| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
68,860 |
65,029 |
$10.76M |
| 41899 |
|
6,606 |
5,816 |
$6.63M |
| 99214 |
|
36,935 |
34,079 |
$5.45M |
| D2930 |
|
9,953 |
2,957 |
$5.19M |
| 99213 |
|
35,955 |
33,324 |
$4.97M |
| 96127 |
|
28,147 |
20,916 |
$3.69M |
| 99282 |
|
24,888 |
24,007 |
$3.61M |
| 99391 |
|
28,812 |
26,323 |
$3.51M |
| 99284 |
|
15,723 |
14,544 |
$2.73M |
| 99392 |
|
20,310 |
18,887 |
$2.41M |
| 96110 |
|
7,145 |
5,208 |
$1.88M |
| 99393 |
|
14,691 |
13,594 |
$1.73M |
| 99215 |
Prolong outpt/office vis |
10,259 |
9,023 |
$1.71M |
| D7140 |
|
6,924 |
2,601 |
$1.64M |
| 92551 |
|
18,686 |
16,975 |
$1.63M |
| 69436 |
|
999 |
873 |
$1.44M |
| D1351 |
|
2,567 |
1,114 |
$1.30M |
| 99394 |
|
8,089 |
7,409 |
$984K |
| 43239 |
|
1,520 |
1,085 |
$929K |
| 99285 |
|
4,506 |
3,612 |
$804K |
| 42820 |
|
560 |
452 |
$800K |
| D2330 |
|
1,376 |
764 |
$762K |
| 99281 |
|
4,832 |
4,567 |
$747K |
| D2391 |
|
1,521 |
735 |
$716K |
| 96365 |
|
2,153 |
1,555 |
$603K |
| 94640 |
|
3,492 |
2,574 |
$588K |
| 96361 |
|
1,217 |
820 |
$561K |
| 93303 |
|
1,221 |
1,058 |
$547K |
| G0378 |
Hospital observation per hr |
5,530 |
2,829 |
$460K |
| J1745 |
Infliximab not biosimil 10mg |
256 |
150 |
$442K |
| D3220 |
|
911 |
537 |
$417K |
| 93325 |
|
2,705 |
2,402 |
$387K |
| 95716 |
|
338 |
257 |
$365K |
| 93306 |
|
843 |
760 |
$340K |
| 96360 |
|
1,013 |
793 |
$306K |
| 70450 |
|
624 |
526 |
$291K |
| 42830 |
|
171 |
151 |
$290K |
| 99212 |
|
1,939 |
1,813 |
$275K |
| 96413 |
|
1,091 |
615 |
$271K |
| Q5103 |
Injection, inflectra |
282 |
188 |
$217K |
| 45380 |
|
260 |
177 |
$160K |
| 96366 |
|
284 |
174 |
$145K |
| 94010 |
|
2,320 |
2,166 |
$144K |
| 36430 |
|
609 |
409 |
$142K |
| J1050 |
Medroxyprogesterone acetate |
1,936 |
1,783 |
$142K |
| 01922 |
|
650 |
332 |
$131K |
| 92014 |
|
1,148 |
1,134 |
$128K |
| 90471 |
|
43,800 |
39,621 |
$125K |
| 99211 |
|
924 |
795 |
$124K |
| 87637 |
|
2,587 |
2,194 |
$123K |
| 87636 |
|
6,082 |
5,485 |
$119K |
| 90670 |
|
15,074 |
14,084 |
$118K |
| 92004 |
|
1,795 |
1,735 |
$103K |
| 90648 |
|
18,560 |
17,329 |
$90K |
| G0463 |
Hospital outpt clinic visit |
769 |
680 |
$88K |
| 85025 |
|
14,737 |
10,962 |
$82K |
| 76705 |
|
734 |
581 |
$70K |
| 12011 |
|
308 |
258 |
$64K |
| 95700 |
|
366 |
306 |
$64K |
| P9016 |
Rbc leukocytes reduced |
119 |
102 |
$61K |
| 99395 |
|
463 |
404 |
$59K |
| 76000 |
|
406 |
238 |
$58K |
| J3535 |
Metered dose inhaler drug |
984 |
514 |
$58K |
| 96415 |
|
117 |
50 |
$58K |
| 87631 |
|
515 |
483 |
$56K |
| 59025 |
|
232 |
185 |
$52K |
| 12001 |
|
231 |
192 |
$50K |
| 86850 |
|
1,772 |
1,203 |
$48K |
| 76825 |
|
838 |
766 |
$48K |
| 80069 |
|
3,500 |
2,377 |
$47K |
| 90686 |
|
13,043 |
11,275 |
$46K |
| D2331 |
|
126 |
63 |
$45K |
| 90633 |
|
7,838 |
7,083 |
$45K |
| 70553 |
|
164 |
124 |
$43K |
| D2934 |
|
115 |
36 |
$41K |
| 92060 |
|
617 |
568 |
$40K |
| 82728 |
|
2,366 |
2,032 |
$39K |
| 90723 |
|
14,366 |
13,445 |
$39K |
| 80053 |
|
5,658 |
4,196 |
$37K |
| 93005 |
|
3,877 |
3,391 |
$34K |
| D2392 |
|
110 |
63 |
$33K |
| 82306 |
|
1,686 |
1,454 |
$33K |
| 87635 |
|
6,354 |
6,016 |
$32K |
| 95004 |
|
1,154 |
1,068 |
$31K |
| 76827 |
|
1,025 |
910 |
$31K |
| 71046 |
|
2,442 |
2,119 |
$30K |
| 83021 |
|
1,422 |
1,224 |
$28K |
| 90472 |
|
27,525 |
25,334 |
$26K |
| 74018 |
|
1,246 |
1,008 |
$26K |
| 70551 |
|
115 |
86 |
$25K |
| 86900 |
|
1,797 |
1,213 |
$25K |
| 85045 |
|
5,176 |
4,188 |
$24K |
| 36415 |
|
12,117 |
9,430 |
$23K |
| 82805 |
|
538 |
344 |
$23K |
| P9040 |
Rbc leukoreduced irradiated |
51 |
25 |
$23K |
| J0561 |
Penicillin g benzathine inj |
136 |
108 |
$22K |
| 96372 |
|
3,619 |
2,955 |
$21K |
| 90681 |
|
4,431 |
4,062 |
$20K |
| 80307 |
|
647 |
550 |
$20K |
| 93320 |
|
1,173 |
1,010 |
$19K |
| 92552 |
|
168 |
159 |
$19K |
| 94060 |
|
177 |
159 |
$18K |
| 00170 |
|
8,246 |
7,240 |
$17K |
| 82248 |
|
3,693 |
2,539 |
$16K |
| 90649 |
|
3,809 |
3,284 |
$16K |
| 90460 |
|
4,876 |
4,469 |
$15K |
| 90696 |
|
4,431 |
3,883 |
$14K |
| 90710 |
|
3,471 |
3,108 |
$13K |
| 90716 |
|
2,645 |
2,303 |
$12K |
| 86920 |
|
325 |
151 |
$12K |
| 80048 |
|
630 |
511 |
$12K |
| 92587 |
|
136 |
118 |
$12K |
| 86140 |
|
2,718 |
2,070 |
$12K |
| 87634 |
|
2,389 |
2,177 |
$11K |
| 90651 |
|
1,150 |
1,094 |
$11K |
| 90734 |
|
2,945 |
2,545 |
$10K |
| 71045 |
|
848 |
664 |
$10K |
| 87661 |
|
1,261 |
1,081 |
$10K |
| 82247 |
|
1,889 |
1,266 |
$9K |
| 99384 |
|
124 |
111 |
$9K |
| 90677 |
|
2,390 |
2,293 |
$9K |
| J3490 |
Drugs unclassified injection |
2,266 |
1,419 |
$9K |
| 90715 |
|
2,033 |
1,698 |
$9K |
| 83615 |
|
1,455 |
1,201 |
$8K |
| 90620 |
|
1,333 |
1,133 |
$8K |
| 90707 |
|
2,632 |
2,287 |
$8K |
| 86901 |
|
1,797 |
1,213 |
$8K |
| 90680 |
|
1,946 |
1,863 |
$8K |
| 96374 |
|
2,232 |
1,626 |
$8K |
| 90700 |
|
1,267 |
1,204 |
$8K |
| 87502 |
|
407 |
388 |
$7K |
| 82947 |
|
2,339 |
1,358 |
$7K |
| 80076 |
|
457 |
384 |
$7K |
| 82570 |
|
1,029 |
866 |
$7K |
| 84450 |
|
2,126 |
1,568 |
$7K |
| 82977 |
|
1,007 |
880 |
$6K |
| 84460 |
|
2,125 |
1,567 |
$6K |
| 76856 |
|
33 |
25 |
$6K |
| 73090 |
|
682 |
534 |
$6K |
| 85027 |
|
1,737 |
1,237 |
$5K |
| 90656 |
|
876 |
869 |
$5K |
| 00731 |
|
1,007 |
698 |
$5K |
| 93017 |
|
34 |
31 |
$5K |
| 12002 |
|
18 |
18 |
$5K |
| 96376 |
|
648 |
368 |
$5K |
| D1120 |
|
3,361 |
2,908 |
$5K |
| 83540 |
|
694 |
547 |
$5K |
| 87086 |
|
1,189 |
1,000 |
$5K |
| 36591 |
|
217 |
132 |
$5K |
| 81001 |
|
2,345 |
1,898 |
$5K |
| 87491 |
|
988 |
865 |
$5K |
| 73130 |
|
766 |
612 |
$5K |
| 87651 |
|
816 |
711 |
$5K |
| 83735 |
|
1,129 |
723 |
$5K |
| 81003 |
|
1,855 |
1,447 |
$5K |
| 96112 |
|
18 |
14 |
$5K |
| 76770 |
|
17 |
12 |
$5K |
| 90474 |
|
4,758 |
4,380 |
$4K |
| 92567 |
|
162 |
144 |
$4K |
| 73610 |
|
624 |
527 |
$4K |
| 84075 |
|
1,688 |
1,158 |
$4K |
| 84155 |
|
1,702 |
1,170 |
$4K |
| 87591 |
|
984 |
863 |
$4K |
| 85007 |
|
847 |
588 |
$4K |
| 83550 |
|
685 |
538 |
$4K |
| 96375 |
|
2,133 |
1,418 |
$4K |
| 73630 |
|
613 |
526 |
$4K |
| 84100 |
|
1,540 |
1,020 |
$4K |
| 84443 |
|
580 |
480 |
$4K |
| 99383 |
|
40 |
38 |
$4K |
| 73590 |
|
463 |
361 |
$4K |
| 96367 |
|
41 |
36 |
$4K |
| 73560 |
|
495 |
399 |
$3K |
| 88305 |
|
2,284 |
889 |
$3K |
| 73110 |
|
550 |
426 |
$3K |
| 43762 |
|
12 |
12 |
$3K |
| 82043 |
|
601 |
527 |
$3K |
| 83036 |
|
1,256 |
1,086 |
$3K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
1,043 |
914 |
$3K |
| 82330 |
|
668 |
425 |
$3K |
| 90832 |
|
21 |
13 |
$3K |
| 87800 |
|
754 |
584 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
3,141 |
2,731 |
$3K |
| 94664 |
|
196 |
127 |
$3K |
| 93975 |
|
12 |
12 |
$2K |
| 74019 |
|
179 |
163 |
$2K |
| 93225 |
|
31 |
28 |
$2K |
| 73070 |
|
281 |
214 |
$2K |
| 84439 |
|
182 |
145 |
$2K |
| 81025 |
|
2,378 |
1,781 |
$2K |
| 87070 |
|
797 |
649 |
$2K |
| 85610 |
|
658 |
528 |
$2K |
| 88720 |
|
5,196 |
3,657 |
$2K |
| 87040 |
|
561 |
447 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
293 |
155 |
$2K |
| J2270 |
Morphine sulfate injection |
6,569 |
4,766 |
$2K |
| 80320 |
|
45 |
39 |
$2K |
| 92557 |
|
30 |
29 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
11,252 |
9,140 |
$1K |
| 92012 |
|
18 |
17 |
$1K |
| 83690 |
|
1,012 |
821 |
$1K |
| 73080 |
|
124 |
102 |
$1K |
| 94621 |
|
13 |
13 |
$1K |
| 87880 |
|
1,934 |
1,695 |
$1K |
| 99381 |
|
14 |
12 |
$1K |
| 83605 |
|
585 |
372 |
$1K |
| 87205 |
|
541 |
428 |
$1K |
| 82784 |
|
357 |
147 |
$1K |
| 00813 |
|
271 |
182 |
$1K |
| 73060 |
|
156 |
127 |
$1K |
| J7999 |
Compounded drug, noc |
1,734 |
1,522 |
$1K |
| J7042 |
5% dextrose/normal saline |
1,603 |
1,021 |
$1K |
| 81002 |
|
944 |
657 |
$1K |
| J7120 |
Ringers lactate infusion |
11,389 |
9,147 |
$1K |
| 86780 |
|
270 |
225 |
$1K |
| 93226 |
|
31 |
28 |
$1K |
| 85730 |
|
651 |
502 |
$1K |
| 73030 |
|
161 |
124 |
$954.57 |
| 85018 |
|
467 |
304 |
$949.88 |
| 87186 |
|
474 |
387 |
$925.98 |
| 87075 |
|
673 |
550 |
$915.92 |
| 29125 |
|
87 |
81 |
$904.52 |
| 82435 |
|
458 |
319 |
$888.80 |
| 99401 |
|
17 |
12 |
$870.09 |
| J7030 |
Normal saline solution infus |
2,885 |
1,976 |
$869.95 |
| 87077 |
|
330 |
240 |
$852.06 |
| J0134 |
Inj acetaminophen -fresenius |
1,283 |
717 |
$801.05 |
| 85652 |
|
1,523 |
1,136 |
$795.40 |
| 84132 |
|
492 |
348 |
$697.12 |
| 87804 |
|
683 |
356 |
$668.51 |
| 86902 |
|
23 |
12 |
$655.90 |
| 88184 |
|
15 |
12 |
$637.13 |
| 69200 |
|
46 |
37 |
$631.71 |
| 69210 |
|
439 |
402 |
$624.59 |
| 73140 |
|
66 |
54 |
$610.74 |
| 80143 |
|
188 |
147 |
$599.81 |
| 84295 |
|
462 |
320 |
$588.98 |
| 85246 |
|
14 |
12 |
$561.81 |
| 00300 |
|
123 |
86 |
$561.39 |
| 87798 |
|
168 |
129 |
$516.56 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
265 |
134 |
$504.09 |
| 87389 |
|
46 |
36 |
$503.22 |
| 82077 |
|
119 |
93 |
$459.22 |
| 90671 |
|
1,097 |
1,008 |
$458.60 |
| 84156 |
|
262 |
212 |
$423.95 |
| J8540 |
Oral dexamethasone |
1,439 |
1,114 |
$422.15 |
| J2274 |
Inj morphine pf epid ithc |
54 |
51 |
$397.11 |
| 86703 |
|
58 |
53 |
$374.69 |
| J0690 |
Cefazolin sodium injection |
1,589 |
989 |
$338.26 |
| J1885 |
Ketorolac tromethamine inj |
7,301 |
5,766 |
$332.49 |
| 73552 |
|
109 |
92 |
$308.54 |
| J0696 |
Ceftriaxone sodium injection |
1,306 |
859 |
$295.22 |
| 80179 |
|
168 |
133 |
$266.65 |
| 72170 |
|
78 |
66 |
$252.07 |
| 92652 |
|
12 |
12 |
$234.12 |
| J1642 |
Inj heparin sodium per 10 u |
1,221 |
485 |
$229.51 |
| J2405 |
Ondansetron hcl injection |
11,226 |
8,928 |
$220.74 |
| 82150 |
|
158 |
126 |
$216.76 |
| A4217 |
Sterile water/saline, 500 ml |
766 |
604 |
$212.80 |
| 87799 |
|
16 |
12 |
$202.93 |
| J1170 |
Hydromorphone injection |
1,100 |
676 |
$191.84 |
| 82785 |
|
31 |
25 |
$190.68 |
| 87081 |
|
38 |
28 |
$190.35 |
| 84702 |
|
29 |
25 |
$178.28 |
| J3010 |
Fentanyl citrate injection |
9,568 |
8,140 |
$170.58 |
| 84550 |
|
35 |
24 |
$170.53 |
| 36406 |
|
52 |
45 |
$165.88 |
| J2250 |
Inj midazolam hydrochloride |
3,210 |
2,280 |
$160.21 |
| 90688 |
|
18 |
18 |
$150.87 |
| J1100 |
Dexamethasone sodium phos |
9,774 |
8,104 |
$143.97 |
| D0272 |
|
964 |
698 |
$131.15 |
| 87102 |
|
92 |
70 |
$117.13 |
| J9370 |
Vincristine sulfate 1 mg inj |
20 |
12 |
$97.88 |
| 31720 |
|
644 |
551 |
$94.62 |
| 99417 |
Prolong home eval add 15m |
489 |
423 |
$78.83 |
| J2930 |
Methylprednisolone injection |
151 |
85 |
$77.40 |
| 82550 |
|
16 |
12 |
$63.93 |
| J7060 |
5% dextrose/water |
262 |
140 |
$60.17 |
| J7050 |
Normal saline solution infus |
1,317 |
769 |
$59.61 |
| 90461 |
|
359 |
346 |
$48.63 |
| 87206 |
|
28 |
24 |
$45.34 |
| 90480 |
|
313 |
282 |
$42.00 |
| 82962 |
|
19 |
12 |
$37.97 |
| J7040 |
Normal saline solution infus |
550 |
473 |
$37.83 |
| 85660 |
|
22 |
12 |
$37.56 |
| J1200 |
Diphenhydramine hcl injectio |
249 |
163 |
$34.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
429 |
323 |
$25.60 |
| 87210 |
|
14 |
12 |
$20.13 |
| J2710 |
Neostigmine methylslfte inj |
49 |
27 |
$16.68 |
| J7699 |
Inhalation solution for dme |
52 |
14 |
$15.41 |
| 91318 |
|
76 |
66 |
$10.50 |
| J2919 |
Inj, methylpred sod succ 5mg |
77 |
61 |
$6.90 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
47 |
46 |
$5.24 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
299 |
279 |
$3.62 |
| J2004 |
Inj, lidocaine w epinephrine |
94 |
93 |
$1.23 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
261 |
195 |
$0.86 |
| J7613 |
Albuterol non-comp unit |
101 |
59 |
$0.36 |
| J2001 |
Lidocaine injection |
29 |
19 |
$0.25 |
| 00840 |
|
28 |
15 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
78 |
69 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
525 |
398 |
$0.00 |
| G0330 |
Facility svs dental rehab |
57 |
54 |
$0.00 |
| D0220 |
|
93 |
93 |
$0.00 |
| 91320 |
|
63 |
59 |
$0.00 |
| 00920 |
|
14 |
14 |
$0.00 |
| D1110 |
|
13 |
13 |
$0.00 |
| D9230 |
|
38 |
38 |
$0.00 |
| 00140 |
|
14 |
14 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
14 |
$0.00 |
| D0330 |
|
14 |
14 |
$0.00 |
| 76377 |
|
38 |
29 |
$0.00 |
| 87116 |
|
13 |
12 |
$0.00 |
| D1310 |
|
147 |
147 |
$0.00 |
| L8699 |
Prosthetic implant nos |
234 |
224 |
$0.00 |
| D0150 |
|
89 |
89 |
$0.00 |
| D0240 |
|
224 |
133 |
$0.00 |
| 00126 |
|
312 |
280 |
$0.00 |
| A9270 |
Non-covered item or service |
819 |
232 |
$0.00 |
| 94760 |
|
233 |
191 |
$0.00 |
| D0603 |
|
154 |
154 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
15 |
12 |
$0.00 |
| D0120 |
|
68 |
68 |
$0.00 |
| C1769 |
Guide wire |
38 |
26 |
$0.00 |
| D1206 |
|
143 |
143 |
$0.00 |
| 87015 |
|
13 |
12 |
$0.00 |
| D1330 |
|
146 |
146 |
$0.00 |
| 91319 |
|
64 |
60 |
$0.00 |
| D0140 |
|
39 |
39 |
$0.00 |