| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77014 |
|
54,197 |
16,181 |
$3.21M |
| 77386 |
|
15,287 |
4,994 |
$2.61M |
| 99215 |
Prolong outpt/office vis |
20,880 |
12,194 |
$756K |
| 99214 |
|
13,554 |
10,784 |
$383K |
| 77427 |
|
4,521 |
1,726 |
$292K |
| 77336 |
|
6,910 |
3,975 |
$217K |
| 78815 |
|
1,679 |
790 |
$157K |
| 96413 |
|
5,506 |
2,263 |
$154K |
| 77412 |
|
1,149 |
402 |
$104K |
| 77334 |
|
863 |
609 |
$81K |
| 99213 |
|
3,743 |
3,204 |
$69K |
| 71260 |
|
812 |
589 |
$45K |
| G6015 |
Radiation tx delivery imrt |
3,300 |
1,048 |
$37K |
| 77385 |
|
191 |
65 |
$36K |
| A9552 |
F18 fdg |
1,723 |
799 |
$33K |
| 77301 |
|
85 |
57 |
$32K |
| 99205 |
Prolong outpt/office vis |
495 |
439 |
$31K |
| 77290 |
|
203 |
169 |
$28K |
| 77300 |
|
354 |
283 |
$22K |
| 80053 |
|
3,565 |
2,446 |
$21K |
| 85025 |
|
3,817 |
2,618 |
$17K |
| 77263 |
|
165 |
134 |
$11K |
| 99204 |
|
156 |
150 |
$11K |
| 36415 |
|
8,924 |
5,879 |
$9K |
| 74177 |
|
182 |
135 |
$9K |
| 99203 |
|
125 |
125 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
199 |
54 |
$7K |
| 77338 |
|
42 |
38 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
121 |
90 |
$6K |
| 82728 |
|
639 |
554 |
$5K |
| 99195 |
|
124 |
100 |
$5K |
| 96417 |
|
191 |
83 |
$4K |
| 83550 |
|
593 |
522 |
$3K |
| 82378 |
|
273 |
203 |
$3K |
| 80050 |
|
92 |
83 |
$3K |
| 84443 |
|
380 |
319 |
$2K |
| 96372 |
|
711 |
353 |
$2K |
| 83540 |
|
594 |
523 |
$2K |
| 83615 |
|
471 |
407 |
$2K |
| 99212 |
|
86 |
79 |
$1K |
| 96415 |
|
100 |
51 |
$1K |
| 96411 |
|
59 |
26 |
$1K |
| 96416 |
|
28 |
12 |
$1K |
| 83735 |
|
152 |
101 |
$725.66 |
| 96367 |
|
903 |
353 |
$716.24 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,748 |
1,192 |
$650.86 |
| 96375 |
|
1,964 |
692 |
$579.38 |
| 84153 |
|
76 |
71 |
$536.19 |
| J2469 |
Palonosetron hcl |
75 |
24 |
$513.19 |
| 96402 |
|
65 |
51 |
$499.17 |
| 82607 |
|
59 |
50 |
$421.21 |
| 84403 |
|
31 |
29 |
$403.49 |
| J1100 |
Dexamethasone sodium phos |
663 |
268 |
$355.19 |
| 77370 |
|
16 |
12 |
$329.68 |
| 96365 |
|
415 |
237 |
$197.03 |
| J2919 |
Inj, methylpred sod succ 5mg |
444 |
146 |
$188.17 |
| J1200 |
Diphenhydramine hcl injectio |
158 |
114 |
$66.52 |
| A9585 |
Gadobutrol injection |
29 |
25 |
$42.71 |
| 96374 |
|
26 |
14 |
$20.34 |
| J2405 |
Ondansetron hcl injection |
47 |
26 |
$16.44 |
| 96523 |
|
89 |
56 |
$9.35 |
| J3490 |
Drugs unclassified injection |
19 |
13 |
$3.00 |