| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
68,387 |
62,810 |
$6.15M |
| 99284 |
|
42,600 |
36,354 |
$3.08M |
| 80053 |
|
46,802 |
38,305 |
$1.21M |
| 99282 |
|
9,907 |
9,201 |
$822K |
| 92507 |
|
6,148 |
1,785 |
$735K |
| 74177 |
|
4,844 |
4,297 |
$731K |
| 99281 |
|
5,116 |
4,832 |
$583K |
| 70450 |
|
6,155 |
5,220 |
$539K |
| 97110 |
|
4,757 |
1,418 |
$476K |
| 97530 |
|
3,920 |
1,413 |
$419K |
| 74176 |
|
2,448 |
2,161 |
$302K |
| 99285 |
|
4,581 |
3,840 |
$294K |
| 71260 |
|
2,489 |
2,179 |
$257K |
| 96361 |
|
2,632 |
2,153 |
$222K |
| 43239 |
|
1,982 |
1,689 |
$189K |
| 87430 |
|
17,545 |
16,717 |
$156K |
| 81001 |
|
26,173 |
22,610 |
$153K |
| 71046 |
|
12,978 |
11,921 |
$144K |
| 80048 |
|
4,447 |
3,724 |
$134K |
| 72125 |
|
2,317 |
1,962 |
$99K |
| J7120 |
Ringers lactate infusion |
1,320 |
835 |
$92K |
| J7050 |
Normal saline solution infus |
2,509 |
1,665 |
$88K |
| 97535 |
|
5,511 |
2,087 |
$87K |
| 93976 |
|
2,393 |
2,120 |
$72K |
| 85027 |
|
54,601 |
44,033 |
$72K |
| 76700 |
|
1,022 |
926 |
$70K |
| 96360 |
|
1,199 |
1,017 |
$69K |
| 45380 |
|
384 |
336 |
$68K |
| 96365 |
|
1,722 |
1,311 |
$62K |
| 96372 |
|
6,818 |
6,075 |
$57K |
| 72131 |
|
1,162 |
999 |
$56K |
| 74018 |
|
2,282 |
2,060 |
$54K |
| 87420 |
|
2,183 |
2,091 |
$51K |
| 93306 |
|
808 |
692 |
$49K |
| 76705 |
|
1,673 |
1,534 |
$49K |
| G0378 |
Hospital observation per hr |
4,007 |
2,286 |
$47K |
| 73610 |
|
1,608 |
1,459 |
$46K |
| 76770 |
|
690 |
623 |
$45K |
| 80307 |
|
6,589 |
5,705 |
$44K |
| 87088 |
|
6,952 |
6,126 |
$42K |
| 94640 |
|
3,381 |
2,822 |
$41K |
| 96374 |
|
21,154 |
17,704 |
$41K |
| 87077 |
|
5,252 |
4,606 |
$40K |
| 81003 |
|
10,998 |
9,959 |
$39K |
| A9270 |
Non-covered item or service |
11,860 |
3,016 |
$38K |
| A9552 |
F18 fdg |
406 |
328 |
$38K |
| 97533 |
|
1,546 |
631 |
$37K |
| 87081 |
|
4,347 |
4,147 |
$35K |
| 36415 |
|
1,129 |
989 |
$33K |
| 87635 |
|
3,460 |
3,102 |
$33K |
| G0480 |
Drug test def 1-7 classes |
1,361 |
1,048 |
$33K |
| 54161 |
|
97 |
97 |
$33K |
| 81025 |
|
12,872 |
11,643 |
$33K |
| 73110 |
|
1,081 |
986 |
$32K |
| 73630 |
|
1,857 |
1,676 |
$32K |
| 71045 |
|
12,043 |
10,101 |
$32K |
| 73564 |
|
1,597 |
1,335 |
$30K |
| 76856 |
|
1,164 |
1,102 |
$27K |
| 80061 |
|
3,706 |
3,137 |
$25K |
| 73130 |
|
1,065 |
958 |
$25K |
| 73030 |
|
1,124 |
990 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,413 |
594 |
$22K |
| 93005 |
|
18,235 |
14,253 |
$21K |
| 76801 |
|
1,747 |
1,484 |
$21K |
| C1894 |
Intro/sheath, non-laser |
570 |
432 |
$21K |
| 88305 |
|
3,695 |
3,079 |
$21K |
| 87804 |
|
8,645 |
8,165 |
$20K |
| 78815 |
|
262 |
210 |
$20K |
| 84702 |
|
3,299 |
2,475 |
$19K |
| 12001 |
|
211 |
205 |
$17K |
| 72110 |
|
540 |
485 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
3,295 |
2,508 |
$14K |
| J7030 |
Normal saline solution infus |
16,357 |
13,488 |
$13K |
| J3010 |
Fentanyl citrate injection |
2,231 |
1,664 |
$13K |
| 87070 |
|
908 |
707 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,248 |
1,728 |
$12K |
| 77063 |
|
459 |
422 |
$12K |
| 86850 |
|
949 |
816 |
$12K |
| 88304 |
|
784 |
741 |
$12K |
| 92523 |
|
298 |
272 |
$11K |
| 87040 |
|
5,373 |
4,026 |
$11K |
| 73080 |
|
441 |
403 |
$11K |
| 76642 |
|
163 |
143 |
$11K |
| 11042 |
|
306 |
103 |
$11K |
| 82550 |
|
660 |
488 |
$10K |
| 84443 |
|
6,145 |
5,366 |
$10K |
| J2405 |
Ondansetron hcl injection |
10,704 |
8,511 |
$10K |
| 85610 |
|
5,185 |
4,151 |
$9K |
| 76830 |
|
744 |
714 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,275 |
5,553 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
7,703 |
6,200 |
$9K |
| 93971 |
|
813 |
703 |
$9K |
| 84484 |
|
16,311 |
11,801 |
$9K |
| 70491 |
|
48 |
44 |
$9K |
| 10060 |
|
271 |
250 |
$8K |
| 82565 |
|
314 |
265 |
$8K |
| 85730 |
|
4,314 |
3,504 |
$7K |
| 73140 |
|
120 |
115 |
$7K |
| 78452 |
|
26 |
25 |
$7K |
| C1769 |
Guide wire |
1,051 |
820 |
$6K |
| 86140 |
|
2,462 |
2,138 |
$6K |
| G0383 |
Lev 4 hosp type b ed visit |
43 |
42 |
$6K |
| 96375 |
|
7,595 |
6,338 |
$6K |
| 73502 |
|
385 |
327 |
$6K |
| 73590 |
|
375 |
319 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,345 |
1,108 |
$5K |
| 97032 |
|
94 |
38 |
$5K |
| 84439 |
|
3,798 |
3,358 |
$5K |
| 59025 |
|
90 |
85 |
$5K |
| 83880 |
|
4,769 |
3,957 |
$4K |
| J1100 |
Dexamethasone sodium phos |
4,176 |
2,886 |
$4K |
| 93017 |
|
120 |
108 |
$4K |
| 93970 |
|
215 |
180 |
$4K |
| 82728 |
|
841 |
720 |
$4K |
| 83735 |
|
15,731 |
12,839 |
$4K |
| 76815 |
|
505 |
464 |
$4K |
| 76817 |
|
1,292 |
1,123 |
$4K |
| 83605 |
|
4,153 |
3,298 |
$4K |
| 80076 |
|
603 |
544 |
$4K |
| 76010 |
|
269 |
256 |
$4K |
| 70486 |
|
42 |
39 |
$4K |
| 73090 |
|
125 |
116 |
$3K |
| 82306 |
|
1,863 |
1,550 |
$3K |
| 86900 |
|
2,280 |
1,993 |
$3K |
| 12011 |
|
73 |
67 |
$3K |
| 87186 |
|
2,196 |
1,913 |
$3K |
| 72100 |
|
69 |
61 |
$3K |
| 83036 |
|
2,971 |
2,517 |
$3K |
| J0690 |
Cefazolin sodium injection |
205 |
154 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
5,261 |
4,558 |
$3K |
| 87210 |
|
258 |
236 |
$3K |
| 11043 |
|
59 |
25 |
$2K |
| J1170 |
Hydromorphone injection |
2,142 |
1,683 |
$2K |
| 76536 |
|
44 |
41 |
$2K |
| 76818 |
|
13 |
12 |
$2K |
| 83690 |
|
8,062 |
6,975 |
$2K |
| 97163 |
|
104 |
82 |
$2K |
| 87491 |
|
639 |
591 |
$2K |
| 87045 |
|
110 |
100 |
$2K |
| 77067 |
|
559 |
505 |
$2K |
| 82540 |
|
538 |
416 |
$2K |
| 87591 |
|
639 |
591 |
$2K |
| P9612 |
Catheterize for urine spec |
15 |
15 |
$2K |
| 93458 |
|
16 |
12 |
$1K |
| 82607 |
|
1,176 |
969 |
$1K |
| 82247 |
|
81 |
55 |
$1K |
| 87275 |
|
43 |
31 |
$1K |
| 84703 |
|
1,883 |
1,770 |
$1K |
| 86901 |
|
2,278 |
1,992 |
$1K |
| 85651 |
|
1,684 |
1,469 |
$1K |
| J2270 |
Morphine sulfate injection |
3,906 |
2,855 |
$1K |
| J2930 |
Methylprednisolone injection |
582 |
501 |
$1K |
| Q0162 |
Ondansetron oral |
777 |
642 |
$1K |
| J0561 |
Penicillin g benzathine inj |
961 |
928 |
$1K |
| 84550 |
|
736 |
613 |
$1K |
| 12002 |
|
14 |
12 |
$1K |
| 85378 |
|
1,034 |
931 |
$1K |
| 82731 |
|
13 |
13 |
$902.94 |
| 83540 |
|
960 |
831 |
$894.89 |
| 76870 |
|
85 |
80 |
$810.86 |
| 77080 |
|
28 |
26 |
$683.14 |
| J1644 |
Inj heparin sodium per 1000u |
480 |
227 |
$661.69 |
| 74019 |
|
197 |
188 |
$637.43 |
| 88342 |
|
403 |
345 |
$621.79 |
| 87428 |
|
517 |
496 |
$574.02 |
| 87426 |
|
5,976 |
5,743 |
$524.89 |
| 82077 |
|
357 |
308 |
$518.91 |
| 76805 |
|
46 |
40 |
$505.35 |
| 73560 |
|
15 |
12 |
$476.50 |
| 90715 |
|
607 |
542 |
$458.05 |
| 90471 |
|
573 |
503 |
$420.48 |
| 97162 |
|
13 |
12 |
$413.95 |
| J2550 |
Promethazine hcl injection |
1,479 |
1,174 |
$401.75 |
| 84156 |
|
635 |
482 |
$345.04 |
| 73521 |
|
14 |
12 |
$335.54 |
| 82248 |
|
876 |
624 |
$325.92 |
| G1003 |
Cdsm medicalis |
377 |
274 |
$324.32 |
| J2060 |
Lorazepam injection |
884 |
670 |
$307.12 |
| J1650 |
Inj enoxaparin sodium |
68 |
40 |
$258.49 |
| 82805 |
|
38 |
27 |
$242.99 |
| 82140 |
|
97 |
78 |
$241.89 |
| J7040 |
Normal saline solution infus |
845 |
744 |
$221.97 |
| 29125 |
|
25 |
25 |
$209.64 |
| 83550 |
|
596 |
511 |
$207.54 |
| 82043 |
|
113 |
96 |
$155.48 |
| S0119 |
Ondansetron 4 mg |
1,839 |
1,761 |
$148.67 |
| 87400 |
|
2,921 |
2,808 |
$145.56 |
| 83655 |
|
89 |
87 |
$143.33 |
| J0330 |
Succinycholine chloride inj |
91 |
68 |
$141.61 |
| 86709 |
|
33 |
25 |
$139.49 |
| G0279 |
Tomosynthesis, mammo |
17 |
13 |
$134.91 |
| 87340 |
|
167 |
139 |
$127.08 |
| 86803 |
|
145 |
115 |
$123.43 |
| 84481 |
|
393 |
332 |
$120.13 |
| J7512 |
Prednisone ir or dr oral 1mg |
988 |
899 |
$100.50 |
| J2765 |
Metoclopramide hcl injection |
209 |
191 |
$100.23 |
| 85379 |
|
136 |
132 |
$91.66 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
73 |
66 |
$90.25 |
| A9502 |
Tc99m tetrofosmin |
45 |
38 |
$90.00 |
| 71250 |
|
56 |
45 |
$89.89 |
| 84100 |
|
173 |
135 |
$77.11 |
| 82784 |
|
38 |
36 |
$65.83 |
| J8540 |
Oral dexamethasone |
284 |
268 |
$44.68 |
| 72072 |
|
31 |
27 |
$40.45 |
| J1815 |
Insulin injection |
689 |
343 |
$33.69 |
| 82150 |
|
353 |
322 |
$31.89 |
| 82746 |
|
119 |
102 |
$30.20 |
| C9113 |
Inj pantoprazole sodium, via |
98 |
70 |
$27.97 |
| 80320 |
|
100 |
91 |
$20.36 |
| 73620 |
|
13 |
13 |
$15.39 |
| 83615 |
|
490 |
417 |
$9.39 |
| 96376 |
|
471 |
415 |
$6.28 |
| J1956 |
Levofloxacin injection |
184 |
149 |
$3.75 |
| 82009 |
|
84 |
66 |
$1.54 |
| 87276 |
|
43 |
31 |
$0.48 |
| 71101 |
|
39 |
36 |
$0.35 |
| C1726 |
Cath, bal dil, non-vascular |
63 |
52 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
22 |
20 |
$0.00 |
| 96366 |
|
22 |
17 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
53 |
40 |
$0.00 |
| 88307 |
|
13 |
13 |
$0.00 |
| 74021 |
|
15 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
470 |
411 |
$0.00 |
| J0780 |
Prochlorperazine injection |
152 |
139 |
$0.00 |
| C1887 |
Catheter, guiding |
33 |
27 |
$0.00 |
| C1758 |
Catheter, ureteral |
118 |
106 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
74 |
67 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
16 |
12 |
$0.00 |
| 83516 |
|
13 |
12 |
$0.00 |
| 85045 |
|
15 |
14 |
$0.00 |
| S5000 |
Prescription drug, generic |
12 |
12 |
$0.00 |
| 45385 |
|
16 |
15 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
12 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$0.00 |
| 97116 |
|
37 |
13 |
$0.00 |
| 85049 |
|
18 |
12 |
$0.00 |