| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,494 |
11,727 |
$9.56M |
| 99284 |
|
13,921 |
11,285 |
$5.77M |
| 99282 |
|
8,596 |
6,635 |
$3.70M |
| G0463 |
Hospital outpt clinic visit |
11,222 |
9,396 |
$2.61M |
| 80048 |
|
6,377 |
5,587 |
$704K |
| 93005 |
|
3,703 |
3,428 |
$693K |
| 99232 |
|
11,423 |
3,233 |
$678K |
| 87635 |
|
1,806 |
1,720 |
$674K |
| 80053 |
|
3,584 |
3,197 |
$565K |
| 85025 |
|
9,382 |
8,096 |
$452K |
| 99233 |
Prolong inpt eval add15 m |
5,003 |
1,378 |
$439K |
| 93306 |
|
883 |
653 |
$425K |
| 96413 |
|
465 |
268 |
$341K |
| 71045 |
|
12,732 |
10,558 |
$324K |
| 84484 |
|
1,782 |
1,578 |
$272K |
| 99285 |
|
1,011 |
977 |
$253K |
| 11042 |
|
559 |
179 |
$239K |
| 71046 |
|
2,529 |
2,312 |
$230K |
| 99223 |
Prolong inpt eval add15 m |
1,517 |
1,467 |
$218K |
| 96374 |
|
924 |
807 |
$166K |
| 99281 |
|
392 |
353 |
$138K |
| 96365 |
|
279 |
162 |
$133K |
| 74177 |
|
1,200 |
1,103 |
$128K |
| 99214 |
|
1,677 |
1,543 |
$126K |
| 99291 |
|
659 |
329 |
$123K |
| 96372 |
|
843 |
455 |
$120K |
| 87426 |
|
877 |
741 |
$120K |
| 99239 |
|
1,342 |
1,301 |
$117K |
| 84443 |
|
658 |
563 |
$99K |
| 99213 |
|
1,778 |
1,490 |
$94K |
| 99222 |
|
884 |
846 |
$94K |
| J1756 |
Iron sucrose injection |
268 |
111 |
$85K |
| 70450 |
|
2,125 |
1,824 |
$82K |
| 81001 |
|
3,292 |
3,043 |
$61K |
| 94010 |
|
189 |
98 |
$61K |
| 83605 |
|
697 |
641 |
$59K |
| 82803 |
|
478 |
437 |
$59K |
| 85396 |
|
700 |
632 |
$55K |
| 80076 |
|
2,210 |
1,781 |
$52K |
| 87400 |
|
966 |
850 |
$48K |
| 85027 |
|
1,267 |
1,174 |
$45K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
103 |
95 |
$45K |
| 88305 |
|
861 |
774 |
$43K |
| 83690 |
|
605 |
544 |
$42K |
| 82728 |
|
188 |
128 |
$39K |
| 83880 |
|
178 |
161 |
$38K |
| 93010 |
|
5,898 |
5,617 |
$38K |
| 99221 |
|
392 |
360 |
$31K |
| 80061 |
|
257 |
230 |
$29K |
| 99231 |
|
765 |
209 |
$29K |
| 83021 |
|
477 |
437 |
$28K |
| 83735 |
|
478 |
435 |
$26K |
| 82330 |
|
478 |
437 |
$21K |
| 83020 |
|
477 |
437 |
$20K |
| 74176 |
|
302 |
288 |
$20K |
| 83036 |
|
192 |
181 |
$17K |
| 94729 |
|
172 |
92 |
$14K |
| J7050 |
Normal saline solution infus |
2,298 |
1,027 |
$14K |
| 96375 |
|
52 |
50 |
$12K |
| 94726 |
|
50 |
29 |
$12K |
| 99212 |
|
386 |
335 |
$12K |
| 81025 |
|
111 |
110 |
$10K |
| 73630 |
|
87 |
78 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
222 |
115 |
$8K |
| 99203 |
|
98 |
94 |
$7K |
| 87340 |
|
57 |
50 |
$6K |
| 94642 |
|
33 |
32 |
$6K |
| 71275 |
|
81 |
77 |
$6K |
| 94760 |
|
171 |
158 |
$5K |
| 99238 |
|
76 |
73 |
$5K |
| 83540 |
|
63 |
55 |
$4K |
| 85610 |
|
91 |
88 |
$4K |
| 86140 |
|
85 |
75 |
$3K |
| 84702 |
|
13 |
13 |
$3K |
| 82310 |
|
60 |
56 |
$3K |
| 80051 |
|
476 |
436 |
$3K |
| 86803 |
|
12 |
12 |
$3K |
| 11720 |
|
23 |
12 |
$2K |
| 70551 |
|
53 |
43 |
$2K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 99204 |
|
25 |
24 |
$2K |
| 82962 |
|
250 |
102 |
$2K |
| 88304 |
|
163 |
150 |
$2K |
| 86704 |
|
12 |
12 |
$2K |
| 82607 |
|
13 |
13 |
$2K |
| 86706 |
|
12 |
12 |
$2K |
| 0002A |
|
16 |
16 |
$1K |
| 84439 |
|
30 |
29 |
$1K |
| 99202 |
|
25 |
25 |
$1K |
| 88307 |
|
14 |
14 |
$1K |
| 82746 |
|
14 |
14 |
$1K |
| 0001A |
|
14 |
14 |
$1K |
| 76705 |
|
58 |
54 |
$1K |
| 94375 |
|
85 |
81 |
$1K |
| 82150 |
|
15 |
14 |
$999.96 |
| 70496 |
|
14 |
12 |
$839.40 |
| 70498 |
|
14 |
12 |
$839.40 |
| 83615 |
|
16 |
13 |
$777.28 |
| 95012 |
|
16 |
14 |
$727.24 |
| 76775 |
|
29 |
29 |
$551.39 |
| J1885 |
Ketorolac tromethamine inj |
112 |
106 |
$444.00 |
| 85045 |
|
12 |
12 |
$426.91 |
| 72125 |
|
13 |
12 |
$333.34 |
| J3420 |
Vitamin b12 injection |
23 |
13 |
$260.00 |
| 93248 |
|
12 |
12 |
$196.00 |
| A4217 |
Sterile water/saline, 500 ml |
197 |
57 |
$194.00 |
| 93971 |
|
12 |
12 |
$188.01 |
| 99152 |
|
15 |
14 |
$133.54 |
| J7613 |
Albuterol non-comp unit |
26 |
26 |
$42.00 |
| J1200 |
Diphenhydramine hcl injectio |
24 |
12 |
$30.00 |
| A4216 |
Sterile water/saline, 10 ml |
22 |
21 |
$24.00 |
| 91301 |
|
12 |
12 |
$0.00 |