| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
3,439 |
3,136 |
$966K |
| 99283 |
|
5,744 |
5,252 |
$509K |
| 99285 |
|
8,334 |
7,670 |
$438K |
| 99284 |
|
5,894 |
5,525 |
$394K |
| 74177 |
|
1,757 |
1,699 |
$250K |
| 90870 |
|
651 |
169 |
$245K |
| 70450 |
|
2,020 |
1,902 |
$217K |
| 11042 |
|
1,576 |
840 |
$170K |
| 93306 |
|
799 |
786 |
$139K |
| 96365 |
|
1,569 |
1,299 |
$129K |
| G0463 |
Hospital outpt clinic visit |
3,199 |
2,062 |
$116K |
| 59025 |
|
673 |
367 |
$114K |
| 97110 |
|
4,523 |
1,855 |
$107K |
| 96360 |
|
1,119 |
1,048 |
$107K |
| 70553 |
|
565 |
545 |
$105K |
| 96366 |
|
466 |
442 |
$93K |
| 80053 |
|
14,637 |
13,152 |
$91K |
| 74176 |
|
643 |
613 |
$86K |
| 99282 |
|
930 |
892 |
$85K |
| 93970 |
|
738 |
711 |
$64K |
| 97140 |
|
3,095 |
1,353 |
$59K |
| 71275 |
|
494 |
476 |
$59K |
| 78452 |
|
209 |
207 |
$55K |
| 76830 |
|
637 |
616 |
$53K |
| 76705 |
|
597 |
586 |
$47K |
| 10061 |
|
212 |
200 |
$41K |
| 80307 |
|
3,942 |
3,492 |
$38K |
| 52356 |
|
26 |
26 |
$35K |
| 36415 |
|
21,747 |
18,152 |
$35K |
| 71250 |
|
631 |
618 |
$34K |
| 77063 |
|
711 |
708 |
$32K |
| 97530 |
|
1,058 |
639 |
$30K |
| 71046 |
|
4,476 |
4,180 |
$29K |
| 85025 |
|
18,085 |
15,373 |
$28K |
| 70551 |
|
192 |
187 |
$28K |
| 76805 |
|
406 |
400 |
$28K |
| 80048 |
|
4,575 |
3,900 |
$27K |
| 93017 |
|
319 |
316 |
$24K |
| 84443 |
|
2,960 |
2,902 |
$24K |
| 93978 |
|
712 |
684 |
$24K |
| 87591 |
|
1,528 |
1,493 |
$23K |
| 76770 |
|
296 |
292 |
$21K |
| 84484 |
|
3,872 |
3,351 |
$21K |
| 97165 |
|
487 |
474 |
$20K |
| 87631 |
|
1,546 |
1,483 |
$19K |
| 76801 |
|
282 |
259 |
$19K |
| G0378 |
Hospital observation per hr |
1,016 |
906 |
$17K |
| 97162 |
|
570 |
554 |
$17K |
| 93971 |
|
126 |
124 |
$11K |
| 87040 |
|
1,030 |
914 |
$11K |
| 82306 |
|
1,044 |
1,033 |
$10K |
| 83036 |
|
1,620 |
1,600 |
$10K |
| 76816 |
|
143 |
135 |
$9K |
| 83605 |
|
1,280 |
1,181 |
$9K |
| 76856 |
|
667 |
646 |
$9K |
| 85027 |
|
2,202 |
2,060 |
$9K |
| 72148 |
|
75 |
72 |
$9K |
| 80061 |
|
2,001 |
1,966 |
$9K |
| 93005 |
|
7,815 |
7,028 |
$8K |
| 87086 |
|
4,211 |
3,883 |
$8K |
| 94640 |
|
1,062 |
861 |
$8K |
| 86141 |
|
1,797 |
1,676 |
$8K |
| 90715 |
|
459 |
441 |
$8K |
| 86780 |
|
789 |
780 |
$7K |
| 97112 |
|
254 |
165 |
$7K |
| 76700 |
|
91 |
89 |
$7K |
| 76815 |
|
100 |
93 |
$7K |
| 70544 |
|
95 |
95 |
$7K |
| 71260 |
|
470 |
457 |
$6K |
| 73630 |
|
615 |
564 |
$6K |
| 87491 |
|
1,536 |
1,501 |
$6K |
| 76642 |
|
74 |
66 |
$6K |
| 82607 |
|
631 |
617 |
$6K |
| 84439 |
|
587 |
577 |
$6K |
| 86695 |
|
424 |
415 |
$5K |
| 74018 |
|
817 |
769 |
$5K |
| 87081 |
|
1,395 |
1,349 |
$5K |
| 72100 |
|
502 |
491 |
$5K |
| 72125 |
|
901 |
860 |
$5K |
| 85379 |
|
735 |
716 |
$5K |
| 82728 |
|
735 |
719 |
$4K |
| 80076 |
|
1,008 |
941 |
$4K |
| 84702 |
|
3,020 |
2,693 |
$4K |
| 70486 |
|
132 |
128 |
$4K |
| 73030 |
|
499 |
465 |
$4K |
| 86803 |
|
878 |
868 |
$4K |
| 83880 |
|
739 |
691 |
$4K |
| 73610 |
|
542 |
502 |
$4K |
| 45380 |
|
13 |
13 |
$4K |
| 85652 |
|
1,534 |
1,444 |
$4K |
| 73562 |
|
585 |
532 |
$4K |
| 97166 |
|
99 |
96 |
$3K |
| 76817 |
|
95 |
88 |
$3K |
| 87340 |
|
834 |
806 |
$3K |
| 81001 |
|
7,635 |
7,010 |
$3K |
| 97035 |
|
560 |
237 |
$3K |
| 87389 |
|
809 |
800 |
$3K |
| 86696 |
|
424 |
415 |
$3K |
| 94729 |
|
285 |
278 |
$3K |
| 82105 |
|
254 |
249 |
$3K |
| 12011 |
|
12 |
12 |
$3K |
| 73502 |
|
295 |
282 |
$3K |
| 94727 |
|
266 |
260 |
$3K |
| 85610 |
|
4,111 |
3,459 |
$2K |
| 82570 |
|
399 |
378 |
$2K |
| 70549 |
|
44 |
43 |
$2K |
| 83540 |
|
635 |
623 |
$2K |
| 82746 |
|
434 |
427 |
$2K |
| 73130 |
|
353 |
319 |
$2K |
| 83735 |
|
1,495 |
1,223 |
$2K |
| 29581 |
|
34 |
12 |
$2K |
| 87800 |
|
519 |
511 |
$2K |
| 86900 |
|
729 |
675 |
$2K |
| 84466 |
|
600 |
588 |
$2K |
| 80164 |
|
258 |
238 |
$2K |
| 86850 |
|
747 |
698 |
$2K |
| 87147 |
|
1,685 |
1,348 |
$2K |
| 80047 |
|
348 |
334 |
$2K |
| 87070 |
|
1,072 |
1,004 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
107 |
104 |
$2K |
| 94060 |
|
65 |
65 |
$2K |
| 86762 |
|
374 |
367 |
$2K |
| 71045 |
|
1,149 |
1,074 |
$2K |
| 76937 |
|
27 |
24 |
$2K |
| 93798 |
|
210 |
39 |
$1K |
| 97116 |
|
84 |
61 |
$1K |
| 97535 |
|
54 |
43 |
$1K |
| 82950 |
|
432 |
389 |
$1K |
| 96375 |
|
2,575 |
2,361 |
$1K |
| 96367 |
|
47 |
37 |
$1K |
| 86038 |
|
254 |
250 |
$1K |
| 73110 |
|
181 |
166 |
$1K |
| 87077 |
|
791 |
674 |
$1K |
| 87186 |
|
1,326 |
1,260 |
$1K |
| 86706 |
|
338 |
322 |
$1K |
| 82550 |
|
306 |
290 |
$1K |
| 83690 |
|
3,050 |
2,824 |
$1K |
| 97161 |
|
31 |
30 |
$1K |
| 93975 |
|
71 |
70 |
$1K |
| 86901 |
|
903 |
827 |
$977.45 |
| 12013 |
|
15 |
12 |
$925.24 |
| J3490 |
Drugs unclassified injection |
4,579 |
2,593 |
$890.33 |
| 96374 |
|
3,359 |
3,016 |
$880.15 |
| 87205 |
|
1,114 |
1,040 |
$851.54 |
| 84153 |
|
130 |
129 |
$838.12 |
| 84403 |
|
55 |
52 |
$830.56 |
| 72040 |
|
82 |
82 |
$815.65 |
| 96372 |
|
1,646 |
1,504 |
$796.49 |
| 80178 |
|
90 |
79 |
$712.87 |
| 93922 |
|
27 |
25 |
$709.06 |
| 76536 |
|
12 |
12 |
$708.14 |
| 83516 |
|
116 |
109 |
$651.23 |
| 84550 |
|
241 |
236 |
$642.18 |
| 86431 |
|
172 |
169 |
$640.97 |
| 83970 |
|
40 |
38 |
$633.77 |
| 82365 |
|
72 |
67 |
$631.69 |
| 88305 |
|
1,178 |
767 |
$620.99 |
| 93976 |
|
13 |
13 |
$606.87 |
| 82962 |
|
2,851 |
1,817 |
$600.69 |
| 73140 |
|
44 |
42 |
$525.23 |
| 86200 |
|
117 |
114 |
$517.16 |
| 86704 |
|
107 |
107 |
$500.93 |
| 93041 |
|
6,705 |
6,063 |
$414.02 |
| 85007 |
|
245 |
207 |
$409.56 |
| 73080 |
|
52 |
49 |
$398.45 |
| 72110 |
|
13 |
13 |
$379.43 |
| 85014 |
|
638 |
544 |
$353.85 |
| 87088 |
|
325 |
305 |
$328.51 |
| 73090 |
|
41 |
40 |
$325.22 |
| 82977 |
|
109 |
97 |
$320.30 |
| 88307 |
|
18 |
14 |
$313.98 |
| 86480 |
|
27 |
27 |
$297.20 |
| 94761 |
|
4,802 |
4,412 |
$284.73 |
| 82043 |
|
112 |
108 |
$266.38 |
| 73590 |
|
32 |
26 |
$262.69 |
| 77067 |
|
716 |
713 |
$237.78 |
| 85730 |
|
1,241 |
1,166 |
$232.92 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$224.99 |
| 87075 |
|
451 |
424 |
$224.50 |
| 81025 |
|
1,265 |
1,215 |
$218.49 |
| 84100 |
|
285 |
250 |
$197.46 |
| 81003 |
|
117 |
116 |
$184.23 |
| 90632 |
|
16 |
16 |
$182.88 |
| 71101 |
|
30 |
27 |
$182.68 |
| C9399 |
Unclassified drugs or biolog |
381 |
185 |
$179.67 |
| 82150 |
|
65 |
62 |
$178.21 |
| 84481 |
|
30 |
30 |
$170.46 |
| 84156 |
|
49 |
42 |
$155.62 |
| 83520 |
|
31 |
27 |
$148.39 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$141.41 |
| J1170 |
Hydromorphone injection |
1,801 |
1,422 |
$137.41 |
| J3010 |
Fentanyl citrate injection |
3,647 |
3,096 |
$130.21 |
| J2704 |
Inj, propofol, 10 mg |
3,421 |
2,642 |
$126.67 |
| J1885 |
Ketorolac tromethamine inj |
2,521 |
2,157 |
$121.08 |
| 86481 |
|
12 |
12 |
$120.58 |
| 80069 |
|
14 |
12 |
$118.26 |
| 86160 |
|
26 |
25 |
$110.21 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
188 |
178 |
$109.39 |
| 87880 |
|
423 |
410 |
$107.63 |
| 82947 |
|
39 |
37 |
$106.38 |
| 85018 |
|
717 |
676 |
$100.44 |
| 90686 |
|
13 |
13 |
$98.32 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$88.11 |
| 82565 |
|
118 |
113 |
$79.91 |
| J2405 |
Ondansetron hcl injection |
5,452 |
4,288 |
$77.71 |
| 82948 |
|
560 |
401 |
$66.32 |
| C1781 |
Mesh (implantable) |
30 |
29 |
$58.99 |
| J0690 |
Cefazolin sodium injection |
1,813 |
1,530 |
$55.83 |
| 86765 |
|
12 |
12 |
$51.56 |
| J2250 |
Inj midazolam hydrochloride |
2,701 |
2,546 |
$50.31 |
| 87015 |
|
29 |
26 |
$49.91 |
| 90471 |
|
560 |
538 |
$47.62 |
| 84165 |
|
12 |
12 |
$44.05 |
| 87493 |
|
39 |
36 |
$42.27 |
| J0131 |
Inj, acetaminophen (nos) |
667 |
646 |
$42.20 |
| 86225 |
|
12 |
12 |
$40.96 |
| J1100 |
Dexamethasone sodium phos |
2,140 |
2,006 |
$40.44 |
| 85004 |
|
12 |
12 |
$38.67 |
| 94760 |
|
560 |
517 |
$37.48 |
| 87427 |
|
21 |
12 |
$33.47 |
| 88304 |
|
178 |
150 |
$31.71 |
| 86308 |
|
14 |
13 |
$29.81 |
| 87045 |
|
12 |
12 |
$27.59 |
| J0171 |
Adrenalin epinephrine inject |
285 |
266 |
$25.10 |
| 82803 |
|
61 |
57 |
$23.68 |
| J2270 |
Morphine sulfate injection |
982 |
845 |
$21.79 |
| J0330 |
Succinycholine chloride inj |
1,638 |
883 |
$20.58 |
| J7120 |
Ringers lactate infusion |
583 |
376 |
$20.28 |
| 87184 |
|
12 |
12 |
$18.81 |
| 87102 |
|
13 |
12 |
$15.63 |
| J1650 |
Inj enoxaparin sodium |
803 |
383 |
$14.90 |
| J2550 |
Promethazine hcl injection |
315 |
281 |
$14.17 |
| 87046 |
|
12 |
12 |
$13.76 |
| J7060 |
5% dextrose/water |
1,217 |
803 |
$13.56 |
| J2710 |
Neostigmine methylslfte inj |
532 |
515 |
$12.64 |
| 88342 |
|
29 |
28 |
$11.00 |
| J1644 |
Inj heparin sodium per 1000u |
825 |
464 |
$10.15 |
| J2930 |
Methylprednisolone injection |
288 |
270 |
$8.52 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,179 |
3,028 |
$7.78 |
| Q0162 |
Ondansetron oral |
1,101 |
1,049 |
$7.73 |
| J2060 |
Lorazepam injection |
949 |
805 |
$7.45 |
| J2765 |
Metoclopramide hcl injection |
489 |
424 |
$6.18 |
| C1894 |
Intro/sheath, non-laser |
377 |
321 |
$6.13 |
| J1200 |
Diphenhydramine hcl injectio |
555 |
499 |
$5.07 |
| 87806 |
|
529 |
521 |
$4.18 |
| J0696 |
Ceftriaxone sodium injection |
1,247 |
1,065 |
$3.60 |
| 84520 |
|
49 |
48 |
$3.57 |
| J2370 |
Phenylephrine hcl injection |
307 |
301 |
$1.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
449 |
353 |
$1.22 |
| 96376 |
|
750 |
708 |
$0.76 |
| J3475 |
Inj magnesium sulfate |
141 |
128 |
$0.29 |
| J7030 |
Normal saline solution infus |
528 |
391 |
$0.26 |
| C1769 |
Guide wire |
742 |
682 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
153 |
114 |
$0.00 |
| J8501 |
Oral aprepitant |
156 |
149 |
$0.00 |
| A9270 |
Non-covered item or service |
2,518 |
935 |
$0.00 |
| J2785 |
Regadenoson injection |
55 |
53 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
473 |
331 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
118 |
113 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
26 |
25 |
$0.00 |
| 72147 |
|
13 |
13 |
$0.00 |
| J1815 |
Insulin injection |
466 |
275 |
$0.00 |
| 87176 |
|
25 |
25 |
$0.00 |
| 72142 |
|
74 |
72 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
13 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
563 |
401 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
946 |
904 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
209 |
207 |
$0.00 |
| C1758 |
Catheter, ureteral |
197 |
179 |
$0.00 |
| G8979 |
Mobility goal status |
247 |
224 |
$0.00 |
| J0780 |
Prochlorperazine injection |
66 |
65 |
$0.00 |
| 51701 |
|
29 |
26 |
$0.00 |
| G8978 |
Mobility current status |
203 |
187 |
$0.00 |
| C1887 |
Catheter, guiding |
55 |
44 |
$0.00 |
| 82010 |
|
12 |
12 |
$0.00 |
| G8985 |
Carry goal status |
13 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
38 |
30 |
$0.00 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
15 |
14 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |