| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,009 |
21,204 |
$5.27M |
| 99283 |
|
29,474 |
26,680 |
$4.86M |
| 74177 |
|
5,818 |
5,296 |
$3.30M |
| 99285 |
|
11,197 |
9,462 |
$2.59M |
| 74176 |
|
4,114 |
3,778 |
$1.78M |
| 99282 |
|
10,997 |
10,370 |
$1.24M |
| 11042 |
|
4,603 |
1,948 |
$1.13M |
| 70450 |
|
5,349 |
4,842 |
$1.06M |
| 97110 |
|
10,172 |
2,950 |
$931K |
| 99281 |
|
11,351 |
10,556 |
$720K |
| 97140 |
|
6,409 |
2,097 |
$662K |
| 93005 |
|
21,140 |
17,510 |
$644K |
| 72125 |
|
1,671 |
1,537 |
$476K |
| 77067 |
|
2,567 |
2,509 |
$427K |
| 71275 |
|
769 |
704 |
$337K |
| 93306 |
|
1,365 |
1,271 |
$283K |
| 71046 |
|
8,933 |
8,415 |
$276K |
| 80307 |
|
12,933 |
10,732 |
$265K |
| 72100 |
|
3,366 |
3,231 |
$213K |
| 45380 |
|
438 |
404 |
$210K |
| 93971 |
|
598 |
566 |
$105K |
| 80053 |
|
36,063 |
29,426 |
$99K |
| 74021 |
|
1,159 |
1,087 |
$89K |
| 71260 |
|
1,261 |
1,159 |
$70K |
| 73562 |
|
2,438 |
2,296 |
$66K |
| 0450 |
|
1,702 |
1,539 |
$63K |
| 76700 |
|
651 |
632 |
$60K |
| 73030 |
|
2,460 |
2,298 |
$60K |
| 76705 |
|
1,344 |
1,249 |
$58K |
| 96365 |
|
3,731 |
3,223 |
$55K |
| 71250 |
|
696 |
654 |
$54K |
| 97161 |
|
354 |
338 |
$52K |
| 76830 |
|
726 |
683 |
$50K |
| G0378 |
Hospital observation per hr |
1,451 |
763 |
$49K |
| 71045 |
|
17,606 |
15,251 |
$47K |
| 96374 |
|
13,868 |
12,088 |
$44K |
| 76641 |
|
336 |
329 |
$42K |
| 86756 |
|
890 |
867 |
$38K |
| 72040 |
|
1,708 |
1,652 |
$37K |
| 73630 |
|
2,357 |
2,213 |
$36K |
| 73130 |
|
2,034 |
1,935 |
$35K |
| 87635 |
|
5,374 |
5,038 |
$35K |
| 97597 |
|
348 |
240 |
$34K |
| 73610 |
|
1,672 |
1,543 |
$30K |
| 87636 |
|
4,052 |
3,811 |
$30K |
| 43239 |
|
102 |
90 |
$27K |
| 74018 |
|
910 |
860 |
$26K |
| 70486 |
|
154 |
150 |
$23K |
| 85025 |
|
38,343 |
31,383 |
$22K |
| 73110 |
|
921 |
829 |
$21K |
| 73502 |
|
842 |
764 |
$17K |
| 76805 |
|
238 |
231 |
$17K |
| 72072 |
|
155 |
149 |
$17K |
| 96375 |
|
8,980 |
7,860 |
$17K |
| 97530 |
|
492 |
251 |
$16K |
| 73560 |
|
163 |
160 |
$16K |
| 96361 |
|
6,935 |
6,234 |
$16K |
| 76856 |
|
334 |
317 |
$15K |
| 96372 |
|
6,733 |
6,181 |
$15K |
| 97112 |
|
61 |
27 |
$11K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
5,980 |
5,411 |
$11K |
| 88305 |
|
799 |
729 |
$10K |
| 96366 |
|
1,001 |
864 |
$10K |
| 83880 |
|
7,555 |
6,417 |
$10K |
| 72110 |
|
59 |
56 |
$9K |
| 84484 |
|
15,776 |
11,565 |
$9K |
| 86850 |
|
971 |
769 |
$9K |
| 81001 |
|
23,665 |
20,745 |
$9K |
| 83690 |
|
12,942 |
11,222 |
$9K |
| 87186 |
|
2,275 |
2,083 |
$7K |
| 76536 |
|
129 |
125 |
$7K |
| 83735 |
|
14,405 |
11,438 |
$6K |
| 96360 |
|
2,042 |
1,884 |
$5K |
| 85730 |
|
11,151 |
9,572 |
$5K |
| 84443 |
|
3,249 |
2,669 |
$5K |
| 99211 |
|
771 |
597 |
$5K |
| Z7502 |
|
116 |
107 |
$4K |
| 97162 |
|
31 |
30 |
$4K |
| 73522 |
|
29 |
28 |
$4K |
| G0463 |
Hospital outpt clinic visit |
302 |
217 |
$4K |
| 70551 |
|
13 |
13 |
$3K |
| 73120 |
|
40 |
39 |
$3K |
| 85610 |
|
13,026 |
10,843 |
$3K |
| 81025 |
|
4,612 |
4,272 |
$3K |
| 87088 |
|
5,992 |
5,410 |
$3K |
| 72131 |
|
26 |
24 |
$3K |
| 80050 |
|
44 |
44 |
$3K |
| 93880 |
|
58 |
52 |
$3K |
| 87804 |
|
3,505 |
3,298 |
$3K |
| 93970 |
|
27 |
25 |
$3K |
| 93017 |
|
44 |
38 |
$3K |
| 76775 |
|
48 |
40 |
$2K |
| 72114 |
|
12 |
12 |
$2K |
| 83605 |
|
4,371 |
3,444 |
$2K |
| 72070 |
|
70 |
67 |
$2K |
| 10060 |
|
61 |
56 |
$2K |
| 94640 |
|
2,486 |
1,893 |
$2K |
| 87040 |
|
4,694 |
2,318 |
$2K |
| 80048 |
|
3,214 |
2,582 |
$2K |
| 87070 |
|
305 |
267 |
$2K |
| J2543 |
Piperacillin/tazobactam |
960 |
755 |
$2K |
| 96376 |
|
1,110 |
985 |
$2K |
| 82550 |
|
3,794 |
2,965 |
$2K |
| J2405 |
Ondansetron hcl injection |
10,357 |
8,937 |
$2K |
| 76870 |
|
13 |
12 |
$2K |
| 82150 |
|
1,824 |
1,655 |
$2K |
| 29581 |
|
62 |
25 |
$2K |
| 73721 |
|
21 |
19 |
$2K |
| 71101 |
|
64 |
60 |
$2K |
| 84703 |
|
2,822 |
2,625 |
$1K |
| 87430 |
|
1,988 |
1,906 |
$1K |
| 82553 |
|
2,020 |
1,469 |
$1K |
| 73080 |
|
95 |
92 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
7,699 |
6,884 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
2,528 |
2,039 |
$1K |
| J3010 |
Fentanyl citrate injection |
5,057 |
4,530 |
$944.85 |
| 73590 |
|
70 |
65 |
$834.88 |
| J1100 |
Dexamethasone sodium phos |
3,763 |
3,438 |
$817.91 |
| 84145 |
|
1,214 |
1,039 |
$713.36 |
| 76770 |
|
13 |
13 |
$703.68 |
| 90715 |
|
520 |
499 |
$585.54 |
| 84100 |
|
2,791 |
2,044 |
$579.18 |
| 36415 |
|
11,970 |
8,938 |
$573.66 |
| 82962 |
|
5,376 |
3,037 |
$561.63 |
| 77080 |
|
17 |
16 |
$538.21 |
| 87490 |
|
341 |
330 |
$529.92 |
| J2704 |
Inj, propofol, 10 mg |
5,140 |
4,256 |
$488.34 |
| 12001 |
|
17 |
12 |
$473.11 |
| 84702 |
|
472 |
412 |
$460.23 |
| 87590 |
|
341 |
329 |
$459.42 |
| 73620 |
|
13 |
13 |
$453.92 |
| 84436 |
|
1,258 |
1,135 |
$450.01 |
| J7030 |
Normal saline solution infus |
3,320 |
2,770 |
$443.74 |
| J3490 |
Drugs unclassified injection |
89 |
56 |
$397.99 |
| 86901 |
|
1,706 |
1,379 |
$393.60 |
| 85027 |
|
1,262 |
881 |
$390.85 |
| 86140 |
|
1,428 |
1,278 |
$337.49 |
| J0696 |
Ceftriaxone sodium injection |
2,956 |
2,543 |
$335.42 |
| 86900 |
|
1,707 |
1,376 |
$288.79 |
| 94644 |
|
223 |
194 |
$276.35 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,010 |
1,827 |
$268.16 |
| 73090 |
|
25 |
24 |
$267.62 |
| 73070 |
|
13 |
12 |
$258.70 |
| 85014 |
|
52 |
37 |
$257.37 |
| 51702 |
|
77 |
67 |
$250.46 |
| 80076 |
|
489 |
447 |
$248.30 |
| 96367 |
|
168 |
157 |
$225.59 |
| 80061 |
|
973 |
694 |
$223.24 |
| 93922 |
|
28 |
28 |
$219.72 |
| J2060 |
Lorazepam injection |
1,548 |
1,286 |
$216.14 |
| J2930 |
Methylprednisolone injection |
972 |
855 |
$209.75 |
| 82803 |
|
41 |
30 |
$130.35 |
| J1170 |
Hydromorphone injection |
1,803 |
1,400 |
$128.95 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,464 |
1,315 |
$121.52 |
| 82140 |
|
257 |
223 |
$117.97 |
| 72050 |
|
15 |
14 |
$110.81 |
| J2250 |
Inj midazolam hydrochloride |
2,453 |
2,200 |
$107.63 |
| 85379 |
|
306 |
274 |
$107.21 |
| J2270 |
Morphine sulfate injection |
1,027 |
828 |
$100.48 |
| J1200 |
Diphenhydramine hcl injectio |
1,879 |
1,626 |
$97.50 |
| Q0162 |
Ondansetron oral |
1,637 |
1,536 |
$95.13 |
| G0279 |
Tomosynthesis, mammo |
39 |
39 |
$88.62 |
| 83036 |
|
337 |
243 |
$84.19 |
| J3370 |
Vancomycin hcl injection |
469 |
320 |
$83.65 |
| 90471 |
|
783 |
742 |
$81.69 |
| J0780 |
Prochlorperazine injection |
150 |
137 |
$67.15 |
| J3475 |
Inj magnesium sulfate |
1,617 |
1,374 |
$66.95 |
| J2765 |
Metoclopramide hcl injection |
875 |
760 |
$56.51 |
| J2360 |
Orphenadrine injection |
241 |
227 |
$54.26 |
| J0690 |
Cefazolin sodium injection |
2,069 |
1,888 |
$51.55 |
| 76000 |
|
28 |
26 |
$40.11 |
| 85652 |
|
354 |
319 |
$37.97 |
| 82728 |
|
170 |
151 |
$34.66 |
| 94760 |
|
49 |
26 |
$30.51 |
| 36600 |
|
35 |
29 |
$18.16 |
| 87075 |
|
61 |
51 |
$17.86 |
| 83615 |
|
98 |
91 |
$16.27 |
| J1630 |
Haloperidol injection |
171 |
151 |
$15.20 |
| J1790 |
Droperidol injection |
126 |
115 |
$13.41 |
| 83655 |
|
24 |
12 |
$12.68 |
| C9113 |
Inj pantoprazole sodium, via |
590 |
445 |
$7.95 |
| 84439 |
|
58 |
28 |
$7.91 |
| J7040 |
Normal saline solution infus |
90 |
68 |
$5.71 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
117 |
109 |
$1.00 |
| J2710 |
Neostigmine methylslfte inj |
82 |
76 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
18 |
17 |
$0.00 |
| G8978 |
Mobility current status |
102 |
99 |
$0.00 |
| J1956 |
Levofloxacin injection |
23 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
183 |
171 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
69 |
62 |
$0.00 |
| J2550 |
Promethazine hcl injection |
65 |
55 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
37 |
36 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
21 |
16 |
$0.00 |
| 87811 |
|
29 |
29 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
64 |
25 |
$0.00 |
| 77063 |
|
1,066 |
1,033 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
32 |
25 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
387 |
333 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
14 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
254 |
233 |
$0.00 |
| 11045 |
|
25 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
48 |
37 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
13 |
12 |
$0.00 |
| C1769 |
Guide wire |
59 |
50 |
$0.00 |
| 87426 |
|
17 |
17 |
$0.00 |
| 76801 |
|
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
25 |
13 |
$0.00 |