| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
86,532 |
67,617 |
$2.95M |
| 96413 |
|
31,729 |
18,847 |
$2.24M |
| 74177 |
|
13,995 |
10,405 |
$1.50M |
| 71260 |
|
15,795 |
11,826 |
$1.27M |
| 85025 |
|
102,725 |
67,350 |
$865K |
| 96367 |
|
23,335 |
14,062 |
$767K |
| 99213 |
|
23,714 |
19,248 |
$530K |
| 99215 |
Prolong outpt/office vis |
10,648 |
7,891 |
$523K |
| 77014 |
|
14,585 |
4,037 |
$505K |
| 78815 |
|
1,219 |
834 |
$463K |
| 99232 |
|
14,791 |
4,928 |
$366K |
| 77066 |
Tomosynthesis, mammo |
3,148 |
2,355 |
$225K |
| 80048 |
|
80,086 |
54,914 |
$211K |
| J9271 |
Inj pembrolizumab |
64 |
36 |
$204K |
| J0897 |
Denosumab injection |
287 |
203 |
$201K |
| 96372 |
|
13,879 |
9,276 |
$201K |
| 96365 |
|
5,011 |
3,571 |
$187K |
| 80076 |
|
60,697 |
42,200 |
$172K |
| J1439 |
Inj ferric carboxymaltos 1mg |
376 |
270 |
$146K |
| 99223 |
Prolong inpt eval add15 m |
2,378 |
1,954 |
$144K |
| 36415 |
|
69,276 |
50,704 |
$140K |
| 96417 |
|
3,470 |
2,020 |
$129K |
| J2505 |
Injection, pegfilgrastim 6mg |
69 |
50 |
$120K |
| J2469 |
Palonosetron hcl |
2,985 |
1,796 |
$120K |
| 76642 |
|
2,377 |
1,677 |
$118K |
| 36561 |
|
313 |
232 |
$116K |
| G6015 |
Radiation tx delivery imrt |
678 |
140 |
$115K |
| 96375 |
|
7,442 |
4,799 |
$102K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,562 |
13,817 |
$98K |
| 99233 |
Prolong inpt eval add15 m |
2,269 |
959 |
$89K |
| A9552 |
F18 fdg |
962 |
664 |
$82K |
| 88305 |
|
2,511 |
1,762 |
$82K |
| 77427 |
|
903 |
443 |
$64K |
| 88341 |
|
1,123 |
670 |
$63K |
| 99204 |
|
921 |
728 |
$58K |
| 70553 |
|
245 |
175 |
$58K |
| 96415 |
|
2,625 |
1,544 |
$56K |
| G0279 |
Tomosynthesis, mammo |
3,413 |
2,587 |
$53K |
| 77065 |
Tomosynthesis, mammo |
882 |
660 |
$50K |
| J0881 |
Darbepoetin alfa, non-esrd |
269 |
146 |
$48K |
| 70491 |
|
458 |
351 |
$39K |
| 88342 |
|
1,338 |
917 |
$36K |
| J1100 |
Dexamethasone sodium phos |
14,762 |
8,424 |
$35K |
| 77012 |
|
667 |
472 |
$30K |
| 82728 |
|
4,559 |
3,608 |
$24K |
| 77062 |
|
259 |
235 |
$22K |
| 96368 |
|
2,305 |
1,338 |
$22K |
| J9395 |
Injection, fulvestrant |
16 |
12 |
$19K |
| 96401 |
|
543 |
361 |
$18K |
| 99205 |
Prolong outpt/office vis |
253 |
221 |
$16K |
| J1454 |
Inj fosnetupitant, palonoset |
141 |
80 |
$16K |
| 99152 |
|
1,082 |
795 |
$16K |
| 83550 |
|
4,843 |
3,790 |
$15K |
| J0185 |
Inj., aprepitant, 1 mg |
117 |
59 |
$15K |
| 96402 |
|
674 |
506 |
$14K |
| 77067 |
|
169 |
151 |
$14K |
| 99231 |
|
782 |
344 |
$14K |
| 82378 |
|
1,963 |
1,353 |
$13K |
| 99222 |
|
235 |
204 |
$12K |
| 77336 |
|
302 |
127 |
$12K |
| A9579 |
Gad-base mr contrast nos,1ml |
856 |
666 |
$11K |
| Q0138 |
Ferumoxytol, non-esrd |
35 |
30 |
$11K |
| 83540 |
|
4,862 |
3,806 |
$11K |
| 77001 |
|
426 |
317 |
$11K |
| 31575 |
|
266 |
187 |
$11K |
| 77334 |
|
107 |
77 |
$11K |
| 76942 |
|
272 |
179 |
$8K |
| J0640 |
Leucovorin calcium injection |
178 |
105 |
$7K |
| 74160 |
|
93 |
69 |
$7K |
| 80053 |
|
3,108 |
1,880 |
$7K |
| G2211 |
Complex e/m visit add on |
1,558 |
1,195 |
$7K |
| 84443 |
|
950 |
674 |
$6K |
| 77063 |
|
168 |
149 |
$6K |
| J3420 |
Vitamin b12 injection |
782 |
628 |
$5K |
| 99203 |
|
136 |
110 |
$5K |
| 82306 |
|
504 |
437 |
$5K |
| 96416 |
|
30 |
25 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
2,779 |
1,634 |
$4K |
| G6012 |
Radiation treatment delivery |
36 |
13 |
$4K |
| 90756 |
|
331 |
230 |
$4K |
| 99212 |
|
259 |
219 |
$4K |
| 76937 |
|
316 |
235 |
$3K |
| 77263 |
|
51 |
42 |
$3K |
| 32405 |
|
31 |
25 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
556 |
412 |
$3K |
| 86300 |
|
381 |
266 |
$2K |
| 96411 |
|
52 |
37 |
$2K |
| J9190 |
Fluorouracil injection |
225 |
131 |
$2K |
| 90471 |
|
157 |
105 |
$2K |
| J9267 |
Paclitaxel injection |
154 |
64 |
$2K |
| 99239 |
|
31 |
28 |
$2K |
| 96160 |
|
561 |
458 |
$2K |
| 83615 |
|
1,257 |
893 |
$2K |
| 82784 |
|
531 |
412 |
$2K |
| 82607 |
|
249 |
204 |
$2K |
| J1756 |
Iron sucrose injection |
32 |
25 |
$1K |
| 31525 |
|
20 |
14 |
$1K |
| 77080 |
|
27 |
25 |
$997.83 |
| 96366 |
|
33 |
26 |
$982.83 |
| 99221 |
|
29 |
25 |
$959.50 |
| 86152 |
|
18 |
15 |
$951.51 |
| 71250 |
|
28 |
24 |
$933.19 |
| 99224 |
|
100 |
29 |
$838.17 |
| 83883 |
|
269 |
228 |
$795.68 |
| 85610 |
|
356 |
287 |
$697.19 |
| 82565 |
|
218 |
165 |
$608.70 |
| 99253 |
|
16 |
12 |
$597.00 |
| J3490 |
Drugs unclassified injection |
831 |
515 |
$542.21 |
| 82270 |
|
79 |
70 |
$532.43 |
| J2930 |
Methylprednisolone injection |
158 |
109 |
$531.02 |
| 88313 |
|
27 |
24 |
$460.96 |
| 82746 |
|
92 |
66 |
$421.79 |
| J3010 |
Fentanyl citrate injection |
736 |
593 |
$415.19 |
| 84153 |
|
88 |
65 |
$382.63 |
| 99358 |
Prolong nursin fac eval 15m |
15 |
13 |
$373.08 |
| 86304 |
|
31 |
25 |
$273.01 |
| A4550 |
Surgical trays |
3,959 |
2,902 |
$270.33 |
| 96361 |
|
31 |
13 |
$216.56 |
| 36591 |
|
18 |
16 |
$203.79 |
| J9045 |
Carboplatin injection |
15 |
12 |
$193.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
36 |
29 |
$185.69 |
| 99459 |
|
19 |
14 |
$185.60 |
| J2250 |
Inj midazolam hydrochloride |
590 |
483 |
$116.54 |
| 83735 |
|
57 |
41 |
$110.97 |
| 84550 |
|
72 |
67 |
$103.50 |
| J0690 |
Cefazolin sodium injection |
129 |
108 |
$98.32 |
| 82232 |
|
14 |
12 |
$42.53 |
| A4301 |
Implantable access syst perc |
282 |
217 |
$0.00 |
| 96040 |
|
32 |
29 |
$0.00 |