| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,179 |
22,502 |
$4.40M |
| 99283 |
|
13,204 |
12,666 |
$1.64M |
| 99285 |
|
3,543 |
3,379 |
$1.23M |
| 96374 |
|
6,342 |
5,865 |
$616K |
| G0463 |
Hospital outpt clinic visit |
7,679 |
6,101 |
$460K |
| 74177 |
|
2,661 |
2,570 |
$405K |
| 97110 |
|
17,442 |
5,122 |
$404K |
| 96365 |
|
2,704 |
2,019 |
$238K |
| 99282 |
|
2,718 |
2,664 |
$201K |
| 71046 |
|
5,343 |
5,180 |
$200K |
| 96361 |
|
6,076 |
5,356 |
$193K |
| 59409 |
|
233 |
229 |
$172K |
| 96375 |
|
5,844 |
4,956 |
$168K |
| 59025 |
|
1,537 |
837 |
$141K |
| 80061 |
|
7,421 |
7,372 |
$131K |
| 70450 |
|
1,444 |
1,414 |
$123K |
| 96360 |
|
1,005 |
953 |
$96K |
| 99220 |
|
823 |
731 |
$83K |
| 99281 |
|
1,950 |
1,920 |
$82K |
| 87591 |
|
5,867 |
5,782 |
$77K |
| 87491 |
|
5,882 |
5,787 |
$76K |
| 86900 |
|
2,024 |
1,901 |
$76K |
| G0378 |
Hospital observation per hr |
415 |
385 |
$76K |
| 76856 |
|
1,391 |
1,382 |
$75K |
| 87798 |
|
3,613 |
3,574 |
$74K |
| 76830 |
|
1,208 |
1,201 |
$71K |
| 99213 |
|
2,205 |
1,408 |
$69K |
| 71045 |
|
1,724 |
1,643 |
$68K |
| 84443 |
|
9,878 |
9,657 |
$68K |
| 77067 |
|
1,395 |
1,394 |
$68K |
| 87428 |
|
3,282 |
3,175 |
$63K |
| 80053 |
|
23,701 |
21,390 |
$62K |
| 97162 |
|
1,145 |
1,138 |
$60K |
| 99291 |
|
133 |
124 |
$60K |
| 97140 |
|
4,229 |
1,757 |
$56K |
| 97161 |
|
1,080 |
1,071 |
$54K |
| 99460 |
|
955 |
916 |
$50K |
| 74176 |
|
408 |
394 |
$47K |
| 87651 |
|
3,717 |
3,628 |
$44K |
| 87426 |
|
2,497 |
2,432 |
$41K |
| 85025 |
|
24,868 |
21,460 |
$39K |
| 87635 |
|
1,398 |
1,382 |
$38K |
| 64493 |
|
69 |
68 |
$38K |
| 76805 |
|
622 |
621 |
$37K |
| 83036 |
|
7,291 |
7,217 |
$36K |
| 76705 |
|
609 |
604 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
361 |
342 |
$35K |
| 80307 |
|
4,109 |
3,876 |
$35K |
| 82306 |
|
2,231 |
2,208 |
$34K |
| 42820 |
|
23 |
12 |
$32K |
| 99232 |
|
728 |
314 |
$30K |
| 59400 |
|
13 |
13 |
$29K |
| 36415 |
|
21,496 |
19,304 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
485 |
209 |
$27K |
| 99238 |
|
633 |
626 |
$27K |
| 99239 |
|
461 |
443 |
$25K |
| 27687 |
|
55 |
29 |
$24K |
| 93306 |
|
103 |
103 |
$22K |
| 72100 |
|
565 |
563 |
$22K |
| 86780 |
|
2,790 |
2,757 |
$21K |
| 76801 |
|
362 |
330 |
$21K |
| 87661 |
|
1,521 |
1,496 |
$20K |
| 71275 |
|
242 |
235 |
$20K |
| 87481 |
|
990 |
982 |
$19K |
| 87624 |
|
1,185 |
1,183 |
$18K |
| 77063 |
|
1,310 |
1,309 |
$17K |
| 96366 |
|
486 |
313 |
$14K |
| 86703 |
|
2,868 |
2,847 |
$14K |
| 76815 |
|
301 |
297 |
$14K |
| G0480 |
Drug test def 1-7 classes |
1,968 |
1,843 |
$14K |
| 84439 |
|
2,938 |
2,882 |
$13K |
| 93005 |
|
5,703 |
5,126 |
$13K |
| 99214 |
|
295 |
253 |
$13K |
| 99222 |
|
161 |
152 |
$12K |
| 76816 |
|
194 |
192 |
$11K |
| 84702 |
|
2,271 |
1,768 |
$11K |
| 88305 |
|
1,020 |
998 |
$10K |
| 72148 |
|
104 |
104 |
$10K |
| 86803 |
|
2,137 |
2,110 |
$10K |
| 64483 |
|
25 |
24 |
$9K |
| 11042 |
|
83 |
29 |
$9K |
| G0123 |
Screen cerv/vag thin layer |
678 |
678 |
$8K |
| 01480 |
|
111 |
101 |
$8K |
| 73630 |
|
987 |
972 |
$7K |
| 96372 |
|
5,394 |
4,578 |
$7K |
| 88175 |
|
750 |
747 |
$7K |
| 87088 |
|
2,926 |
2,799 |
$6K |
| 87340 |
|
2,039 |
2,022 |
$6K |
| 87625 |
|
264 |
262 |
$6K |
| 85027 |
|
2,986 |
2,914 |
$5K |
| 78452 |
|
12 |
12 |
$5K |
| 87086 |
|
2,782 |
2,690 |
$5K |
| 88142 |
|
494 |
493 |
$5K |
| 82728 |
|
774 |
762 |
$5K |
| 80048 |
|
3,943 |
3,381 |
$5K |
| 00170 |
|
65 |
64 |
$5K |
| 73610 |
|
717 |
703 |
$4K |
| 81001 |
|
13,540 |
12,585 |
$4K |
| 95851 |
|
494 |
426 |
$4K |
| 82043 |
|
1,292 |
1,280 |
$4K |
| 93975 |
|
39 |
38 |
$4K |
| 87077 |
|
1,141 |
1,122 |
$4K |
| 73030 |
|
324 |
315 |
$4K |
| 90471 |
|
363 |
346 |
$4K |
| 83880 |
|
1,065 |
975 |
$3K |
| 82950 |
|
1,193 |
1,188 |
$3K |
| 83735 |
|
5,025 |
4,327 |
$3K |
| 82607 |
|
441 |
435 |
$3K |
| 73721 |
|
25 |
25 |
$3K |
| 93971 |
|
53 |
52 |
$3K |
| 73130 |
|
543 |
525 |
$3K |
| 85610 |
|
2,693 |
2,204 |
$3K |
| 87070 |
|
817 |
794 |
$3K |
| 73562 |
|
226 |
224 |
$2K |
| 54150 |
|
36 |
36 |
$2K |
| 71260 |
|
14 |
14 |
$2K |
| 70486 |
|
37 |
37 |
$2K |
| 87210 |
|
1,284 |
1,248 |
$2K |
| 87150 |
|
163 |
160 |
$2K |
| 73110 |
|
307 |
301 |
$2K |
| 76770 |
|
26 |
26 |
$1K |
| 87804 |
|
1,533 |
1,504 |
$1K |
| 85651 |
|
957 |
870 |
$1K |
| 87186 |
|
466 |
462 |
$1K |
| 83540 |
|
386 |
378 |
$1K |
| 83690 |
|
4,373 |
4,030 |
$1K |
| 83550 |
|
268 |
260 |
$1K |
| 99217 |
|
30 |
27 |
$1K |
| 86317 |
|
866 |
856 |
$926.51 |
| 74018 |
|
48 |
46 |
$872.96 |
| 86140 |
|
561 |
513 |
$854.59 |
| 76536 |
|
12 |
12 |
$781.25 |
| 76641 |
|
12 |
12 |
$779.55 |
| 76642 |
|
15 |
15 |
$682.69 |
| 80306 |
|
797 |
762 |
$634.42 |
| 86850 |
|
1,752 |
1,698 |
$605.81 |
| 73502 |
|
28 |
28 |
$562.26 |
| 86677 |
|
143 |
141 |
$550.32 |
| 97112 |
|
25 |
12 |
$509.74 |
| 84550 |
|
281 |
261 |
$450.20 |
| 86769 |
|
13 |
13 |
$433.86 |
| 81025 |
|
5,999 |
5,745 |
$432.78 |
| 87081 |
|
163 |
160 |
$428.29 |
| 86038 |
|
91 |
89 |
$400.07 |
| G0279 |
Tomosynthesis, mammo |
25 |
25 |
$349.41 |
| 94640 |
|
813 |
584 |
$341.48 |
| 85730 |
|
1,300 |
1,198 |
$339.45 |
| 88304 |
|
115 |
114 |
$310.08 |
| 74019 |
|
263 |
253 |
$288.86 |
| 86694 |
|
20 |
15 |
$279.08 |
| 36591 |
|
17 |
12 |
$273.35 |
| 72125 |
|
29 |
28 |
$257.96 |
| 82746 |
|
25 |
25 |
$196.55 |
| 85379 |
|
879 |
852 |
$189.42 |
| 83721 |
|
55 |
55 |
$164.40 |
| 86592 |
|
70 |
70 |
$161.79 |
| 87801 |
|
14 |
14 |
$155.92 |
| 83605 |
|
3,945 |
3,482 |
$154.55 |
| 85652 |
|
177 |
166 |
$124.71 |
| 82105 |
|
12 |
12 |
$94.24 |
| 86704 |
|
25 |
25 |
$90.31 |
| 84484 |
|
4,075 |
3,170 |
$88.64 |
| 82570 |
|
35 |
35 |
$78.73 |
| 87040 |
|
835 |
521 |
$66.62 |
| 82550 |
|
119 |
112 |
$60.96 |
| 73564 |
|
15 |
15 |
$59.64 |
| 82784 |
|
27 |
27 |
$57.45 |
| 84703 |
|
226 |
218 |
$50.59 |
| 86756 |
|
486 |
482 |
$39.84 |
| 84403 |
|
13 |
13 |
$29.40 |
| 87807 |
|
373 |
366 |
$29.17 |
| 87430 |
|
313 |
310 |
$28.59 |
| 80076 |
|
15 |
15 |
$26.82 |
| 86431 |
|
12 |
12 |
$25.52 |
| 86709 |
|
12 |
12 |
$25.26 |
| 82150 |
|
26 |
25 |
$24.42 |
| 87205 |
|
12 |
12 |
$23.40 |
| 84146 |
|
13 |
13 |
$12.74 |
| 84132 |
|
13 |
13 |
$2.78 |
| J0690 |
Cefazolin sodium injection |
1,426 |
1,361 |
$0.00 |
| Q0162 |
Ondansetron oral |
190 |
187 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
4,496 |
4,359 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,350 |
3,233 |
$0.00 |
| 86901 |
|
2,029 |
1,905 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
3,154 |
2,953 |
$0.00 |
| 96376 |
|
1,578 |
1,090 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,534 |
2,173 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
851 |
841 |
$0.00 |
| J2360 |
Orphenadrine injection |
201 |
199 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,170 |
856 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
29 |
26 |
$0.00 |
| J2060 |
Lorazepam injection |
518 |
440 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
322 |
306 |
$0.00 |
| J1630 |
Haloperidol injection |
27 |
24 |
$0.00 |
| 82376 |
|
15 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
591 |
550 |
$0.00 |
| 12001 |
|
61 |
61 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
60 |
60 |
$0.00 |
| 64494 |
|
91 |
68 |
$0.00 |
| 94760 |
|
31 |
29 |
$0.00 |
| 96368 |
|
15 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
14 |
13 |
$0.00 |
| 82962 |
|
54 |
48 |
$0.00 |
| J3490 |
Drugs unclassified injection |
37 |
36 |
$0.00 |
| 97750 |
|
14 |
14 |
$0.00 |
| 95831 |
|
34 |
29 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
3,808 |
3,421 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,307 |
1,129 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
109 |
107 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,247 |
1,139 |
$0.00 |
| J2930 |
Methylprednisolone injection |
372 |
352 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,385 |
4,218 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
169 |
164 |
$0.00 |
| 90715 |
|
212 |
211 |
$0.00 |
| 82948 |
|
304 |
225 |
$0.00 |
| A9577 |
Inj multihance |
66 |
65 |
$0.00 |
| J7120 |
Ringers lactate infusion |
59 |
54 |
$0.00 |
| J2550 |
Promethazine hcl injection |
34 |
28 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 93041 |
|
56 |
53 |
$0.00 |
| 73140 |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
14 |
13 |
$0.00 |