| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
|
19,319 |
18,355 |
$1.99M |
| 73721 |
|
9,630 |
8,706 |
$1.10M |
| 72141 |
|
7,687 |
7,343 |
$813K |
| 77067 |
|
9,313 |
9,100 |
$572K |
| 73221 |
|
3,814 |
3,484 |
$433K |
| 74177 |
|
3,314 |
3,133 |
$272K |
| 99214 |
|
4,107 |
3,666 |
$254K |
| 77063 |
|
8,537 |
8,340 |
$238K |
| 64483 |
|
1,953 |
1,836 |
$224K |
| 76856 |
|
3,455 |
3,271 |
$186K |
| 76830 |
|
3,138 |
2,967 |
$182K |
| 70553 |
|
966 |
930 |
$181K |
| 77002 |
|
2,271 |
2,105 |
$128K |
| 72146 |
|
1,099 |
1,045 |
$116K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,680 |
4,043 |
$85K |
| 62323 |
|
673 |
641 |
$84K |
| 76816 |
|
1,818 |
1,654 |
$57K |
| 76705 |
|
1,208 |
1,154 |
$52K |
| 76642 |
|
732 |
647 |
$38K |
| 70450 |
|
1,687 |
1,587 |
$34K |
| 71046 |
|
4,018 |
3,846 |
$33K |
| 71260 |
|
1,106 |
1,064 |
$33K |
| 76805 |
|
483 |
470 |
$31K |
| 76801 |
|
446 |
405 |
$29K |
| J0702 |
Betamethasone acet&sod phosp |
2,444 |
2,267 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,937 |
2,705 |
$26K |
| 72197 |
|
122 |
120 |
$26K |
| A4550 |
Surgical trays |
10,363 |
9,451 |
$25K |
| 62321 |
|
256 |
237 |
$23K |
| 71045 |
|
4,604 |
3,736 |
$21K |
| 72131 |
|
214 |
209 |
$17K |
| 76536 |
|
199 |
191 |
$15K |
| 72100 |
|
658 |
644 |
$15K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12,730 |
11,120 |
$14K |
| 74183 |
|
62 |
61 |
$13K |
| 74176 |
|
208 |
205 |
$12K |
| 76819 |
|
344 |
193 |
$10K |
| 70551 |
|
67 |
65 |
$9K |
| 20553 |
|
248 |
231 |
$9K |
| 99204 |
|
99 |
88 |
$8K |
| 72110 |
|
253 |
246 |
$8K |
| 73700 |
|
76 |
75 |
$6K |
| 20610 |
|
249 |
228 |
$5K |
| 71250 |
|
138 |
137 |
$5K |
| 76700 |
|
53 |
52 |
$4K |
| 72125 |
|
188 |
183 |
$3K |
| G0279 |
Tomosynthesis, mammo |
100 |
94 |
$3K |
| 71271 |
|
42 |
42 |
$3K |
| 72040 |
|
100 |
99 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,543 |
2,410 |
$2K |
| 73630 |
|
437 |
390 |
$2K |
| 64493 |
|
17 |
13 |
$2K |
| 74018 |
|
404 |
359 |
$2K |
| 76770 |
|
26 |
25 |
$2K |
| 93970 |
|
14 |
14 |
$1K |
| 23350 |
|
13 |
13 |
$1K |
| 93971 |
|
85 |
79 |
$1K |
| 93923 |
|
15 |
13 |
$1K |
| 70486 |
|
13 |
12 |
$979.02 |
| 99443 |
|
41 |
14 |
$769.32 |
| 76817 |
|
30 |
26 |
$706.91 |
| 93975 |
|
58 |
55 |
$525.22 |
| 73030 |
|
125 |
114 |
$518.31 |
| 73610 |
|
123 |
113 |
$516.17 |
| 77080 |
|
28 |
25 |
$494.01 |
| J2795 |
Ropivacaine hcl injection |
153 |
114 |
$484.25 |
| J1030 |
Methylprednisolone 40 mg inj |
62 |
60 |
$454.07 |
| 73110 |
|
12 |
12 |
$71.17 |
| 73130 |
|
12 |
12 |
$63.58 |
| A9579 |
Gad-base mr contrast nos,1ml |
15 |
14 |
$2.09 |
| J8499 |
Oral prescrip drug non chemo |
17 |
14 |
$0.00 |
| 73562 |
|
13 |
13 |
$0.00 |
| 74019 |
|
26 |
25 |
$0.00 |
| 73502 |
|
29 |
27 |
$0.00 |
| 94761 |
|
16 |
13 |
$0.00 |
| 76815 |
|
13 |
12 |
$0.00 |