| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
6,073 |
5,753 |
$2.06M |
| 99283 |
|
11,262 |
10,801 |
$1.41M |
| 99284 |
|
5,905 |
5,630 |
$1.07M |
| 97530 |
|
9,436 |
3,559 |
$451K |
| 96374 |
|
3,740 |
3,519 |
$366K |
| 74177 |
|
1,576 |
1,530 |
$251K |
| 97110 |
|
7,015 |
2,192 |
$218K |
| 99282 |
|
2,211 |
2,186 |
$158K |
| 96365 |
|
1,475 |
1,199 |
$138K |
| 71046 |
|
3,430 |
3,345 |
$131K |
| 96375 |
|
3,164 |
2,874 |
$102K |
| 87426 |
|
3,932 |
3,807 |
$75K |
| 71045 |
|
1,705 |
1,648 |
$67K |
| 84443 |
|
7,305 |
7,187 |
$55K |
| G0378 |
Hospital observation per hr |
586 |
564 |
$53K |
| 87635 |
|
1,845 |
1,821 |
$51K |
| 80053 |
|
16,648 |
15,238 |
$48K |
| 80061 |
|
6,045 |
5,999 |
$47K |
| 99281 |
|
1,098 |
1,084 |
$43K |
| 74176 |
|
384 |
379 |
$41K |
| 97140 |
|
2,763 |
1,122 |
$41K |
| 85025 |
|
19,760 |
17,708 |
$41K |
| 70450 |
|
1,055 |
1,031 |
$34K |
| 76705 |
|
414 |
406 |
$27K |
| 82306 |
|
1,665 |
1,633 |
$26K |
| 83036 |
|
4,787 |
4,754 |
$24K |
| 76856 |
|
418 |
409 |
$23K |
| 93005 |
|
4,313 |
3,986 |
$22K |
| 87801 |
|
683 |
665 |
$20K |
| G0463 |
Hospital outpt clinic visit |
297 |
241 |
$20K |
| 77067 |
|
367 |
365 |
$18K |
| 78452 |
|
27 |
27 |
$17K |
| 36415 |
|
20,011 |
17,822 |
$15K |
| 87804 |
|
3,556 |
2,607 |
$13K |
| 87070 |
|
3,777 |
3,735 |
$13K |
| 97161 |
|
216 |
213 |
$11K |
| 88175 |
|
469 |
458 |
$10K |
| 76830 |
|
166 |
160 |
$10K |
| 82607 |
|
1,269 |
1,259 |
$9K |
| 76805 |
|
163 |
162 |
$9K |
| 93306 |
|
40 |
40 |
$9K |
| 87880 |
|
2,070 |
2,049 |
$9K |
| 87086 |
|
2,883 |
2,767 |
$7K |
| 96361 |
|
169 |
156 |
$7K |
| 73130 |
|
550 |
506 |
$7K |
| 82728 |
|
913 |
890 |
$6K |
| 73630 |
|
420 |
411 |
$6K |
| 73610 |
|
396 |
377 |
$6K |
| 96360 |
|
55 |
54 |
$6K |
| 83550 |
|
1,106 |
1,078 |
$5K |
| 80048 |
|
2,388 |
2,208 |
$5K |
| 83880 |
|
723 |
653 |
$5K |
| 83540 |
|
1,400 |
1,367 |
$5K |
| 86003 |
|
87 |
87 |
$5K |
| 87491 |
|
1,023 |
1,003 |
$4K |
| 87591 |
|
1,016 |
996 |
$4K |
| 87186 |
|
1,358 |
1,331 |
$4K |
| 80055 |
|
153 |
152 |
$4K |
| 87077 |
|
1,062 |
1,048 |
$3K |
| 84702 |
|
662 |
541 |
$3K |
| 73562 |
|
165 |
148 |
$3K |
| 73110 |
|
188 |
172 |
$3K |
| 96372 |
|
2,970 |
2,667 |
$3K |
| 87088 |
|
907 |
890 |
$3K |
| 77063 |
|
199 |
198 |
$3K |
| 73564 |
|
55 |
51 |
$2K |
| 84439 |
|
499 |
490 |
$2K |
| 86900 |
|
92 |
91 |
$2K |
| 81001 |
|
5,218 |
4,891 |
$2K |
| 86769 |
|
71 |
55 |
$2K |
| 85610 |
|
1,738 |
1,456 |
$2K |
| 83735 |
|
2,611 |
2,386 |
$2K |
| 84403 |
|
235 |
232 |
$2K |
| 71275 |
|
15 |
15 |
$2K |
| 85651 |
|
1,017 |
967 |
$2K |
| 73030 |
|
107 |
100 |
$2K |
| 72110 |
|
41 |
41 |
$2K |
| 86140 |
|
1,026 |
977 |
$1K |
| 81003 |
|
3,766 |
3,646 |
$1K |
| 84481 |
|
413 |
405 |
$1K |
| 87420 |
|
757 |
742 |
$992.78 |
| 81002 |
|
617 |
583 |
$967.80 |
| 80307 |
|
1,193 |
1,088 |
$965.40 |
| 80305 |
|
813 |
769 |
$958.57 |
| 83690 |
|
2,886 |
2,671 |
$946.90 |
| 93017 |
|
55 |
55 |
$946.10 |
| 99214 |
|
20 |
18 |
$849.40 |
| 84153 |
|
93 |
92 |
$847.56 |
| 72125 |
|
12 |
12 |
$796.14 |
| 84703 |
|
408 |
394 |
$758.73 |
| 87624 |
|
49 |
49 |
$732.29 |
| 74018 |
|
28 |
28 |
$707.86 |
| 84436 |
|
194 |
190 |
$705.79 |
| 88305 |
|
142 |
137 |
$646.53 |
| 76801 |
|
12 |
12 |
$623.48 |
| 82627 |
|
70 |
68 |
$590.66 |
| 97162 |
|
13 |
13 |
$588.12 |
| 82550 |
|
385 |
362 |
$543.87 |
| 84484 |
|
2,471 |
2,181 |
$485.15 |
| 84144 |
|
43 |
43 |
$458.43 |
| 86665 |
|
74 |
37 |
$456.76 |
| 87081 |
|
106 |
106 |
$387.17 |
| 82670 |
|
52 |
51 |
$372.71 |
| 82746 |
|
44 |
44 |
$345.40 |
| 87389 |
|
120 |
120 |
$294.49 |
| 82784 |
|
75 |
60 |
$292.40 |
| 90471 |
|
30 |
30 |
$271.63 |
| 83001 |
|
54 |
53 |
$253.66 |
| 82950 |
|
87 |
87 |
$238.86 |
| 86664 |
|
37 |
37 |
$223.67 |
| 94640 |
|
556 |
442 |
$223.41 |
| 80076 |
|
108 |
99 |
$218.74 |
| 86663 |
|
37 |
37 |
$214.29 |
| 81025 |
|
3,252 |
3,094 |
$207.87 |
| 85018 |
|
160 |
151 |
$206.57 |
| 86008 |
|
56 |
56 |
$200.51 |
| 87660 |
|
24 |
24 |
$197.40 |
| 87510 |
|
24 |
24 |
$197.40 |
| 87480 |
|
24 |
24 |
$197.40 |
| 82044 |
|
65 |
64 |
$185.82 |
| 86038 |
|
39 |
39 |
$146.83 |
| 80074 |
|
13 |
13 |
$140.49 |
| 83655 |
|
26 |
25 |
$129.57 |
| 85378 |
|
311 |
308 |
$126.18 |
| 85730 |
|
377 |
364 |
$116.60 |
| 83605 |
|
1,080 |
1,004 |
$80.03 |
| 86592 |
|
42 |
42 |
$68.46 |
| 82150 |
|
200 |
189 |
$60.95 |
| 87076 |
|
20 |
19 |
$42.65 |
| 87040 |
|
41 |
40 |
$18.17 |
| 82040 |
|
28 |
28 |
$17.92 |
| 84100 |
|
15 |
14 |
$11.28 |
| 86850 |
|
51 |
50 |
$6.67 |
| J7030 |
Normal saline solution infus |
2,508 |
2,228 |
$2.54 |
| 86901 |
|
106 |
105 |
$2.27 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,152 |
1,118 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,716 |
2,456 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,202 |
1,161 |
$0.00 |
| 90715 |
|
30 |
30 |
$0.00 |
| J7120 |
Ringers lactate infusion |
323 |
299 |
$0.00 |
| J2270 |
Morphine sulfate injection |
143 |
119 |
$0.00 |
| J2550 |
Promethazine hcl injection |
56 |
41 |
$0.00 |
| J2930 |
Methylprednisolone injection |
16 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,577 |
2,435 |
$0.00 |
| J2060 |
Lorazepam injection |
141 |
125 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
528 |
520 |
$0.00 |
| 96376 |
|
88 |
61 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
402 |
368 |
$0.00 |
| J1170 |
Hydromorphone injection |
28 |
25 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
257 |
244 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
121 |
116 |
$0.00 |
| A9500 |
Tc99m sestamibi |
25 |
25 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
73 |
69 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |