| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
33,803 |
31,699 |
$3.62M |
| 99284 |
|
20,873 |
19,226 |
$2.67M |
| 99285 |
|
6,837 |
6,178 |
$919K |
| 96372 |
|
13,612 |
11,529 |
$612K |
| 99282 |
|
6,445 |
6,085 |
$580K |
| 0240U |
|
3,513 |
3,090 |
$315K |
| 87636 |
|
1,814 |
1,705 |
$207K |
| 71045 |
|
3,761 |
3,431 |
$198K |
| 92507 |
|
6,086 |
1,239 |
$187K |
| 96374 |
|
4,161 |
3,382 |
$185K |
| 70450 |
|
451 |
420 |
$184K |
| 0241U |
|
1,669 |
1,524 |
$181K |
| G0330 |
Facility svs dental rehab |
101 |
73 |
$156K |
| 80307 |
|
2,970 |
2,692 |
$144K |
| 80053 |
|
17,930 |
16,265 |
$132K |
| 93005 |
|
4,667 |
4,231 |
$128K |
| 85025 |
|
20,256 |
18,210 |
$112K |
| 41899 |
|
161 |
145 |
$102K |
| 87651 |
|
3,247 |
2,966 |
$95K |
| 80050 |
|
2,265 |
2,168 |
$95K |
| J1885 |
Ketorolac tromethamine inj |
6,302 |
5,812 |
$94K |
| 87635 |
|
2,460 |
2,289 |
$91K |
| 71046 |
|
1,543 |
1,430 |
$91K |
| 82306 |
|
3,884 |
3,584 |
$83K |
| 74177 |
|
108 |
101 |
$79K |
| 96375 |
|
1,345 |
1,068 |
$78K |
| 84443 |
|
5,616 |
5,148 |
$76K |
| 80061 |
|
5,885 |
5,549 |
$67K |
| 36415 |
|
28,505 |
25,464 |
$66K |
| 99211 |
|
2,364 |
1,955 |
$66K |
| J3490 |
Drugs unclassified injection |
7,429 |
4,707 |
$64K |
| 87637 |
|
508 |
487 |
$60K |
| 96361 |
|
1,759 |
1,324 |
$58K |
| 87389 |
|
2,602 |
2,367 |
$55K |
| 87804 |
|
2,444 |
1,964 |
$54K |
| G0480 |
Drug test def 1-7 classes |
722 |
533 |
$45K |
| 81025 |
|
5,645 |
5,215 |
$42K |
| 87591 |
|
1,212 |
1,143 |
$42K |
| 87491 |
|
1,198 |
1,152 |
$41K |
| 99213 |
|
1,243 |
957 |
$39K |
| 81001 |
|
15,865 |
14,358 |
$35K |
| 74176 |
|
43 |
41 |
$35K |
| 83036 |
|
4,296 |
4,018 |
$31K |
| 76856 |
|
101 |
95 |
$27K |
| 86780 |
|
2,394 |
2,161 |
$27K |
| 97110 |
|
1,125 |
292 |
$24K |
| J7030 |
Normal saline solution infus |
852 |
777 |
$22K |
| 87449 |
|
1,804 |
1,719 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
354 |
323 |
$21K |
| 99212 |
|
620 |
548 |
$19K |
| J8499 |
Oral prescrip drug non chemo |
2,511 |
1,775 |
$17K |
| 97530 |
|
1,211 |
242 |
$16K |
| 84439 |
|
1,929 |
1,743 |
$16K |
| 86803 |
|
1,280 |
1,160 |
$15K |
| 96360 |
|
297 |
234 |
$14K |
| 86762 |
|
1,154 |
1,034 |
$14K |
| 74018 |
|
57 |
53 |
$13K |
| 86787 |
|
1,126 |
995 |
$12K |
| J1100 |
Dexamethasone sodium phos |
1,243 |
1,130 |
$12K |
| 87400 |
|
916 |
419 |
$11K |
| 84484 |
|
1,688 |
1,376 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
451 |
409 |
$11K |
| 87340 |
|
1,242 |
1,116 |
$11K |
| 86850 |
|
1,435 |
1,104 |
$10K |
| J0702 |
Betamethasone acet&sod phosp |
214 |
203 |
$10K |
| 87081 |
|
1,519 |
1,451 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
268 |
224 |
$10K |
| 87088 |
|
1,559 |
1,407 |
$9K |
| 94640 |
|
464 |
414 |
$9K |
| J2405 |
Ondansetron hcl injection |
924 |
830 |
$9K |
| 85027 |
|
1,829 |
1,749 |
$9K |
| 80048 |
|
1,545 |
1,410 |
$9K |
| 99203 |
|
241 |
237 |
$8K |
| 77067 |
|
56 |
51 |
$8K |
| 99281 |
|
155 |
151 |
$8K |
| 83690 |
|
1,276 |
1,164 |
$6K |
| 90686 |
|
91 |
89 |
$6K |
| 96365 |
|
259 |
215 |
$5K |
| 99204 |
|
99 |
93 |
$5K |
| 74019 |
|
53 |
50 |
$4K |
| 84702 |
|
268 |
200 |
$4K |
| 77063 |
|
45 |
39 |
$4K |
| J8597 |
Antiemetic drug oral nos |
70 |
66 |
$3K |
| 82607 |
|
245 |
221 |
$3K |
| 99202 |
|
116 |
109 |
$3K |
| 86900 |
|
1,305 |
1,166 |
$3K |
| 86901 |
|
1,306 |
1,166 |
$3K |
| 99396 |
|
286 |
264 |
$3K |
| J2920 |
Methylprednisolone injection |
221 |
207 |
$3K |
| A9150 |
Misc/exper non-prescript dru |
633 |
539 |
$3K |
| 76830 |
|
13 |
13 |
$3K |
| 99214 |
|
54 |
50 |
$3K |
| 82553 |
|
458 |
415 |
$3K |
| 83880 |
|
145 |
131 |
$3K |
| G0463 |
Hospital outpt clinic visit |
488 |
444 |
$2K |
| 83735 |
|
636 |
568 |
$2K |
| 99205 |
Prolong outpt/office vis |
43 |
42 |
$2K |
| 82550 |
|
604 |
544 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
278 |
263 |
$2K |
| 72100 |
|
26 |
24 |
$2K |
| J2930 |
Methylprednisolone injection |
119 |
114 |
$2K |
| 99395 |
|
293 |
269 |
$2K |
| 90715 |
|
14 |
12 |
$2K |
| 82950 |
|
384 |
346 |
$2K |
| 82043 |
|
338 |
311 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
680 |
631 |
$1K |
| 73030 |
|
15 |
12 |
$1K |
| 83021 |
|
102 |
83 |
$1K |
| 82947 |
|
351 |
294 |
$1K |
| 82077 |
|
113 |
104 |
$1K |
| J3010 |
Fentanyl citrate injection |
241 |
218 |
$1K |
| 84153 |
|
77 |
74 |
$1K |
| 83020 |
|
113 |
83 |
$1K |
| 87502 |
|
13 |
13 |
$1K |
| 84144 |
|
68 |
51 |
$1K |
| 86592 |
|
228 |
206 |
$958.47 |
| 82150 |
|
193 |
174 |
$898.38 |
| 86141 |
|
89 |
86 |
$738.57 |
| 97161 |
|
12 |
12 |
$707.28 |
| 82570 |
|
160 |
147 |
$704.48 |
| 83550 |
|
68 |
63 |
$679.78 |
| 87077 |
|
120 |
89 |
$675.66 |
| 85660 |
|
124 |
121 |
$671.02 |
| 82728 |
|
38 |
36 |
$605.88 |
| 87184 |
|
142 |
109 |
$578.88 |
| 80074 |
|
13 |
12 |
$523.93 |
| J1644 |
Inj heparin sodium per 1000u |
22 |
12 |
$518.33 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$510.15 |
| 72040 |
|
12 |
12 |
$499.04 |
| 73130 |
|
14 |
12 |
$493.20 |
| 83540 |
|
69 |
64 |
$473.41 |
| 81511 |
|
40 |
36 |
$433.73 |
| 87086 |
|
56 |
53 |
$338.95 |
| 87420 |
|
24 |
24 |
$329.72 |
| 82677 |
|
12 |
12 |
$328.35 |
| 84436 |
|
51 |
48 |
$315.84 |
| J2060 |
Lorazepam injection |
32 |
27 |
$314.67 |
| 80320 |
|
71 |
67 |
$300.00 |
| J2250 |
Inj midazolam hydrochloride |
26 |
24 |
$293.45 |
| J3420 |
Vitamin b12 injection |
29 |
26 |
$283.19 |
| 80179 |
|
19 |
19 |
$279.60 |
| 80305 |
|
24 |
24 |
$277.20 |
| 82105 |
|
12 |
12 |
$227.81 |
| 84481 |
|
19 |
17 |
$215.29 |
| 86336 |
|
12 |
12 |
$211.64 |
| 85610 |
|
120 |
100 |
$208.91 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
14 |
$169.13 |
| 87880 |
|
26 |
25 |
$168.00 |
| 90471 |
|
62 |
45 |
$129.96 |
| 99152 |
|
15 |
12 |
$129.66 |
| 81003 |
|
80 |
73 |
$119.25 |
| 85379 |
|
13 |
12 |
$100.48 |
| 86140 |
|
14 |
13 |
$91.52 |
| 84479 |
|
14 |
12 |
$75.84 |
| 80076 |
|
12 |
12 |
$65.36 |
| 82962 |
|
23 |
16 |
$54.23 |
| 82270 |
|
14 |
14 |
$52.56 |
| 82272 |
|
15 |
12 |
$50.76 |
| 99386 |
|
13 |
12 |
$44.29 |
| 3016F |
|
27 |
27 |
$0.00 |
| 87631 |
|
185 |
167 |
$0.00 |
| 02404 |
|
73 |
71 |
$0.00 |
| 3078F |
|
40 |
37 |
$0.00 |
| 00170 |
|
12 |
12 |
$0.00 |
| 3077F |
|
21 |
20 |
$0.00 |
| A9270 |
Non-covered item or service |
384 |
243 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3075F |
|
18 |
18 |
$0.00 |
| 3074F |
|
58 |
54 |
$0.00 |
| 3079F |
|
55 |
52 |
$0.00 |
| 1170F |
|
99 |
92 |
$0.00 |
| 99385 |
|
29 |
28 |
$0.00 |
| 3008F |
|
100 |
92 |
$0.00 |