| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
|
26,587 |
18,356 |
$17.80M |
| 80053 |
|
9,698 |
7,940 |
$4.43M |
| 99213 |
|
14,652 |
12,387 |
$3.93M |
| 99214 |
|
11,544 |
9,844 |
$2.89M |
| 99211 |
|
11,115 |
7,021 |
$2.71M |
| 82306 |
|
4,551 |
4,215 |
$2.06M |
| G0483 |
Drug test def 22+ classes |
3,126 |
2,222 |
$2.04M |
| 87086 |
|
4,778 |
4,275 |
$1.98M |
| 87081 |
|
2,661 |
2,482 |
$1.61M |
| 84443 |
|
9,639 |
8,869 |
$1.55M |
| 99212 |
|
2,965 |
2,506 |
$1.08M |
| 99283 |
|
6,422 |
4,249 |
$809K |
| 87070 |
|
1,505 |
1,367 |
$788K |
| 81003 |
|
2,449 |
1,935 |
$782K |
| 82728 |
|
2,408 |
2,190 |
$769K |
| 87491 |
|
2,377 |
2,171 |
$674K |
| 86592 |
|
1,695 |
1,578 |
$599K |
| 80048 |
|
1,192 |
1,017 |
$579K |
| 0241U |
|
788 |
715 |
$520K |
| 86140 |
|
2,829 |
2,531 |
$485K |
| 83036 |
|
4,359 |
4,017 |
$453K |
| 80306 |
|
1,840 |
1,549 |
$440K |
| 84439 |
|
1,548 |
1,411 |
$428K |
| 99284 |
|
4,909 |
3,416 |
$426K |
| 85610 |
|
2,159 |
1,809 |
$424K |
| 82607 |
|
1,902 |
1,770 |
$411K |
| 82043 |
|
847 |
789 |
$402K |
| J8499 |
Oral prescrip drug non chemo |
10,281 |
2,996 |
$397K |
| 81001 |
|
1,900 |
1,627 |
$394K |
| 85025 |
|
10,076 |
8,054 |
$394K |
| 99215 |
Prolong outpt/office vis |
991 |
911 |
$386K |
| 99203 |
|
893 |
853 |
$383K |
| 97110 |
|
1,941 |
549 |
$355K |
| 81025 |
|
1,340 |
1,177 |
$329K |
| 96372 |
|
2,069 |
1,301 |
$315K |
| 96374 |
|
1,901 |
1,237 |
$312K |
| 80061 |
|
4,868 |
4,522 |
$302K |
| 92014 |
|
882 |
808 |
$285K |
| 36415 |
|
4,078 |
3,236 |
$268K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
534 |
496 |
$266K |
| 99285 |
|
1,756 |
1,314 |
$252K |
| 99282 |
|
933 |
716 |
$225K |
| 82570 |
|
1,571 |
1,404 |
$201K |
| 99281 |
|
2,155 |
1,805 |
$197K |
| J3490 |
Drugs unclassified injection |
3,834 |
1,860 |
$195K |
| 92004 |
|
556 |
512 |
$184K |
| 96365 |
|
1,640 |
989 |
$179K |
| 82652 |
|
390 |
366 |
$177K |
| 99443 |
|
1,427 |
994 |
$157K |
| 93268 |
|
254 |
204 |
$147K |
| 87522 |
Neg quan hep c or qual rna |
420 |
391 |
$127K |
| 87633 |
|
169 |
166 |
$120K |
| 87389 |
|
2,146 |
1,965 |
$118K |
| J1885 |
Ketorolac tromethamine inj |
1,474 |
1,174 |
$118K |
| 83540 |
|
2,111 |
1,962 |
$114K |
| 92015 |
|
2,798 |
2,546 |
$97K |
| 90686 |
|
971 |
930 |
$82K |
| 86850 |
|
564 |
521 |
$80K |
| 86803 |
|
1,619 |
1,509 |
$78K |
| 99204 |
|
197 |
190 |
$69K |
| 84153 |
|
177 |
163 |
$63K |
| 71046 |
|
391 |
349 |
$62K |
| 90792 |
|
226 |
184 |
$49K |
| 83735 |
|
2,977 |
2,281 |
$47K |
| 90834 |
|
147 |
55 |
$44K |
| 87088 |
|
66 |
56 |
$40K |
| 87804 |
|
272 |
213 |
$39K |
| 93005 |
|
1,266 |
1,113 |
$39K |
| 92552 |
|
72 |
68 |
$35K |
| 83880 |
|
155 |
127 |
$33K |
| 99393 |
|
55 |
55 |
$33K |
| 87077 |
|
47 |
44 |
$32K |
| 83690 |
|
647 |
575 |
$29K |
| 90833 |
|
443 |
350 |
$29K |
| 82670 |
|
69 |
63 |
$27K |
| 86580 |
|
95 |
82 |
$27K |
| 96361 |
|
980 |
653 |
$26K |
| J2405 |
Ondansetron hcl injection |
567 |
452 |
$25K |
| 80076 |
|
120 |
108 |
$24K |
| 99442 |
|
206 |
131 |
$21K |
| 87340 |
|
692 |
661 |
$21K |
| 87880 |
|
151 |
135 |
$21K |
| 97010 |
|
85 |
26 |
$20K |
| 84702 |
|
50 |
39 |
$20K |
| 90471 |
|
2,553 |
2,465 |
$18K |
| 96375 |
|
1,735 |
1,143 |
$18K |
| 0002A |
|
379 |
344 |
$18K |
| 83001 |
|
85 |
71 |
$18K |
| 0011A |
|
46 |
45 |
$18K |
| 99392 |
|
60 |
59 |
$17K |
| 86708 |
|
161 |
154 |
$16K |
| 92567 |
|
271 |
238 |
$15K |
| 82105 |
|
25 |
24 |
$15K |
| 99202 |
|
34 |
32 |
$15K |
| 99243 |
|
42 |
42 |
$14K |
| 92557 |
|
79 |
56 |
$14K |
| 85651 |
|
384 |
342 |
$14K |
| 82785 |
|
27 |
24 |
$13K |
| 73610 |
|
28 |
24 |
$12K |
| 0001A |
|
398 |
346 |
$12K |
| A4216 |
Sterile water/saline, 10 ml |
212 |
201 |
$12K |
| 88175 |
|
28 |
27 |
$11K |
| 86038 |
|
157 |
144 |
$11K |
| J7120 |
Ringers lactate infusion |
1,032 |
808 |
$11K |
| 99238 |
|
167 |
141 |
$11K |
| V5266 |
Battery for hearing device |
18 |
14 |
$10K |
| 82274 |
|
17 |
14 |
$10K |
| 86480 |
|
29 |
29 |
$10K |
| 84403 |
|
39 |
36 |
$9K |
| 82784 |
|
30 |
27 |
$9K |
| 86900 |
|
671 |
620 |
$9K |
| 11721 |
|
39 |
29 |
$9K |
| 87661 |
|
86 |
83 |
$9K |
| 97530 |
|
135 |
57 |
$8K |
| 85027 |
|
118 |
107 |
$8K |
| 82947 |
|
18 |
14 |
$8K |
| 82746 |
|
272 |
256 |
$8K |
| 77063 |
|
13 |
12 |
$7K |
| 85730 |
|
1,086 |
943 |
$7K |
| 80074 |
|
58 |
54 |
$7K |
| 73721 |
|
33 |
27 |
$7K |
| 97535 |
|
98 |
41 |
$6K |
| 83655 |
|
13 |
12 |
$6K |
| 45380 |
|
13 |
12 |
$6K |
| 97161 |
|
141 |
94 |
$6K |
| G2211 |
Complex e/m visit add on |
184 |
175 |
$6K |
| 86317 |
|
152 |
146 |
$5K |
| 99391 |
|
17 |
14 |
$5K |
| 84100 |
|
354 |
288 |
$5K |
| 84146 |
|
30 |
25 |
$5K |
| 99232 |
|
61 |
37 |
$5K |
| 84155 |
|
24 |
24 |
$4K |
| 97112 |
|
102 |
39 |
$4K |
| 43239 |
|
14 |
13 |
$4K |
| 73030 |
|
12 |
12 |
$4K |
| 97140 |
|
275 |
102 |
$4K |
| 91320 |
|
14 |
13 |
$3K |
| 86003 |
|
119 |
104 |
$3K |
| 87205 |
|
704 |
602 |
$3K |
| 86695 |
|
19 |
18 |
$3K |
| 83550 |
|
2,064 |
1,921 |
$3K |
| G0378 |
Hospital observation per hr |
738 |
349 |
$3K |
| 84484 |
|
401 |
297 |
$3K |
| 97802 |
|
16 |
15 |
$3K |
| 0004A |
|
82 |
74 |
$3K |
| 92555 |
|
71 |
67 |
$2K |
| 87591 |
|
2,376 |
2,172 |
$2K |
| J7050 |
Normal saline solution infus |
861 |
650 |
$2K |
| 93000 |
|
20 |
12 |
$2K |
| 86431 |
|
47 |
44 |
$2K |
| 84144 |
|
13 |
12 |
$2K |
| 87186 |
|
63 |
56 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 70450 |
|
28 |
27 |
$2K |
| 83516 |
|
58 |
51 |
$2K |
| 99221 |
|
13 |
13 |
$2K |
| 90472 |
|
786 |
766 |
$2K |
| 94640 |
|
17 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
89 |
53 |
$1K |
| J3010 |
Fentanyl citrate injection |
135 |
99 |
$1K |
| 84481 |
|
31 |
29 |
$1K |
| 82627 |
|
14 |
14 |
$1K |
| 86762 |
|
85 |
79 |
$989.97 |
| 99231 |
|
21 |
13 |
$866.86 |
| 83615 |
|
15 |
12 |
$808.00 |
| 97162 |
|
18 |
14 |
$763.20 |
| 71045 |
|
13 |
13 |
$710.00 |
| 87210 |
|
22 |
16 |
$710.00 |
| 86901 |
|
674 |
621 |
$653.00 |
| J1100 |
Dexamethasone sodium phos |
17 |
12 |
$653.00 |
| J2001 |
Lidocaine injection |
29 |
15 |
$620.35 |
| 82150 |
|
15 |
12 |
$620.35 |
| 99349 |
|
13 |
12 |
$594.46 |
| 74177 |
|
44 |
39 |
$517.89 |
| 0071A |
|
14 |
14 |
$420.06 |
| 92250 |
|
16 |
12 |
$289.37 |
| 93010 |
|
201 |
175 |
$10.08 |
| 80320 |
|
666 |
513 |
$0.00 |
| 90656 |
|
63 |
62 |
$0.00 |
| 96366 |
|
27 |
24 |
$0.00 |
| 83605 |
|
154 |
121 |
$0.00 |
| 90480 |
|
127 |
107 |
$0.00 |
| 91301 |
|
60 |
59 |
$0.00 |
| G0008 |
Admin influenza virus vac |
106 |
104 |
$0.00 |
| 85379 |
|
14 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
200 |
145 |
$0.00 |
| T1023 |
Program intake assessment |
25 |
25 |
$0.00 |
| 99217 |
|
32 |
26 |
$0.00 |
| 91307 |
|
23 |
15 |
$0.00 |
| 87147 |
|
28 |
25 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
18 |
12 |
$0.00 |
| 92310 |
|
63 |
41 |
$0.00 |
| 84703 |
|
15 |
14 |
$0.00 |
| 91322 |
|
48 |
31 |
$0.00 |
| 91300 |
|
1,070 |
885 |
$0.00 |
| H2021 |
Com wrap-around sv, 15 min |
366 |
108 |
$0.00 |
| S0164 |
Injection pantroprazole |
20 |
15 |
$0.00 |
| 86696 |
|
19 |
18 |
$0.00 |
| 91312 |
|
26 |
26 |
$0.00 |
| 84156 |
|
49 |
42 |
$0.00 |
| 0003A |
|
14 |
13 |
$0.00 |
| 90715 |
|
27 |
25 |
$0.00 |
| 0124A |
|
36 |
36 |
$0.00 |
| 96360 |
|
15 |
15 |
$0.00 |
| 77067 |
|
13 |
12 |
$0.00 |
| 84450 |
|
46 |
43 |
$0.00 |