| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,343 |
5,798 |
$3.36M |
| 99284 |
|
913 |
887 |
$583K |
| 99291 |
|
249 |
247 |
$321K |
| 99282 |
|
649 |
635 |
$217K |
| 74177 |
|
459 |
452 |
$137K |
| G0378 |
Hospital observation per hr |
791 |
519 |
$54K |
| 86900 |
|
570 |
525 |
$33K |
| 71045 |
|
687 |
650 |
$32K |
| 71046 |
|
423 |
408 |
$27K |
| 70450 |
|
393 |
379 |
$25K |
| 86885 |
|
351 |
344 |
$25K |
| 93306 |
|
80 |
80 |
$22K |
| 84443 |
|
1,900 |
1,862 |
$21K |
| 87636 |
|
1,690 |
1,646 |
$19K |
| 76705 |
|
226 |
221 |
$19K |
| 82565 |
|
10,427 |
8,386 |
$18K |
| 78452 |
|
31 |
31 |
$18K |
| 85025 |
|
8,549 |
6,794 |
$17K |
| 84702 |
|
2,601 |
2,326 |
$16K |
| 80051 |
|
8,473 |
6,800 |
$14K |
| 83036 |
|
1,996 |
1,966 |
$13K |
| 80061 |
|
1,243 |
1,236 |
$13K |
| 84460 |
|
5,476 |
4,838 |
$13K |
| 71275 |
|
66 |
66 |
$12K |
| 83880 |
|
1,268 |
1,063 |
$11K |
| 82306 |
|
503 |
503 |
$11K |
| 86901 |
|
570 |
525 |
$10K |
| 86480 |
|
157 |
157 |
$9K |
| 83970 |
|
493 |
489 |
$9K |
| 86141 |
|
1,156 |
1,114 |
$9K |
| 87491 |
|
380 |
368 |
$9K |
| 87591 |
|
380 |
368 |
$9K |
| 85027 |
|
2,020 |
1,925 |
$8K |
| 74176 |
|
55 |
55 |
$8K |
| 93017 |
|
48 |
48 |
$8K |
| 82247 |
|
4,361 |
3,754 |
$7K |
| 84075 |
|
4,254 |
3,697 |
$7K |
| 93971 |
|
81 |
80 |
$7K |
| 87389 |
|
314 |
313 |
$7K |
| 82728 |
|
699 |
696 |
$7K |
| 81003 |
|
6,081 |
5,563 |
$7K |
| 82607 |
|
538 |
536 |
$6K |
| 86780 |
|
434 |
433 |
$6K |
| 86803 |
|
480 |
480 |
$6K |
| 87505 |
|
80 |
79 |
$6K |
| 80076 |
|
986 |
919 |
$6K |
| 80307 |
|
316 |
301 |
$5K |
| 83735 |
|
2,248 |
1,872 |
$5K |
| 82310 |
|
2,025 |
1,786 |
$5K |
| 82947 |
|
6,562 |
5,737 |
$5K |
| 84450 |
|
3,441 |
3,076 |
$5K |
| 96374 |
|
2,323 |
2,085 |
$4K |
| 84520 |
|
7,357 |
5,945 |
$4K |
| 81513 |
|
56 |
54 |
$4K |
| 83550 |
|
735 |
731 |
$4K |
| 83690 |
|
2,846 |
2,612 |
$4K |
| 0450 |
|
78 |
74 |
$4K |
| A9500 |
Tc99m sestamibi |
60 |
55 |
$3K |
| 83520 |
|
338 |
206 |
$3K |
| 87340 |
|
356 |
356 |
$3K |
| 72125 |
|
44 |
42 |
$3K |
| 83540 |
|
743 |
740 |
$3K |
| 85610 |
|
2,224 |
1,819 |
$3K |
| 0637 |
|
11,765 |
2,988 |
$2K |
| 82570 |
|
624 |
554 |
$2K |
| 82746 |
|
266 |
265 |
$2K |
| 87481 |
|
75 |
73 |
$2K |
| 84439 |
|
415 |
394 |
$2K |
| 82040 |
|
1,282 |
1,233 |
$2K |
| 87661 |
|
56 |
54 |
$2K |
| 84132 |
|
891 |
826 |
$2K |
| 73562 |
|
32 |
28 |
$2K |
| 73630 |
|
29 |
28 |
$2K |
| 85730 |
|
588 |
550 |
$2K |
| 87088 |
|
844 |
824 |
$2K |
| J2785 |
Regadenoson injection |
42 |
42 |
$2K |
| 84295 |
|
677 |
654 |
$2K |
| 87637 |
|
126 |
123 |
$2K |
| 84156 |
|
634 |
542 |
$2K |
| 96375 |
|
1,446 |
1,293 |
$2K |
| 70551 |
|
12 |
12 |
$1K |
| 84100 |
|
978 |
836 |
$1K |
| 82043 |
|
531 |
522 |
$1K |
| 85652 |
|
874 |
850 |
$1K |
| 84550 |
|
552 |
540 |
$1K |
| 84484 |
|
2,048 |
1,594 |
$1K |
| 82950 |
|
295 |
294 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
158 |
88 |
$1K |
| 87633 |
|
27 |
26 |
$1K |
| 82248 |
|
600 |
558 |
$1K |
| 96365 |
|
456 |
423 |
$1K |
| 73610 |
|
12 |
12 |
$1K |
| 85379 |
|
481 |
474 |
$1K |
| 87449 |
|
116 |
112 |
$996.00 |
| 82105 |
|
110 |
110 |
$987.00 |
| 86038 |
|
97 |
97 |
$980.00 |
| 93005 |
|
368 |
340 |
$975.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,327 |
1,270 |
$954.22 |
| 84134 |
|
82 |
79 |
$756.00 |
| 86364 |
|
60 |
60 |
$650.00 |
| 73030 |
|
14 |
14 |
$642.84 |
| 82550 |
|
256 |
238 |
$634.60 |
| 80197 |
|
90 |
75 |
$606.00 |
| 84165 |
|
125 |
123 |
$598.00 |
| 96372 |
|
333 |
326 |
$570.39 |
| 82977 |
|
77 |
75 |
$531.00 |
| 87040 |
|
1,169 |
612 |
$454.22 |
| 85014 |
|
325 |
309 |
$380.00 |
| 84153 |
|
41 |
41 |
$375.00 |
| 85018 |
|
301 |
285 |
$368.00 |
| 82962 |
|
906 |
610 |
$352.82 |
| 83721 |
|
40 |
40 |
$300.00 |
| 86308 |
|
69 |
67 |
$275.00 |
| 87324 |
|
54 |
53 |
$270.00 |
| 87497 |
|
14 |
12 |
$258.00 |
| 86704 |
|
28 |
28 |
$244.00 |
| 87210 |
|
104 |
101 |
$242.56 |
| 83605 |
|
744 |
633 |
$238.62 |
| J7030 |
Normal saline solution infus |
2,237 |
1,942 |
$194.26 |
| 0250 |
|
938 |
522 |
$161.33 |
| 82077 |
|
99 |
92 |
$147.64 |
| J7120 |
Ringers lactate infusion |
653 |
602 |
$145.20 |
| 97161 |
|
56 |
55 |
$133.13 |
| 96360 |
|
68 |
67 |
$132.26 |
| 83615 |
|
32 |
29 |
$122.00 |
| J2270 |
Morphine sulfate injection |
420 |
362 |
$104.43 |
| 87081 |
|
135 |
129 |
$99.68 |
| J0131 |
Inj, acetaminophen (nos) |
783 |
712 |
$93.64 |
| 90656 |
|
203 |
202 |
$90.91 |
| J1885 |
Ketorolac tromethamine inj |
1,450 |
828 |
$90.77 |
| 82150 |
|
14 |
14 |
$87.00 |
| 90686 |
|
124 |
124 |
$76.08 |
| J1815 |
Insulin injection |
140 |
58 |
$73.86 |
| G0008 |
Admin influenza virus vac |
108 |
108 |
$73.85 |
| 84145 |
|
19 |
15 |
$70.00 |
| 87205 |
|
48 |
44 |
$70.00 |
| 83718 |
|
13 |
13 |
$69.95 |
| 90471 |
|
340 |
339 |
$55.70 |
| J3490 |
Drugs unclassified injection |
319 |
273 |
$55.23 |
| J2405 |
Ondansetron hcl injection |
1,165 |
1,033 |
$54.00 |
| 96361 |
|
295 |
292 |
$50.86 |
| J0696 |
Ceftriaxone sodium injection |
582 |
444 |
$46.85 |
| J1170 |
Hydromorphone injection |
286 |
213 |
$45.31 |
| 82465 |
|
14 |
14 |
$34.41 |
| J1200 |
Diphenhydramine hcl injectio |
174 |
153 |
$26.72 |
| J2765 |
Metoclopramide hcl injection |
204 |
183 |
$24.02 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
15 |
$20.67 |
| J1100 |
Dexamethasone sodium phos |
250 |
175 |
$15.68 |
| J3475 |
Inj magnesium sulfate |
88 |
82 |
$13.52 |
| J0780 |
Prochlorperazine injection |
70 |
59 |
$13.22 |
| J1644 |
Inj heparin sodium per 1000u |
170 |
70 |
$10.30 |
| J2272 |
Inj, morphine (fresenius) |
37 |
33 |
$0.00 |
| 90662 |
|
89 |
89 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
35 |
$0.00 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
12 |
12 |
$0.00 |