| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
78,833 |
35,842 |
$4.67M |
| 99214 |
|
66,565 |
61,992 |
$2.52M |
| 99223 |
Prolong inpt eval add15 m |
21,543 |
20,851 |
$2.35M |
| 99232 |
|
28,801 |
12,228 |
$1.16M |
| 99239 |
|
16,771 |
16,407 |
$1.09M |
| 74177 |
|
13,829 |
13,582 |
$1.05M |
| 99291 |
|
6,868 |
3,449 |
$807K |
| 99213 |
|
23,256 |
19,703 |
$607K |
| 93306 |
|
12,080 |
11,709 |
$509K |
| 70450 |
|
14,542 |
14,013 |
$417K |
| 71046 |
|
38,274 |
37,810 |
$370K |
| 90961 |
|
2,126 |
2,099 |
$304K |
| 90962 |
|
2,834 |
2,816 |
$298K |
| 71045 |
|
51,140 |
45,631 |
$289K |
| 99215 |
Prolong outpt/office vis |
3,070 |
2,928 |
$227K |
| 59425 |
|
2,993 |
1,927 |
$189K |
| 74176 |
|
2,811 |
2,741 |
$147K |
| 90960 |
|
875 |
871 |
$130K |
| 43239 |
|
928 |
912 |
$84K |
| 90935 |
|
1,619 |
763 |
$71K |
| 99254 |
|
708 |
695 |
$66K |
| 72125 |
|
1,767 |
1,746 |
$64K |
| 99255 |
|
414 |
403 |
$54K |
| 93010 |
|
8,682 |
7,637 |
$50K |
| 71260 |
|
1,175 |
1,132 |
$45K |
| 77014 |
|
316 |
52 |
$38K |
| 0001A |
|
901 |
901 |
$34K |
| 99204 |
|
488 |
485 |
$33K |
| 99203 |
|
321 |
316 |
$28K |
| 0002A |
|
649 |
649 |
$25K |
| 90750 |
|
198 |
176 |
$23K |
| 76705 |
|
1,276 |
1,259 |
$20K |
| 78815 |
|
53 |
53 |
$19K |
| 73630 |
|
2,061 |
1,908 |
$18K |
| 73030 |
|
2,144 |
1,914 |
$17K |
| 78452 |
|
384 |
382 |
$17K |
| 73562 |
|
1,384 |
1,228 |
$17K |
| 71275 |
|
506 |
503 |
$16K |
| 0011A |
|
410 |
410 |
$15K |
| 0012A |
|
378 |
378 |
$14K |
| 00142 |
|
89 |
89 |
$13K |
| 99222 |
|
475 |
463 |
$13K |
| 93000 |
|
1,739 |
1,697 |
$13K |
| 00813 |
|
40 |
39 |
$12K |
| 71250 |
|
394 |
389 |
$11K |
| 99152 |
|
791 |
751 |
$11K |
| 99212 |
|
622 |
579 |
$11K |
| 76816 |
|
60 |
52 |
$10K |
| 73130 |
|
971 |
875 |
$9K |
| 96372 |
|
2,733 |
2,357 |
$9K |
| 73610 |
|
1,061 |
1,009 |
$9K |
| 76811 |
|
30 |
26 |
$9K |
| 70551 |
|
269 |
255 |
$8K |
| 00731 |
|
50 |
50 |
$8K |
| 76856 |
|
267 |
266 |
$8K |
| 90834 |
|
191 |
101 |
$8K |
| 73110 |
|
512 |
478 |
$8K |
| 90833 |
|
895 |
879 |
$7K |
| 92014 |
|
181 |
181 |
$7K |
| 95810 |
|
140 |
136 |
$7K |
| 99211 |
|
685 |
669 |
$7K |
| 95819 |
|
153 |
141 |
$6K |
| 72148 |
|
82 |
79 |
$6K |
| 11721 |
|
484 |
484 |
$6K |
| A9552 |
F18 fdg |
67 |
67 |
$5K |
| 74018 |
|
1,214 |
1,041 |
$5K |
| 76700 |
|
143 |
142 |
$5K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$5K |
| 0071A |
|
114 |
114 |
$5K |
| 20610 |
|
169 |
122 |
$4K |
| 76770 |
|
178 |
174 |
$4K |
| 0072A |
|
96 |
96 |
$4K |
| 64405 |
|
52 |
25 |
$4K |
| 90471 |
|
134 |
131 |
$3K |
| 73502 |
|
376 |
375 |
$3K |
| 99231 |
|
121 |
68 |
$2K |
| 0064A |
|
53 |
53 |
$2K |
| 76815 |
|
204 |
196 |
$2K |
| A9502 |
Tc99m tetrofosmin |
58 |
53 |
$2K |
| 76801 |
|
68 |
67 |
$2K |
| 92557 |
|
265 |
264 |
$2K |
| 11042 |
|
67 |
49 |
$2K |
| 94010 |
|
229 |
227 |
$2K |
| 72110 |
|
152 |
142 |
$2K |
| 76813 |
|
13 |
12 |
$2K |
| 76642 |
|
17 |
15 |
$1K |
| 74178 |
|
24 |
24 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
220 |
209 |
$1K |
| 49083 |
|
16 |
13 |
$1K |
| 73721 |
|
14 |
13 |
$1K |
| 72100 |
|
201 |
201 |
$1K |
| 59409 |
|
164 |
162 |
$1K |
| J2785 |
Regadenoson injection |
27 |
27 |
$1K |
| 90686 |
|
431 |
431 |
$1K |
| J3420 |
Vitamin b12 injection |
1,560 |
1,386 |
$1K |
| 93298 |
|
137 |
137 |
$994.53 |
| 45380 |
|
25 |
24 |
$905.84 |
| 73590 |
|
185 |
170 |
$882.72 |
| 85018 |
|
303 |
295 |
$879.55 |
| 76830 |
|
89 |
88 |
$818.15 |
| 94729 |
|
60 |
59 |
$814.65 |
| 94726 |
|
60 |
59 |
$777.48 |
| 92134 |
|
65 |
65 |
$766.48 |
| 0004A |
|
18 |
18 |
$720.00 |
| 20553 |
|
29 |
28 |
$684.00 |
| 94060 |
|
59 |
58 |
$683.98 |
| J1030 |
Methylprednisolone 40 mg inj |
102 |
100 |
$675.84 |
| 73080 |
|
91 |
88 |
$556.37 |
| 93971 |
|
165 |
161 |
$520.82 |
| 99394 |
|
16 |
12 |
$505.12 |
| 93970 |
|
119 |
118 |
$502.32 |
| 94618 |
|
28 |
26 |
$460.46 |
| 62323 |
|
25 |
25 |
$453.37 |
| 93015 |
|
26 |
25 |
$450.80 |
| 69210 |
|
28 |
26 |
$444.09 |
| 95117 |
|
37 |
24 |
$376.20 |
| J3301 |
Triamcinolone acet inj nos |
197 |
170 |
$360.00 |
| 73564 |
|
14 |
12 |
$350.65 |
| 70498 |
|
36 |
35 |
$315.57 |
| 76001 |
|
12 |
12 |
$303.79 |
| 93016 |
|
59 |
59 |
$303.33 |
| G0279 |
Tomosynthesis, mammo |
14 |
12 |
$301.19 |
| 70496 |
|
35 |
34 |
$297.96 |
| 71020 |
|
35 |
23 |
$260.35 |
| 73560 |
|
29 |
27 |
$249.63 |
| 73140 |
|
25 |
24 |
$239.00 |
| 87880 |
|
25 |
25 |
$228.72 |
| 73090 |
|
28 |
26 |
$220.46 |
| 93018 |
|
70 |
70 |
$214.57 |
| 74019 |
|
26 |
25 |
$172.06 |
| 92567 |
|
97 |
96 |
$157.56 |
| 92015 |
|
27 |
27 |
$151.41 |
| 93297 |
|
13 |
13 |
$147.70 |
| 71010 |
|
30 |
21 |
$145.13 |
| 20552 |
|
21 |
21 |
$131.38 |
| 99238 |
|
199 |
195 |
$116.22 |
| 99173 |
|
27 |
27 |
$112.74 |
| 94664 |
|
14 |
14 |
$109.40 |
| 70486 |
|
26 |
26 |
$107.31 |
| 73620 |
|
16 |
14 |
$94.34 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$92.64 |
| 81003 |
|
49 |
48 |
$84.79 |
| G0127 |
Trim nail(s) |
25 |
25 |
$75.84 |
| 99253 |
|
29 |
29 |
$46.44 |
| 76536 |
|
12 |
12 |
$39.50 |
| 92551 |
|
61 |
39 |
$37.34 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
14 |
$35.10 |
| 51798 |
|
14 |
14 |
$34.86 |
| J1885 |
Ketorolac tromethamine inj |
13 |
12 |
$33.02 |
| 72131 |
|
12 |
12 |
$32.33 |
| 76817 |
|
24 |
24 |
$30.40 |
| 59025 |
|
188 |
173 |
$18.24 |
| G0500 |
Mod sedat endo service >5yrs |
30 |
28 |
$16.79 |
| G2211 |
Complex e/m visit add on |
84 |
81 |
$11.98 |
| A9585 |
Gadobutrol injection |
21 |
21 |
$0.00 |
| 99308 |
|
23 |
14 |
$0.00 |
| 99282 |
|
32 |
30 |
$0.00 |
| 99283 |
|
47 |
42 |
$0.00 |
| 59514 |
|
45 |
44 |
$0.00 |
| G2066 |
Inter devc remote 30d |
12 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
12 |
12 |
$0.00 |
| 90662 |
|
77 |
76 |
$0.00 |
| 99393 |
|
52 |
52 |
$0.00 |
| G1010 |
Cdsm stanson |
169 |
149 |
$0.00 |
| 99392 |
|
40 |
40 |
$0.00 |