| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96413 |
|
5,721 |
3,700 |
$876K |
| 77014 |
|
2,233 |
230 |
$410K |
| 96372 |
|
1,966 |
1,343 |
$401K |
| 96375 |
|
4,329 |
2,818 |
$364K |
| 99213 |
|
10,389 |
9,443 |
$362K |
| G6015 |
Radiation tx delivery imrt |
1,098 |
110 |
$240K |
| J7050 |
Normal saline solution infus |
1,163 |
864 |
$227K |
| J1200 |
Diphenhydramine hcl injectio |
1,817 |
1,248 |
$227K |
| 99232 |
|
5,590 |
2,133 |
$180K |
| 99214 |
|
2,888 |
2,652 |
$151K |
| 85025 |
|
26,303 |
19,401 |
$141K |
| J1100 |
Dexamethasone sodium phos |
1,807 |
1,017 |
$125K |
| 74177 |
|
1,051 |
895 |
$111K |
| J7040 |
Normal saline solution infus |
453 |
296 |
$99K |
| 36415 |
|
27,403 |
19,731 |
$94K |
| J2469 |
Palonosetron hcl |
1,393 |
901 |
$94K |
| 99223 |
Prolong inpt eval add15 m |
860 |
785 |
$90K |
| 71260 |
|
1,449 |
1,213 |
$89K |
| 96415 |
|
486 |
274 |
$88K |
| 80053 |
|
16,909 |
13,167 |
$81K |
| 77427 |
|
630 |
290 |
$79K |
| 77336 |
|
470 |
207 |
$76K |
| 96417 |
|
550 |
395 |
$73K |
| 99233 |
Prolong inpt eval add15 m |
1,046 |
411 |
$58K |
| 96361 |
|
864 |
545 |
$51K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,087 |
804 |
$38K |
| 96367 |
|
495 |
339 |
$33K |
| 99204 |
|
308 |
259 |
$24K |
| 99195 |
|
368 |
318 |
$22K |
| 82728 |
|
2,994 |
2,628 |
$15K |
| 77334 |
|
90 |
66 |
$11K |
| 99205 |
Prolong outpt/office vis |
74 |
66 |
$8K |
| 99203 |
|
130 |
113 |
$7K |
| 77300 |
|
46 |
41 |
$7K |
| 96365 |
|
262 |
188 |
$7K |
| 84443 |
|
518 |
398 |
$6K |
| 85610 |
|
1,082 |
647 |
$4K |
| 77263 |
|
27 |
27 |
$3K |
| 83550 |
|
946 |
786 |
$3K |
| 77280 |
|
22 |
13 |
$3K |
| 83540 |
|
949 |
789 |
$3K |
| 99222 |
|
39 |
38 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
13 |
12 |
$2K |
| 96360 |
|
87 |
62 |
$2K |
| J1453 |
Fosaprepitant injection |
169 |
87 |
$2K |
| 96523 |
|
416 |
381 |
$2K |
| 82607 |
|
388 |
324 |
$2K |
| 99231 |
|
106 |
55 |
$1K |
| 96411 |
|
52 |
37 |
$1K |
| 84439 |
|
280 |
201 |
$1K |
| 82746 |
|
337 |
276 |
$1K |
| 83615 |
|
594 |
474 |
$977.10 |
| 71046 |
|
13 |
12 |
$555.09 |
| J3420 |
Vitamin b12 injection |
26 |
25 |
$429.18 |
| 77067 |
|
13 |
13 |
$400.78 |
| 82565 |
|
115 |
108 |
$286.49 |
| 82378 |
|
61 |
51 |
$255.90 |
| 84520 |
|
114 |
107 |
$221.23 |
| 96368 |
|
19 |
12 |
$212.32 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
672 |
537 |
$141.92 |
| 83735 |
|
39 |
16 |
$138.69 |
| J2405 |
Ondansetron hcl injection |
73 |
37 |
$54.83 |
| 99442 |
|
14 |
12 |
$18.00 |