| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
58,039 |
56,824 |
$2.11M |
| 99233 |
Prolong inpt eval add15 m |
107,137 |
49,640 |
$1.69M |
| 70450 |
|
74,452 |
71,559 |
$1.13M |
| 99223 |
Prolong inpt eval add15 m |
38,102 |
36,790 |
$1.05M |
| 99232 |
|
73,594 |
29,821 |
$1.03M |
| 93306 |
|
29,874 |
29,462 |
$854K |
| 71045 |
|
238,354 |
218,995 |
$799K |
| 99214 |
|
29,569 |
28,437 |
$719K |
| 74176 |
|
20,235 |
19,516 |
$520K |
| 93010 |
|
101,180 |
88,735 |
$466K |
| 99239 |
|
33,412 |
32,531 |
$459K |
| 99291 |
|
7,348 |
3,480 |
$394K |
| 71046 |
|
79,305 |
78,298 |
$380K |
| 71275 |
|
8,585 |
8,435 |
$229K |
| 78815 |
|
1,099 |
703 |
$196K |
| 72125 |
|
9,766 |
9,547 |
$174K |
| 77067 |
|
6,762 |
6,698 |
$169K |
| 70551 |
|
8,064 |
6,915 |
$156K |
| 78452 |
|
6,522 |
6,504 |
$132K |
| Z0104 |
|
966 |
401 |
$122K |
| 70496 |
|
2,623 |
2,588 |
$99K |
| 43239 |
|
1,578 |
1,560 |
$98K |
| 99213 |
|
6,102 |
5,791 |
$94K |
| 70498 |
|
2,620 |
2,590 |
$92K |
| 76815 |
|
8,877 |
8,138 |
$81K |
| 71260 |
|
4,053 |
3,940 |
$72K |
| 76700 |
|
7,572 |
7,550 |
$72K |
| 70553 |
|
2,342 |
1,785 |
$66K |
| 76705 |
|
6,580 |
6,502 |
$56K |
| 73630 |
|
11,461 |
10,853 |
$55K |
| 77063 |
|
5,724 |
5,663 |
$49K |
| 99254 |
|
3,126 |
3,039 |
$48K |
| 76856 |
|
6,480 |
6,454 |
$39K |
| 90961 |
|
1,200 |
1,199 |
$37K |
| 99222 |
|
2,176 |
2,084 |
$36K |
| 73030 |
|
6,529 |
6,219 |
$33K |
| 74018 |
|
9,946 |
9,278 |
$33K |
| 76830 |
|
5,458 |
5,428 |
$31K |
| A9552 |
F18 fdg |
659 |
658 |
$31K |
| 76642 |
|
4,340 |
3,124 |
$30K |
| 99204 |
|
1,029 |
1,017 |
$27K |
| 71250 |
|
1,803 |
1,733 |
$26K |
| 73130 |
|
5,361 |
5,166 |
$25K |
| 73721 |
|
2,195 |
1,197 |
$24K |
| 72148 |
|
2,203 |
1,400 |
$22K |
| 73610 |
|
5,093 |
4,908 |
$22K |
| 99479 |
|
192 |
104 |
$20K |
| 0011A |
|
546 |
542 |
$20K |
| 76817 |
|
1,714 |
1,604 |
$19K |
| 77066 |
Tomosynthesis, mammo |
1,439 |
1,432 |
$18K |
| 72100 |
|
3,977 |
3,957 |
$18K |
| 99253 |
|
1,566 |
1,540 |
$18K |
| 76805 |
|
1,618 |
1,613 |
$18K |
| 0012A |
|
460 |
456 |
$18K |
| 93000 |
|
1,615 |
1,589 |
$18K |
| 73110 |
|
3,351 |
3,233 |
$17K |
| 90962 |
|
552 |
552 |
$17K |
| 73564 |
|
3,116 |
2,928 |
$17K |
| 99215 |
Prolong outpt/office vis |
879 |
868 |
$17K |
| 93971 |
|
3,309 |
3,250 |
$16K |
| 99152 |
|
2,034 |
1,947 |
$15K |
| 99285 |
|
144 |
144 |
$15K |
| 99203 |
|
511 |
507 |
$15K |
| 73562 |
|
2,806 |
2,682 |
$13K |
| 99480 |
|
114 |
65 |
$12K |
| 99255 |
|
978 |
911 |
$12K |
| 92015 |
|
1,796 |
1,739 |
$11K |
| 77065 |
Tomosynthesis, mammo |
670 |
640 |
$11K |
| 70486 |
|
1,252 |
1,198 |
$11K |
| 99309 |
|
699 |
525 |
$11K |
| 73502 |
|
2,201 |
2,151 |
$11K |
| 93970 |
|
1,301 |
1,289 |
$11K |
| 93016 |
|
1,877 |
1,858 |
$10K |
| 45380 |
|
91 |
91 |
$10K |
| G0500 |
Mod sedat endo service >5yrs |
1,450 |
1,387 |
$9K |
| 49083 |
|
344 |
163 |
$9K |
| 72141 |
|
1,011 |
595 |
$8K |
| 76801 |
|
796 |
742 |
$7K |
| 45378 |
|
61 |
61 |
$7K |
| Z1034 |
|
125 |
76 |
$7K |
| 92014 |
|
501 |
498 |
$6K |
| 76770 |
|
1,045 |
1,034 |
$6K |
| 43235 |
|
107 |
106 |
$6K |
| 93458 |
|
77 |
76 |
$6K |
| 74174 |
|
433 |
427 |
$6K |
| 74178 |
|
311 |
286 |
$6K |
| 72040 |
|
1,564 |
1,548 |
$5K |
| 99350 |
Prolong home eval add 15m |
203 |
196 |
$5K |
| 73221 |
|
716 |
376 |
$5K |
| 90833 |
|
779 |
752 |
$5K |
| 72131 |
|
784 |
759 |
$5K |
| 76536 |
|
1,047 |
1,044 |
$5K |
| 70491 |
|
507 |
472 |
$5K |
| 95816 |
|
299 |
291 |
$4K |
| 99391 |
|
56 |
41 |
$4K |
| 99238 |
|
793 |
769 |
$4K |
| 51798 |
|
441 |
430 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,712 |
2,702 |
$4K |
| 99284 |
|
54 |
54 |
$4K |
| 93018 |
|
1,335 |
1,328 |
$4K |
| 99469 |
|
34 |
13 |
$4K |
| 93296 |
|
687 |
682 |
$3K |
| 20610 |
|
76 |
63 |
$3K |
| 99407 |
|
699 |
677 |
$3K |
| 73590 |
|
1,492 |
1,426 |
$3K |
| 77062 |
|
626 |
626 |
$3K |
| 71020 |
|
366 |
197 |
$3K |
| 93294 |
|
392 |
391 |
$3K |
| 76813 |
|
304 |
302 |
$3K |
| 76981 |
|
420 |
420 |
$3K |
| 73560 |
|
843 |
807 |
$3K |
| 95251 |
|
231 |
229 |
$3K |
| 99308 |
|
329 |
266 |
$2K |
| 19083 |
|
76 |
72 |
$2K |
| 90686 |
|
158 |
158 |
$2K |
| 11721 |
|
281 |
279 |
$2K |
| 45385 |
|
24 |
24 |
$2K |
| 72110 |
|
431 |
431 |
$2K |
| 99349 |
|
75 |
72 |
$2K |
| 76870 |
|
473 |
469 |
$2K |
| 72170 |
|
723 |
702 |
$2K |
| 93460 |
|
14 |
12 |
$2K |
| 72146 |
|
300 |
189 |
$2K |
| 93880 |
|
355 |
355 |
$2K |
| 73700 |
|
337 |
306 |
$2K |
| 76857 |
|
684 |
677 |
$2K |
| G0279 |
Tomosynthesis, mammo |
641 |
634 |
$2K |
| 73140 |
|
683 |
671 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,095 |
961 |
$2K |
| 76775 |
|
412 |
407 |
$2K |
| 70487 |
|
182 |
172 |
$2K |
| 96112 |
|
20 |
12 |
$1K |
| 73080 |
|
897 |
877 |
$1K |
| 59514 |
|
13 |
13 |
$1K |
| 71010 |
|
301 |
244 |
$1K |
| 99202 |
|
39 |
39 |
$1K |
| 99231 |
|
394 |
188 |
$1K |
| 99292 |
|
42 |
37 |
$1K |
| 77061 |
|
221 |
217 |
$1K |
| 77080 |
|
336 |
336 |
$1K |
| 99211 |
|
96 |
95 |
$1K |
| 95811 |
|
13 |
13 |
$1K |
| 70544 |
|
180 |
134 |
$1K |
| 72070 |
|
433 |
431 |
$1K |
| 93295 |
|
58 |
58 |
$1K |
| 36561 |
|
28 |
28 |
$1K |
| 96111 |
|
13 |
13 |
$977.73 |
| 76882 |
|
362 |
345 |
$962.40 |
| 76816 |
|
195 |
189 |
$956.28 |
| 99221 |
|
102 |
101 |
$949.73 |
| 59025 |
|
494 |
431 |
$947.09 |
| 73090 |
|
700 |
683 |
$901.90 |
| 71271 |
|
43 |
38 |
$901.43 |
| 99283 |
|
233 |
223 |
$880.85 |
| 99205 |
Prolong outpt/office vis |
182 |
180 |
$873.34 |
| 99310 |
Prolong nursin fac eval 15m |
22 |
20 |
$858.00 |
| 72128 |
|
218 |
213 |
$818.50 |
| 72197 |
|
140 |
76 |
$785.66 |
| J1030 |
Methylprednisolone 40 mg inj |
104 |
84 |
$764.14 |
| 77001 |
|
347 |
322 |
$763.48 |
| 0031A |
|
18 |
17 |
$680.00 |
| 90834 |
|
924 |
740 |
$611.84 |
| 0002A |
|
16 |
15 |
$600.00 |
| 77012 |
|
45 |
43 |
$586.36 |
| 0001A |
|
15 |
14 |
$560.00 |
| 99306 |
Prolong nursin fac eval 15m |
14 |
14 |
$550.68 |
| 99245 |
|
58 |
57 |
$546.77 |
| 72081 |
|
15 |
15 |
$534.34 |
| 73701 |
|
120 |
111 |
$524.52 |
| 96413 |
|
28 |
25 |
$495.04 |
| 99406 |
|
459 |
433 |
$493.57 |
| 73552 |
|
353 |
342 |
$490.65 |
| 72050 |
|
145 |
145 |
$487.97 |
| 74181 |
|
118 |
107 |
$475.22 |
| 69210 |
|
16 |
16 |
$469.98 |
| 93015 |
|
12 |
12 |
$445.60 |
| 76937 |
|
235 |
229 |
$444.76 |
| 0004A |
|
12 |
12 |
$430.00 |
| 74019 |
|
249 |
241 |
$427.34 |
| 94726 |
|
268 |
268 |
$398.05 |
| 72158 |
|
37 |
28 |
$393.96 |
| 93297 |
|
163 |
163 |
$391.50 |
| A9577 |
Inj multihance |
19 |
13 |
$385.55 |
| 94060 |
|
338 |
338 |
$344.53 |
| 99497 |
|
140 |
127 |
$342.41 |
| 93288 |
|
43 |
42 |
$339.99 |
| 74170 |
|
18 |
14 |
$327.94 |
| 90785 |
|
280 |
275 |
$318.37 |
| 73620 |
|
170 |
163 |
$315.08 |
| 73522 |
|
147 |
147 |
$312.67 |
| 72193 |
|
32 |
29 |
$289.51 |
| 73060 |
|
347 |
338 |
$267.41 |
| 99236 |
Prolong inpt eval add15 m |
12 |
12 |
$249.20 |
| 95822 |
|
15 |
15 |
$247.13 |
| 76376 |
|
96 |
96 |
$225.22 |
| 72072 |
|
140 |
139 |
$224.59 |
| 93308 |
|
48 |
42 |
$211.64 |
| 92004 |
|
25 |
25 |
$186.80 |
| 96372 |
|
99 |
82 |
$165.25 |
| 71101 |
|
141 |
140 |
$157.46 |
| 78582 |
|
13 |
13 |
$154.78 |
| 76819 |
|
32 |
26 |
$150.18 |
| 93321 |
|
64 |
53 |
$141.00 |
| 94729 |
|
323 |
323 |
$136.36 |
| 73600 |
|
14 |
12 |
$129.58 |
| 20611 |
|
13 |
12 |
$129.10 |
| 70360 |
|
247 |
245 |
$127.32 |
| 73120 |
|
40 |
38 |
$120.74 |
| 10005 |
|
40 |
40 |
$111.69 |
| 73100 |
|
89 |
84 |
$105.34 |
| 70220 |
|
18 |
18 |
$97.38 |
| 99212 |
|
50 |
44 |
$96.68 |
| 74230 |
|
19 |
16 |
$94.46 |
| G2211 |
Complex e/m visit add on |
31 |
30 |
$87.94 |
| 72192 |
|
43 |
42 |
$84.80 |
| 93975 |
|
13 |
12 |
$83.38 |
| 77336 |
|
25 |
12 |
$80.42 |
| J1040 |
Methylprednisolone 80 mg inj |
43 |
36 |
$72.72 |
| 73070 |
|
52 |
49 |
$69.42 |
| 93925 |
|
14 |
14 |
$67.81 |
| 95117 |
|
19 |
12 |
$67.29 |
| 99282 |
|
14 |
13 |
$48.76 |
| 73000 |
|
91 |
88 |
$44.30 |
| 81003 |
|
39 |
37 |
$36.73 |
| 70160 |
|
12 |
12 |
$36.19 |
| 92134 |
|
29 |
28 |
$35.40 |
| 95819 |
|
12 |
12 |
$34.46 |
| 73660 |
|
97 |
97 |
$26.72 |
| 81002 |
|
12 |
12 |
$16.59 |
| 93926 |
|
14 |
13 |
$15.07 |
| J3301 |
Triamcinolone acet inj nos |
14 |
13 |
$11.50 |
| 93017 |
|
14 |
13 |
$7.54 |
| J2785 |
Regadenoson injection |
14 |
13 |
$0.48 |
| 3074F |
|
335 |
293 |
$0.01 |
| 3078F |
|
428 |
375 |
$0.01 |
| 3075F |
|
103 |
100 |
$0.00 |
| 96156 |
|
47 |
46 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| 99443 |
|
56 |
56 |
$0.00 |
| 3079F |
|
110 |
103 |
$0.00 |
| 92567 |
|
62 |
62 |
$0.00 |
| H1001 |
Antepartum management |
27 |
27 |
$0.00 |
| 74183 |
|
54 |
30 |
$0.00 |
| 32555 |
|
39 |
24 |
$0.00 |
| S9445 |
Pt education noc individ |
13 |
13 |
$0.00 |
| 73200 |
|
12 |
12 |
$0.00 |
| G0439 |
Ppps, subseq visit |
17 |
17 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
13 |
13 |
$0.00 |
| 3077F |
|
82 |
70 |
$0.00 |
| 99401 |
|
33 |
33 |
$0.00 |
| 72220 |
|
53 |
53 |
$0.00 |
| 97803 |
|
33 |
33 |
$0.00 |
| 99442 |
|
105 |
104 |
$0.00 |
| 59425 |
|
101 |
64 |
$0.00 |
| 93923 |
|
12 |
12 |
$0.00 |
| 92557 |
|
24 |
24 |
$0.00 |
| 73718 |
|
21 |
12 |
$0.00 |
| 81025 |
|
22 |
22 |
$0.00 |
| 78472 |
|
13 |
13 |
$0.00 |
| H1003 |
Prenatal at risk education |
13 |
13 |
$0.00 |