| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,817 |
3,382 |
$324K |
| 99283 |
|
3,895 |
3,392 |
$322K |
| 96361 |
|
2,073 |
1,493 |
$265K |
| 99214 |
|
2,832 |
2,347 |
$211K |
| 99284 |
|
3,208 |
2,753 |
$184K |
| 80053 |
|
6,345 |
5,134 |
$111K |
| 96365 |
|
1,529 |
1,145 |
$105K |
| 0241U |
|
1,480 |
1,344 |
$96K |
| 87651 |
|
1,100 |
1,006 |
$92K |
| 99282 |
|
853 |
782 |
$85K |
| 74177 |
|
1,129 |
998 |
$78K |
| 99285 |
|
1,525 |
1,319 |
$74K |
| 87635 |
|
1,171 |
1,026 |
$58K |
| 85025 |
|
7,842 |
6,228 |
$58K |
| 96360 |
|
510 |
429 |
$52K |
| 70450 |
|
550 |
495 |
$41K |
| 87502 |
|
217 |
184 |
$35K |
| 81025 |
|
1,314 |
1,151 |
$30K |
| 80048 |
|
2,098 |
1,779 |
$30K |
| 71046 |
|
1,225 |
1,099 |
$28K |
| 80061 |
|
1,492 |
1,339 |
$28K |
| 84443 |
|
977 |
887 |
$27K |
| 93306 |
|
281 |
254 |
$24K |
| 81001 |
|
3,996 |
3,402 |
$24K |
| 82306 |
|
552 |
490 |
$24K |
| 84484 |
|
1,940 |
1,307 |
$21K |
| 87491 |
|
446 |
379 |
$21K |
| 87086 |
|
1,485 |
1,282 |
$20K |
| 96413 |
|
506 |
266 |
$19K |
| 80307 |
|
247 |
216 |
$17K |
| 96366 |
|
189 |
109 |
$15K |
| 96374 |
|
2,264 |
1,854 |
$14K |
| 87591 |
|
441 |
378 |
$13K |
| 99203 |
|
147 |
137 |
$13K |
| 80050 |
|
928 |
805 |
$13K |
| 83036 |
|
1,038 |
942 |
$13K |
| 82728 |
|
581 |
536 |
$13K |
| 87634 |
|
218 |
185 |
$12K |
| 71260 |
|
268 |
239 |
$12K |
| 87186 |
|
390 |
329 |
$11K |
| 83605 |
|
875 |
711 |
$10K |
| 82962 |
|
1,042 |
626 |
$10K |
| 85027 |
|
1,176 |
1,008 |
$10K |
| 99204 |
|
190 |
164 |
$10K |
| 92340 |
|
120 |
111 |
$10K |
| G0463 |
Hospital outpt clinic visit |
1,929 |
1,467 |
$9K |
| 93005 |
|
3,292 |
2,737 |
$9K |
| 77067 |
|
335 |
291 |
$8K |
| 85610 |
|
1,382 |
1,047 |
$8K |
| 73630 |
|
575 |
435 |
$8K |
| 99212 |
|
71 |
66 |
$8K |
| 83735 |
|
1,616 |
1,267 |
$7K |
| 87661 |
|
185 |
154 |
$7K |
| 84145 |
|
234 |
205 |
$7K |
| 96372 |
|
1,291 |
968 |
$7K |
| 83690 |
|
1,261 |
1,065 |
$7K |
| 94640 |
|
124 |
98 |
$6K |
| 86803 |
|
319 |
269 |
$5K |
| 76705 |
|
137 |
127 |
$5K |
| 76805 |
|
69 |
64 |
$5K |
| 87801 |
|
113 |
110 |
$5K |
| 86140 |
|
1,211 |
1,032 |
$5K |
| 76801 |
|
81 |
75 |
$5K |
| 76856 |
|
60 |
52 |
$4K |
| 88142 |
|
229 |
209 |
$4K |
| 84153 |
|
192 |
169 |
$4K |
| 83615 |
|
1,085 |
737 |
$4K |
| 88305 |
|
1,064 |
826 |
$4K |
| 80306 |
|
123 |
111 |
$4K |
| 86703 |
|
202 |
177 |
$3K |
| 20610 |
|
32 |
13 |
$3K |
| 82248 |
|
1,057 |
713 |
$3K |
| 86780 |
|
213 |
179 |
$2K |
| 84439 |
|
300 |
253 |
$2K |
| 87040 |
|
215 |
116 |
$2K |
| 59025 |
|
37 |
13 |
$2K |
| 85379 |
|
239 |
205 |
$2K |
| 73610 |
|
113 |
87 |
$2K |
| 70553 |
|
16 |
12 |
$2K |
| 82607 |
|
109 |
97 |
$2K |
| 74018 |
|
40 |
37 |
$2K |
| 93976 |
|
75 |
67 |
$2K |
| 83550 |
|
281 |
255 |
$2K |
| 86850 |
|
391 |
319 |
$2K |
| 71275 |
|
15 |
13 |
$2K |
| 83880 |
|
58 |
51 |
$2K |
| 99215 |
Prolong outpt/office vis |
50 |
39 |
$2K |
| 71045 |
|
1,556 |
1,356 |
$2K |
| 85730 |
|
385 |
327 |
$1K |
| 73562 |
|
134 |
113 |
$1K |
| 72100 |
|
71 |
64 |
$1K |
| 83540 |
|
284 |
258 |
$1K |
| 96375 |
|
2,216 |
1,603 |
$1K |
| 73110 |
|
56 |
37 |
$1K |
| 76817 |
|
87 |
78 |
$1K |
| 85018 |
|
27 |
25 |
$1K |
| 76830 |
|
44 |
39 |
$1K |
| 73030 |
|
180 |
143 |
$1K |
| 81514 |
|
13 |
12 |
$1K |
| 85652 |
|
471 |
407 |
$976.82 |
| 74176 |
|
14 |
13 |
$916.20 |
| 87624 |
|
13 |
12 |
$898.12 |
| 86618 |
|
65 |
54 |
$846.88 |
| 51798 |
|
65 |
57 |
$840.54 |
| 72148 |
|
12 |
12 |
$840.31 |
| 73564 |
|
17 |
13 |
$819.60 |
| 82570 |
|
128 |
109 |
$816.67 |
| 81003 |
|
28 |
27 |
$795.04 |
| 94010 |
|
48 |
42 |
$766.61 |
| 36415 |
|
10,549 |
8,252 |
$756.31 |
| 86900 |
|
357 |
284 |
$739.35 |
| 86901 |
|
357 |
284 |
$733.17 |
| 82077 |
|
60 |
52 |
$610.56 |
| 87340 |
|
72 |
65 |
$586.85 |
| 87077 |
|
96 |
78 |
$497.30 |
| 93922 |
|
13 |
13 |
$458.15 |
| 81513 |
|
14 |
12 |
$456.40 |
| 82950 |
|
45 |
41 |
$429.77 |
| 77063 |
|
74 |
66 |
$423.64 |
| 82784 |
|
19 |
14 |
$413.76 |
| 36592 |
|
2,357 |
2,028 |
$394.63 |
| 76816 |
|
15 |
12 |
$393.12 |
| 87481 |
|
14 |
12 |
$362.60 |
| 96376 |
|
420 |
319 |
$309.24 |
| 82565 |
|
13 |
12 |
$306.67 |
| 87468 |
|
14 |
12 |
$289.38 |
| 87469 |
|
14 |
12 |
$285.05 |
| G0378 |
Hospital observation per hr |
71 |
55 |
$283.07 |
| 87484 |
|
14 |
12 |
$282.88 |
| 71250 |
|
14 |
13 |
$187.90 |
| 72125 |
|
12 |
12 |
$187.90 |
| 86762 |
|
13 |
12 |
$133.83 |
| 36591 |
|
59 |
27 |
$96.01 |
| 86787 |
|
14 |
13 |
$81.70 |
| 87070 |
|
15 |
14 |
$72.37 |
| 73130 |
|
24 |
12 |
$46.53 |
| 87205 |
|
16 |
14 |
$30.87 |
| G0476 |
Hpv combo assay ca screen |
32 |
29 |
$28.88 |
| J2704 |
Inj, propofol, 10 mg |
1,766 |
1,517 |
$2.21 |
| J8499 |
Oral prescrip drug non chemo |
866 |
719 |
$0.39 |
| J1885 |
Ketorolac tromethamine inj |
1,703 |
1,377 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,677 |
1,310 |
$0.00 |
| J3490 |
Drugs unclassified injection |
998 |
705 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
418 |
357 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
33 |
25 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
24 |
24 |
$0.00 |
| A9270 |
Non-covered item or service |
144 |
109 |
$0.00 |
| J1170 |
Hydromorphone injection |
411 |
326 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,163 |
874 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
228 |
195 |
$0.00 |
| 94761 |
|
185 |
159 |
$0.00 |
| J2001 |
Lidocaine injection |
781 |
671 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
14 |
$0.00 |
| 94760 |
|
19 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
15 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,923 |
1,560 |
$0.00 |
| A9577 |
Inj multihance |
390 |
172 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,865 |
1,586 |
$0.00 |
| J7040 |
Normal saline solution infus |
203 |
156 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,447 |
1,926 |
$0.00 |
| J7030 |
Normal saline solution infus |
640 |
527 |
$0.00 |
| J2270 |
Morphine sulfate injection |
24 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
12 |
$0.00 |