| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
|
88,387 |
21,049 |
$10.01M |
| 92507 |
|
146,840 |
33,519 |
$9.48M |
| T1015 |
Clinic service |
35,811 |
33,628 |
$6.09M |
| 99214 |
|
107,332 |
97,797 |
$5.83M |
| 41899 |
|
1,780 |
1,762 |
$2.94M |
| 99213 |
|
67,297 |
63,371 |
$2.47M |
| 97110 |
|
17,408 |
4,913 |
$1.14M |
| 00170 |
|
4,336 |
4,308 |
$569K |
| 99215 |
Prolong outpt/office vis |
5,721 |
5,191 |
$443K |
| 92523 |
|
3,155 |
3,119 |
$431K |
| 99204 |
|
3,343 |
3,321 |
$374K |
| 69436 |
|
395 |
392 |
$312K |
| 64493 |
|
629 |
482 |
$303K |
| 42820 |
|
354 |
353 |
$278K |
| 96413 |
|
1,350 |
800 |
$278K |
| 95810 |
|
1,566 |
1,548 |
$264K |
| 99203 |
|
3,849 |
3,824 |
$257K |
| 64483 |
|
597 |
576 |
$218K |
| 64636 |
|
478 |
347 |
$194K |
| 62323 |
|
911 |
890 |
$190K |
| G0463 |
Hospital outpt clinic visit |
28,619 |
20,965 |
$182K |
| 64635 |
|
407 |
392 |
$175K |
| 76942 |
|
12,215 |
7,852 |
$169K |
| 20553 |
|
6,551 |
3,526 |
$160K |
| 97166 |
|
1,665 |
1,662 |
$117K |
| 97113 |
|
1,122 |
703 |
$103K |
| 64494 |
|
598 |
423 |
$103K |
| 88305 |
|
1,962 |
1,908 |
$99K |
| G0481 |
Drug test def 8-14 classes |
1,421 |
1,340 |
$90K |
| 87426 |
|
2,058 |
2,046 |
$85K |
| 87428 |
|
1,556 |
1,549 |
$84K |
| 97140 |
|
2,858 |
909 |
$79K |
| 64640 |
|
175 |
88 |
$71K |
| 80053 |
|
11,504 |
9,769 |
$69K |
| J0897 |
Denosumab injection |
100 |
94 |
$67K |
| 80307 |
|
1,908 |
1,804 |
$64K |
| 96365 |
|
854 |
329 |
$63K |
| 85025 |
|
13,550 |
11,027 |
$62K |
| J1453 |
Fosaprepitant injection |
291 |
185 |
$58K |
| 97112 |
|
1,537 |
537 |
$57K |
| 64490 |
|
102 |
80 |
$51K |
| 73721 |
|
440 |
413 |
$50K |
| J2469 |
Palonosetron hcl |
342 |
207 |
$45K |
| 99152 |
|
2,907 |
2,700 |
$44K |
| 97162 |
|
610 |
608 |
$40K |
| 97116 |
|
1,167 |
471 |
$39K |
| 84443 |
|
3,393 |
3,233 |
$39K |
| 27096 |
|
283 |
281 |
$39K |
| 43239 |
|
286 |
284 |
$37K |
| 92526 |
|
629 |
180 |
$36K |
| 87880 |
|
2,704 |
2,657 |
$36K |
| 74177 |
|
318 |
309 |
$35K |
| 96415 |
|
418 |
294 |
$35K |
| G0482 |
Drug test def 15-21 classes |
312 |
295 |
$35K |
| 62321 |
|
137 |
134 |
$34K |
| 64405 |
|
377 |
362 |
$33K |
| 87804 |
|
2,560 |
1,270 |
$32K |
| 62370 |
|
1,514 |
1,471 |
$32K |
| J0585 |
Injection,onabotulinumtoxina |
102 |
62 |
$31K |
| 64450 |
|
374 |
353 |
$30K |
| 72148 |
|
338 |
335 |
$29K |
| 95811 |
|
77 |
75 |
$28K |
| 00731 |
|
389 |
387 |
$28K |
| 36591 |
|
2,375 |
1,263 |
$28K |
| J0586 |
Abobotulinumtoxina |
91 |
58 |
$27K |
| 36415 |
|
16,796 |
14,831 |
$27K |
| 97535 |
|
654 |
320 |
$26K |
| 92522 |
|
297 |
297 |
$23K |
| 87641 |
|
984 |
955 |
$23K |
| 87400 |
|
899 |
876 |
$22K |
| 64495 |
|
143 |
92 |
$20K |
| 64491 |
|
98 |
75 |
$20K |
| 99205 |
Prolong outpt/office vis |
133 |
133 |
$20K |
| 77002 |
|
606 |
577 |
$19K |
| 96372 |
|
3,659 |
2,758 |
$17K |
| 97161 |
|
323 |
312 |
$17K |
| 77067 |
|
422 |
411 |
$17K |
| 64400 |
|
835 |
286 |
$17K |
| 64633 |
|
25 |
24 |
$16K |
| 86710 |
|
546 |
529 |
$16K |
| 62368 |
|
332 |
237 |
$13K |
| 82306 |
|
661 |
644 |
$13K |
| 83036 |
|
2,537 |
2,448 |
$13K |
| 76700 |
|
227 |
224 |
$12K |
| 93005 |
|
563 |
540 |
$12K |
| 80061 |
|
1,770 |
1,712 |
$12K |
| 94060 |
|
1,597 |
1,559 |
$12K |
| 00813 |
|
128 |
128 |
$11K |
| 87086 |
|
2,285 |
2,109 |
$10K |
| 71046 |
|
1,090 |
1,045 |
$10K |
| 94726 |
|
1,674 |
1,640 |
$10K |
| J1100 |
Dexamethasone sodium phos |
6,796 |
5,831 |
$9K |
| 95886 |
|
186 |
146 |
$9K |
| 82728 |
|
1,008 |
963 |
$9K |
| 97032 |
|
838 |
236 |
$9K |
| 80048 |
|
1,461 |
1,357 |
$8K |
| J0690 |
Cefazolin sodium injection |
2,511 |
2,290 |
$8K |
| 84481 |
|
644 |
601 |
$8K |
| J2780 |
Ranitidine hydrochloride inj |
1,127 |
541 |
$8K |
| 93306 |
|
178 |
175 |
$8K |
| 94729 |
|
1,711 |
1,677 |
$8K |
| 81025 |
|
1,153 |
1,123 |
$8K |
| 82607 |
|
717 |
690 |
$7K |
| 84439 |
|
1,157 |
1,092 |
$7K |
| 78815 |
|
15 |
14 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
2,352 |
2,167 |
$7K |
| 87430 |
|
444 |
431 |
$7K |
| 82948 |
|
1,501 |
949 |
$7K |
| 76816 |
|
232 |
190 |
$6K |
| J2405 |
Ondansetron hcl injection |
5,788 |
5,129 |
$6K |
| 64642 |
|
96 |
93 |
$6K |
| 96417 |
|
65 |
38 |
$6K |
| 88307 |
|
80 |
79 |
$6K |
| 94761 |
|
74 |
59 |
$6K |
| 73221 |
|
51 |
50 |
$5K |
| 81001 |
|
2,506 |
2,293 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
3,185 |
2,974 |
$5K |
| 86140 |
|
1,419 |
1,199 |
$5K |
| 72141 |
|
44 |
44 |
$5K |
| 83540 |
|
1,153 |
1,110 |
$4K |
| 96367 |
|
128 |
54 |
$4K |
| 87186 |
|
748 |
709 |
$4K |
| 83550 |
|
876 |
848 |
$4K |
| 87070 |
|
576 |
533 |
$4K |
| 83880 |
|
259 |
242 |
$4K |
| J3010 |
Fentanyl citrate injection |
4,626 |
3,991 |
$4K |
| 86677 |
|
341 |
334 |
$4K |
| 99202 |
|
67 |
66 |
$4K |
| 64492 |
|
16 |
13 |
$4K |
| 85027 |
|
864 |
774 |
$4K |
| J2001 |
Lidocaine injection |
2,122 |
1,606 |
$4K |
| 97167 |
|
55 |
55 |
$4K |
| 81003 |
|
2,933 |
2,598 |
$3K |
| 87077 |
|
664 |
625 |
$3K |
| 70486 |
|
59 |
59 |
$3K |
| 71250 |
|
68 |
65 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
4,832 |
4,287 |
$3K |
| J3490 |
Drugs unclassified injection |
5,464 |
3,905 |
$3K |
| 87491 |
|
72 |
70 |
$3K |
| 87591 |
|
72 |
70 |
$3K |
| 86769 |
|
74 |
74 |
$3K |
| 45380 |
|
15 |
14 |
$3K |
| 76811 |
|
38 |
38 |
$3K |
| 93010 |
|
481 |
409 |
$2K |
| 00811 |
|
39 |
38 |
$2K |
| 76856 |
|
41 |
41 |
$2K |
| J7120 |
Ringers lactate infusion |
1,443 |
1,295 |
$2K |
| 95874 |
|
165 |
157 |
$2K |
| 90471 |
|
150 |
149 |
$2K |
| 74176 |
|
29 |
28 |
$2K |
| 85610 |
|
988 |
595 |
$2K |
| 85007 |
|
945 |
844 |
$2K |
| 83690 |
|
426 |
403 |
$2K |
| 76536 |
|
39 |
39 |
$2K |
| G0260 |
Inj for sacroiliac jt anesth |
70 |
65 |
$2K |
| 64634 |
|
17 |
12 |
$2K |
| 82150 |
|
413 |
392 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,887 |
1,612 |
$2K |
| 86756 |
|
136 |
131 |
$2K |
| 64615 |
|
44 |
40 |
$2K |
| 95806 |
|
42 |
42 |
$2K |
| 86850 |
|
293 |
282 |
$2K |
| 87205 |
|
514 |
475 |
$2K |
| J2550 |
Promethazine hcl injection |
935 |
683 |
$2K |
| 83735 |
|
484 |
407 |
$2K |
| 85652 |
|
938 |
748 |
$2K |
| 20611 |
|
29 |
24 |
$2K |
| 20610 |
|
29 |
25 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
78 |
70 |
$2K |
| A9552 |
F18 fdg |
12 |
12 |
$2K |
| 72100 |
|
116 |
116 |
$1K |
| 99212 |
|
70 |
69 |
$1K |
| 90686 |
|
382 |
378 |
$1K |
| 87075 |
|
129 |
120 |
$1K |
| 92557 |
|
45 |
45 |
$1K |
| 71260 |
|
27 |
24 |
$1K |
| 73610 |
|
100 |
88 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$1K |
| 99406 |
|
351 |
333 |
$1K |
| 87420 |
|
92 |
87 |
$1K |
| 70551 |
|
14 |
13 |
$1K |
| 85730 |
|
222 |
211 |
$1K |
| 86900 |
|
350 |
338 |
$1K |
| 82570 |
|
332 |
318 |
$953.89 |
| 94760 |
|
29 |
21 |
$928.00 |
| 86901 |
|
348 |
336 |
$927.58 |
| 97165 |
|
12 |
12 |
$913.66 |
| 72110 |
|
53 |
53 |
$910.90 |
| 83970 |
|
46 |
44 |
$875.44 |
| 90960 |
|
13 |
13 |
$868.82 |
| 97163 |
|
14 |
14 |
$826.80 |
| 73110 |
|
51 |
46 |
$822.13 |
| 88304 |
|
87 |
86 |
$781.51 |
| 92567 |
|
60 |
60 |
$757.12 |
| J0702 |
Betamethasone acet&sod phosp |
28 |
24 |
$732.85 |
| 76830 |
|
12 |
12 |
$726.40 |
| 76642 |
|
19 |
13 |
$718.08 |
| 70450 |
|
13 |
13 |
$717.12 |
| 90674 |
|
34 |
34 |
$692.80 |
| 88342 |
|
26 |
25 |
$679.98 |
| 82784 |
|
48 |
42 |
$668.82 |
| 80076 |
|
105 |
78 |
$628.30 |
| 76770 |
|
15 |
15 |
$613.85 |
| 90460 |
|
3,946 |
2,706 |
$597.99 |
| 94010 |
|
122 |
121 |
$587.69 |
| 29580 |
|
29 |
14 |
$573.05 |
| 99407 |
|
132 |
120 |
$547.15 |
| 83525 |
|
28 |
26 |
$546.10 |
| 73562 |
|
31 |
26 |
$537.50 |
| 87389 |
|
27 |
25 |
$535.20 |
| G2211 |
Complex e/m visit add on |
32 |
31 |
$488.64 |
| 74019 |
|
38 |
37 |
$442.50 |
| 73630 |
|
44 |
42 |
$416.85 |
| 99401 |
|
13 |
13 |
$356.20 |
| 87807 |
|
28 |
28 |
$350.14 |
| 82746 |
|
40 |
39 |
$348.52 |
| 84702 |
|
19 |
15 |
$317.87 |
| 87480 |
|
18 |
16 |
$311.92 |
| 90656 |
|
87 |
86 |
$302.43 |
| 87660 |
|
17 |
15 |
$289.64 |
| 87510 |
|
17 |
15 |
$289.64 |
| 99442 |
|
68 |
68 |
$289.43 |
| 88141 |
|
14 |
14 |
$269.22 |
| 73140 |
|
13 |
12 |
$247.44 |
| G0283 |
Elec stim other than wound |
29 |
12 |
$240.05 |
| 85060 |
|
17 |
16 |
$207.42 |
| 74018 |
|
14 |
12 |
$190.51 |
| 94640 |
|
26 |
26 |
$158.34 |
| 87340 |
|
18 |
17 |
$137.76 |
| 84100 |
|
54 |
52 |
$127.42 |
| 73130 |
|
15 |
14 |
$125.30 |
| 99443 |
|
13 |
12 |
$124.66 |
| 94664 |
|
35 |
33 |
$120.60 |
| 84550 |
|
39 |
38 |
$117.65 |
| J0330 |
Succinycholine chloride inj |
214 |
211 |
$116.07 |
| 82043 |
|
42 |
42 |
$110.64 |
| G0008 |
Admin influenza virus vac |
139 |
134 |
$108.14 |
| J0696 |
Ceftriaxone sodium injection |
283 |
156 |
$104.05 |
| 82248 |
|
22 |
17 |
$99.04 |
| 85379 |
|
13 |
13 |
$90.40 |
| J1170 |
Hydromorphone injection |
73 |
62 |
$85.35 |
| 36416 |
|
121 |
100 |
$84.00 |
| 82565 |
|
21 |
16 |
$79.80 |
| 86431 |
|
18 |
15 |
$73.75 |
| 82247 |
|
14 |
12 |
$66.84 |
| 87081 |
|
12 |
12 |
$59.70 |
| 73030 |
|
12 |
12 |
$57.99 |
| 80305 |
|
55 |
54 |
$57.13 |
| 84520 |
|
18 |
13 |
$57.07 |
| 82553 |
|
15 |
14 |
$53.53 |
| 84484 |
|
12 |
12 |
$45.59 |
| 82550 |
|
18 |
16 |
$43.90 |
| J7050 |
Normal saline solution infus |
123 |
91 |
$43.32 |
| 77063 |
|
179 |
176 |
$20.64 |
| J3420 |
Vitamin b12 injection |
16 |
12 |
$19.76 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$5.92 |
| J7620 |
Albuterol ipratrop non-comp |
27 |
27 |
$2.53 |
| 90461 |
|
1,741 |
1,731 |
$0.00 |
| 99391 |
|
1,955 |
1,919 |
$0.00 |
| 90671 |
|
573 |
572 |
$0.00 |
| 99392 |
|
1,241 |
1,240 |
$0.00 |
| 90633 |
|
60 |
60 |
$0.00 |
| 90681 |
|
102 |
102 |
$0.00 |
| J7030 |
Normal saline solution infus |
210 |
181 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
239 |
222 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
226 |
214 |
$0.00 |
| 90670 |
|
81 |
81 |
$0.00 |
| 99382 |
|
109 |
108 |
$0.00 |
| A4550 |
Surgical trays |
147 |
131 |
$0.00 |
| 99393 |
|
206 |
206 |
$0.00 |
| 99395 |
|
68 |
68 |
$0.00 |
| J7642 |
Glycopyrrolate comp con |
41 |
41 |
$0.00 |
| A6204 |
Composite drsg >16<=48 sq in |
19 |
12 |
$0.00 |
| A9577 |
Inj multihance |
42 |
40 |
$0.00 |
| G8990 |
Other pt/ot current status |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
2,153 |
982 |
$0.00 |
| 99381 |
|
140 |
139 |
$0.00 |
| 90723 |
|
451 |
451 |
$0.00 |
| 90647 |
|
467 |
467 |
$0.00 |
| S9088 |
Services provided in urgent |
25 |
24 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
201 |
190 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
51 |
48 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 99383 |
|
23 |
23 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
14 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
143 |
125 |
$0.00 |
| G8991 |
Other pt/ot goal status |
14 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
459 |
178 |
$-135.11 |