J1040 |
Methylprednisolone 80 mg inj |
27 |
25 |
$261.44 |
| A9579 |
Gad-base mr contrast nos,1ml |
13 |
13 |
$258.71 |
| 96368 |
|
16 |
12 |
$185.14 |
| A9585 |
Gadobutrol injection |
51 |
49 |
$92.24 |
| J1200 |
Diphenhydramine hcl injectio |
91 |
78 |
$74.04 |
| 85610 |
|
16 |
14 |
$34.42 |
| 81002 |
|
14 |
14 |
$30.52 |
| 99072 |
|
351 |
344 |
$18.40 |
| 94761 |
|
17 |
16 |
$4.63 |