| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,228 |
11,444 |
$3.97M |
| 99283 |
|
11,953 |
11,294 |
$3.55M |
| H0035 |
Mh partial hosp tx under 24h |
10,292 |
1,053 |
$3.34M |
| 99285 |
|
7,246 |
6,773 |
$2.89M |
| A0427 |
Als1-emergency |
5,732 |
5,396 |
$2.07M |
| A0429 |
Bls-emergency |
5,892 |
4,860 |
$1.18M |
| A0434 |
Specialty care transport |
1,786 |
1,754 |
$1.07M |
| G0378 |
Hospital observation per hr |
2,583 |
2,285 |
$890K |
| A0425 |
Ground mileage |
16,032 |
13,764 |
$714K |
| 99282 |
|
3,143 |
2,996 |
$562K |
| 90837 |
|
3,982 |
1,969 |
$285K |
| 93306 |
|
701 |
699 |
$264K |
| 97110 |
|
7,010 |
1,898 |
$257K |
| 90834 |
|
3,347 |
1,889 |
$228K |
| 59025 |
|
653 |
270 |
$211K |
| A0433 |
Als 2 |
360 |
360 |
$158K |
| G0463 |
Hospital outpt clinic visit |
2,845 |
2,164 |
$150K |
| 11042 |
|
535 |
392 |
$109K |
| A0428 |
Bls |
2,573 |
2,275 |
$96K |
| 93005 |
|
6,480 |
5,891 |
$88K |
| 90791 |
|
631 |
533 |
$88K |
| 92507 |
|
1,502 |
429 |
$77K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,002 |
1,963 |
$76K |
| 93017 |
|
175 |
175 |
$75K |
| 36415 |
|
19,043 |
15,380 |
$71K |
| 97140 |
|
2,489 |
799 |
$69K |
| 96374 |
|
7,041 |
6,545 |
$66K |
| 76811 |
|
472 |
471 |
$63K |
| 80048 |
|
13,650 |
11,827 |
$62K |
| 74177 |
|
1,749 |
1,718 |
$61K |
| 71046 |
|
6,492 |
6,293 |
$59K |
| 85025 |
|
16,858 |
14,414 |
$58K |
| 76817 |
|
932 |
868 |
$57K |
| 94760 |
|
31,849 |
25,561 |
$56K |
| 76801 |
|
1,041 |
948 |
$53K |
| 77067 |
|
464 |
464 |
$47K |
| 76805 |
|
586 |
577 |
$46K |
| 96361 |
|
4,445 |
4,027 |
$44K |
| 96375 |
|
4,404 |
4,039 |
$41K |
| 76856 |
|
789 |
775 |
$40K |
| 80307 |
|
2,798 |
2,611 |
$40K |
| 76830 |
|
664 |
655 |
$39K |
| 94640 |
|
2,131 |
1,735 |
$38K |
| 97010 |
|
3,139 |
998 |
$37K |
| 76816 |
|
501 |
482 |
$36K |
| 70450 |
|
3,099 |
3,009 |
$36K |
| 99281 |
|
258 |
240 |
$35K |
| 96360 |
|
2,180 |
2,114 |
$35K |
| 78452 |
|
115 |
115 |
$34K |
| 97161 |
|
747 |
739 |
$33K |
| 99213 |
|
925 |
865 |
$32K |
| 76815 |
|
601 |
377 |
$30K |
| OP710 |
|
1,479 |
1,421 |
$30K |
| 36000 |
|
4,668 |
4,420 |
$30K |
| OP279 |
|
4,159 |
3,846 |
$30K |
| 96365 |
|
1,376 |
1,268 |
$28K |
| 96372 |
|
2,278 |
2,030 |
$27K |
| 84484 |
|
4,066 |
3,562 |
$25K |
| 99214 |
|
496 |
460 |
$25K |
| 95806 |
|
25 |
25 |
$24K |
| 74176 |
|
1,302 |
1,274 |
$24K |
| 93975 |
|
949 |
918 |
$23K |
| 80076 |
|
5,718 |
5,352 |
$22K |
| 81003 |
|
10,289 |
9,632 |
$22K |
| 85610 |
|
6,715 |
6,235 |
$22K |
| 93971 |
|
484 |
478 |
$22K |
| 80053 |
|
3,698 |
3,526 |
$22K |
| 71045 |
|
2,213 |
2,137 |
$21K |
| 77066 |
Tomosynthesis, mammo |
82 |
82 |
$20K |
| 97530 |
|
1,079 |
743 |
$20K |
| 85730 |
|
6,196 |
5,870 |
$19K |
| 97112 |
|
590 |
236 |
$19K |
| 73564 |
|
623 |
618 |
$17K |
| 84443 |
|
1,066 |
1,044 |
$16K |
| J3490 |
Drugs unclassified injection |
1,777 |
1,502 |
$16K |
| 76642 |
|
254 |
253 |
$16K |
| 82962 |
|
2,476 |
1,810 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
885 |
874 |
$15K |
| 90832 |
|
192 |
148 |
$15K |
| 86901 |
|
1,219 |
1,170 |
$15K |
| J3010 |
Fentanyl citrate injection |
899 |
887 |
$15K |
| 76705 |
|
651 |
643 |
$15K |
| J2704 |
Inj, propofol, 10 mg |
897 |
890 |
$15K |
| OP259 |
|
13,473 |
10,150 |
$14K |
| 73630 |
|
949 |
932 |
$14K |
| J2405 |
Ondansetron hcl injection |
3,718 |
3,297 |
$14K |
| 95819 |
|
79 |
78 |
$14K |
| 93970 |
|
194 |
191 |
$14K |
| 43239 |
|
12 |
12 |
$13K |
| 81001 |
|
5,905 |
5,618 |
$13K |
| J7030 |
Normal saline solution infus |
5,540 |
4,800 |
$12K |
| 93041 |
|
2,378 |
2,173 |
$12K |
| J2001 |
Lidocaine injection |
623 |
619 |
$12K |
| 80306 |
|
549 |
518 |
$12K |
| 71275 |
|
428 |
422 |
$11K |
| 72125 |
|
837 |
825 |
$11K |
| 71250 |
|
229 |
227 |
$11K |
| 83690 |
|
4,097 |
3,818 |
$11K |
| 83735 |
|
2,596 |
2,380 |
$10K |
| 72110 |
|
312 |
311 |
$10K |
| A9502 |
Tc99m tetrofosmin |
94 |
94 |
$10K |
| 99291 |
|
49 |
49 |
$10K |
| 83880 |
|
767 |
725 |
$10K |
| J7040 |
Normal saline solution infus |
2,049 |
1,746 |
$10K |
| 76813 |
|
80 |
80 |
$9K |
| 86850 |
|
896 |
871 |
$9K |
| 87491 |
|
892 |
878 |
$9K |
| 87591 |
|
892 |
878 |
$9K |
| 80061 |
|
652 |
642 |
$9K |
| 70551 |
|
37 |
37 |
$9K |
| 76770 |
|
148 |
147 |
$9K |
| 73610 |
|
809 |
791 |
$8K |
| 73130 |
|
813 |
800 |
$8K |
| 87086 |
|
2,959 |
2,862 |
$8K |
| J2060 |
Lorazepam injection |
1,224 |
1,034 |
$8K |
| 86900 |
|
1,217 |
1,169 |
$7K |
| 87186 |
|
1,036 |
1,011 |
$7K |
| 11043 |
|
44 |
40 |
$7K |
| 73030 |
|
711 |
699 |
$7K |
| 87070 |
|
1,127 |
1,105 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,424 |
1,383 |
$7K |
| 17250 |
|
67 |
58 |
$7K |
| 96366 |
|
422 |
391 |
$6K |
| 80329 |
|
1,474 |
1,339 |
$6K |
| G0480 |
Drug test def 1-7 classes |
190 |
142 |
$6K |
| 87205 |
|
645 |
625 |
$6K |
| 76536 |
|
68 |
67 |
$6K |
| 73110 |
|
467 |
450 |
$6K |
| 84703 |
|
2,946 |
2,852 |
$6K |
| 82150 |
|
2,394 |
2,281 |
$6K |
| OP272 |
|
1,055 |
1,019 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
3,961 |
3,661 |
$5K |
| 83036 |
|
461 |
461 |
$5K |
| 83605 |
|
810 |
776 |
$5K |
| 77065 |
Tomosynthesis, mammo |
40 |
39 |
$5K |
| 81025 |
|
3,635 |
3,258 |
$5K |
| 87804 |
|
1,972 |
1,951 |
$5K |
| 96376 |
|
966 |
888 |
$5K |
| 85027 |
|
665 |
616 |
$5K |
| 87040 |
|
884 |
848 |
$4K |
| 88304 |
|
165 |
164 |
$4K |
| 90715 |
|
575 |
573 |
$4K |
| 97597 |
|
28 |
28 |
$4K |
| 82550 |
|
718 |
674 |
$4K |
| 84702 |
|
998 |
877 |
$4K |
| 97116 |
|
429 |
281 |
$4K |
| 72100 |
|
332 |
328 |
$4K |
| 76700 |
|
50 |
50 |
$4K |
| 80320 |
|
2,484 |
2,101 |
$3K |
| J2270 |
Morphine sulfate injection |
1,581 |
1,367 |
$3K |
| 87389 |
|
129 |
126 |
$3K |
| 77063 |
|
107 |
107 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
445 |
258 |
$3K |
| 70486 |
|
149 |
148 |
$3K |
| 73620 |
|
227 |
221 |
$3K |
| 73502 |
|
257 |
254 |
$3K |
| 84100 |
|
643 |
585 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
895 |
810 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,015 |
914 |
$3K |
| 85379 |
|
1,002 |
986 |
$3K |
| J2765 |
Metoclopramide hcl injection |
961 |
903 |
$3K |
| 73562 |
|
324 |
315 |
$3K |
| OP250 |
|
1,706 |
1,475 |
$3K |
| 87880 |
|
1,077 |
1,067 |
$3K |
| 97162 |
|
93 |
92 |
$3K |
| 99212 |
|
80 |
76 |
$3K |
| 74022 |
|
345 |
340 |
$3K |
| OP270 |
|
104 |
100 |
$3K |
| J7050 |
Normal saline solution infus |
520 |
488 |
$2K |
| 85018 |
|
377 |
354 |
$2K |
| 88305 |
|
493 |
491 |
$2K |
| 80165 |
|
246 |
226 |
$2K |
| 72148 |
|
12 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
1,269 |
1,042 |
$2K |
| 80178 |
|
153 |
137 |
$2K |
| 87147 |
|
664 |
653 |
$2K |
| J2930 |
Methylprednisolone injection |
730 |
712 |
$2K |
| 82375 |
|
245 |
238 |
$2K |
| 71260 |
|
26 |
26 |
$2K |
| 82803 |
|
199 |
193 |
$2K |
| 83050 |
|
227 |
221 |
$2K |
| 72131 |
|
101 |
101 |
$2K |
| 82948 |
|
172 |
137 |
$2K |
| J1650 |
Inj enoxaparin sodium |
269 |
183 |
$2K |
| 73080 |
|
159 |
154 |
$1K |
| 87077 |
|
291 |
286 |
$1K |
| 72050 |
|
49 |
49 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
538 |
479 |
$1K |
| 74018 |
|
147 |
147 |
$1K |
| 82553 |
|
111 |
93 |
$1K |
| 90471 |
|
390 |
372 |
$1K |
| 94664 |
|
14 |
12 |
$1K |
| OP450 |
|
175 |
149 |
$1K |
| 94729 |
|
28 |
28 |
$1K |
| 94727 |
|
27 |
27 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
349 |
268 |
$1K |
| J2760 |
Phentolaine mesylate inj |
117 |
90 |
$1K |
| J1815 |
Insulin injection |
21 |
13 |
$1K |
| 97802 |
|
13 |
13 |
$990.11 |
| 73590 |
|
112 |
111 |
$916.05 |
| 82607 |
|
33 |
33 |
$867.86 |
| 97164 |
|
26 |
25 |
$858.55 |
| 87081 |
|
227 |
224 |
$798.38 |
| 87807 |
|
325 |
322 |
$733.61 |
| A4311 |
Catheter w/o bag 2-way latex |
97 |
93 |
$629.97 |
| 73120 |
|
75 |
74 |
$611.01 |
| 85652 |
|
373 |
359 |
$602.26 |
| 51702 |
|
27 |
25 |
$591.89 |
| 82746 |
|
15 |
15 |
$562.24 |
| P9612 |
Catheterize for urine spec |
2,278 |
2,240 |
$548.69 |
| 72040 |
|
52 |
52 |
$541.19 |
| 85380 |
|
74 |
73 |
$533.37 |
| 90853 |
|
100 |
24 |
$533.03 |
| 76819 |
|
12 |
12 |
$518.25 |
| 89220 |
|
111 |
103 |
$512.43 |
| 86804 |
|
27 |
26 |
$510.50 |
| 73090 |
|
71 |
67 |
$501.32 |
| 86592 |
|
249 |
243 |
$465.71 |
| 72070 |
|
12 |
12 |
$449.11 |
| 73560 |
|
48 |
48 |
$427.26 |
| 36600 |
|
182 |
175 |
$423.08 |
| 87340 |
|
79 |
77 |
$421.24 |
| Q0162 |
Ondansetron oral |
634 |
610 |
$406.74 |
| 87071 |
|
124 |
120 |
$359.21 |
| OP637 |
|
1,856 |
1,282 |
$344.44 |
| 86140 |
|
202 |
196 |
$340.22 |
| 83021 |
|
14 |
14 |
$328.51 |
| 86403 |
|
41 |
38 |
$311.07 |
| 87088 |
|
216 |
209 |
$307.94 |
| J7120 |
Ringers lactate infusion |
213 |
193 |
$305.31 |
| 87801 |
|
53 |
51 |
$296.64 |
| J2310 |
Inj naloxone hydrochloride |
39 |
38 |
$282.40 |
| 86308 |
|
232 |
231 |
$280.61 |
| Q0163 |
Diphenhydramine hcl 50mg |
258 |
233 |
$279.91 |
| 86703 |
|
14 |
13 |
$274.14 |
| 86787 |
|
17 |
17 |
$246.54 |
| 97165 |
|
12 |
12 |
$215.72 |
| A4344 |
Cath indw foley 2 way silicn |
12 |
12 |
$196.65 |
| 71101 |
|
24 |
24 |
$196.17 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
13 |
12 |
$185.34 |
| J7620 |
Albuterol ipratrop non-comp |
1,003 |
855 |
$184.98 |
| J1630 |
Haloperidol injection |
27 |
25 |
$179.08 |
| 85008 |
|
593 |
580 |
$170.25 |
| 84550 |
|
14 |
14 |
$169.11 |
| J2175 |
Meperidine hydrochl /100 mg |
31 |
31 |
$166.09 |
| 87420 |
|
92 |
92 |
$153.99 |
| 85007 |
|
214 |
195 |
$153.55 |
| 87430 |
|
113 |
113 |
$152.06 |
| 86762 |
|
16 |
16 |
$148.78 |
| OP258 |
|
142 |
142 |
$138.72 |
| 73600 |
|
30 |
30 |
$136.65 |
| 87073 |
|
60 |
60 |
$128.15 |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
14 |
$115.78 |
| 86618 |
|
12 |
12 |
$100.26 |
| 84436 |
|
12 |
12 |
$86.80 |
| 29530 |
|
12 |
12 |
$85.30 |
| 82247 |
|
18 |
13 |
$80.68 |
| J7613 |
Albuterol non-comp unit |
253 |
207 |
$73.27 |
| 73140 |
|
30 |
29 |
$62.99 |
| J8540 |
Oral dexamethasone |
71 |
70 |
$27.89 |
| 82330 |
|
12 |
12 |
$18.46 |
| J2274 |
Inj morphine pf epid ithc |
37 |
36 |
$17.17 |
| J3480 |
Inj potassium chloride |
19 |
14 |
$10.68 |
| J0360 |
Hydralazine hcl injection |
15 |
13 |
$9.93 |
| J3475 |
Inj magnesium sulfate |
26 |
25 |
$5.05 |
| 82248 |
|
12 |
12 |
$4.50 |
| G8978 |
Mobility current status |
28 |
27 |
$4.00 |
| G8979 |
Mobility goal status |
31 |
29 |
$4.00 |
| 73552 |
|
12 |
12 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
17 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
14 |
$0.00 |