| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
|
10,007 |
7,946 |
$365K |
| 99214 |
|
14,024 |
12,475 |
$258K |
| 99213 |
|
19,533 |
17,357 |
$236K |
| 99204 |
|
2,034 |
1,953 |
$122K |
| 78452 |
|
3,284 |
2,427 |
$99K |
| 93880 |
|
2,663 |
2,622 |
$90K |
| 75574 |
|
1,257 |
1,243 |
$86K |
| 71250 |
|
1,860 |
1,812 |
$49K |
| 93015 |
|
2,081 |
2,050 |
$43K |
| 93000 |
|
8,503 |
8,007 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
2,726 |
670 |
$32K |
| 93241 |
|
770 |
744 |
$30K |
| 99203 |
|
907 |
858 |
$23K |
| 93010 |
|
17,061 |
14,042 |
$22K |
| A9500 |
Tc99m sestamibi |
379 |
371 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
379 |
360 |
$17K |
| 96372 |
|
4,373 |
4,065 |
$17K |
| 99212 |
|
3,544 |
3,290 |
$17K |
| 93280 |
|
1,192 |
1,184 |
$14K |
| 71046 |
|
2,444 |
2,380 |
$12K |
| 93283 |
|
742 |
731 |
$10K |
| 99000 |
|
1,017 |
920 |
$9K |
| 93224 |
|
496 |
459 |
$8K |
| 93925 |
|
255 |
251 |
$7K |
| 99215 |
Prolong outpt/office vis |
162 |
161 |
$7K |
| 93005 |
|
6,621 |
6,169 |
$6K |
| 99222 |
|
2,260 |
2,130 |
$6K |
| 96365 |
|
712 |
581 |
$6K |
| 93458 |
|
317 |
307 |
$5K |
| 75635 |
|
87 |
87 |
$5K |
| 93017 |
|
953 |
942 |
$5K |
| G0180 |
Md certification hha patient |
878 |
878 |
$4K |
| J1020 |
Methylprednisolone 20 mg inj |
4,142 |
3,830 |
$4K |
| 70498 |
|
158 |
158 |
$4K |
| A9505 |
Tl201 thallium |
132 |
127 |
$3K |
| A9502 |
Tc99m tetrofosmin |
47 |
46 |
$3K |
| 99232 |
|
6,432 |
1,934 |
$3K |
| 70450 |
|
253 |
253 |
$2K |
| 90686 |
|
812 |
793 |
$2K |
| 80047 |
|
2,423 |
2,135 |
$2K |
| 70496 |
|
171 |
171 |
$2K |
| 93923 |
|
19 |
19 |
$1K |
| 76700 |
|
39 |
39 |
$1K |
| 90471 |
|
122 |
116 |
$1K |
| 90662 |
|
83 |
82 |
$360.00 |
| 74178 |
|
31 |
31 |
$356.32 |
| 71045 |
|
434 |
427 |
$354.92 |
| 93971 |
|
24 |
24 |
$256.60 |
| 93016 |
|
961 |
944 |
$218.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,091 |
2,963 |
$208.82 |
| 78608 |
|
12 |
12 |
$199.67 |
| 93018 |
|
978 |
960 |
$193.09 |
| 99238 |
|
30 |
29 |
$163.74 |
| J3420 |
Vitamin b12 injection |
1,920 |
1,833 |
$152.57 |
| 80061 |
|
16 |
12 |
$149.31 |
| J1245 |
Dipyridamole injection |
682 |
681 |
$135.69 |
| J1010 |
Inj, methylpred acetate 1 mg |
232 |
226 |
$124.80 |
| 83036 |
|
16 |
12 |
$108.24 |
| J1940 |
Furosemide injection |
712 |
581 |
$100.10 |
| 93227 |
|
94 |
93 |
$67.91 |
| 99211 |
|
12 |
12 |
$40.64 |
| 93356 |
|
191 |
189 |
$35.98 |
| 99152 |
|
129 |
117 |
$31.37 |
| 72100 |
|
24 |
24 |
$17.91 |
| 90688 |
|
171 |
171 |
$16.80 |
| 81003 |
|
15 |
12 |
$11.58 |
| 85610 |
|
198 |
167 |
$10.91 |
| 36415 |
|
7,549 |
7,253 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,378 |
1,367 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
200 |
199 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
139 |
139 |
$0.00 |
| 99495 |
|
13 |
12 |
$0.00 |
| 99496 |
|
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |