| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,729 |
2,606 |
$247K |
| 99284 |
|
1,782 |
1,698 |
$172K |
| 11042 |
|
1,508 |
658 |
$151K |
| 80053 |
|
6,391 |
4,998 |
$123K |
| 70450 |
|
1,205 |
1,106 |
$94K |
| 74177 |
|
822 |
757 |
$91K |
| 80307 |
|
1,301 |
1,125 |
$71K |
| 96413 |
|
614 |
343 |
$53K |
| 85025 |
|
9,193 |
6,775 |
$51K |
| 80048 |
|
3,961 |
3,213 |
$51K |
| 96365 |
|
819 |
492 |
$51K |
| 80047 |
|
1,742 |
1,546 |
$48K |
| 70553 |
|
159 |
151 |
$47K |
| 96372 |
|
1,034 |
773 |
$43K |
| 97110 |
|
1,368 |
306 |
$40K |
| 74176 |
|
609 |
567 |
$36K |
| 78815 |
|
71 |
68 |
$35K |
| 43239 |
|
422 |
407 |
$34K |
| 88305 |
|
668 |
634 |
$32K |
| 99282 |
|
511 |
492 |
$28K |
| 72125 |
|
241 |
235 |
$28K |
| 36415 |
|
4,256 |
3,415 |
$26K |
| 84484 |
|
2,366 |
1,344 |
$23K |
| 71260 |
|
180 |
169 |
$22K |
| 96374 |
|
776 |
703 |
$21K |
| 77067 |
|
542 |
533 |
$21K |
| 93005 |
|
2,953 |
2,481 |
$21K |
| 99285 |
|
861 |
795 |
$20K |
| 72148 |
|
89 |
86 |
$19K |
| 93306 |
|
163 |
152 |
$18K |
| 96375 |
|
562 |
432 |
$17K |
| 87491 |
|
454 |
418 |
$17K |
| 87591 |
|
452 |
418 |
$17K |
| J2405 |
Ondansetron hcl injection |
2,755 |
2,133 |
$15K |
| 84443 |
|
2,154 |
1,994 |
$15K |
| 81025 |
|
1,867 |
1,612 |
$15K |
| J1100 |
Dexamethasone sodium phos |
1,144 |
856 |
$15K |
| 82306 |
|
774 |
739 |
$15K |
| 70486 |
|
125 |
114 |
$15K |
| 87804 |
|
676 |
626 |
$15K |
| 87081 |
|
1,579 |
1,488 |
$14K |
| 87086 |
|
1,916 |
1,713 |
$14K |
| 71275 |
|
81 |
73 |
$14K |
| 71020 |
|
940 |
878 |
$13K |
| 71250 |
|
163 |
162 |
$13K |
| 80050 |
|
288 |
273 |
$13K |
| 82378 |
|
404 |
263 |
$13K |
| 81001 |
|
3,736 |
3,270 |
$12K |
| 85014 |
|
1,781 |
1,569 |
$11K |
| 80061 |
|
1,557 |
1,452 |
$11K |
| 86901 |
|
621 |
553 |
$10K |
| 78452 |
|
79 |
71 |
$10K |
| 45385 |
|
86 |
85 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
1,039 |
875 |
$10K |
| 70551 |
|
46 |
42 |
$10K |
| 43248 |
|
189 |
179 |
$9K |
| 85027 |
|
1,776 |
1,606 |
$9K |
| 71046 |
|
700 |
600 |
$8K |
| 87077 |
|
807 |
741 |
$8K |
| 83735 |
|
1,376 |
922 |
$8K |
| 83880 |
|
353 |
300 |
$7K |
| T1015 |
Clinic service |
775 |
528 |
$7K |
| 80081 |
|
75 |
75 |
$7K |
| C1894 |
Intro/sheath, non-laser |
183 |
159 |
$7K |
| 82962 |
|
1,498 |
750 |
$7K |
| A9502 |
Tc99m tetrofosmin |
79 |
71 |
$7K |
| 71045 |
|
1,243 |
1,037 |
$7K |
| 69436 |
|
17 |
17 |
$6K |
| 82553 |
|
571 |
249 |
$6K |
| 71010 |
|
906 |
809 |
$6K |
| 73130 |
|
188 |
178 |
$6K |
| 83690 |
|
1,144 |
990 |
$6K |
| 82728 |
|
572 |
480 |
$5K |
| 80074 |
|
126 |
109 |
$5K |
| 77066 |
Tomosynthesis, mammo |
81 |
76 |
$5K |
| 87389 |
|
341 |
307 |
$5K |
| 73030 |
|
212 |
196 |
$5K |
| 73560 |
|
226 |
205 |
$5K |
| 83036 |
|
1,113 |
1,028 |
$5K |
| 87400 |
|
365 |
341 |
$5K |
| 82150 |
|
865 |
765 |
$5K |
| 82607 |
|
436 |
395 |
$5K |
| 77063 |
|
539 |
530 |
$4K |
| 88304 |
|
110 |
106 |
$4K |
| 84702 |
|
403 |
328 |
$4K |
| A9578 |
Inj multihance multipack |
188 |
178 |
$4K |
| 72100 |
|
198 |
188 |
$4K |
| 73630 |
|
177 |
160 |
$4K |
| 76801 |
|
116 |
107 |
$4K |
| 76705 |
|
195 |
185 |
$4K |
| G0463 |
Hospital outpt clinic visit |
634 |
407 |
$4K |
| 73610 |
|
216 |
203 |
$4K |
| 82565 |
|
119 |
114 |
$4K |
| 87040 |
|
419 |
261 |
$3K |
| 73110 |
|
141 |
119 |
$3K |
| 86900 |
|
621 |
553 |
$3K |
| 84439 |
|
561 |
525 |
$3K |
| 86850 |
|
535 |
478 |
$3K |
| 87186 |
|
623 |
573 |
$3K |
| 96361 |
|
271 |
214 |
$3K |
| 96367 |
|
71 |
32 |
$3K |
| 87070 |
|
228 |
204 |
$3K |
| 83550 |
|
438 |
362 |
$3K |
| 87430 |
|
217 |
200 |
$2K |
| 76642 |
|
113 |
109 |
$2K |
| 73502 |
|
78 |
74 |
$2K |
| 87807 |
|
203 |
191 |
$2K |
| 83540 |
|
507 |
425 |
$2K |
| 83615 |
|
334 |
233 |
$2K |
| C1769 |
Guide wire |
202 |
174 |
$2K |
| 82550 |
|
554 |
254 |
$2K |
| 96376 |
|
193 |
139 |
$2K |
| 85610 |
|
909 |
752 |
$2K |
| 86141 |
|
189 |
165 |
$2K |
| 93971 |
|
63 |
62 |
$2K |
| 85730 |
|
473 |
403 |
$2K |
| 76856 |
|
73 |
65 |
$2K |
| 93017 |
|
79 |
71 |
$2K |
| 83605 |
|
219 |
186 |
$2K |
| 86762 |
|
251 |
231 |
$2K |
| 81003 |
|
721 |
660 |
$2K |
| 82803 |
|
140 |
113 |
$2K |
| 82105 |
|
104 |
92 |
$1K |
| 76817 |
|
31 |
27 |
$1K |
| 82746 |
|
194 |
168 |
$1K |
| 86003 |
|
14 |
13 |
$1K |
| 74000 |
|
94 |
88 |
$1K |
| 87147 |
|
87 |
78 |
$1K |
| 87340 |
|
267 |
246 |
$1K |
| 36600 |
|
83 |
65 |
$1K |
| 72040 |
|
42 |
39 |
$1K |
| 88307 |
|
34 |
30 |
$1K |
| 86300 |
|
57 |
26 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
929 |
823 |
$1K |
| 82677 |
|
43 |
40 |
$1K |
| 82947 |
|
245 |
235 |
$1K |
| 97001 |
|
23 |
23 |
$1K |
| 96360 |
|
133 |
121 |
$1K |
| 76536 |
|
28 |
26 |
$1K |
| 73070 |
|
47 |
45 |
$970.92 |
| 80069 |
|
255 |
240 |
$966.21 |
| 88312 |
|
281 |
266 |
$962.00 |
| 82570 |
|
401 |
377 |
$920.54 |
| 29580 |
|
63 |
12 |
$907.45 |
| 74018 |
|
38 |
35 |
$896.93 |
| 93458 |
|
17 |
12 |
$828.20 |
| 86592 |
|
345 |
317 |
$827.38 |
| 83883 |
|
21 |
13 |
$822.62 |
| 90714 |
|
119 |
110 |
$812.00 |
| G0279 |
Tomosynthesis, mammo |
45 |
42 |
$802.94 |
| 86336 |
|
43 |
40 |
$761.95 |
| 82248 |
|
232 |
203 |
$757.19 |
| 71101 |
|
24 |
24 |
$680.40 |
| 83970 |
|
58 |
56 |
$673.24 |
| 82043 |
|
234 |
224 |
$659.12 |
| 85049 |
|
93 |
83 |
$593.62 |
| 84153 |
|
89 |
79 |
$561.67 |
| 80076 |
|
88 |
80 |
$548.49 |
| 84550 |
|
193 |
163 |
$520.54 |
| 86038 |
|
67 |
58 |
$520.24 |
| 77080 |
|
24 |
24 |
$504.77 |
| 76805 |
|
14 |
14 |
$504.00 |
| 85651 |
|
202 |
184 |
$494.16 |
| 76700 |
|
15 |
13 |
$454.95 |
| 93880 |
|
13 |
12 |
$444.43 |
| 83655 |
|
28 |
28 |
$436.56 |
| J2930 |
Methylprednisolone injection |
433 |
359 |
$368.90 |
| J2704 |
Inj, propofol, 10 mg |
1,514 |
1,353 |
$366.35 |
| 73090 |
|
16 |
13 |
$326.50 |
| 86803 |
|
27 |
26 |
$325.28 |
| J0171 |
Adrenalin epinephrine inject |
194 |
175 |
$324.72 |
| 84403 |
|
17 |
12 |
$321.83 |
| 84481 |
|
26 |
25 |
$290.28 |
| 93923 |
|
12 |
12 |
$288.60 |
| 76770 |
|
14 |
13 |
$285.47 |
| 84100 |
|
97 |
69 |
$266.52 |
| 85379 |
|
29 |
24 |
$261.02 |
| 84156 |
|
123 |
113 |
$236.25 |
| 82140 |
|
44 |
37 |
$224.82 |
| J2550 |
Promethazine hcl injection |
479 |
424 |
$214.85 |
| J2060 |
Lorazepam injection |
272 |
219 |
$208.80 |
| 87210 |
|
30 |
26 |
$170.80 |
| J0690 |
Cefazolin sodium injection |
413 |
374 |
$154.70 |
| J1200 |
Diphenhydramine hcl injectio |
405 |
257 |
$152.88 |
| 77065 |
Tomosynthesis, mammo |
15 |
14 |
$137.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
521 |
494 |
$135.88 |
| 85046 |
|
31 |
26 |
$132.15 |
| 84703 |
|
14 |
13 |
$128.76 |
| 87205 |
|
41 |
34 |
$114.13 |
| J3010 |
Fentanyl citrate injection |
1,208 |
1,056 |
$113.46 |
| J2250 |
Inj midazolam hydrochloride |
856 |
737 |
$108.02 |
| J1335 |
Ertapenem injection |
16 |
13 |
$84.96 |
| J2270 |
Morphine sulfate injection |
902 |
675 |
$84.80 |
| J2175 |
Meperidine hydrochl /100 mg |
374 |
341 |
$70.08 |
| 84132 |
|
29 |
25 |
$45.92 |
| J1170 |
Hydromorphone injection |
864 |
683 |
$45.39 |
| J0595 |
Butorphanol tartrate 1 mg |
57 |
55 |
$43.34 |
| J0744 |
Ciprofloxacin iv |
49 |
44 |
$38.92 |
| J3475 |
Inj magnesium sulfate |
17 |
13 |
$38.20 |
| Q0162 |
Ondansetron oral |
427 |
404 |
$18.94 |
| J0330 |
Succinycholine chloride inj |
172 |
154 |
$11.95 |
| 85007 |
|
16 |
13 |
$4.92 |
| J1940 |
Furosemide injection |
177 |
140 |
$3.67 |
| G8979 |
Mobility goal status |
14 |
14 |
$0.01 |
| G8978 |
Mobility current status |
14 |
14 |
$0.01 |
| J2710 |
Neostigmine methylslfte inj |
117 |
103 |
$0.00 |
| 99152 |
|
239 |
205 |
$0.00 |
| 97161 |
|
43 |
40 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
29 |
26 |
$0.00 |
| 97162 |
|
13 |
12 |
$0.00 |
| 96415 |
|
74 |
26 |
$0.00 |
| 90471 |
|
155 |
136 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
103 |
86 |
$0.00 |
| J2360 |
Orphenadrine injection |
14 |
14 |
$0.00 |
| G0378 |
Hospital observation per hr |
361 |
342 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
97 |
95 |
$0.00 |
| 96366 |
|
18 |
12 |
$0.00 |
| 45378 |
|
12 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
18 |
12 |
$0.00 |