| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
11,024 |
10,310 |
$1.99M |
| 99285 |
|
6,157 |
5,733 |
$1.87M |
| 99283 |
|
10,481 |
10,035 |
$1.17M |
| 96374 |
|
7,889 |
7,289 |
$739K |
| 74177 |
|
3,718 |
3,577 |
$484K |
| G0463 |
Hospital outpt clinic visit |
9,093 |
8,033 |
$443K |
| 96365 |
|
3,558 |
3,014 |
$285K |
| 99282 |
|
4,148 |
4,048 |
$277K |
| 70450 |
|
3,168 |
3,041 |
$272K |
| 96375 |
|
7,082 |
6,233 |
$199K |
| 96361 |
|
5,845 |
5,012 |
$192K |
| 80061 |
|
2,824 |
2,795 |
$163K |
| 74176 |
|
1,565 |
1,515 |
$154K |
| 71045 |
|
4,154 |
3,910 |
$144K |
| 96360 |
|
1,414 |
1,361 |
$141K |
| 11042 |
|
969 |
475 |
$138K |
| 71046 |
|
3,944 |
3,762 |
$136K |
| 87635 |
|
5,393 |
5,167 |
$121K |
| 93306 |
|
536 |
528 |
$97K |
| 72148 |
|
853 |
841 |
$90K |
| 71275 |
|
912 |
867 |
$83K |
| 77067 |
|
1,707 |
1,702 |
$82K |
| 64493 |
|
126 |
115 |
$80K |
| 59025 |
|
784 |
392 |
$78K |
| 97597 |
|
986 |
575 |
$76K |
| G0378 |
Hospital observation per hr |
1,268 |
844 |
$73K |
| 76705 |
|
955 |
920 |
$53K |
| 72125 |
|
1,136 |
1,107 |
$45K |
| 97110 |
|
1,969 |
566 |
$39K |
| 96366 |
|
1,121 |
806 |
$34K |
| 78452 |
|
75 |
69 |
$33K |
| 71260 |
|
364 |
349 |
$32K |
| 76856 |
|
536 |
521 |
$29K |
| 94060 |
|
222 |
217 |
$28K |
| 76830 |
|
476 |
464 |
$27K |
| 64635 |
|
27 |
25 |
$26K |
| 99281 |
|
559 |
552 |
$22K |
| 86900 |
|
1,951 |
1,854 |
$21K |
| 97530 |
|
1,221 |
425 |
$21K |
| 80053 |
|
21,042 |
18,443 |
$18K |
| 93005 |
|
8,492 |
7,670 |
$17K |
| 85025 |
|
25,151 |
21,348 |
$15K |
| G0260 |
Inj for sacroiliac jt anesth |
40 |
40 |
$14K |
| 72141 |
|
91 |
90 |
$14K |
| 84443 |
|
4,843 |
4,618 |
$13K |
| 36415 |
|
23,498 |
20,413 |
$12K |
| 99291 |
|
28 |
28 |
$12K |
| 70553 |
|
66 |
66 |
$12K |
| 77063 |
|
890 |
890 |
$11K |
| 71271 |
|
195 |
195 |
$11K |
| 97112 |
|
465 |
154 |
$9K |
| 76801 |
|
154 |
139 |
$9K |
| 45384 |
|
31 |
25 |
$8K |
| 82306 |
|
876 |
863 |
$8K |
| 96372 |
|
4,744 |
4,167 |
$8K |
| 80307 |
|
2,162 |
2,054 |
$7K |
| 93971 |
|
127 |
125 |
$7K |
| J7030 |
Normal saline solution infus |
5,066 |
4,307 |
$6K |
| 43239 |
|
14 |
14 |
$6K |
| 73564 |
|
422 |
384 |
$5K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
828 |
821 |
$5K |
| 88305 |
|
656 |
512 |
$5K |
| 93970 |
|
55 |
50 |
$5K |
| 72131 |
|
105 |
103 |
$5K |
| 76700 |
|
89 |
89 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,719 |
3,523 |
$5K |
| 93017 |
|
256 |
242 |
$5K |
| 73630 |
|
732 |
697 |
$4K |
| 83036 |
|
1,686 |
1,665 |
$4K |
| 87591 |
|
834 |
810 |
$4K |
| 87491 |
|
839 |
815 |
$4K |
| 87426 |
|
212 |
203 |
$4K |
| 90471 |
|
357 |
352 |
$4K |
| 72110 |
|
129 |
127 |
$4K |
| 73721 |
|
25 |
25 |
$3K |
| 73030 |
|
497 |
467 |
$3K |
| 97140 |
|
216 |
78 |
$3K |
| 80048 |
|
4,473 |
3,870 |
$2K |
| 84439 |
|
953 |
931 |
$2K |
| 84702 |
|
660 |
477 |
$2K |
| G0480 |
Drug test def 1-7 classes |
2,583 |
2,320 |
$2K |
| 86803 |
|
572 |
563 |
$2K |
| 83880 |
|
1,706 |
1,577 |
$2K |
| 73610 |
|
367 |
345 |
$2K |
| 73130 |
|
427 |
385 |
$2K |
| 70496 |
|
37 |
37 |
$2K |
| 87086 |
|
2,198 |
2,098 |
$1K |
| 87070 |
|
1,398 |
1,329 |
$1K |
| 86140 |
|
3,694 |
3,430 |
$1K |
| 71250 |
|
24 |
24 |
$1K |
| 81025 |
|
4,956 |
4,683 |
$1K |
| 76536 |
|
31 |
27 |
$1K |
| 76816 |
|
30 |
27 |
$1K |
| 81001 |
|
12,545 |
11,496 |
$1K |
| 97162 |
|
26 |
25 |
$1K |
| 72100 |
|
70 |
55 |
$1K |
| 83735 |
|
5,019 |
4,163 |
$1K |
| 87081 |
|
389 |
385 |
$896.77 |
| 87502 |
|
2,400 |
2,342 |
$877.78 |
| 85610 |
|
4,037 |
3,399 |
$861.00 |
| 87634 |
|
887 |
862 |
$855.98 |
| 80306 |
|
1,286 |
1,205 |
$786.67 |
| 94726 |
|
165 |
164 |
$748.43 |
| 87808 |
|
168 |
160 |
$671.04 |
| 76805 |
|
12 |
12 |
$650.50 |
| 73110 |
|
88 |
84 |
$617.12 |
| 76642 |
|
12 |
12 |
$533.28 |
| 87651 |
|
1,886 |
1,859 |
$449.45 |
| 85027 |
|
437 |
401 |
$447.68 |
| 82728 |
|
190 |
188 |
$443.60 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$395.08 |
| 85652 |
|
1,350 |
1,276 |
$374.36 |
| Q0091 |
Obtaining screen pap smear |
27 |
27 |
$373.80 |
| 85730 |
|
2,003 |
1,852 |
$364.78 |
| 87186 |
|
588 |
543 |
$364.14 |
| 80076 |
|
1,191 |
1,110 |
$363.51 |
| J1100 |
Dexamethasone sodium phos |
2,339 |
2,179 |
$362.94 |
| 86592 |
|
204 |
201 |
$351.27 |
| 82607 |
|
105 |
105 |
$338.32 |
| 96367 |
|
22 |
20 |
$325.82 |
| 74018 |
|
38 |
38 |
$320.09 |
| 83690 |
|
5,148 |
4,732 |
$287.63 |
| 87077 |
|
399 |
371 |
$264.58 |
| 87340 |
|
242 |
239 |
$251.16 |
| 83540 |
|
174 |
173 |
$245.36 |
| 99212 |
|
24 |
12 |
$242.32 |
| 83550 |
|
120 |
120 |
$211.32 |
| 87276 |
|
1,148 |
1,114 |
$183.54 |
| 85379 |
|
1,742 |
1,663 |
$167.94 |
| 82570 |
|
115 |
109 |
$152.09 |
| 87275 |
|
1,148 |
1,114 |
$142.88 |
| 87088 |
|
203 |
189 |
$131.33 |
| 85651 |
|
200 |
181 |
$129.56 |
| 86850 |
|
1,744 |
1,662 |
$128.82 |
| 97802 |
|
13 |
13 |
$125.00 |
| 84145 |
|
985 |
920 |
$121.73 |
| 87653 |
|
12 |
12 |
$115.14 |
| 82962 |
|
3,421 |
2,369 |
$109.28 |
| 82951 |
|
20 |
17 |
$107.70 |
| 87804 |
|
1,806 |
1,766 |
$100.99 |
| 70498 |
|
38 |
38 |
$100.63 |
| 84703 |
|
1,125 |
1,102 |
$98.57 |
| 87801 |
|
140 |
140 |
$88.22 |
| 84484 |
|
5,679 |
4,811 |
$87.84 |
| 86901 |
|
1,950 |
1,853 |
$77.28 |
| 83605 |
|
5,132 |
4,571 |
$76.59 |
| 94640 |
|
1,301 |
984 |
$74.44 |
| 94729 |
|
254 |
244 |
$64.76 |
| 81002 |
|
64 |
61 |
$60.13 |
| 76817 |
|
67 |
58 |
$59.64 |
| 84100 |
|
139 |
103 |
$51.40 |
| 82150 |
|
196 |
184 |
$48.84 |
| 87040 |
|
1,559 |
1,271 |
$47.74 |
| 82565 |
|
54 |
48 |
$43.37 |
| 88342 |
|
15 |
14 |
$25.16 |
| 87075 |
|
80 |
78 |
$16.19 |
| 82950 |
|
12 |
12 |
$13.25 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
200 |
196 |
$11.79 |
| J3010 |
Fentanyl citrate injection |
1,473 |
1,305 |
$6.86 |
| J1885 |
Ketorolac tromethamine inj |
4,549 |
3,996 |
$3.88 |
| J2250 |
Inj midazolam hydrochloride |
1,090 |
1,031 |
$3.70 |
| J2405 |
Ondansetron hcl injection |
5,608 |
4,543 |
$2.26 |
| 84520 |
|
12 |
12 |
$2.23 |
| G8979 |
Mobility goal status |
25 |
15 |
$0.01 |
| G8978 |
Mobility current status |
23 |
14 |
$0.01 |
| J2270 |
Morphine sulfate injection |
1,669 |
1,256 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
486 |
449 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,041 |
926 |
$0.00 |
| J7120 |
Ringers lactate infusion |
838 |
747 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
181 |
150 |
$0.00 |
| J2930 |
Methylprednisolone injection |
347 |
305 |
$0.00 |
| J7040 |
Normal saline solution infus |
249 |
218 |
$0.00 |
| 90715 |
|
300 |
300 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
37 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
80 |
69 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
331 |
321 |
$0.00 |
| 64636 |
|
27 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
107 |
77 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
90 |
55 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
26 |
26 |
$0.00 |
| 82800 |
|
13 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
27 |
27 |
$0.00 |
| 64495 |
|
17 |
14 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
805 |
791 |
$0.00 |
| A9270 |
Non-covered item or service |
608 |
456 |
$0.00 |
| J1741 |
Ibuprofen injection |
42 |
41 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,193 |
1,008 |
$0.00 |
| J2060 |
Lorazepam injection |
184 |
145 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
327 |
317 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,023 |
772 |
$0.00 |
| 96376 |
|
2,166 |
1,618 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
612 |
361 |
$0.00 |
| Q0162 |
Ondansetron oral |
201 |
194 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,759 |
1,930 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
232 |
221 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
83 |
78 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
269 |
214 |
$0.00 |
| 64494 |
|
125 |
114 |
$0.00 |
| 82803 |
|
77 |
68 |
$0.00 |
| 0241U |
|
19 |
19 |
$0.00 |
| J2785 |
Regadenoson injection |
43 |
39 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
43 |
40 |
$0.00 |
| 94750 |
|
48 |
39 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 82810 |
|
15 |
14 |
$0.00 |
| J2360 |
Orphenadrine injection |
42 |
40 |
$0.00 |
| 96368 |
|
26 |
26 |
$0.00 |