| Code | Description | Claims | Beneficiaries | Total Paid |
| 0202U |
|
4,081 |
3,955 |
$1.19M |
| 99285 |
|
10,894 |
10,424 |
$1.12M |
| 99283 |
|
15,803 |
14,435 |
$961K |
| 99284 |
|
14,430 |
14,139 |
$898K |
| 0450 |
|
11,277 |
9,631 |
$753K |
| Z7502 |
|
17,648 |
17,121 |
$661K |
| 93306 |
|
4,853 |
4,468 |
$475K |
| 80053 |
|
24,419 |
22,368 |
$215K |
| 74177 |
|
925 |
900 |
$213K |
| 87635 |
|
3,832 |
3,613 |
$190K |
| 87428 |
|
2,409 |
2,293 |
$178K |
| 85025 |
|
26,942 |
24,381 |
$177K |
| 70450 |
|
1,589 |
1,522 |
$153K |
| G0480 |
Drug test def 1-7 classes |
2,281 |
2,037 |
$149K |
| 74176 |
|
1,173 |
1,139 |
$143K |
| Z7610 |
|
11,044 |
9,004 |
$143K |
| 87637 |
|
650 |
632 |
$103K |
| 96374 |
|
1,657 |
1,564 |
$102K |
| 99214 |
|
4,302 |
3,883 |
$100K |
| 84443 |
|
6,575 |
6,496 |
$86K |
| 99213 |
|
3,345 |
3,121 |
$77K |
| 80061 |
|
6,785 |
6,748 |
$71K |
| 82306 |
|
3,325 |
3,307 |
$64K |
| 93005 |
|
3,867 |
3,513 |
$64K |
| 96375 |
|
1,524 |
1,316 |
$61K |
| 71046 |
|
2,942 |
2,864 |
$60K |
| 97110 |
|
3,226 |
979 |
$56K |
| 0270 |
|
4,766 |
3,568 |
$55K |
| 87661 |
|
1,638 |
1,593 |
$52K |
| 96365 |
|
673 |
572 |
$50K |
| 83036 |
|
6,536 |
6,482 |
$49K |
| 83880 |
|
2,181 |
2,019 |
$48K |
| G0463 |
Hospital outpt clinic visit |
1,372 |
443 |
$47K |
| 76856 |
|
620 |
609 |
$42K |
| 99070 |
|
9,881 |
6,622 |
$40K |
| 87880 |
|
4,249 |
4,184 |
$39K |
| 84484 |
|
4,129 |
3,638 |
$35K |
| 72125 |
|
302 |
302 |
$34K |
| 87086 |
|
5,006 |
4,640 |
$32K |
| 87491 |
|
1,224 |
1,195 |
$31K |
| 71250 |
|
326 |
325 |
$31K |
| 84439 |
|
4,505 |
4,461 |
$31K |
| 87591 |
|
1,195 |
1,169 |
$30K |
| 77067 |
|
399 |
399 |
$29K |
| 73630 |
|
1,183 |
1,071 |
$29K |
| 87624 |
|
911 |
908 |
$29K |
| 86710 |
|
2,009 |
1,980 |
$28K |
| 71045 |
|
2,464 |
2,301 |
$28K |
| 76815 |
|
552 |
513 |
$27K |
| 81000 |
|
8,998 |
8,407 |
$27K |
| 77066 |
Tomosynthesis, mammo |
259 |
257 |
$25K |
| 84481 |
|
2,230 |
2,204 |
$24K |
| 73564 |
|
949 |
844 |
$24K |
| 87653 |
|
973 |
954 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,289 |
1,234 |
$22K |
| 87081 |
|
3,389 |
3,330 |
$22K |
| 88305 |
|
440 |
434 |
$22K |
| 76805 |
|
291 |
285 |
$20K |
| J7030 |
Normal saline solution infus |
1,928 |
1,696 |
$20K |
| 83690 |
|
3,144 |
2,870 |
$20K |
| 93971 |
|
208 |
203 |
$19K |
| X3908 |
|
572 |
181 |
$18K |
| 76801 |
|
304 |
278 |
$18K |
| 73030 |
|
751 |
706 |
$17K |
| 73130 |
|
742 |
677 |
$17K |
| 80048 |
|
2,105 |
2,026 |
$17K |
| 73610 |
|
684 |
637 |
$17K |
| 87510 |
|
956 |
923 |
$15K |
| 87480 |
|
956 |
923 |
$15K |
| 73110 |
|
558 |
496 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
1,860 |
1,620 |
$13K |
| 85610 |
|
4,389 |
3,923 |
$13K |
| 93017 |
|
300 |
295 |
$13K |
| 95810 |
|
67 |
67 |
$13K |
| 96361 |
|
439 |
416 |
$12K |
| 78452 |
|
63 |
55 |
$12K |
| 87186 |
|
1,616 |
1,544 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,524 |
1,357 |
$11K |
| 71275 |
|
40 |
40 |
$11K |
| 80074 |
|
344 |
339 |
$10K |
| J7050 |
Normal saline solution infus |
1,198 |
1,094 |
$10K |
| J3490 |
Drugs unclassified injection |
1,038 |
588 |
$10K |
| 87660 |
|
613 |
598 |
$9K |
| 77063 |
|
386 |
386 |
$9K |
| 86703 |
|
849 |
844 |
$9K |
| 76700 |
|
119 |
119 |
$9K |
| 76830 |
|
101 |
101 |
$9K |
| 84703 |
|
717 |
666 |
$9K |
| 83735 |
|
1,834 |
1,692 |
$9K |
| 76819 |
|
128 |
65 |
$9K |
| 76705 |
|
149 |
147 |
$9K |
| J7120 |
Ringers lactate infusion |
997 |
925 |
$9K |
| J2270 |
Morphine sulfate injection |
656 |
558 |
$8K |
| 99232 |
|
215 |
101 |
$8K |
| J1170 |
Hydromorphone injection |
694 |
576 |
$7K |
| 99282 |
|
334 |
332 |
$7K |
| 86140 |
|
1,656 |
1,566 |
$7K |
| 76641 |
|
98 |
87 |
$7K |
| 94640 |
|
448 |
372 |
$7K |
| Q3014 |
Telehealth facility fee |
418 |
409 |
$7K |
| 87426 |
|
212 |
210 |
$7K |
| 96372 |
|
258 |
240 |
$7K |
| 80307 |
|
109 |
108 |
$6K |
| 85730 |
|
1,297 |
1,221 |
$6K |
| 72110 |
|
184 |
182 |
$6K |
| 84403 |
|
376 |
372 |
$6K |
| 83605 |
|
636 |
576 |
$6K |
| 82043 |
|
1,252 |
1,244 |
$5K |
| 85378 |
|
908 |
851 |
$5K |
| 73502 |
|
161 |
158 |
$5K |
| 88175 |
|
1,020 |
1,015 |
$5K |
| 99499 |
|
101 |
83 |
$5K |
| 82550 |
|
1,058 |
989 |
$5K |
| 72148 |
|
25 |
25 |
$4K |
| H1001 |
Antepartum management |
75 |
59 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
626 |
440 |
$4K |
| 86803 |
|
405 |
404 |
$4K |
| 93016 |
|
195 |
195 |
$4K |
| 87899 |
|
841 |
836 |
$4K |
| 93227 |
|
199 |
199 |
$4K |
| 82607 |
|
397 |
392 |
$4K |
| 93010 |
|
124 |
121 |
$4K |
| 83550 |
|
689 |
682 |
$4K |
| 83540 |
|
769 |
760 |
$3K |
| X3910 |
|
343 |
121 |
$3K |
| 97161 |
|
46 |
45 |
$3K |
| 86592 |
|
988 |
981 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
450 |
387 |
$3K |
| 81514 |
|
12 |
12 |
$3K |
| 85651 |
|
1,072 |
1,038 |
$3K |
| 81003 |
|
871 |
805 |
$3K |
| 72100 |
|
121 |
121 |
$3K |
| 82728 |
|
390 |
387 |
$3K |
| 59025 |
|
274 |
207 |
$3K |
| 86850 |
|
1,028 |
953 |
$3K |
| 87806 |
|
84 |
84 |
$3K |
| 86901 |
|
1,069 |
992 |
$3K |
| 72131 |
|
25 |
24 |
$3K |
| 87340 |
|
342 |
339 |
$2K |
| 86762 |
|
261 |
258 |
$2K |
| 99460 |
|
34 |
34 |
$2K |
| 70486 |
|
13 |
13 |
$2K |
| 86900 |
|
1,041 |
967 |
$2K |
| 93296 |
|
100 |
100 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
375 |
341 |
$2K |
| 93224 |
|
14 |
14 |
$2K |
| 87040 |
|
139 |
130 |
$2K |
| 0760 |
|
97 |
48 |
$2K |
| 82652 |
|
85 |
85 |
$2K |
| 84702 |
|
54 |
42 |
$2K |
| 93225 |
|
69 |
69 |
$2K |
| 0250 |
|
30 |
25 |
$2K |
| 99238 |
|
61 |
61 |
$2K |
| 73080 |
|
86 |
82 |
$2K |
| 76536 |
|
40 |
40 |
$2K |
| 83655 |
|
258 |
257 |
$2K |
| 93226 |
|
45 |
45 |
$2K |
| Z7506 |
|
13 |
13 |
$2K |
| 86787 |
|
256 |
253 |
$2K |
| 93350 |
|
34 |
27 |
$2K |
| 83874 |
|
287 |
258 |
$2K |
| 82553 |
|
313 |
288 |
$2K |
| 86003 |
|
154 |
148 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 84550 |
|
457 |
423 |
$2K |
| 93018 |
|
107 |
107 |
$2K |
| 87807 |
|
167 |
166 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$1K |
| 84100 |
|
418 |
386 |
$1K |
| 86038 |
|
318 |
314 |
$1K |
| 92551 |
|
108 |
108 |
$1K |
| J1100 |
Dexamethasone sodium phos |
126 |
116 |
$1K |
| 84152 |
|
99 |
99 |
$1K |
| 73140 |
|
27 |
26 |
$1K |
| J3010 |
Fentanyl citrate injection |
384 |
356 |
$1K |
| J2060 |
Lorazepam injection |
164 |
152 |
$1K |
| 87070 |
|
170 |
166 |
$1K |
| 59425 |
|
21 |
14 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
171 |
156 |
$1K |
| 97140 |
|
79 |
27 |
$1K |
| 99177 |
|
44 |
44 |
$1K |
| Z1034 |
|
19 |
15 |
$1K |
| 01992 |
|
16 |
16 |
$1K |
| 90715 |
|
26 |
26 |
$1K |
| J2930 |
Methylprednisolone injection |
71 |
64 |
$1K |
| 86480 |
|
29 |
29 |
$1K |
| 82670 |
|
56 |
56 |
$1K |
| 99281 |
|
70 |
70 |
$895.62 |
| 97010 |
|
34 |
13 |
$845.22 |
| 99222 |
|
13 |
12 |
$839.50 |
| 99393 |
|
17 |
17 |
$788.63 |
| 0710 |
|
26 |
26 |
$775.33 |
| 77003 |
|
68 |
67 |
$772.49 |
| X3920 |
|
15 |
15 |
$749.55 |
| J2250 |
Inj midazolam hydrochloride |
235 |
227 |
$684.36 |
| 82746 |
|
103 |
103 |
$640.77 |
| 99392 |
|
15 |
15 |
$593.25 |
| 43239 |
|
15 |
12 |
$587.51 |
| 82088 |
|
26 |
26 |
$576.00 |
| 83001 |
|
70 |
70 |
$569.36 |
| 94060 |
|
25 |
24 |
$548.41 |
| 82150 |
|
94 |
93 |
$542.24 |
| 85018 |
|
275 |
271 |
$531.41 |
| 84244 |
|
26 |
26 |
$504.00 |
| 99212 |
|
25 |
24 |
$486.15 |
| 97750 |
|
13 |
13 |
$452.92 |
| 84402 |
|
25 |
25 |
$450.47 |
| 96110 |
|
47 |
47 |
$444.96 |
| 76775 |
|
14 |
14 |
$434.55 |
| 82947 |
|
141 |
141 |
$421.89 |
| 86376 |
|
41 |
41 |
$414.02 |
| 83615 |
|
87 |
68 |
$390.84 |
| J2765 |
Metoclopramide hcl injection |
68 |
58 |
$375.43 |
| Z7512 |
|
13 |
13 |
$339.69 |
| 83002 |
|
38 |
38 |
$333.19 |
| 82962 |
|
84 |
73 |
$327.71 |
| 97530 |
|
31 |
12 |
$324.38 |
| 93041 |
|
172 |
146 |
$308.22 |
| 86430 |
|
86 |
86 |
$298.98 |
| 94664 |
|
26 |
25 |
$295.49 |
| 84300 |
|
56 |
55 |
$292.03 |
| 87088 |
|
149 |
138 |
$283.82 |
| 80076 |
|
56 |
54 |
$269.43 |
| 84133 |
|
58 |
57 |
$267.85 |
| 36415 |
|
1,288 |
1,142 |
$261.05 |
| 99173 |
|
83 |
83 |
$257.88 |
| 90471 |
|
90 |
87 |
$227.46 |
| 84144 |
|
14 |
14 |
$213.92 |
| 73090 |
|
12 |
12 |
$192.96 |
| 74018 |
|
13 |
12 |
$183.45 |
| 90686 |
|
14 |
14 |
$177.30 |
| 86705 |
|
15 |
15 |
$120.72 |
| 86709 |
|
15 |
15 |
$117.60 |
| J2704 |
Inj, propofol, 10 mg |
30 |
27 |
$115.82 |
| 93288 |
|
12 |
12 |
$115.48 |
| 83718 |
|
14 |
14 |
$78.40 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
13 |
$67.26 |
| J7040 |
Normal saline solution infus |
14 |
14 |
$62.34 |
| 85652 |
|
86 |
82 |
$56.87 |
| 87077 |
|
34 |
34 |
$53.25 |
| 82465 |
|
14 |
14 |
$42.62 |
| 0637 |
|
17 |
12 |
$1.68 |
| 80050 |
|
431 |
430 |
$0.00 |
| 0250R |
|
85 |
74 |
$0.00 |
| A9500 |
Tc99m sestamibi |
13 |
12 |
$0.00 |
| 0270R |
|
1,088 |
942 |
$0.00 |