| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,177 |
12,790 |
$2.78M |
| 99283 |
|
20,474 |
18,347 |
$2.18M |
| 99285 |
|
3,811 |
3,309 |
$908K |
| 87635 |
|
11,524 |
9,954 |
$391K |
| 87804 |
|
25,297 |
10,867 |
$311K |
| 99282 |
|
2,535 |
2,257 |
$220K |
| 71045 |
|
4,892 |
4,193 |
$215K |
| 93005 |
|
6,225 |
4,954 |
$183K |
| 70450 |
|
803 |
694 |
$176K |
| 11042 |
|
942 |
454 |
$118K |
| 80053 |
|
17,692 |
14,417 |
$105K |
| 74177 |
|
112 |
94 |
$104K |
| 80050 |
|
2,515 |
2,254 |
$102K |
| 87426 |
|
2,477 |
2,154 |
$89K |
| 86403 |
|
8,039 |
7,020 |
$73K |
| 93306 |
|
698 |
388 |
$73K |
| G0378 |
Hospital observation per hr |
728 |
534 |
$71K |
| 36415 |
|
36,743 |
29,094 |
$69K |
| 87491 |
|
2,189 |
1,923 |
$67K |
| 87591 |
|
2,204 |
1,924 |
$67K |
| 85025 |
|
14,570 |
12,098 |
$67K |
| 82306 |
|
2,644 |
2,273 |
$56K |
| 71046 |
|
886 |
813 |
$54K |
| 80307 |
|
1,112 |
978 |
$52K |
| 80061 |
|
4,820 |
4,299 |
$47K |
| 74176 |
|
86 |
77 |
$44K |
| J0696 |
Ceftriaxone sodium injection |
411 |
362 |
$43K |
| 83735 |
|
9,708 |
7,718 |
$37K |
| 78452 |
|
78 |
70 |
$34K |
| 87880 |
|
2,437 |
2,094 |
$33K |
| 84484 |
|
5,321 |
3,886 |
$32K |
| 76856 |
|
188 |
165 |
$32K |
| 83880 |
|
1,815 |
1,560 |
$31K |
| G0463 |
Hospital outpt clinic visit |
19,395 |
15,603 |
$30K |
| 82607 |
|
2,189 |
1,922 |
$23K |
| 83036 |
|
3,266 |
2,855 |
$22K |
| 76830 |
|
113 |
102 |
$21K |
| 81001 |
|
8,867 |
7,650 |
$18K |
| 84466 |
|
1,872 |
1,622 |
$17K |
| 94664 |
|
945 |
401 |
$15K |
| 84703 |
|
2,319 |
2,016 |
$15K |
| 82553 |
|
2,870 |
2,135 |
$14K |
| 94640 |
|
161 |
120 |
$14K |
| 82550 |
|
4,304 |
3,127 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
547 |
459 |
$13K |
| 88175 |
|
676 |
585 |
$13K |
| Q0162 |
Ondansetron oral |
188 |
146 |
$12K |
| 87086 |
|
2,239 |
1,937 |
$12K |
| 84439 |
|
1,738 |
1,491 |
$12K |
| 87186 |
|
1,429 |
1,081 |
$11K |
| 87070 |
|
1,455 |
1,265 |
$11K |
| 87077 |
|
1,130 |
882 |
$9K |
| 83540 |
|
1,906 |
1,656 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,074 |
944 |
$8K |
| 71275 |
|
17 |
14 |
$8K |
| 96372 |
|
1,236 |
641 |
$8K |
| J2785 |
Regadenoson injection |
42 |
41 |
$8K |
| 85379 |
|
1,140 |
1,020 |
$7K |
| 87210 |
|
1,425 |
1,213 |
$6K |
| 93017 |
|
104 |
94 |
$6K |
| J2405 |
Ondansetron hcl injection |
874 |
748 |
$6K |
| 87389 |
|
268 |
248 |
$6K |
| 82728 |
|
755 |
636 |
$6K |
| J0780 |
Prochlorperazine injection |
95 |
85 |
$5K |
| 87420 |
|
473 |
405 |
$5K |
| 84145 |
|
372 |
314 |
$5K |
| 83690 |
|
1,192 |
1,022 |
$5K |
| 85730 |
|
1,688 |
1,509 |
$5K |
| 87807 |
|
382 |
323 |
$4K |
| 85610 |
|
2,030 |
1,783 |
$4K |
| A9500 |
Tc99m sestamibi |
76 |
70 |
$4K |
| 82746 |
|
408 |
347 |
$3K |
| 72125 |
|
15 |
12 |
$3K |
| 82043 |
|
630 |
569 |
$3K |
| 83525 |
|
313 |
273 |
$3K |
| 97110 |
|
134 |
36 |
$3K |
| 81003 |
|
1,739 |
1,523 |
$3K |
| 83704 |
|
208 |
168 |
$3K |
| 80074 |
|
56 |
53 |
$2K |
| 84144 |
|
108 |
100 |
$2K |
| 84480 |
|
294 |
267 |
$2K |
| 80048 |
|
624 |
389 |
$2K |
| J1100 |
Dexamethasone sodium phos |
190 |
164 |
$1K |
| 87040 |
|
280 |
139 |
$1K |
| 83605 |
|
245 |
192 |
$1K |
| 73130 |
|
14 |
13 |
$1K |
| 90686 |
|
122 |
108 |
$1K |
| 73630 |
|
17 |
14 |
$1K |
| 93925 |
|
49 |
14 |
$1K |
| 84443 |
|
216 |
192 |
$959.79 |
| 86592 |
|
231 |
224 |
$899.25 |
| 82948 |
|
366 |
93 |
$827.52 |
| 84403 |
|
32 |
30 |
$722.68 |
| 84402 |
|
32 |
30 |
$713.16 |
| 93922 |
|
94 |
38 |
$643.82 |
| 86480 |
|
13 |
12 |
$619.80 |
| 0003A |
|
13 |
13 |
$612.04 |
| 84481 |
|
40 |
39 |
$537.20 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$473.70 |
| J3475 |
Inj magnesium sulfate |
33 |
29 |
$416.13 |
| J3420 |
Vitamin b12 injection |
43 |
37 |
$368.16 |
| 82670 |
|
17 |
15 |
$363.22 |
| 86140 |
|
100 |
86 |
$331.53 |
| J2930 |
Methylprednisolone injection |
13 |
13 |
$308.52 |
| 82626 |
|
12 |
12 |
$303.24 |
| 82627 |
|
13 |
13 |
$288.99 |
| Q3014 |
Telehealth facility fee |
184 |
155 |
$269.93 |
| 84270 |
|
12 |
12 |
$260.76 |
| Q0177 |
Hydroxyzine pamoate 25mg |
87 |
61 |
$234.60 |
| 83002 |
|
12 |
12 |
$222.24 |
| 82533 |
|
13 |
13 |
$211.90 |
| J7030 |
Normal saline solution infus |
12 |
12 |
$201.46 |
| 82150 |
|
44 |
39 |
$188.98 |
| 96375 |
|
65 |
38 |
$173.17 |
| 99212 |
|
37 |
26 |
$165.00 |
| 90471 |
|
647 |
483 |
$158.94 |
| 99213 |
|
30 |
25 |
$152.00 |
| 86803 |
|
13 |
12 |
$142.70 |
| 82397 |
|
14 |
14 |
$88.34 |
| 83615 |
|
30 |
26 |
$84.56 |
| 99406 |
|
113 |
103 |
$83.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
13 |
$78.95 |
| 96110 |
|
14 |
12 |
$76.16 |
| 96376 |
|
108 |
31 |
$64.30 |
| J2550 |
Promethazine hcl injection |
13 |
13 |
$60.75 |
| 85651 |
|
16 |
13 |
$42.70 |
| 86141 |
|
13 |
13 |
$38.85 |
| 85027 |
|
14 |
13 |
$38.82 |
| 85007 |
|
36 |
28 |
$37.51 |
| 1159F |
|
606 |
494 |
$0.44 |
| 1126F |
|
390 |
325 |
$0.21 |
| 3078F |
|
86 |
76 |
$0.06 |
| 96160 |
|
20 |
17 |
$0.05 |
| 1125F |
|
65 |
54 |
$0.04 |
| 1160F |
|
38 |
38 |
$0.04 |
| 3074F |
|
33 |
29 |
$0.02 |
| 1220F |
|
460 |
366 |
$0.02 |
| 3077F |
|
16 |
13 |
$0.02 |
| J2704 |
Inj, propofol, 10 mg |
69 |
51 |
$0.00 |
| 99214 |
|
40 |
36 |
$0.00 |
| 88305 |
|
12 |
12 |
$0.00 |
| 00000 |
|
371 |
357 |
$0.00 |
| J2001 |
Lidocaine injection |
41 |
26 |
$0.00 |
| 91300 |
|
28 |
27 |
$0.00 |
| G0179 |
Md recertification hha pt |
39 |
39 |
$0.00 |
| T1015 |
Clinic service |
19 |
15 |
$0.00 |