| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
1,430 |
1,370 |
$446K |
| 99284 |
|
779 |
747 |
$315K |
| 99282 |
|
982 |
950 |
$204K |
| G0378 |
Hospital observation per hr |
162 |
148 |
$156K |
| S9480 |
Intensive outpatient psychia |
164 |
155 |
$142K |
| 90853 |
|
1,236 |
329 |
$86K |
| 99285 |
|
312 |
302 |
$75K |
| 92507 |
|
689 |
180 |
$73K |
| 90832 |
|
622 |
341 |
$64K |
| 97110 |
|
734 |
176 |
$56K |
| G0463 |
Hospital outpt clinic visit |
1,009 |
860 |
$55K |
| 80307 |
|
824 |
502 |
$50K |
| 93306 |
|
41 |
41 |
$37K |
| 97140 |
|
630 |
169 |
$34K |
| 99211 |
|
618 |
558 |
$31K |
| 96375 |
|
274 |
225 |
$28K |
| 85025 |
|
2,416 |
2,030 |
$26K |
| OP379 |
|
224 |
215 |
$24K |
| 93005 |
|
730 |
645 |
$23K |
| 99213 |
|
357 |
302 |
$22K |
| 80053 |
|
2,090 |
1,768 |
$21K |
| 74177 |
|
149 |
149 |
$18K |
| 36415 |
|
2,165 |
1,969 |
$14K |
| 96372 |
|
325 |
275 |
$14K |
| 96365 |
|
154 |
144 |
$13K |
| 77067 |
|
105 |
105 |
$13K |
| 70450 |
|
220 |
215 |
$12K |
| 77336 |
|
24 |
13 |
$11K |
| OP272 |
|
307 |
295 |
$11K |
| 71046 |
|
521 |
509 |
$11K |
| 76805 |
|
94 |
86 |
$10K |
| OP710 |
|
108 |
106 |
$8K |
| OP279 |
|
291 |
254 |
$8K |
| G0480 |
Drug test def 1-7 classes |
401 |
325 |
$8K |
| 90670 |
|
28 |
28 |
$6K |
| 84443 |
|
226 |
223 |
$6K |
| 76816 |
|
160 |
146 |
$6K |
| 97010 |
|
555 |
146 |
$6K |
| 92552 |
|
85 |
84 |
$6K |
| OP259 |
|
1,687 |
1,336 |
$6K |
| 76819 |
|
122 |
92 |
$6K |
| 85610 |
|
493 |
422 |
$5K |
| J2270 |
Morphine sulfate injection |
165 |
121 |
$5K |
| 94640 |
|
300 |
243 |
$5K |
| 92567 |
|
84 |
83 |
$5K |
| 84484 |
|
536 |
400 |
$5K |
| 80061 |
|
228 |
226 |
$5K |
| 71260 |
|
13 |
13 |
$5K |
| 96374 |
|
313 |
296 |
$5K |
| 99281 |
|
33 |
31 |
$5K |
| 71045 |
|
202 |
198 |
$4K |
| 96361 |
|
254 |
239 |
$4K |
| 81003 |
|
1,288 |
1,213 |
$4K |
| 76642 |
|
59 |
56 |
$4K |
| 84439 |
|
154 |
151 |
$4K |
| 85730 |
|
431 |
399 |
$4K |
| 76801 |
|
30 |
26 |
$3K |
| 82306 |
|
63 |
63 |
$3K |
| 80048 |
|
149 |
140 |
$3K |
| 74176 |
|
44 |
43 |
$3K |
| 83735 |
|
158 |
143 |
$3K |
| 81025 |
|
128 |
113 |
$3K |
| 76813 |
|
27 |
27 |
$3K |
| J2405 |
Ondansetron hcl injection |
269 |
226 |
$3K |
| 76856 |
|
54 |
54 |
$3K |
| 99391 |
|
47 |
45 |
$3K |
| 96366 |
|
15 |
12 |
$2K |
| G0279 |
Tomosynthesis, mammo |
60 |
60 |
$2K |
| 87088 |
|
523 |
505 |
$2K |
| 93971 |
|
13 |
13 |
$2K |
| 83036 |
|
89 |
87 |
$2K |
| 88305 |
|
95 |
93 |
$2K |
| 88304 |
|
50 |
41 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| 83690 |
|
338 |
320 |
$2K |
| 99392 |
|
20 |
20 |
$1K |
| 87804 |
|
695 |
682 |
$1K |
| 90791 |
|
18 |
16 |
$1K |
| 87070 |
|
577 |
569 |
$1K |
| 86885 |
|
148 |
136 |
$1K |
| 82607 |
|
53 |
51 |
$1K |
| 99173 |
|
76 |
76 |
$1K |
| J3010 |
Fentanyl citrate injection |
24 |
24 |
$1K |
| 86901 |
|
207 |
188 |
$1K |
| 86900 |
|
205 |
185 |
$1K |
| 76705 |
|
40 |
40 |
$984.48 |
| 96360 |
|
33 |
32 |
$969.54 |
| 87491 |
|
42 |
40 |
$962.18 |
| 87591 |
|
42 |
40 |
$959.01 |
| 97161 |
|
12 |
12 |
$887.51 |
| 87040 |
|
100 |
100 |
$883.62 |
| 85027 |
|
111 |
108 |
$847.56 |
| 90471 |
|
88 |
85 |
$832.18 |
| 72110 |
|
27 |
26 |
$731.01 |
| 87880 |
|
581 |
574 |
$727.80 |
| 83655 |
|
26 |
26 |
$686.98 |
| 73030 |
|
43 |
42 |
$682.46 |
| J2060 |
Lorazepam injection |
108 |
78 |
$622.05 |
| 99212 |
|
14 |
12 |
$488.30 |
| 73610 |
|
52 |
50 |
$486.15 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$484.54 |
| 73630 |
|
31 |
30 |
$483.70 |
| 87999 |
|
202 |
195 |
$476.30 |
| 73130 |
|
42 |
40 |
$342.71 |
| J1200 |
Diphenhydramine hcl injectio |
44 |
42 |
$341.21 |
| 83789 |
|
57 |
57 |
$316.85 |
| 90715 |
|
14 |
14 |
$310.82 |
| 84703 |
|
71 |
69 |
$291.01 |
| 83880 |
|
18 |
17 |
$218.22 |
| J1100 |
Dexamethasone sodium phos |
24 |
18 |
$218.03 |
| 73110 |
|
12 |
12 |
$211.11 |
| 82728 |
|
13 |
13 |
$199.80 |
| 85651 |
|
62 |
60 |
$143.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$124.15 |
| 84702 |
|
16 |
16 |
$74.07 |
| 82248 |
|
14 |
13 |
$64.35 |
| 87147 |
|
65 |
63 |
$63.65 |
| 85378 |
|
48 |
48 |
$57.04 |
| 82247 |
|
16 |
14 |
$52.19 |
| J1885 |
Ketorolac tromethamine inj |
250 |
229 |
$46.00 |
| 87186 |
|
12 |
12 |
$44.00 |
| 86308 |
|
43 |
43 |
$24.65 |
| J7030 |
Normal saline solution infus |
20 |
14 |
$6.64 |
| 73080 |
|
12 |
12 |
$0.00 |