| Code | Description | Claims | Beneficiaries | Total Paid |
| H1001 |
Antepartum management |
3,016 |
1,681 |
$514K |
| T1001 |
Nursing assessment/evaluatn |
2,480 |
1,677 |
$436K |
| 99502 |
|
369 |
296 |
$65K |
| 80053 |
|
880 |
751 |
$56K |
| 36415 |
|
641 |
490 |
$53K |
| 99283 |
|
659 |
590 |
$35K |
| 99282 |
|
233 |
220 |
$33K |
| 99212 |
|
413 |
355 |
$30K |
| 99213 |
|
479 |
416 |
$23K |
| 70553 |
|
32 |
30 |
$18K |
| 86850 |
|
151 |
139 |
$16K |
| 80048 |
|
625 |
512 |
$15K |
| A9552 |
F18 fdg |
16 |
16 |
$14K |
| 71046 |
|
470 |
331 |
$11K |
| 70551 |
|
30 |
30 |
$11K |
| 87086 |
|
433 |
392 |
$10K |
| 97110 |
|
96 |
34 |
$9K |
| 96372 |
|
344 |
215 |
$8K |
| 70450 |
|
168 |
149 |
$7K |
| 95782 |
|
17 |
16 |
$7K |
| 87804 |
|
92 |
86 |
$6K |
| 99214 |
|
154 |
145 |
$6K |
| 86900 |
|
160 |
144 |
$6K |
| 82565 |
|
39 |
39 |
$6K |
| 87077 |
|
149 |
135 |
$6K |
| 94760 |
|
87 |
77 |
$5K |
| 96360 |
|
135 |
115 |
$5K |
| 95810 |
|
19 |
17 |
$5K |
| 81003 |
|
278 |
242 |
$5K |
| 85610 |
|
291 |
216 |
$5K |
| 81001 |
|
426 |
372 |
$5K |
| 80307 |
|
236 |
208 |
$4K |
| 76775 |
|
64 |
62 |
$4K |
| 87070 |
|
111 |
102 |
$4K |
| 87486 |
|
54 |
34 |
$4K |
| 99284 |
|
477 |
414 |
$4K |
| 95811 |
|
15 |
15 |
$4K |
| 87491 |
|
48 |
46 |
$4K |
| 83655 |
|
71 |
70 |
$3K |
| 93041 |
|
13 |
12 |
$3K |
| 99391 |
|
33 |
32 |
$3K |
| 74018 |
|
82 |
66 |
$2K |
| 96361 |
|
351 |
276 |
$2K |
| 99211 |
|
175 |
114 |
$2K |
| 96365 |
|
159 |
99 |
$2K |
| 99285 |
|
648 |
561 |
$2K |
| 99392 |
|
35 |
35 |
$2K |
| 85027 |
|
414 |
346 |
$2K |
| 86592 |
|
127 |
119 |
$2K |
| 87081 |
|
86 |
86 |
$1K |
| 76705 |
|
44 |
41 |
$1K |
| 74230 |
|
14 |
12 |
$1K |
| 93306 |
|
42 |
39 |
$1K |
| 76830 |
|
16 |
16 |
$1K |
| 86140 |
|
121 |
105 |
$1K |
| 74019 |
|
18 |
16 |
$1K |
| 84702 |
|
51 |
42 |
$1K |
| 74022 |
|
39 |
38 |
$1K |
| 80076 |
|
48 |
44 |
$978.86 |
| 73501 |
|
18 |
17 |
$863.63 |
| 74177 |
|
73 |
70 |
$837.92 |
| G0378 |
Hospital observation per hr |
254 |
222 |
$830.68 |
| 76700 |
|
18 |
17 |
$819.53 |
| 85025 |
|
1,088 |
897 |
$813.18 |
| 93005 |
|
430 |
337 |
$723.14 |
| 85018 |
|
61 |
44 |
$572.96 |
| 80061 |
|
188 |
174 |
$498.33 |
| 59025 |
|
36 |
30 |
$495.22 |
| C1769 |
Guide wire |
112 |
99 |
$459.27 |
| 71045 |
|
178 |
161 |
$402.08 |
| 82570 |
|
60 |
57 |
$392.49 |
| 84443 |
|
257 |
241 |
$366.36 |
| 94640 |
|
236 |
147 |
$359.46 |
| 84484 |
|
263 |
205 |
$347.45 |
| 77067 |
|
13 |
13 |
$342.56 |
| 82306 |
|
89 |
85 |
$320.78 |
| 72100 |
|
12 |
12 |
$306.13 |
| 80050 |
|
13 |
13 |
$302.64 |
| 83540 |
|
50 |
45 |
$275.55 |
| 82728 |
|
54 |
49 |
$273.59 |
| 82043 |
|
34 |
32 |
$267.60 |
| 85007 |
|
282 |
226 |
$193.71 |
| 82607 |
|
26 |
25 |
$170.32 |
| 83036 |
|
194 |
179 |
$167.85 |
| 36416 |
|
86 |
55 |
$155.31 |
| 73030 |
|
12 |
12 |
$137.03 |
| 81025 |
|
127 |
119 |
$127.97 |
| 84439 |
|
55 |
50 |
$121.54 |
| 82950 |
|
13 |
13 |
$114.90 |
| 83880 |
|
121 |
97 |
$84.81 |
| 86803 |
|
33 |
32 |
$69.64 |
| 76856 |
|
44 |
39 |
$39.88 |
| 82550 |
|
15 |
14 |
$35.81 |
| A9585 |
Gadobutrol injection |
70 |
66 |
$30.63 |
| 87389 |
|
143 |
135 |
$22.74 |
| 82947 |
|
27 |
16 |
$18.68 |
| 86762 |
|
101 |
94 |
$18.56 |
| 87186 |
|
127 |
110 |
$10.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
249 |
224 |
$8.13 |
| 83735 |
|
223 |
173 |
$6.90 |
| J0131 |
Inj, acetaminophen (nos) |
64 |
54 |
$5.35 |
| 85651 |
|
67 |
63 |
$2.37 |
| 84295 |
|
23 |
15 |
$2.08 |
| J2270 |
Morphine sulfate injection |
91 |
68 |
$1.00 |
| J2250 |
Inj midazolam hydrochloride |
225 |
187 |
$1.00 |
| J0690 |
Cefazolin sodium injection |
152 |
102 |
$1.00 |
| J1170 |
Hydromorphone injection |
119 |
76 |
$1.00 |
| J1650 |
Inj enoxaparin sodium |
20 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
227 |
102 |
$0.00 |
| 82805 |
|
13 |
12 |
$0.00 |
| 87798 |
|
55 |
35 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
13 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
80 |
68 |
$0.00 |
| C1887 |
Catheter, guiding |
20 |
18 |
$0.00 |
| 83721 |
|
14 |
12 |
$0.00 |
| 99152 |
|
55 |
53 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
347 |
271 |
$0.00 |
| J2550 |
Promethazine hcl injection |
19 |
14 |
$0.00 |
| 84466 |
|
49 |
44 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
39 |
32 |
$0.00 |
| J7040 |
Normal saline solution infus |
53 |
40 |
$0.00 |
| 84156 |
|
15 |
13 |
$0.00 |
| 84145 |
|
36 |
30 |
$0.00 |
| 84100 |
|
78 |
63 |
$0.00 |
| J7030 |
Normal saline solution infus |
401 |
319 |
$0.00 |
| 43239 |
|
40 |
40 |
$0.00 |
| J7120 |
Ringers lactate infusion |
302 |
265 |
$0.00 |
| 85014 |
|
64 |
37 |
$0.00 |
| 88312 |
|
13 |
13 |
$0.00 |
| 85045 |
|
16 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
42 |
37 |
$0.00 |
| 78815 |
|
16 |
16 |
$0.00 |
| 80164 |
|
14 |
13 |
$0.00 |
| 87633 |
|
54 |
34 |
$0.00 |
| 87581 |
|
55 |
35 |
$0.00 |
| 87040 |
|
95 |
71 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
143 |
117 |
$0.00 |
| 83690 |
|
221 |
192 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
220 |
194 |
$0.00 |
| 96375 |
|
228 |
167 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
41 |
39 |
$0.00 |
| 96110 |
|
62 |
60 |
$0.00 |
| 86901 |
|
160 |
144 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
46 |
31 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
179 |
130 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
18 |
16 |
$0.00 |
| 85730 |
|
76 |
70 |
$0.00 |
| A9270 |
Non-covered item or service |
71 |
33 |
$0.00 |
| J3480 |
Inj potassium chloride |
60 |
36 |
$0.00 |
| 87340 |
|
125 |
119 |
$0.00 |
| 84132 |
|
67 |
44 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
36 |
30 |
$0.00 |
| 90378 |
|
34 |
15 |
$0.00 |
| 83605 |
|
107 |
89 |
$0.00 |
| 87591 |
|
48 |
46 |
$0.00 |
| J1815 |
Insulin injection |
31 |
24 |
$0.00 |
| 85379 |
|
35 |
29 |
$0.00 |
| 96374 |
|
361 |
293 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
67 |
49 |
$0.00 |
| J3490 |
Drugs unclassified injection |
186 |
130 |
$0.00 |
| 88305 |
|
106 |
101 |
$0.00 |
| 71275 |
|
28 |
26 |
$0.00 |
| 87205 |
|
40 |
34 |
$0.00 |
| 82803 |
|
15 |
14 |
$0.00 |
| 97162 |
|
18 |
15 |
$0.00 |
| 96376 |
|
93 |
64 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| 96366 |
|
62 |
40 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
22 |
15 |
$0.00 |