| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
16,424 |
15,484 |
$2.91M |
| 99283 |
|
19,919 |
18,981 |
$2.35M |
| 99285 |
|
7,487 |
6,978 |
$2.10M |
| 96374 |
|
8,594 |
7,882 |
$874K |
| 97110 |
|
27,643 |
8,559 |
$655K |
| 96365 |
|
6,699 |
4,855 |
$617K |
| 99282 |
|
7,516 |
7,288 |
$594K |
| 74177 |
|
4,455 |
4,313 |
$583K |
| 70450 |
|
4,399 |
4,248 |
$432K |
| 87635 |
|
12,693 |
12,317 |
$344K |
| G0463 |
Hospital outpt clinic visit |
5,340 |
3,662 |
$325K |
| 96375 |
|
8,423 |
7,459 |
$300K |
| 96361 |
|
8,909 |
7,099 |
$274K |
| 11042 |
|
1,411 |
691 |
$261K |
| 71046 |
|
7,225 |
6,995 |
$260K |
| 96360 |
|
3,139 |
2,040 |
$250K |
| 93306 |
|
1,039 |
1,034 |
$226K |
| 80061 |
|
18,580 |
18,452 |
$211K |
| 74176 |
|
2,183 |
2,101 |
$204K |
| 97140 |
|
12,635 |
4,683 |
$189K |
| 80053 |
|
54,369 |
49,276 |
$175K |
| 36415 |
|
75,494 |
66,393 |
$170K |
| 84443 |
|
20,464 |
20,064 |
$162K |
| 77067 |
|
2,901 |
2,896 |
$146K |
| 71045 |
|
3,854 |
3,676 |
$136K |
| 97112 |
|
6,451 |
2,665 |
$136K |
| 85025 |
|
55,815 |
49,075 |
$127K |
| 82306 |
|
7,810 |
7,767 |
$117K |
| 97530 |
|
4,004 |
1,672 |
$114K |
| 97162 |
|
2,053 |
2,034 |
$101K |
| 97161 |
|
1,843 |
1,831 |
$92K |
| 76830 |
|
1,663 |
1,649 |
$91K |
| 96366 |
|
2,474 |
1,591 |
$83K |
| 92507 |
|
1,868 |
632 |
$81K |
| 71275 |
|
926 |
893 |
$75K |
| 76705 |
|
1,296 |
1,274 |
$69K |
| 83036 |
|
13,312 |
13,238 |
$66K |
| 86900 |
|
2,168 |
1,981 |
$65K |
| 76856 |
|
1,310 |
1,306 |
$64K |
| 99281 |
|
1,110 |
1,098 |
$61K |
| 87491 |
|
3,244 |
3,184 |
$57K |
| 87591 |
|
3,183 |
3,127 |
$54K |
| 80307 |
|
3,887 |
3,688 |
$49K |
| 71260 |
|
595 |
585 |
$45K |
| 95810 |
|
80 |
80 |
$44K |
| 82607 |
|
5,289 |
5,244 |
$38K |
| 94060 |
|
276 |
276 |
$36K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
3,344 |
3,333 |
$34K |
| 82728 |
|
4,735 |
4,660 |
$33K |
| 97597 |
|
363 |
186 |
$31K |
| 84439 |
|
6,467 |
6,351 |
$30K |
| 99291 |
|
67 |
63 |
$28K |
| 93005 |
|
11,306 |
10,416 |
$28K |
| 77063 |
|
2,056 |
2,056 |
$27K |
| 73564 |
|
1,504 |
1,442 |
$26K |
| 71271 |
|
436 |
436 |
$26K |
| 93971 |
|
488 |
480 |
$26K |
| 86803 |
|
3,935 |
3,925 |
$26K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,583 |
1,571 |
$25K |
| G0378 |
Hospital observation per hr |
683 |
412 |
$25K |
| 80048 |
|
6,686 |
6,078 |
$22K |
| 73030 |
|
1,644 |
1,583 |
$22K |
| 72100 |
|
882 |
882 |
$21K |
| 87086 |
|
9,249 |
8,848 |
$21K |
| G0480 |
Drug test def 1-7 classes |
4,253 |
3,816 |
$20K |
| 82746 |
|
2,452 |
2,431 |
$18K |
| 83550 |
|
4,087 |
4,037 |
$18K |
| G0103 |
Psa screening |
1,693 |
1,683 |
$18K |
| 87624 |
|
915 |
914 |
$18K |
| 72125 |
|
1,610 |
1,572 |
$18K |
| 45378 |
|
36 |
36 |
$17K |
| 71250 |
|
411 |
406 |
$17K |
| 86481 |
|
315 |
314 |
$16K |
| 73630 |
|
2,107 |
2,026 |
$16K |
| 76536 |
|
360 |
359 |
$16K |
| 85027 |
|
4,930 |
4,832 |
$16K |
| 72131 |
|
402 |
399 |
$15K |
| 73130 |
|
1,780 |
1,686 |
$15K |
| 73610 |
|
1,560 |
1,473 |
$15K |
| 73110 |
|
1,211 |
1,135 |
$15K |
| 83540 |
|
4,366 |
4,305 |
$14K |
| 78452 |
|
25 |
25 |
$14K |
| 83735 |
|
8,915 |
8,061 |
$13K |
| 97533 |
|
497 |
197 |
$13K |
| 87081 |
|
8,657 |
8,375 |
$12K |
| 87186 |
|
3,850 |
3,682 |
$11K |
| 76642 |
|
307 |
303 |
$11K |
| 82043 |
|
3,735 |
3,704 |
$11K |
| 83970 |
|
498 |
495 |
$11K |
| 84702 |
|
1,869 |
1,278 |
$11K |
| 83880 |
|
3,125 |
2,954 |
$11K |
| 80076 |
|
2,492 |
2,338 |
$10K |
| 87088 |
|
3,342 |
3,233 |
$10K |
| 72148 |
|
105 |
105 |
$10K |
| 97116 |
|
694 |
340 |
$9K |
| 87340 |
|
2,324 |
2,313 |
$9K |
| 88305 |
|
853 |
837 |
$9K |
| 86140 |
|
5,576 |
4,986 |
$9K |
| 81001 |
|
20,147 |
18,736 |
$9K |
| 87808 |
|
1,400 |
1,376 |
$9K |
| 80306 |
|
3,107 |
2,937 |
$8K |
| 96372 |
|
5,820 |
5,280 |
$8K |
| 76801 |
|
180 |
170 |
$8K |
| 87077 |
|
3,090 |
2,962 |
$8K |
| 87070 |
|
2,024 |
1,986 |
$8K |
| 90471 |
|
659 |
645 |
$8K |
| G0108 |
Diab manage trn per indiv |
186 |
159 |
$8K |
| 76770 |
|
168 |
167 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
298 |
295 |
$7K |
| 93798 |
|
97 |
14 |
$7K |
| 84403 |
|
481 |
463 |
$7K |
| 86038 |
|
1,129 |
1,122 |
$7K |
| 96367 |
|
207 |
195 |
$7K |
| 85610 |
|
9,920 |
8,380 |
$7K |
| 86706 |
|
1,063 |
1,060 |
$6K |
| 73502 |
|
397 |
390 |
$6K |
| G0328 |
Fecal blood scrn immunoassay |
249 |
243 |
$6K |
| 76857 |
|
94 |
91 |
$5K |
| 82570 |
|
2,040 |
2,014 |
$5K |
| 86592 |
|
2,133 |
2,119 |
$5K |
| 93017 |
|
150 |
150 |
$5K |
| 84146 |
|
520 |
504 |
$5K |
| 73562 |
|
274 |
273 |
$5K |
| 80074 |
|
213 |
213 |
$5K |
| J7030 |
Normal saline solution infus |
8,819 |
6,913 |
$5K |
| 86704 |
|
746 |
743 |
$5K |
| 86708 |
|
666 |
664 |
$4K |
| 82784 |
|
516 |
484 |
$4K |
| 84481 |
|
483 |
469 |
$4K |
| 82951 |
|
578 |
527 |
$4K |
| 85652 |
|
3,932 |
3,774 |
$4K |
| 72110 |
|
156 |
155 |
$4K |
| 74018 |
|
264 |
260 |
$4K |
| 83001 |
|
350 |
349 |
$4K |
| 87075 |
|
1,570 |
1,489 |
$3K |
| G0476 |
Hpv combo assay ca screen |
165 |
164 |
$3K |
| L4350 |
Ankle control ortho pre ots |
59 |
57 |
$3K |
| 83690 |
|
7,476 |
6,869 |
$3K |
| 97035 |
|
564 |
268 |
$3K |
| 82670 |
|
200 |
199 |
$3K |
| 73080 |
|
242 |
236 |
$3K |
| 85730 |
|
3,793 |
3,534 |
$3K |
| 70496 |
|
171 |
168 |
$3K |
| 70491 |
|
30 |
30 |
$3K |
| 84153 |
|
251 |
251 |
$2K |
| 87426 |
|
128 |
121 |
$2K |
| 76816 |
|
52 |
41 |
$2K |
| 93225 |
|
49 |
49 |
$2K |
| 82947 |
|
163 |
163 |
$2K |
| 82550 |
|
1,056 |
900 |
$2K |
| 70486 |
|
68 |
68 |
$2K |
| 77080 |
|
39 |
39 |
$2K |
| 97163 |
|
40 |
40 |
$2K |
| 74019 |
|
123 |
123 |
$2K |
| 84402 |
|
139 |
138 |
$2K |
| 86431 |
|
663 |
662 |
$2K |
| 82565 |
|
662 |
633 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,050 |
4,866 |
$2K |
| 83516 |
|
260 |
245 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 84100 |
|
833 |
681 |
$2K |
| 81025 |
|
6,358 |
6,038 |
$1K |
| 87276 |
|
7,338 |
7,148 |
$1K |
| 84550 |
|
663 |
654 |
$1K |
| 73140 |
|
78 |
74 |
$1K |
| 83721 |
|
244 |
244 |
$1K |
| 87430 |
|
6,840 |
6,709 |
$1K |
| 82105 |
|
138 |
135 |
$1K |
| 86703 |
|
178 |
177 |
$1K |
| 87275 |
|
7,338 |
7,148 |
$1K |
| 73590 |
|
144 |
134 |
$1K |
| 85576 |
|
73 |
73 |
$1K |
| 74022 |
|
873 |
854 |
$1K |
| 72040 |
|
52 |
52 |
$1K |
| 85379 |
|
2,540 |
2,482 |
$1K |
| 84703 |
|
1,926 |
1,873 |
$1K |
| 86200 |
|
215 |
215 |
$1K |
| G0279 |
Tomosynthesis, mammo |
92 |
92 |
$1K |
| 83002 |
|
96 |
96 |
$1K |
| 82248 |
|
387 |
317 |
$972.62 |
| 72050 |
|
25 |
25 |
$915.11 |
| 84480 |
|
149 |
145 |
$898.11 |
| 80069 |
|
192 |
185 |
$880.28 |
| 81373 |
|
28 |
27 |
$842.71 |
| 87427 |
|
119 |
94 |
$826.88 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$817.53 |
| 84156 |
|
430 |
419 |
$804.49 |
| 87807 |
|
1,721 |
1,685 |
$798.98 |
| 88304 |
|
146 |
144 |
$793.32 |
| 83655 |
|
119 |
119 |
$777.78 |
| 84460 |
|
255 |
247 |
$652.24 |
| 86003 |
|
12 |
12 |
$618.82 |
| 84145 |
|
884 |
845 |
$557.00 |
| 83605 |
|
6,351 |
5,711 |
$539.83 |
| 84450 |
|
218 |
210 |
$534.83 |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$528.16 |
| 83993 |
|
50 |
50 |
$513.62 |
| 73090 |
|
88 |
86 |
$501.52 |
| 83615 |
|
199 |
189 |
$484.34 |
| 86376 |
|
59 |
59 |
$475.45 |
| 84165 |
|
87 |
81 |
$466.68 |
| 87040 |
|
2,221 |
1,856 |
$447.87 |
| 80164 |
|
81 |
77 |
$422.69 |
| 84484 |
|
8,165 |
6,896 |
$401.91 |
| 86480 |
|
12 |
12 |
$388.18 |
| 76870 |
|
25 |
24 |
$369.75 |
| 85046 |
|
123 |
119 |
$356.99 |
| 87046 |
|
94 |
94 |
$345.22 |
| 87045 |
|
94 |
94 |
$342.15 |
| 86318 |
|
58 |
57 |
$311.21 |
| 86762 |
|
428 |
427 |
$271.71 |
| 82533 |
|
27 |
25 |
$229.92 |
| 70498 |
|
168 |
166 |
$198.94 |
| 87220 |
|
178 |
177 |
$185.15 |
| 87661 |
|
15 |
15 |
$179.16 |
| 96376 |
|
2,471 |
2,009 |
$150.63 |
| 82140 |
|
56 |
52 |
$141.76 |
| 87209 |
|
14 |
14 |
$133.84 |
| 84155 |
|
72 |
68 |
$130.89 |
| 85018 |
|
114 |
114 |
$128.52 |
| 73552 |
|
12 |
12 |
$122.33 |
| 86800 |
|
13 |
13 |
$104.80 |
| 86308 |
|
142 |
138 |
$84.16 |
| 86850 |
|
1,763 |
1,606 |
$74.90 |
| 71101 |
|
13 |
13 |
$68.59 |
| 82310 |
|
30 |
30 |
$67.25 |
| 82962 |
|
4,123 |
2,938 |
$63.87 |
| 87324 |
|
17 |
17 |
$61.76 |
| 87449 |
|
17 |
17 |
$61.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
196 |
128 |
$56.70 |
| 85014 |
|
52 |
52 |
$51.86 |
| 87177 |
|
14 |
14 |
$43.83 |
| 82803 |
|
312 |
279 |
$43.36 |
| 80178 |
|
15 |
12 |
$42.54 |
| 82150 |
|
12 |
12 |
$41.59 |
| 82040 |
|
17 |
17 |
$40.70 |
| 82010 |
|
165 |
144 |
$40.47 |
| 80051 |
|
12 |
12 |
$36.56 |
| 85651 |
|
14 |
12 |
$32.54 |
| 84520 |
|
15 |
15 |
$27.72 |
| 87205 |
|
40 |
40 |
$15.72 |
| 94640 |
|
2,204 |
1,819 |
$11.70 |
| J2765 |
Metoclopramide hcl injection |
883 |
827 |
$6.66 |
| J1885 |
Ketorolac tromethamine inj |
5,969 |
5,516 |
$3.09 |
| Q0162 |
Ondansetron oral |
1,370 |
1,271 |
$3.00 |
| J2270 |
Morphine sulfate injection |
3,990 |
3,256 |
$2.46 |
| A9270 |
Non-covered item or service |
1,358 |
1,101 |
$0.31 |
| J0696 |
Ceftriaxone sodium injection |
2,377 |
1,955 |
$0.15 |
| J1200 |
Diphenhydramine hcl injectio |
2,160 |
1,872 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,767 |
1,517 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,843 |
1,734 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
8,113 |
6,839 |
$0.00 |
| 94729 |
|
331 |
331 |
$0.00 |
| J7040 |
Normal saline solution infus |
781 |
727 |
$0.00 |
| 90715 |
|
578 |
575 |
$0.00 |
| 93226 |
|
49 |
49 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
240 |
224 |
$0.00 |
| J2550 |
Promethazine hcl injection |
136 |
111 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
27 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
41 |
39 |
$0.00 |
| 94726 |
|
199 |
199 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
303 |
285 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
182 |
155 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
13 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
158 |
123 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
74 |
56 |
$0.00 |
| 94664 |
|
16 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
14 |
13 |
$0.00 |
| 12011 |
|
14 |
14 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,843 |
2,755 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
265 |
180 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,609 |
1,948 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,659 |
1,582 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,656 |
1,134 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
814 |
780 |
$0.00 |
| 12001 |
|
210 |
209 |
$0.00 |
| J2360 |
Orphenadrine injection |
353 |
341 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
432 |
124 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
755 |
687 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
234 |
210 |
$0.00 |
| J3480 |
Inj potassium chloride |
102 |
68 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,044 |
1,012 |
$0.00 |
| 86901 |
|
2,166 |
1,979 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,488 |
1,420 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
36 |
25 |
$0.00 |
| J2060 |
Lorazepam injection |
485 |
378 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
37 |
36 |
$0.00 |
| J1815 |
Insulin injection |
13 |
12 |
$0.00 |
| 96368 |
|
70 |
66 |
$0.00 |
| 0241U |
|
58 |
58 |
$0.00 |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
13 |
12 |
$0.00 |