| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
43,170 |
39,656 |
$7.47M |
| 99283 |
|
35,424 |
33,412 |
$6.83M |
| 96365 |
|
10,324 |
7,053 |
$3.10M |
| 96361 |
|
6,794 |
6,153 |
$2.09M |
| 97530 |
|
8,385 |
2,215 |
$1.98M |
| 74177 |
|
5,766 |
5,636 |
$1.73M |
| 90791 |
|
6,218 |
5,331 |
$1.46M |
| 76856 |
|
3,297 |
3,238 |
$1.44M |
| 80048 |
|
55,494 |
34,678 |
$1.23M |
| 70450 |
|
4,597 |
4,468 |
$1.22M |
| 43239 |
|
1,179 |
1,178 |
$975K |
| 76700 |
|
2,179 |
2,157 |
$940K |
| 99214 |
|
5,824 |
5,102 |
$738K |
| G0378 |
Hospital observation per hr |
6,683 |
3,416 |
$639K |
| 71275 |
|
1,814 |
1,785 |
$626K |
| 96366 |
|
2,360 |
2,050 |
$616K |
| 99282 |
|
2,110 |
1,978 |
$586K |
| 87636 |
|
8,625 |
8,414 |
$537K |
| 99213 |
|
3,446 |
3,070 |
$460K |
| 93306 |
|
1,530 |
1,521 |
$449K |
| 80076 |
|
32,604 |
29,395 |
$426K |
| 93970 |
|
732 |
726 |
$422K |
| 36415 |
|
52,680 |
25,200 |
$419K |
| 90834 |
|
2,495 |
1,695 |
$393K |
| 77336 |
|
579 |
270 |
$344K |
| 74176 |
|
1,146 |
1,121 |
$329K |
| 90853 |
|
3,794 |
800 |
$308K |
| 93458 |
|
159 |
159 |
$303K |
| 86850 |
|
6,675 |
6,095 |
$282K |
| 90832 |
|
2,733 |
2,159 |
$279K |
| 99285 |
|
1,629 |
1,584 |
$257K |
| 76801 |
|
2,009 |
1,770 |
$236K |
| 80307 |
|
5,698 |
5,214 |
$235K |
| 86901 |
|
6,663 |
6,086 |
$208K |
| 70551 |
|
591 |
589 |
$207K |
| 96367 |
|
1,322 |
787 |
$198K |
| 80053 |
|
7,808 |
6,192 |
$181K |
| 96415 |
|
257 |
212 |
$176K |
| 76819 |
|
1,597 |
1,376 |
$172K |
| 97162 |
|
870 |
856 |
$172K |
| 12001 |
|
314 |
309 |
$168K |
| 70496 |
|
572 |
571 |
$163K |
| 77412 |
|
379 |
37 |
$160K |
| 96413 |
|
1,128 |
797 |
$160K |
| 76705 |
|
2,005 |
1,971 |
$159K |
| 77067 |
|
1,977 |
1,977 |
$150K |
| 95810 |
|
143 |
143 |
$150K |
| 86900 |
|
6,664 |
6,087 |
$148K |
| 88342 |
|
1,954 |
1,933 |
$145K |
| 88305 |
|
4,146 |
2,981 |
$135K |
| 76805 |
|
1,345 |
1,255 |
$123K |
| S9480 |
Intensive outpatient psychia |
497 |
65 |
$119K |
| 70553 |
|
308 |
307 |
$117K |
| 87635 |
|
3,157 |
3,003 |
$115K |
| 12011 |
|
214 |
210 |
$113K |
| 45378 |
|
110 |
110 |
$111K |
| 83880 |
|
3,176 |
3,013 |
$99K |
| 97602 |
|
640 |
361 |
$98K |
| 96372 |
|
7,993 |
5,992 |
$98K |
| 45380 |
|
103 |
103 |
$92K |
| 11042 |
|
128 |
77 |
$91K |
| 93971 |
|
909 |
886 |
$88K |
| G0396 |
Alcohol/subs interv 15-30mn |
480 |
381 |
$84K |
| 87631 |
|
1,272 |
1,250 |
$79K |
| 87651 |
|
1,947 |
1,931 |
$78K |
| 85055 |
|
1,847 |
1,545 |
$76K |
| 76775 |
|
1,139 |
1,123 |
$67K |
| 96360 |
|
289 |
278 |
$67K |
| 78815 |
|
143 |
143 |
$62K |
| J1756 |
Iron sucrose injection |
1,010 |
422 |
$49K |
| 76642 |
|
1,921 |
1,878 |
$48K |
| 88304 |
|
829 |
826 |
$44K |
| 87491 |
|
1,246 |
1,229 |
$42K |
| 77061 |
|
557 |
528 |
$40K |
| 93017 |
|
175 |
174 |
$37K |
| 77065 |
Tomosynthesis, mammo |
478 |
450 |
$35K |
| 72148 |
|
107 |
107 |
$34K |
| 97166 |
|
240 |
238 |
$33K |
| 93005 |
|
19,746 |
16,367 |
$33K |
| 12002 |
|
51 |
51 |
$29K |
| 71260 |
|
364 |
362 |
$27K |
| 90715 |
|
1,211 |
1,204 |
$27K |
| 72125 |
|
616 |
600 |
$26K |
| 76830 |
|
541 |
511 |
$26K |
| 87591 |
|
1,242 |
1,226 |
$25K |
| 87502 |
|
600 |
596 |
$23K |
| 80061 |
|
2,389 |
2,352 |
$23K |
| 78452 |
|
27 |
27 |
$23K |
| 77063 |
|
1,976 |
1,976 |
$22K |
| 82803 |
|
670 |
604 |
$21K |
| 96374 |
|
12,293 |
11,379 |
$20K |
| 99211 |
|
955 |
760 |
$20K |
| 85025 |
|
26,673 |
22,711 |
$20K |
| 85027 |
|
6,397 |
5,194 |
$16K |
| 99291 |
|
86 |
85 |
$16K |
| 76536 |
|
578 |
575 |
$15K |
| 71250 |
|
125 |
125 |
$15K |
| G0108 |
Diab manage trn per indiv |
225 |
196 |
$14K |
| 85610 |
|
9,282 |
8,520 |
$13K |
| 71046 |
|
3,162 |
3,116 |
$13K |
| 71045 |
|
10,620 |
9,978 |
$13K |
| 99215 |
Prolong outpt/office vis |
68 |
63 |
$13K |
| 84443 |
|
4,565 |
4,361 |
$13K |
| 96375 |
|
13,187 |
10,611 |
$12K |
| 82805 |
|
393 |
354 |
$12K |
| 87040 |
|
4,683 |
2,753 |
$11K |
| 10060 |
|
26 |
26 |
$11K |
| 76000 |
|
40 |
40 |
$10K |
| 77066 |
Tomosynthesis, mammo |
125 |
123 |
$10K |
| 88307 |
|
138 |
113 |
$10K |
| 77334 |
|
46 |
24 |
$10K |
| 83036 |
|
1,754 |
1,730 |
$9K |
| 76870 |
|
151 |
149 |
$9K |
| G0463 |
Hospital outpt clinic visit |
95 |
74 |
$9K |
| 70486 |
|
94 |
93 |
$9K |
| 72082 |
|
454 |
451 |
$7K |
| P9016 |
Rbc leukocytes reduced |
12 |
12 |
$7K |
| 99281 |
|
39 |
39 |
$7K |
| 84439 |
|
1,381 |
1,344 |
$7K |
| 90792 |
|
27 |
27 |
$6K |
| 96376 |
|
3,328 |
2,194 |
$6K |
| 70498 |
|
148 |
148 |
$5K |
| 74018 |
|
1,729 |
1,634 |
$5K |
| 82306 |
|
190 |
190 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
7,065 |
6,304 |
$5K |
| 74246 |
|
110 |
109 |
$4K |
| 29125 |
|
16 |
15 |
$4K |
| 90833 |
|
93 |
83 |
$4K |
| 87086 |
|
7,691 |
7,279 |
$4K |
| 73721 |
|
13 |
13 |
$4K |
| 84702 |
|
2,402 |
2,099 |
$4K |
| 97163 |
|
13 |
13 |
$4K |
| 83735 |
|
10,894 |
8,347 |
$4K |
| 72141 |
|
14 |
14 |
$4K |
| 88341 |
|
100 |
93 |
$4K |
| 82607 |
|
561 |
551 |
$4K |
| 29515 |
|
13 |
13 |
$4K |
| 84703 |
|
10,168 |
9,494 |
$4K |
| 85730 |
|
7,889 |
7,351 |
$3K |
| C1894 |
Intro/sheath, non-laser |
140 |
134 |
$3K |
| 84484 |
|
12,689 |
9,231 |
$3K |
| 73560 |
|
837 |
750 |
$3K |
| 87340 |
|
390 |
374 |
$3K |
| C1760 |
Closure dev, vasc |
86 |
85 |
$3K |
| 82728 |
|
404 |
390 |
$3K |
| 82550 |
|
10,604 |
9,165 |
$2K |
| 73610 |
|
865 |
816 |
$2K |
| 73630 |
|
621 |
576 |
$2K |
| 97802 |
|
31 |
31 |
$2K |
| 70491 |
|
12 |
12 |
$2K |
| C1769 |
Guide wire |
676 |
645 |
$2K |
| 82962 |
|
7,820 |
4,095 |
$2K |
| 81001 |
|
7,580 |
7,162 |
$2K |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$2K |
| 86140 |
|
1,975 |
1,855 |
$2K |
| 83690 |
|
6,365 |
5,923 |
$2K |
| 73130 |
|
541 |
499 |
$2K |
| 80329 |
|
585 |
524 |
$2K |
| 73030 |
|
413 |
384 |
$1K |
| 83605 |
|
4,868 |
4,031 |
$1K |
| 86618 |
|
177 |
176 |
$1K |
| 81003 |
|
6,850 |
6,594 |
$1K |
| 72100 |
|
228 |
226 |
$1K |
| 82565 |
|
432 |
426 |
$1K |
| 84112 |
|
30 |
27 |
$1K |
| 36416 |
|
467 |
384 |
$1K |
| 87661 |
|
50 |
50 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
4,603 |
4,513 |
$1K |
| 87799 |
|
12 |
12 |
$949.38 |
| 87481 |
|
12 |
12 |
$921.67 |
| 82746 |
|
154 |
151 |
$868.81 |
| 83540 |
|
335 |
328 |
$840.33 |
| A4648 |
Implantable tissue marker |
51 |
49 |
$831.45 |
| 90471 |
|
1,341 |
1,182 |
$830.21 |
| 87077 |
|
1,448 |
1,289 |
$816.21 |
| 84100 |
|
1,163 |
854 |
$814.48 |
| 73110 |
|
208 |
190 |
$753.86 |
| 80320 |
|
3,136 |
2,733 |
$735.11 |
| 86480 |
|
12 |
12 |
$705.03 |
| 82948 |
|
786 |
615 |
$687.08 |
| 83550 |
|
282 |
276 |
$666.42 |
| 85652 |
|
946 |
897 |
$662.58 |
| J0696 |
Ceftriaxone sodium injection |
1,695 |
1,056 |
$598.59 |
| 87081 |
|
1,163 |
1,155 |
$585.00 |
| 85379 |
|
1,003 |
976 |
$551.35 |
| 86592 |
|
201 |
201 |
$463.71 |
| 86803 |
|
71 |
71 |
$449.30 |
| 87186 |
|
867 |
796 |
$376.74 |
| 87624 |
|
13 |
13 |
$367.91 |
| 86703 |
|
25 |
24 |
$361.64 |
| J1100 |
Dexamethasone sodium phos |
6,514 |
5,064 |
$348.70 |
| 87512 |
|
12 |
12 |
$342.63 |
| 93799 |
|
192 |
93 |
$325.75 |
| 88175 |
|
12 |
12 |
$321.98 |
| 80143 |
|
1,308 |
1,225 |
$319.50 |
| 73080 |
|
95 |
90 |
$306.09 |
| 96368 |
|
81 |
24 |
$285.53 |
| J2405 |
Ondansetron hcl injection |
7,858 |
6,313 |
$284.27 |
| J3010 |
Fentanyl citrate injection |
4,301 |
4,083 |
$269.67 |
| 72170 |
|
60 |
41 |
$253.45 |
| J2250 |
Inj midazolam hydrochloride |
4,504 |
3,739 |
$247.17 |
| J1885 |
Ketorolac tromethamine inj |
8,624 |
5,880 |
$219.06 |
| 87389 |
|
12 |
12 |
$186.75 |
| 87147 |
|
713 |
563 |
$183.67 |
| 86800 |
|
14 |
14 |
$181.60 |
| J0690 |
Cefazolin sodium injection |
1,691 |
1,517 |
$175.61 |
| 82570 |
|
42 |
40 |
$175.52 |
| Q0162 |
Ondansetron oral |
2,449 |
2,327 |
$167.64 |
| 80179 |
|
1,247 |
1,181 |
$164.91 |
| J1170 |
Hydromorphone injection |
1,495 |
1,211 |
$120.30 |
| J1644 |
Inj heparin sodium per 1000u |
2,686 |
1,502 |
$108.06 |
| J2270 |
Morphine sulfate injection |
1,638 |
1,259 |
$98.45 |
| J2765 |
Metoclopramide hcl injection |
2,635 |
2,377 |
$97.77 |
| 86780 |
|
14 |
14 |
$97.38 |
| 87205 |
|
309 |
284 |
$92.04 |
| 76857 |
|
14 |
14 |
$91.14 |
| J1200 |
Diphenhydramine hcl injectio |
2,387 |
2,035 |
$89.26 |
| 84145 |
|
163 |
160 |
$79.55 |
| 73090 |
|
26 |
25 |
$75.28 |
| 87070 |
|
191 |
186 |
$73.04 |
| 73590 |
|
34 |
28 |
$70.85 |
| 82553 |
|
226 |
178 |
$69.72 |
| J3475 |
Inj magnesium sulfate |
769 |
606 |
$61.96 |
| 87880 |
|
954 |
948 |
$55.80 |
| J7120 |
Ringers lactate infusion |
184 |
166 |
$51.61 |
| 84520 |
|
12 |
12 |
$47.95 |
| J7512 |
Prednisone ir or dr oral 1mg |
462 |
363 |
$44.37 |
| J3480 |
Inj potassium chloride |
165 |
112 |
$25.94 |
| J2930 |
Methylprednisolone injection |
241 |
200 |
$17.08 |
| 83615 |
|
15 |
14 |
$8.05 |
| Q0163 |
Diphenhydramine hcl 50mg |
618 |
468 |
$6.19 |
| 93041 |
|
136 |
131 |
$4.88 |
| J7050 |
Normal saline solution infus |
106 |
78 |
$2.65 |
| 99080 |
|
8,400 |
1,119 |
$0.00 |
| G1004 |
Cdsm ndsc |
71 |
56 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
17 |
14 |
$0.00 |
| 87899 |
|
29 |
28 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
99 |
62 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
23 |
16 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
16 |
14 |
$0.00 |
| 82272 |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
40 |
24 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
60 |
50 |
$0.00 |
| 87807 |
|
32 |
32 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
204 |
104 |
$0.00 |
| J2060 |
Lorazepam injection |
176 |
147 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
100 |
100 |
$0.00 |
| J1630 |
Haloperidol injection |
43 |
39 |
$0.00 |
| S2900 |
Robotic surgical system |
57 |
57 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 82270 |
|
14 |
14 |
$0.00 |
| 88300 |
|
13 |
12 |
$0.00 |