| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
41,799 |
26,806 |
$10.30M |
| 99283 |
|
44,029 |
28,825 |
$7.32M |
| 99285 |
|
17,773 |
10,957 |
$4.83M |
| 74177 |
|
2,311 |
2,125 |
$1.86M |
| 99282 |
|
18,911 |
13,931 |
$1.67M |
| 80053 |
|
45,243 |
39,656 |
$1.06M |
| 85025 |
|
37,373 |
32,303 |
$696K |
| 96374 |
|
9,191 |
8,312 |
$665K |
| 93005 |
|
12,281 |
10,337 |
$663K |
| G0330 |
Facility svs dental rehab |
106 |
84 |
$492K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,812 |
4,318 |
$476K |
| 96375 |
|
7,545 |
6,486 |
$430K |
| 71045 |
|
6,556 |
5,687 |
$387K |
| 87635 |
|
7,931 |
7,086 |
$310K |
| 36415 |
|
39,188 |
33,361 |
$295K |
| 81001 |
|
21,329 |
19,107 |
$286K |
| 70450 |
|
808 |
701 |
$219K |
| 11042 |
|
1,823 |
692 |
$203K |
| 84443 |
|
7,838 |
7,154 |
$200K |
| 80307 |
|
1,734 |
1,312 |
$154K |
| 84484 |
|
5,312 |
4,374 |
$148K |
| 83690 |
|
5,771 |
5,237 |
$122K |
| J7030 |
Normal saline solution infus |
4,308 |
3,875 |
$120K |
| J7120 |
Ringers lactate infusion |
3,880 |
3,515 |
$116K |
| G0480 |
Drug test def 1-7 classes |
1,460 |
1,204 |
$98K |
| 80306 |
|
2,075 |
1,831 |
$96K |
| 71046 |
|
1,128 |
1,053 |
$95K |
| G0463 |
Hospital outpt clinic visit |
3,284 |
2,021 |
$94K |
| 83036 |
|
5,556 |
5,114 |
$90K |
| 80061 |
|
4,112 |
3,768 |
$87K |
| 85027 |
|
6,481 |
5,882 |
$82K |
| 41899 |
|
13 |
12 |
$71K |
| 87502 |
|
1,361 |
1,257 |
$69K |
| 96365 |
|
944 |
797 |
$66K |
| 83735 |
|
3,939 |
3,497 |
$55K |
| 82306 |
|
1,506 |
1,416 |
$49K |
| 87086 |
|
2,696 |
2,369 |
$46K |
| 87651 |
|
800 |
747 |
$33K |
| 96372 |
|
977 |
842 |
$30K |
| 96361 |
|
776 |
673 |
$29K |
| 97530 |
|
241 |
153 |
$29K |
| J8499 |
Oral prescrip drug non chemo |
3,992 |
3,196 |
$29K |
| 99281 |
|
834 |
710 |
$28K |
| 45380 |
|
23 |
13 |
$20K |
| 81025 |
|
838 |
798 |
$17K |
| 43239 |
|
21 |
16 |
$16K |
| 88305 |
|
174 |
146 |
$15K |
| 83605 |
|
681 |
559 |
$14K |
| 82607 |
|
427 |
401 |
$13K |
| 59025 |
|
156 |
78 |
$13K |
| 45385 |
|
15 |
13 |
$12K |
| 97110 |
|
168 |
54 |
$12K |
| 97602 |
|
156 |
80 |
$11K |
| 99213 |
|
324 |
281 |
$10K |
| 0241U |
|
106 |
101 |
$10K |
| 80048 |
|
705 |
553 |
$9K |
| 99214 |
|
248 |
195 |
$8K |
| 73630 |
|
42 |
37 |
$6K |
| 93010 |
|
1,264 |
1,070 |
$6K |
| 84703 |
|
143 |
136 |
$4K |
| 86780 |
|
280 |
265 |
$4K |
| 85610 |
|
524 |
409 |
$4K |
| 99232 |
|
154 |
55 |
$4K |
| 87636 |
|
90 |
62 |
$4K |
| 82803 |
|
50 |
42 |
$4K |
| 84145 |
|
131 |
113 |
$3K |
| 96376 |
|
52 |
39 |
$3K |
| 94640 |
|
53 |
45 |
$3K |
| 87040 |
|
64 |
36 |
$3K |
| 86803 |
|
127 |
116 |
$3K |
| A9270 |
Non-covered item or service |
3,315 |
2,673 |
$3K |
| 86140 |
|
307 |
255 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
89 |
38 |
$2K |
| 84439 |
|
157 |
139 |
$2K |
| 76856 |
|
12 |
12 |
$2K |
| 76816 |
|
14 |
12 |
$2K |
| 99239 |
|
44 |
38 |
$2K |
| 76830 |
|
12 |
12 |
$2K |
| 87389 |
|
101 |
91 |
$2K |
| 97597 |
|
22 |
12 |
$1K |
| 87591 |
|
29 |
24 |
$1K |
| 87491 |
|
29 |
24 |
$1K |
| 87800 |
|
40 |
38 |
$1K |
| 85652 |
|
137 |
120 |
$1K |
| 82948 |
|
177 |
129 |
$1K |
| 73030 |
|
14 |
13 |
$1K |
| 83550 |
|
51 |
50 |
$1K |
| J7040 |
Normal saline solution infus |
43 |
40 |
$1K |
| 86850 |
|
27 |
24 |
$1K |
| 88142 |
|
29 |
27 |
$839.00 |
| 82728 |
|
53 |
39 |
$747.76 |
| 87077 |
|
74 |
65 |
$739.32 |
| 83880 |
|
33 |
27 |
$681.46 |
| 83540 |
|
51 |
50 |
$641.33 |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$559.74 |
| 85379 |
|
38 |
26 |
$385.10 |
| 82746 |
|
32 |
27 |
$381.60 |
| 82550 |
|
27 |
25 |
$360.83 |
| 80069 |
|
114 |
60 |
$261.38 |
| 99441 |
|
21 |
14 |
$144.75 |
| 87186 |
|
18 |
14 |
$128.00 |