| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
24,520 |
5,988 |
$1.13M |
| 97140 |
|
15,017 |
4,060 |
$324K |
| 97112 |
|
9,739 |
2,913 |
$212K |
| 97530 |
|
7,078 |
3,209 |
$156K |
| 97161 |
|
2,531 |
2,019 |
$150K |
| 97016 |
|
6,231 |
1,628 |
$149K |
| 66984 |
|
358 |
240 |
$102K |
| 62323 |
|
207 |
158 |
$53K |
| 73721 |
|
286 |
260 |
$51K |
| 76642 |
|
424 |
382 |
$45K |
| G0378 |
Hospital observation per hr |
504 |
214 |
$34K |
| 71046 |
|
681 |
617 |
$34K |
| 43239 |
|
81 |
75 |
$29K |
| 87491 |
|
706 |
681 |
$26K |
| 77063 |
|
607 |
549 |
$22K |
| 58661 |
|
17 |
13 |
$21K |
| 93005 |
|
949 |
878 |
$20K |
| 76705 |
|
180 |
164 |
$20K |
| 87591 |
|
705 |
680 |
$20K |
| 88142 |
|
1,142 |
1,083 |
$20K |
| 87624 |
|
689 |
634 |
$19K |
| 72148 |
|
102 |
95 |
$14K |
| 97012 |
|
353 |
121 |
$9K |
| 88305 |
|
950 |
831 |
$9K |
| 76770 |
|
47 |
41 |
$9K |
| G0123 |
Screen cerv/vag thin layer |
607 |
578 |
$9K |
| 64447 |
|
55 |
28 |
$5K |
| 77067 |
|
616 |
560 |
$5K |
| 73221 |
|
15 |
15 |
$3K |
| 77066 |
Tomosynthesis, mammo |
201 |
188 |
$3K |
| 97162 |
|
30 |
27 |
$2K |
| 74177 |
|
13 |
12 |
$2K |
| 72100 |
|
45 |
40 |
$2K |
| 73560 |
|
62 |
51 |
$2K |
| 97010 |
|
57 |
28 |
$2K |
| 77062 |
|
76 |
68 |
$2K |
| 36415 |
|
735 |
488 |
$1K |
| 77080 |
|
16 |
16 |
$867.97 |
| 72040 |
|
13 |
13 |
$839.64 |
| 74018 |
|
14 |
12 |
$819.05 |
| 97750 |
|
36 |
18 |
$803.18 |
| 00840 |
|
130 |
97 |
$637.36 |
| 97014 |
|
26 |
12 |
$491.37 |
| 97116 |
|
249 |
84 |
$480.21 |
| J7120 |
Ringers lactate infusion |
2,292 |
1,775 |
$78.36 |
| 88342 |
|
46 |
40 |
$72.08 |
| J1885 |
Ketorolac tromethamine inj |
1,048 |
537 |
$67.01 |
| J0690 |
Cefazolin sodium injection |
1,757 |
1,168 |
$12.63 |
| J3010 |
Fentanyl citrate injection |
1,787 |
1,408 |
$10.79 |
| J1100 |
Dexamethasone sodium phos |
1,402 |
983 |
$7.46 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
128 |
112 |
$4.70 |
| J3301 |
Triamcinolone acet inj nos |
1,167 |
932 |
$4.09 |
| J0330 |
Succinycholine chloride inj |
748 |
579 |
$3.12 |
| J2405 |
Ondansetron hcl injection |
2,084 |
1,373 |
$1.76 |
| J2704 |
Inj, propofol, 10 mg |
3,089 |
2,413 |
$1.63 |
| J2795 |
Ropivacaine hcl injection |
480 |
316 |
$0.07 |
| J2001 |
Lidocaine injection |
331 |
284 |
$0.03 |
| 00142 |
|
470 |
315 |
$0.00 |
| A9585 |
Gadobutrol injection |
31 |
25 |
$0.00 |
| 01400 |
|
36 |
25 |
$0.00 |
| 85027 |
|
24 |
14 |
$0.00 |
| J1170 |
Hydromorphone injection |
40 |
27 |
$0.00 |
| 80047 |
|
27 |
15 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
296 |
224 |
$0.00 |
| J7030 |
Normal saline solution infus |
43 |
36 |
$0.00 |
| C1776 |
Joint device (implantable) |
30 |
16 |
$0.00 |
| 88302 |
|
13 |
12 |
$0.00 |
| 00731 |
|
40 |
25 |
$0.00 |
| 00170 |
|
14 |
12 |
$0.00 |