| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,678 |
30,343 |
$5.13M |
| 99283 |
|
35,304 |
33,112 |
$4.09M |
| 99285 |
|
9,300 |
8,537 |
$1.63M |
| G0378 |
Hospital observation per hr |
5,526 |
4,184 |
$960K |
| 11042 |
|
8,713 |
4,645 |
$708K |
| 41899 |
|
1,273 |
1,227 |
$540K |
| 43239 |
|
961 |
865 |
$443K |
| G0463 |
Hospital outpt clinic visit |
14,587 |
12,116 |
$357K |
| 97530 |
|
4,141 |
980 |
$266K |
| G0379 |
Direct refer hospital observ |
2,309 |
1,756 |
$260K |
| 85025 |
|
70,357 |
58,433 |
$242K |
| 96413 |
|
2,364 |
1,251 |
$209K |
| 87635 |
|
4,360 |
4,143 |
$176K |
| 96374 |
|
16,404 |
15,094 |
$165K |
| 92507 |
|
3,013 |
834 |
$159K |
| 84484 |
|
18,758 |
10,990 |
$145K |
| 80051 |
|
47,240 |
43,201 |
$115K |
| 82565 |
|
47,239 |
43,209 |
$114K |
| 74177 |
|
2,045 |
1,869 |
$111K |
| 82947 |
|
47,226 |
43,209 |
$100K |
| J0875 |
Injection, dalbavancin |
46 |
25 |
$99K |
| 77412 |
|
1,421 |
139 |
$92K |
| 99282 |
|
796 |
775 |
$75K |
| 70450 |
|
2,421 |
2,244 |
$68K |
| 87400 |
|
16,853 |
8,051 |
$64K |
| 93005 |
|
18,535 |
16,453 |
$61K |
| 83605 |
|
11,406 |
9,444 |
$57K |
| 96361 |
|
8,209 |
7,586 |
$49K |
| 96375 |
|
5,993 |
5,106 |
$42K |
| 87086 |
|
8,275 |
7,634 |
$33K |
| 71045 |
|
15,934 |
14,696 |
$32K |
| 99281 |
|
353 |
334 |
$31K |
| 29581 |
|
1,684 |
590 |
$30K |
| 84703 |
|
5,506 |
5,048 |
$28K |
| 77336 |
|
685 |
289 |
$24K |
| 84520 |
|
12,962 |
11,636 |
$23K |
| 80076 |
|
9,796 |
9,035 |
$22K |
| 85730 |
|
9,727 |
8,850 |
$21K |
| 83690 |
|
5,581 |
5,186 |
$20K |
| 96372 |
|
4,546 |
3,709 |
$20K |
| 80053 |
|
8,836 |
7,598 |
$17K |
| 85610 |
|
12,036 |
10,811 |
$16K |
| 80306 |
|
3,831 |
3,495 |
$16K |
| 95810 |
|
50 |
49 |
$16K |
| G0480 |
Drug test def 1-7 classes |
758 |
707 |
$16K |
| 93306 |
|
144 |
129 |
$16K |
| 87880 |
|
2,302 |
2,212 |
$13K |
| 96365 |
|
505 |
376 |
$13K |
| 87807 |
|
1,923 |
1,845 |
$12K |
| 84443 |
|
1,398 |
1,283 |
$11K |
| 81001 |
|
20,649 |
18,997 |
$11K |
| 87070 |
|
2,112 |
2,012 |
$10K |
| 96360 |
|
863 |
816 |
$10K |
| 36415 |
|
10,238 |
7,847 |
$10K |
| 11045 |
|
387 |
235 |
$9K |
| 83880 |
|
1,214 |
1,111 |
$8K |
| 74176 |
|
304 |
284 |
$8K |
| 70551 |
|
45 |
45 |
$7K |
| 45385 |
|
14 |
12 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,276 |
2,041 |
$6K |
| 95811 |
|
27 |
27 |
$6K |
| 71275 |
|
83 |
75 |
$5K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$5K |
| 80179 |
|
1,139 |
1,003 |
$5K |
| 80143 |
|
1,127 |
989 |
$5K |
| 87040 |
|
916 |
491 |
$5K |
| 81003 |
|
5,096 |
4,237 |
$4K |
| 71046 |
|
825 |
792 |
$4K |
| 77334 |
|
19 |
14 |
$4K |
| 85378 |
|
758 |
707 |
$3K |
| 96367 |
|
90 |
39 |
$3K |
| 83874 |
|
854 |
789 |
$3K |
| 71260 |
|
28 |
26 |
$3K |
| 76536 |
|
66 |
65 |
$2K |
| 80048 |
|
2,128 |
1,257 |
$2K |
| 94640 |
|
376 |
355 |
$2K |
| 97597 |
|
32 |
27 |
$2K |
| 77290 |
|
13 |
12 |
$2K |
| 87631 |
|
16 |
16 |
$1K |
| 85027 |
|
735 |
600 |
$1K |
| 72125 |
|
30 |
27 |
$1K |
| 82553 |
|
824 |
762 |
$869.40 |
| 83735 |
|
840 |
472 |
$843.46 |
| 77307 |
|
13 |
12 |
$833.83 |
| 96376 |
|
231 |
107 |
$747.50 |
| 80307 |
|
32 |
30 |
$734.77 |
| 86140 |
|
187 |
176 |
$575.55 |
| 88305 |
|
1,945 |
1,717 |
$461.28 |
| 84112 |
|
13 |
12 |
$435.95 |
| J1642 |
Inj heparin sodium per 10 u |
236 |
121 |
$330.00 |
| 93925 |
|
15 |
14 |
$264.66 |
| J1100 |
Dexamethasone sodium phos |
416 |
372 |
$256.42 |
| 82803 |
|
57 |
49 |
$237.69 |
| 80061 |
|
53 |
50 |
$231.09 |
| 84702 |
|
13 |
12 |
$219.86 |
| 82962 |
|
312 |
118 |
$205.26 |
| 82310 |
|
79 |
75 |
$195.94 |
| 82607 |
|
14 |
12 |
$142.44 |
| 86038 |
|
14 |
12 |
$142.07 |
| 83704 |
|
27 |
26 |
$139.50 |
| 77417 |
|
89 |
39 |
$119.82 |
| 87186 |
|
17 |
16 |
$111.93 |
| 84439 |
|
31 |
28 |
$111.72 |
| 82550 |
|
15 |
13 |
$95.64 |
| 82728 |
|
13 |
13 |
$95.10 |
| 82172 |
|
43 |
38 |
$94.13 |
| 83036 |
|
66 |
61 |
$93.82 |
| 76937 |
|
59 |
51 |
$84.90 |
| J2704 |
Inj, propofol, 10 mg |
3,850 |
3,261 |
$79.32 |
| 86141 |
|
42 |
37 |
$78.61 |
| 82306 |
|
13 |
13 |
$78.57 |
| 82248 |
|
18 |
12 |
$67.48 |
| 82247 |
|
18 |
12 |
$67.48 |
| 83695 |
|
26 |
25 |
$57.25 |
| 83615 |
|
32 |
30 |
$55.92 |
| 87088 |
|
25 |
25 |
$55.74 |
| 73610 |
|
15 |
12 |
$54.45 |
| 86900 |
|
29 |
26 |
$47.36 |
| 86901 |
|
29 |
26 |
$47.36 |
| 85652 |
|
15 |
13 |
$31.80 |
| J3010 |
Fentanyl citrate injection |
31 |
25 |
$26.76 |
| J2270 |
Morphine sulfate injection |
76 |
63 |
$21.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,023 |
4,624 |
$19.28 |
| 82009 |
|
14 |
13 |
$18.32 |
| 83550 |
|
13 |
12 |
$16.71 |
| 74018 |
|
27 |
25 |
$15.78 |
| 84460 |
|
13 |
13 |
$14.07 |
| 82077 |
|
28 |
21 |
$14.03 |
| J1885 |
Ketorolac tromethamine inj |
1,585 |
1,480 |
$6.21 |
| J0689 |
Inj cefazolin sodium, baxter |
14 |
12 |
$0.00 |
| J7030 |
Normal saline solution infus |
87 |
80 |
$0.00 |
| A9270 |
Non-covered item or service |
1,071 |
953 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
120 |
113 |
$0.00 |
| 96366 |
|
32 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
270 |
133 |
$0.00 |
| C1769 |
Guide wire |
77 |
66 |
$0.00 |
| C1781 |
Mesh (implantable) |
21 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
60 |
53 |
$0.00 |