| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
67,687 |
64,835 |
$2.87M |
| 99213 |
|
62,807 |
59,731 |
$1.76M |
| 77067 |
|
25,746 |
24,392 |
$1.42M |
| 74177 |
|
5,152 |
4,893 |
$725K |
| 74178 |
|
2,829 |
2,689 |
$590K |
| 93306 |
|
5,317 |
5,119 |
$572K |
| 76700 |
|
4,937 |
4,762 |
$496K |
| 76830 |
|
8,192 |
7,905 |
$472K |
| 76856 |
|
8,049 |
7,768 |
$448K |
| 74176 |
|
4,095 |
3,892 |
$405K |
| 71046 |
|
27,110 |
25,757 |
$333K |
| 76536 |
|
5,665 |
5,348 |
$321K |
| 76642 |
|
7,860 |
7,417 |
$306K |
| 77066 |
Tomosynthesis, mammo |
4,259 |
4,002 |
$301K |
| 76770 |
|
3,978 |
3,770 |
$300K |
| 71250 |
|
3,147 |
2,939 |
$226K |
| 99204 |
|
2,618 |
2,511 |
$224K |
| 99203 |
|
3,088 |
2,970 |
$207K |
| 70486 |
|
2,226 |
2,099 |
$188K |
| 76805 |
|
3,166 |
3,036 |
$181K |
| 70450 |
|
3,192 |
2,987 |
$164K |
| 77065 |
Tomosynthesis, mammo |
2,896 |
2,682 |
$161K |
| 96365 |
|
3,314 |
2,163 |
$151K |
| 72100 |
|
9,431 |
9,056 |
$146K |
| 99212 |
|
7,744 |
7,296 |
$131K |
| 99244 |
|
1,961 |
1,877 |
$129K |
| 77063 |
|
5,537 |
5,391 |
$129K |
| 71260 |
|
1,240 |
1,165 |
$124K |
| 73630 |
|
8,507 |
8,087 |
$123K |
| 73564 |
|
7,221 |
6,884 |
$122K |
| 76705 |
|
3,311 |
3,173 |
$116K |
| 76801 |
|
2,482 |
2,401 |
$102K |
| 99215 |
Prolong outpt/office vis |
1,621 |
1,570 |
$91K |
| 93970 |
|
1,373 |
1,285 |
$88K |
| 73130 |
|
5,701 |
5,440 |
$87K |
| 73610 |
|
4,925 |
4,710 |
$85K |
| 73030 |
|
5,898 |
5,621 |
$78K |
| 71270 |
|
588 |
562 |
$77K |
| 72050 |
|
3,979 |
3,856 |
$77K |
| 93971 |
|
1,729 |
1,644 |
$72K |
| 74019 |
|
4,125 |
3,968 |
$68K |
| 45385 |
|
615 |
601 |
$63K |
| 73110 |
|
3,506 |
3,356 |
$61K |
| 93975 |
|
301 |
288 |
$58K |
| 99205 |
Prolong outpt/office vis |
488 |
478 |
$57K |
| 76870 |
|
1,237 |
1,206 |
$55K |
| A4550 |
Surgical trays |
8,251 |
6,586 |
$52K |
| 74018 |
|
3,674 |
3,547 |
$51K |
| 93976 |
|
569 |
560 |
$50K |
| 77080 |
|
1,973 |
1,869 |
$48K |
| 73562 |
|
2,404 |
2,320 |
$44K |
| 72072 |
|
2,550 |
2,446 |
$43K |
| 43239 |
|
1,231 |
1,187 |
$39K |
| 73502 |
|
2,602 |
2,476 |
$39K |
| 99245 |
|
278 |
257 |
$37K |
| 72040 |
|
1,706 |
1,639 |
$35K |
| 93356 |
|
2,924 |
2,804 |
$31K |
| 93000 |
|
3,630 |
3,508 |
$30K |
| 76882 |
|
1,830 |
1,763 |
$28K |
| 70491 |
|
256 |
246 |
$27K |
| 73080 |
|
1,586 |
1,528 |
$25K |
| 73521 |
|
1,687 |
1,624 |
$23K |
| 73140 |
|
1,397 |
1,343 |
$23K |
| 99152 |
|
965 |
902 |
$17K |
| 99202 |
|
276 |
271 |
$16K |
| 74022 |
|
713 |
684 |
$15K |
| 85025 |
|
3,093 |
2,944 |
$11K |
| 80048 |
|
2,809 |
2,615 |
$10K |
| 87430 |
|
1,211 |
1,182 |
$10K |
| 99070 |
|
11,584 |
7,428 |
$9K |
| 81003 |
|
8,101 |
7,716 |
$8K |
| 73590 |
|
634 |
614 |
$8K |
| 99243 |
|
314 |
295 |
$8K |
| 45380 |
|
66 |
63 |
$7K |
| 71100 |
|
555 |
508 |
$6K |
| 19083 |
|
57 |
56 |
$6K |
| 73560 |
|
423 |
403 |
$6K |
| 93224 |
|
141 |
135 |
$5K |
| 96366 |
|
348 |
284 |
$5K |
| 11721 |
|
343 |
323 |
$5K |
| 72082 |
|
156 |
151 |
$4K |
| 93268 |
|
39 |
39 |
$4K |
| 64483 |
|
56 |
52 |
$4K |
| 94760 |
|
3,011 |
2,749 |
$4K |
| 93015 |
|
122 |
119 |
$3K |
| 73660 |
|
201 |
192 |
$3K |
| 74246 |
|
38 |
36 |
$3K |
| 45378 |
|
51 |
51 |
$3K |
| 73090 |
|
151 |
140 |
$2K |
| 71275 |
|
12 |
12 |
$2K |
| 93880 |
|
53 |
52 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
2,986 |
1,825 |
$2K |
| 81025 |
|
1,422 |
1,363 |
$2K |
| 87426 |
|
111 |
99 |
$2K |
| 73100 |
|
70 |
66 |
$2K |
| 36415 |
|
2,804 |
2,636 |
$1K |
| 98960 |
|
210 |
191 |
$1K |
| 95251 |
|
136 |
125 |
$1K |
| 96374 |
|
80 |
54 |
$1K |
| A6454 |
Self-adher band w>=3" <5"/yd |
2,618 |
1,574 |
$1K |
| 72220 |
|
93 |
89 |
$1K |
| 95860 |
|
28 |
27 |
$1K |
| 73552 |
|
57 |
53 |
$1K |
| 99211 |
|
554 |
495 |
$1K |
| 76816 |
|
25 |
25 |
$943.44 |
| A4209 |
5+ cc sterile syringe&needle |
2,820 |
1,706 |
$889.80 |
| 73565 |
|
128 |
126 |
$864.80 |
| 72110 |
|
27 |
27 |
$727.26 |
| 73620 |
|
54 |
53 |
$648.24 |
| A4215 |
Sterile needle |
3,290 |
2,098 |
$643.00 |
| J7040 |
Normal saline solution infus |
393 |
263 |
$622.00 |
| 96360 |
|
32 |
30 |
$550.86 |
| 90471 |
|
44 |
40 |
$495.21 |
| 73060 |
|
13 |
13 |
$362.35 |
| 94640 |
|
35 |
35 |
$295.08 |
| 90686 |
|
63 |
59 |
$227.30 |
| 71045 |
|
12 |
12 |
$161.65 |
| 99393 |
|
36 |
36 |
$156.08 |
| 73600 |
|
12 |
12 |
$148.27 |
| J1885 |
Ketorolac tromethamine inj |
178 |
171 |
$135.84 |
| 72081 |
|
17 |
17 |
$131.60 |
| 73650 |
|
12 |
12 |
$125.96 |
| 77062 |
|
1,343 |
1,314 |
$65.94 |
| 77061 |
|
835 |
805 |
$60.30 |
| 74170 |
|
15 |
12 |
$54.18 |
| 99401 |
|
35 |
35 |
$50.00 |
| J8499 |
Oral prescrip drug non chemo |
83 |
77 |
$49.98 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$48.00 |
| 85379 |
|
12 |
12 |
$41.72 |
| 84484 |
|
12 |
12 |
$40.28 |
| A9999 |
Dme supply or accessory, nos |
39 |
30 |
$36.06 |
| J1100 |
Dexamethasone sodium phos |
40 |
40 |
$20.74 |
| J7613 |
Albuterol non-comp unit |
37 |
35 |
$10.26 |
| S0020 |
Injection, bupivicaine hydro |
33 |
26 |
$4.68 |
| A4649 |
Surgical supplies |
5,862 |
1,825 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
2,373 |
967 |
$0.00 |
| 99001 |
|
800 |
773 |
$0.00 |
| 99238 |
|
13 |
13 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
444 |
427 |
$0.00 |
| 0502F |
|
373 |
268 |
$0.00 |
| 59425 |
|
126 |
115 |
$0.00 |
| 90460 |
|
62 |
51 |
$0.00 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
48 |
42 |
$0.00 |
| 99173 |
|
72 |
72 |
$0.00 |
| 59426 |
|
172 |
101 |
$0.00 |
| A6219 |
Gauze <= 16 sq in w/border |
453 |
362 |
$0.00 |
| 97803 |
|
27 |
27 |
$0.00 |
| 99391 |
|
17 |
16 |
$0.00 |
| 99394 |
|
19 |
19 |
$0.00 |
| 99024 |
|
227 |
169 |
$0.00 |
| 1111F |
|
822 |
794 |
$0.00 |
| 97802 |
|
933 |
679 |
$0.00 |
| 59430 |
|
37 |
34 |
$0.00 |
| 0503F |
|
37 |
34 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
84 |
67 |
$0.00 |
| 0500F |
|
23 |
23 |
$0.00 |
| 2033F |
|
48 |
46 |
$0.00 |
| 36000 |
|
13 |
12 |
$0.00 |
| 99441 |
|
24 |
20 |
$0.00 |
| 87591 |
|
31 |
31 |
$0.00 |
| 0501F |
|
31 |
31 |
$0.00 |