| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
54,852 |
44,649 |
$7.80M |
| 99284 |
|
42,961 |
35,729 |
$6.66M |
| 11042 |
|
11,230 |
3,695 |
$6.59M |
| 99283 |
|
34,845 |
30,213 |
$5.52M |
| 93005 |
|
29,757 |
24,714 |
$1.82M |
| 92507 |
|
12,204 |
4,490 |
$1.77M |
| 71045 |
|
14,699 |
11,977 |
$1.57M |
| 96413 |
|
10,892 |
4,492 |
$1.48M |
| 74177 |
|
4,868 |
3,972 |
$1.18M |
| 66984 |
|
631 |
413 |
$949K |
| 97110 |
|
13,307 |
3,907 |
$871K |
| 71046 |
|
8,347 |
7,266 |
$821K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,394 |
7,019 |
$666K |
| 87635 |
|
15,088 |
12,804 |
$578K |
| 43239 |
|
711 |
506 |
$545K |
| 93306 |
|
2,041 |
1,549 |
$534K |
| 97530 |
|
10,321 |
3,617 |
$498K |
| 87502 |
|
6,140 |
5,211 |
$432K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
8,261 |
5,721 |
$416K |
| 85025 |
|
87,408 |
70,564 |
$387K |
| 64721 |
|
370 |
306 |
$346K |
| 95886 |
|
929 |
850 |
$327K |
| 80048 |
|
66,789 |
54,317 |
$320K |
| 70450 |
|
4,557 |
3,766 |
$313K |
| 45380 |
|
229 |
167 |
$296K |
| 96374 |
|
18,079 |
14,528 |
$242K |
| 41899 |
|
140 |
78 |
$211K |
| 88305 |
|
1,594 |
1,110 |
$184K |
| 80076 |
|
40,128 |
33,121 |
$181K |
| 97112 |
|
3,580 |
1,383 |
$180K |
| 96417 |
|
1,641 |
741 |
$165K |
| 97597 |
|
2,372 |
1,172 |
$158K |
| 84484 |
|
20,649 |
15,581 |
$145K |
| 96365 |
|
4,247 |
779 |
$144K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
94 |
80 |
$131K |
| 96375 |
|
15,170 |
9,317 |
$121K |
| 96361 |
|
8,811 |
6,984 |
$108K |
| 96367 |
|
2,357 |
1,006 |
$97K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
3,468 |
2,630 |
$95K |
| 80053 |
|
15,606 |
13,273 |
$90K |
| 69436 |
|
33 |
15 |
$89K |
| 99218 |
|
146 |
115 |
$82K |
| 87631 |
|
862 |
730 |
$81K |
| 78452 |
|
167 |
138 |
$75K |
| 80307 |
|
1,634 |
1,400 |
$71K |
| 96372 |
|
6,575 |
4,384 |
$70K |
| 64483 |
|
104 |
75 |
$65K |
| 99282 |
|
507 |
454 |
$65K |
| 74176 |
|
916 |
743 |
$64K |
| 72125 |
|
1,031 |
853 |
$63K |
| 76805 |
|
368 |
340 |
$58K |
| 59025 |
|
177 |
136 |
$57K |
| 93017 |
|
321 |
287 |
$54K |
| 84703 |
|
10,887 |
8,925 |
$53K |
| 81001 |
|
25,264 |
21,223 |
$52K |
| 87086 |
|
11,773 |
9,887 |
$50K |
| 94761 |
|
2,520 |
2,095 |
$46K |
| 80050 |
|
253 |
238 |
$43K |
| 62323 |
|
49 |
38 |
$42K |
| 64493 |
|
56 |
42 |
$42K |
| 95908 |
|
339 |
315 |
$41K |
| 71275 |
|
452 |
343 |
$40K |
| 99217 |
|
85 |
64 |
$40K |
| 87491 |
|
1,870 |
1,690 |
$36K |
| 87591 |
|
1,870 |
1,690 |
$36K |
| 77336 |
|
286 |
115 |
$35K |
| 83690 |
|
13,131 |
10,737 |
$35K |
| 97140 |
|
1,959 |
711 |
$33K |
| 84443 |
|
3,810 |
3,468 |
$33K |
| 87400 |
|
4,100 |
3,254 |
$24K |
| 80305 |
|
4,057 |
3,331 |
$21K |
| 80061 |
|
2,968 |
2,769 |
$21K |
| 83880 |
|
1,950 |
1,557 |
$21K |
| 83735 |
|
6,919 |
5,287 |
$20K |
| 71260 |
|
138 |
118 |
$20K |
| G0378 |
Hospital observation service, per hour |
399 |
174 |
$20K |
| 99214 |
|
140 |
129 |
$16K |
| 96523 |
|
412 |
266 |
$16K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,994 |
1,683 |
$15K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
27 |
17 |
$15K |
| 76817 |
|
244 |
182 |
$15K |
| 82306 |
|
1,417 |
1,280 |
$15K |
| 76705 |
|
355 |
304 |
$14K |
| 71250 |
|
57 |
51 |
$13K |
| 95885 |
|
31 |
29 |
$12K |
| 73721 |
|
27 |
27 |
$12K |
| 70486 |
|
216 |
175 |
$12K |
| 87806 |
|
727 |
668 |
$12K |
| 83605 |
|
3,363 |
2,572 |
$11K |
| 87880 |
|
2,243 |
1,933 |
$11K |
| 76830 |
|
258 |
234 |
$10K |
| 83036 |
|
2,407 |
2,249 |
$10K |
| 27096 |
|
52 |
41 |
$10K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
5,435 |
2,922 |
$10K |
| 62321 |
|
28 |
16 |
$10K |
| 81420 |
|
19 |
14 |
$10K |
| 85027 |
|
2,351 |
2,017 |
$10K |
| J2785 |
Injection, regadenoson, 0.1 mg |
64 |
52 |
$9K |
| 81025 |
|
2,252 |
1,954 |
$9K |
| 86803 |
|
829 |
768 |
$8K |
| 87651 |
|
298 |
239 |
$8K |
| 73630 |
|
699 |
600 |
$8K |
| 81003 |
|
9,323 |
7,599 |
$7K |
| 84439 |
|
1,302 |
1,189 |
$7K |
| 73130 |
|
542 |
454 |
$7K |
| 73610 |
|
517 |
464 |
$7K |
| 82728 |
|
887 |
777 |
$6K |
| 96360 |
|
1,057 |
850 |
$6K |
| 99234 |
|
15 |
12 |
$6K |
| 64494 |
|
34 |
26 |
$6K |
| 87420 |
|
978 |
870 |
$6K |
| 87081 |
|
2,127 |
1,836 |
$5K |
| 77067 |
|
25 |
25 |
$5K |
| 85379 |
|
1,399 |
1,126 |
$5K |
| 73564 |
|
578 |
482 |
$5K |
| 87426 |
|
397 |
353 |
$5K |
| 97161 |
|
235 |
216 |
$5K |
| 86592 |
|
1,442 |
1,307 |
$5K |
| 82077 |
|
388 |
346 |
$5K |
| 76811 |
|
29 |
27 |
$5K |
| 11045 |
|
30 |
13 |
$4K |
| 72131 |
|
258 |
210 |
$4K |
| 80047 |
|
2,817 |
1,650 |
$4K |
| 87040 |
|
1,032 |
804 |
$4K |
| 83550 |
|
833 |
731 |
$4K |
| 84702 |
|
749 |
591 |
$4K |
| 74018 |
|
32 |
29 |
$4K |
| 77334 |
|
17 |
12 |
$4K |
| 87340 |
|
532 |
489 |
$3K |
| 95907 |
|
33 |
26 |
$3K |
| 82607 |
|
627 |
579 |
$3K |
| 77300 |
|
16 |
14 |
$3K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
223 |
118 |
$3K |
| 83540 |
|
895 |
776 |
$3K |
| 86762 |
|
285 |
269 |
$3K |
| J1453 |
Injection, fosaprepitant, 1 mg |
175 |
63 |
$3K |
| 81015 |
|
2,337 |
1,772 |
$3K |
| 80081 |
|
40 |
39 |
$3K |
| 85610 |
|
2,330 |
1,920 |
$3K |
| 87389 |
|
147 |
140 |
$3K |
| 99291 |
|
16 |
12 |
$2K |
| 73030 |
|
347 |
296 |
$2K |
| 86850 |
|
466 |
423 |
$2K |
| 87210 |
|
955 |
856 |
$2K |
| 82962 |
|
2,274 |
1,792 |
$2K |
| 73110 |
|
221 |
171 |
$2K |
| 72114 |
|
46 |
44 |
$2K |
| 86900 |
|
1,042 |
902 |
$2K |
| 86901 |
|
1,042 |
902 |
$2K |
| 88342 |
|
101 |
71 |
$2K |
| 62322 |
|
17 |
14 |
$2K |
| 82550 |
|
559 |
490 |
$2K |
| 82570 |
|
944 |
791 |
$2K |
| 80179 |
|
125 |
111 |
$2K |
| 80143 |
|
105 |
89 |
$2K |
| 93971 |
|
49 |
44 |
$2K |
| 74022 |
|
102 |
89 |
$1K |
| 77063 |
|
25 |
25 |
$1K |
| J0878 |
Injection, daptomycin, 1 mg |
150 |
12 |
$1K |
| 95909 |
|
13 |
12 |
$1K |
| 94640 |
|
774 |
587 |
$1K |
| 72110 |
|
114 |
100 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,298 |
7,295 |
$1K |
| 82043 |
|
574 |
536 |
$1K |
| 96415 |
|
34 |
25 |
$1K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
12 |
$970.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,728 |
5,468 |
$954.40 |
| 84450 |
|
305 |
265 |
$944.42 |
| 85730 |
|
698 |
576 |
$907.88 |
| 84460 |
|
267 |
231 |
$866.29 |
| 97162 |
|
30 |
27 |
$723.36 |
| 99152 |
|
31 |
24 |
$689.47 |
| 70491 |
|
13 |
12 |
$686.92 |
| 73080 |
|
90 |
81 |
$685.86 |
| 83525 |
|
89 |
84 |
$635.95 |
| 83516 |
|
109 |
52 |
$628.39 |
| 85651 |
|
650 |
535 |
$616.75 |
| 82803 |
|
171 |
148 |
$596.69 |
| 87070 |
|
824 |
620 |
$579.16 |
| 85007 |
|
837 |
672 |
$565.17 |
| 80074 |
|
12 |
12 |
$523.93 |
| 83970 |
|
28 |
24 |
$495.36 |
| 94664 |
|
50 |
45 |
$473.18 |
| 73090 |
|
66 |
58 |
$470.81 |
| 97165 |
|
13 |
12 |
$455.95 |
| 96376 |
|
677 |
514 |
$449.70 |
| 70360 |
|
29 |
25 |
$405.38 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,031 |
2,320 |
$404.97 |
| 73590 |
|
111 |
96 |
$402.68 |
| 86140 |
|
289 |
236 |
$375.10 |
| 82746 |
|
235 |
227 |
$370.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,421 |
1,927 |
$308.74 |
| 36591 |
|
257 |
146 |
$285.22 |
| 29125 |
|
12 |
12 |
$263.87 |
| 87186 |
|
232 |
199 |
$216.25 |
| 97535 |
|
53 |
24 |
$186.46 |
| 82950 |
|
82 |
80 |
$180.50 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
81 |
67 |
$167.30 |
| 86255 |
|
13 |
13 |
$162.70 |
| 84156 |
|
82 |
69 |
$161.03 |
| 84481 |
|
89 |
88 |
$152.46 |
| 73502 |
|
45 |
39 |
$135.36 |
| 73060 |
|
12 |
12 |
$115.68 |
| 87077 |
|
179 |
165 |
$96.96 |
| 87205 |
|
350 |
233 |
$88.96 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
167 |
119 |
$84.24 |
| 82270 |
|
75 |
67 |
$73.72 |
| 82140 |
|
30 |
25 |
$61.44 |
| 84100 |
|
17 |
12 |
$60.66 |
| 86308 |
|
102 |
79 |
$50.86 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
6,871 |
4,860 |
$30.02 |
| 85652 |
|
159 |
149 |
$28.10 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,854 |
2,965 |
$27.72 |
| 82150 |
|
17 |
15 |
$23.28 |
| 87147 |
|
19 |
12 |
$10.36 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
230 |
210 |
$5.44 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
324 |
285 |
$0.00 |
| 88304 |
|
71 |
29 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
752 |
486 |
$0.00 |
| 90471 |
|
670 |
551 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
332 |
241 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,315 |
1,066 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
53 |
47 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
355 |
273 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
226 |
175 |
$0.00 |
| 83001 |
|
13 |
13 |
$0.00 |
| 87661 |
|
53 |
51 |
$0.00 |
| 80055 |
|
13 |
13 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
12 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
31 |
30 |
$0.00 |
| 90714 |
|
612 |
510 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
531 |
447 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
215 |
143 |
$0.00 |
| A4565 |
Slings |
162 |
137 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
73 |
54 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
684 |
524 |
$0.00 |
| 84550 |
|
15 |
13 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
13 |
12 |
$0.00 |
| 84403 |
|
48 |
47 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
45 |
26 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
24 |
12 |
$0.00 |
| 97116 |
|
86 |
40 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
18 |
15 |
$0.00 |