| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,529 |
9,456 |
$1.66M |
| 99284 |
|
7,198 |
6,204 |
$1.55M |
| 74177 |
|
1,047 |
924 |
$703K |
| 99285 |
|
1,936 |
1,582 |
$451K |
| 70450 |
|
999 |
875 |
$235K |
| 71045 |
|
3,945 |
3,450 |
$173K |
| 87635 |
|
3,466 |
3,247 |
$151K |
| 96374 |
|
3,609 |
2,993 |
$128K |
| 99282 |
|
1,745 |
1,544 |
$125K |
| 87502 |
|
1,641 |
1,495 |
$94K |
| 80053 |
|
11,703 |
9,760 |
$85K |
| 87798 |
|
2,729 |
2,440 |
$83K |
| 85027 |
|
13,806 |
11,087 |
$76K |
| 87651 |
|
2,118 |
1,891 |
$67K |
| 96375 |
|
1,588 |
1,219 |
$61K |
| 93005 |
|
3,851 |
3,070 |
$51K |
| 71046 |
|
1,104 |
953 |
$47K |
| 96372 |
|
1,179 |
913 |
$37K |
| 96365 |
|
664 |
536 |
$36K |
| 74176 |
|
83 |
74 |
$36K |
| 96361 |
|
1,515 |
1,175 |
$29K |
| 84443 |
|
2,258 |
2,001 |
$28K |
| 87634 |
|
473 |
440 |
$24K |
| 87801 |
|
458 |
394 |
$21K |
| 81001 |
|
6,588 |
5,676 |
$19K |
| 36415 |
|
9,162 |
7,562 |
$17K |
| 84484 |
|
2,932 |
2,279 |
$17K |
| 83880 |
|
939 |
792 |
$15K |
| 87086 |
|
2,473 |
2,077 |
$15K |
| G0378 |
Hospital observation per hr |
108 |
86 |
$14K |
| 80061 |
|
1,334 |
1,211 |
$13K |
| 83690 |
|
2,113 |
1,780 |
$11K |
| 73564 |
|
225 |
161 |
$11K |
| 96376 |
|
292 |
221 |
$10K |
| 83605 |
|
1,445 |
1,148 |
$10K |
| 97110 |
|
2,755 |
832 |
$10K |
| 83036 |
|
1,364 |
1,202 |
$9K |
| 82306 |
|
391 |
357 |
$9K |
| 83735 |
|
2,157 |
1,801 |
$9K |
| 80048 |
|
1,460 |
1,207 |
$8K |
| G0480 |
Drug test def 1-7 classes |
180 |
135 |
$6K |
| 87040 |
|
925 |
664 |
$6K |
| 73110 |
|
164 |
93 |
$6K |
| 87077 |
|
854 |
730 |
$6K |
| 87186 |
|
791 |
671 |
$5K |
| 74018 |
|
129 |
113 |
$5K |
| 73630 |
|
114 |
96 |
$5K |
| 73610 |
|
122 |
97 |
$5K |
| 80306 |
|
337 |
275 |
$5K |
| 93306 |
|
31 |
27 |
$4K |
| 87389 |
|
179 |
162 |
$4K |
| 96360 |
|
103 |
64 |
$4K |
| 87591 |
|
167 |
146 |
$4K |
| 87491 |
|
166 |
145 |
$4K |
| 73030 |
|
120 |
75 |
$4K |
| 81025 |
|
552 |
463 |
$3K |
| 85610 |
|
1,468 |
1,093 |
$3K |
| 87880 |
|
242 |
223 |
$3K |
| 87661 |
|
157 |
133 |
$3K |
| 71275 |
|
12 |
12 |
$3K |
| 72125 |
|
12 |
12 |
$3K |
| 86780 |
|
262 |
207 |
$3K |
| 94640 |
|
340 |
272 |
$2K |
| 97162 |
|
133 |
95 |
$2K |
| 84703 |
|
293 |
249 |
$2K |
| 72100 |
|
45 |
41 |
$2K |
| 73130 |
|
42 |
27 |
$2K |
| 76705 |
|
13 |
13 |
$1K |
| 73502 |
|
33 |
24 |
$1K |
| 86850 |
|
167 |
124 |
$1K |
| 80307 |
|
36 |
26 |
$1K |
| 76700 |
|
19 |
12 |
$1K |
| 85730 |
|
379 |
318 |
$1K |
| 86703 |
|
130 |
92 |
$1K |
| J7030 |
Normal saline solution infus |
345 |
267 |
$1K |
| 88305 |
|
14 |
12 |
$981.54 |
| 85379 |
|
137 |
119 |
$925.34 |
| J3490 |
Drugs unclassified injection |
940 |
676 |
$920.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
186 |
169 |
$818.42 |
| 86803 |
|
68 |
54 |
$732.92 |
| 77067 |
|
12 |
12 |
$675.45 |
| 82607 |
|
46 |
43 |
$666.09 |
| 97530 |
|
277 |
125 |
$614.27 |
| 84439 |
|
78 |
65 |
$467.99 |
| 86140 |
|
88 |
81 |
$391.80 |
| 86901 |
|
177 |
130 |
$373.97 |
| 86900 |
|
177 |
130 |
$373.30 |
| 85025 |
|
26 |
25 |
$265.32 |
| 84702 |
|
33 |
26 |
$263.90 |
| J7050 |
Normal saline solution infus |
74 |
46 |
$200.09 |
| G0279 |
Tomosynthesis, mammo |
27 |
25 |
$181.17 |
| 87340 |
|
13 |
12 |
$133.87 |
| 97140 |
|
214 |
103 |
$111.47 |
| 85652 |
|
41 |
38 |
$91.36 |
| 93010 |
|
22 |
14 |
$83.95 |
| J2405 |
Ondansetron hcl injection |
76 |
52 |
$24.81 |
| J1642 |
Inj heparin sodium per 10 u |
19 |
14 |
$18.48 |
| 97112 |
|
26 |
13 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
30 |
25 |
$0.00 |
| 82077 |
|
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
164 |
159 |
$0.00 |