| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,049 |
13,270 |
$1.85M |
| 99284 |
|
9,218 |
8,533 |
$1.81M |
| 99285 |
|
4,231 |
3,810 |
$1.31M |
| 96374 |
|
5,259 |
4,776 |
$627K |
| 99282 |
|
5,735 |
5,517 |
$512K |
| 96365 |
|
4,417 |
3,252 |
$488K |
| 74177 |
|
2,672 |
2,576 |
$488K |
| 70450 |
|
2,449 |
2,347 |
$289K |
| 87635 |
|
6,958 |
6,742 |
$251K |
| G0463 |
Hospital outpt clinic visit |
3,552 |
2,679 |
$235K |
| 96375 |
|
5,567 |
4,848 |
$230K |
| 97110 |
|
8,461 |
2,396 |
$221K |
| 71046 |
|
4,453 |
4,257 |
$188K |
| 96361 |
|
4,804 |
4,156 |
$168K |
| 74176 |
|
1,088 |
1,051 |
$133K |
| 96360 |
|
1,175 |
892 |
$130K |
| 71045 |
|
2,698 |
2,543 |
$120K |
| 77067 |
|
1,921 |
1,911 |
$119K |
| 80061 |
|
5,946 |
5,895 |
$95K |
| 11042 |
|
380 |
185 |
$69K |
| 97112 |
|
2,787 |
1,029 |
$66K |
| 80053 |
|
22,915 |
20,374 |
$65K |
| 84443 |
|
6,832 |
6,705 |
$65K |
| 76705 |
|
720 |
715 |
$52K |
| 85025 |
|
24,615 |
21,309 |
$50K |
| 93306 |
|
207 |
204 |
$45K |
| 76830 |
|
497 |
490 |
$38K |
| 36415 |
|
25,676 |
21,813 |
$38K |
| 96366 |
|
1,109 |
686 |
$36K |
| 82306 |
|
2,029 |
2,013 |
$36K |
| 87491 |
|
1,460 |
1,444 |
$32K |
| 87591 |
|
1,448 |
1,432 |
$32K |
| 97161 |
|
412 |
411 |
$29K |
| 97140 |
|
1,890 |
857 |
$28K |
| 76856 |
|
390 |
386 |
$27K |
| 83036 |
|
4,061 |
4,039 |
$24K |
| 99281 |
|
442 |
424 |
$24K |
| 71260 |
|
156 |
152 |
$23K |
| 77063 |
|
1,185 |
1,185 |
$21K |
| 87086 |
|
6,176 |
5,888 |
$19K |
| 80307 |
|
1,281 |
1,244 |
$18K |
| 93005 |
|
6,630 |
6,052 |
$16K |
| 96372 |
|
4,139 |
3,626 |
$15K |
| 87081 |
|
5,258 |
5,171 |
$12K |
| 94060 |
|
74 |
74 |
$12K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
852 |
851 |
$12K |
| 86900 |
|
361 |
353 |
$12K |
| 71271 |
|
147 |
146 |
$11K |
| 84439 |
|
1,878 |
1,850 |
$10K |
| 80048 |
|
2,895 |
2,455 |
$10K |
| 72100 |
|
252 |
252 |
$9K |
| 82607 |
|
981 |
975 |
$8K |
| 73630 |
|
1,056 |
1,018 |
$8K |
| 86803 |
|
871 |
869 |
$8K |
| 87186 |
|
1,975 |
1,890 |
$8K |
| 73030 |
|
609 |
582 |
$8K |
| 97530 |
|
333 |
125 |
$7K |
| 87088 |
|
1,913 |
1,841 |
$7K |
| 96413 |
|
30 |
12 |
$7K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
319 |
317 |
$6K |
| 78452 |
|
13 |
13 |
$6K |
| 72125 |
|
360 |
350 |
$6K |
| 85027 |
|
1,427 |
1,379 |
$5K |
| 83880 |
|
1,398 |
1,296 |
$5K |
| 71250 |
|
78 |
76 |
$5K |
| 93971 |
|
79 |
77 |
$5K |
| 82728 |
|
543 |
534 |
$5K |
| J7030 |
Normal saline solution infus |
4,885 |
3,915 |
$5K |
| 71275 |
|
49 |
44 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,889 |
1,694 |
$5K |
| 81001 |
|
10,093 |
9,399 |
$4K |
| 87070 |
|
815 |
805 |
$4K |
| 87077 |
|
1,052 |
1,024 |
$4K |
| 83735 |
|
3,428 |
2,844 |
$4K |
| G0103 |
Psa screening |
248 |
247 |
$4K |
| 87426 |
|
150 |
146 |
$3K |
| 96367 |
|
69 |
39 |
$3K |
| 73610 |
|
526 |
502 |
$3K |
| G0378 |
Hospital observation per hr |
32 |
15 |
$3K |
| 83550 |
|
549 |
541 |
$3K |
| 80306 |
|
1,630 |
1,528 |
$3K |
| 86140 |
|
1,777 |
1,570 |
$3K |
| 73130 |
|
468 |
452 |
$3K |
| 93225 |
|
50 |
50 |
$3K |
| 82043 |
|
681 |
679 |
$3K |
| 83540 |
|
631 |
623 |
$3K |
| 87624 |
|
97 |
97 |
$3K |
| 82746 |
|
274 |
274 |
$3K |
| 85610 |
|
6,240 |
4,942 |
$2K |
| 73564 |
|
207 |
197 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,766 |
2,645 |
$2K |
| 87634 |
|
29 |
29 |
$2K |
| 82570 |
|
459 |
449 |
$2K |
| 87075 |
|
354 |
344 |
$2K |
| 87808 |
|
180 |
180 |
$2K |
| 88305 |
|
82 |
80 |
$2K |
| 85652 |
|
1,186 |
1,140 |
$2K |
| 94640 |
|
1,659 |
1,320 |
$1K |
| 74019 |
|
81 |
80 |
$1K |
| 83690 |
|
3,744 |
3,450 |
$1K |
| 90471 |
|
124 |
113 |
$1K |
| 97162 |
|
26 |
26 |
$1K |
| 76801 |
|
12 |
12 |
$980.64 |
| 73110 |
|
101 |
100 |
$761.03 |
| 85730 |
|
1,095 |
1,037 |
$733.96 |
| 80076 |
|
109 |
102 |
$573.06 |
| 74018 |
|
41 |
40 |
$569.77 |
| 72131 |
|
15 |
13 |
$556.45 |
| 84702 |
|
93 |
66 |
$536.06 |
| 74022 |
|
443 |
432 |
$513.30 |
| 76642 |
|
13 |
13 |
$494.80 |
| 81025 |
|
2,935 |
2,812 |
$448.79 |
| 86038 |
|
59 |
59 |
$429.50 |
| 97012 |
|
60 |
25 |
$356.44 |
| 87276 |
|
3,514 |
3,435 |
$346.68 |
| 73502 |
|
27 |
27 |
$342.36 |
| 84153 |
|
28 |
28 |
$293.01 |
| G0476 |
Hpv combo assay ca screen |
12 |
12 |
$274.53 |
| 83605 |
|
2,963 |
2,681 |
$269.83 |
| 73562 |
|
12 |
12 |
$268.61 |
| 87275 |
|
3,514 |
3,435 |
$265.38 |
| 93017 |
|
15 |
15 |
$253.30 |
| 87430 |
|
3,286 |
3,225 |
$219.45 |
| 72110 |
|
26 |
24 |
$198.47 |
| 85379 |
|
628 |
619 |
$197.47 |
| 87807 |
|
398 |
393 |
$182.60 |
| 87340 |
|
62 |
62 |
$180.41 |
| 84703 |
|
484 |
472 |
$179.17 |
| 84484 |
|
5,006 |
4,087 |
$160.75 |
| 87040 |
|
841 |
684 |
$145.12 |
| 86431 |
|
26 |
26 |
$75.36 |
| 86592 |
|
15 |
15 |
$51.18 |
| 82962 |
|
1,127 |
811 |
$10.28 |
| 93226 |
|
50 |
50 |
$9.66 |
| A9270 |
Non-covered item or service |
1,298 |
1,061 |
$0.38 |
| J2405 |
Ondansetron hcl injection |
4,525 |
3,752 |
$0.10 |
| J2930 |
Methylprednisolone injection |
1,248 |
1,109 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
890 |
783 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,229 |
1,906 |
$0.00 |
| J7120 |
Ringers lactate infusion |
172 |
163 |
$0.00 |
| 94729 |
|
98 |
98 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
41 |
37 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
116 |
100 |
$0.00 |
| G1004 |
Cdsm ndsc |
114 |
94 |
$0.00 |
| J2550 |
Promethazine hcl injection |
171 |
149 |
$0.00 |
| 90715 |
|
73 |
72 |
$0.00 |
| 94726 |
|
49 |
49 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
33 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
20 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
714 |
630 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,507 |
1,289 |
$0.00 |
| 96376 |
|
1,581 |
1,249 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,576 |
2,414 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,623 |
1,228 |
$0.00 |
| J7050 |
Normal saline solution infus |
474 |
390 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
135 |
119 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,142 |
1,067 |
$0.00 |
| 86901 |
|
361 |
353 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
160 |
132 |
$0.00 |
| 86850 |
|
216 |
213 |
$0.00 |
| J2060 |
Lorazepam injection |
119 |
101 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
15 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
41 |
25 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$0.00 |
| 76817 |
|
12 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |