| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
36,862 |
34,605 |
$9.42M |
| 99283 |
|
26,083 |
24,835 |
$4.33M |
| 99285 |
|
4,749 |
4,378 |
$1.87M |
| 0241U |
|
3,747 |
3,569 |
$595K |
| 85025 |
|
55,965 |
48,887 |
$443K |
| 80053 |
|
40,615 |
35,679 |
$412K |
| 0240U |
|
2,359 |
2,150 |
$397K |
| 87591 |
|
9,091 |
7,823 |
$258K |
| 87491 |
|
9,084 |
7,817 |
$257K |
| 93005 |
|
8,562 |
7,740 |
$231K |
| 36415 |
|
42,580 |
35,275 |
$156K |
| 74177 |
|
246 |
237 |
$130K |
| 87389 |
|
4,882 |
4,056 |
$117K |
| 70450 |
|
739 |
701 |
$114K |
| 99213 |
|
3,199 |
2,417 |
$101K |
| 11042 |
|
1,615 |
1,062 |
$94K |
| 99282 |
|
1,068 |
1,025 |
$91K |
| G0480 |
Drug test def 1-7 classes |
1,564 |
1,281 |
$72K |
| 71046 |
|
1,568 |
1,508 |
$66K |
| 96374 |
|
3,242 |
3,082 |
$64K |
| 81001 |
|
19,694 |
18,485 |
$61K |
| G0378 |
Hospital observation per hr |
865 |
698 |
$58K |
| 96375 |
|
1,557 |
1,453 |
$57K |
| 88142 |
|
1,703 |
1,556 |
$43K |
| 84484 |
|
4,195 |
3,509 |
$43K |
| 80307 |
|
1,498 |
1,305 |
$40K |
| G0463 |
Hospital outpt clinic visit |
3,475 |
2,506 |
$39K |
| 71045 |
|
1,417 |
1,322 |
$37K |
| 81025 |
|
4,286 |
4,063 |
$36K |
| 86803 |
|
2,147 |
1,757 |
$33K |
| 96372 |
|
1,483 |
1,407 |
$32K |
| 87088 |
|
2,775 |
2,395 |
$27K |
| 80061 |
|
1,874 |
1,801 |
$27K |
| 88305 |
|
223 |
204 |
$27K |
| 96361 |
|
1,727 |
1,607 |
$26K |
| 87635 |
|
494 |
453 |
$25K |
| J7050 |
Normal saline solution infus |
8,208 |
2,076 |
$23K |
| 86592 |
|
5,012 |
4,150 |
$22K |
| J3490 |
Drugs unclassified injection |
9,968 |
5,756 |
$22K |
| 80048 |
|
3,319 |
2,682 |
$18K |
| 87081 |
|
2,254 |
2,183 |
$18K |
| 87636 |
|
92 |
76 |
$15K |
| 87340 |
|
1,684 |
1,397 |
$15K |
| 87426 |
|
456 |
382 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,225 |
1,158 |
$13K |
| 87624 |
|
413 |
355 |
$13K |
| 97597 |
|
645 |
441 |
$13K |
| 86850 |
|
1,158 |
887 |
$12K |
| 83690 |
|
1,526 |
1,439 |
$11K |
| A9270 |
Non-covered item or service |
50,245 |
19,171 |
$11K |
| 83036 |
|
898 |
834 |
$10K |
| 0002A |
|
169 |
164 |
$10K |
| J7030 |
Normal saline solution infus |
2,163 |
1,932 |
$10K |
| 0001A |
|
157 |
153 |
$9K |
| 92507 |
|
249 |
78 |
$9K |
| 86762 |
|
752 |
565 |
$9K |
| 90792 |
|
138 |
107 |
$7K |
| 84443 |
|
332 |
310 |
$7K |
| 82306 |
|
181 |
177 |
$7K |
| 96365 |
|
55 |
52 |
$6K |
| 85027 |
|
665 |
627 |
$5K |
| 96413 |
|
87 |
51 |
$5K |
| 43239 |
|
12 |
12 |
$5K |
| 87798 |
|
93 |
85 |
$5K |
| 87086 |
|
733 |
563 |
$4K |
| 87502 |
|
61 |
61 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
2,647 |
1,504 |
$3K |
| 83880 |
|
85 |
81 |
$3K |
| 97530 |
|
62 |
27 |
$3K |
| 82728 |
|
186 |
180 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,587 |
1,511 |
$3K |
| 87070 |
|
255 |
225 |
$3K |
| 86900 |
|
797 |
576 |
$3K |
| 84466 |
|
174 |
167 |
$3K |
| 72125 |
|
14 |
13 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,464 |
1,345 |
$2K |
| 86901 |
|
799 |
576 |
$2K |
| 97110 |
|
84 |
28 |
$2K |
| 99214 |
|
14 |
12 |
$2K |
| 87430 |
|
75 |
73 |
$1K |
| 87631 |
|
16 |
16 |
$1K |
| 83735 |
|
291 |
202 |
$1K |
| 83540 |
|
174 |
167 |
$1K |
| 29581 |
|
74 |
24 |
$1K |
| J7120 |
Ringers lactate infusion |
258 |
229 |
$1K |
| J7040 |
Normal saline solution infus |
1,120 |
1,075 |
$1K |
| 83020 |
|
55 |
44 |
$971.59 |
| 81003 |
|
446 |
409 |
$934.85 |
| 59025 |
|
14 |
13 |
$677.13 |
| J2704 |
Inj, propofol, 10 mg |
76 |
56 |
$582.71 |
| 80081 |
|
28 |
27 |
$558.82 |
| 29580 |
|
28 |
12 |
$557.73 |
| 82947 |
|
169 |
90 |
$372.85 |
| 82105 |
|
14 |
12 |
$341.20 |
| 82570 |
|
47 |
44 |
$260.57 |
| 96402 |
|
31 |
25 |
$255.13 |
| 82607 |
|
12 |
12 |
$240.60 |
| 82962 |
|
142 |
105 |
$227.87 |
| 84156 |
|
47 |
44 |
$184.64 |
| 87880 |
|
12 |
12 |
$171.36 |
| 85379 |
|
13 |
13 |
$168.00 |
| 87040 |
|
15 |
12 |
$141.46 |
| 87077 |
|
19 |
13 |
$139.58 |
| 84439 |
|
13 |
13 |
$137.15 |
| J1100 |
Dexamethasone sodium phos |
35 |
25 |
$75.56 |
| Q0162 |
Ondansetron oral |
71 |
69 |
$51.77 |
| J2270 |
Morphine sulfate injection |
25 |
25 |
$38.38 |
| J0696 |
Ceftriaxone sodium injection |
14 |
14 |
$8.73 |
| J2001 |
Lidocaine injection |
14 |
14 |
$7.01 |
| G0472 |
Hep c screen high risk/other |
29 |
29 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
16 |
13 |
$0.00 |
| 91300 |
|
171 |
147 |
$0.00 |