| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
27,506 |
24,392 |
$2.20M |
| 99284 |
|
19,193 |
16,535 |
$1.05M |
| 96361 |
|
2,987 |
2,631 |
$626K |
| 74177 |
|
2,739 |
2,465 |
$491K |
| 36415 |
|
23,715 |
18,530 |
$482K |
| 97110 |
|
7,123 |
1,527 |
$440K |
| 70450 |
|
3,794 |
3,103 |
$435K |
| 99282 |
|
2,930 |
2,660 |
$207K |
| 74176 |
|
1,514 |
1,335 |
$199K |
| 99285 |
|
3,020 |
2,550 |
$165K |
| 96360 |
|
917 |
809 |
$160K |
| 99281 |
|
1,396 |
1,288 |
$133K |
| 93306 |
|
624 |
577 |
$111K |
| 80307 |
|
3,690 |
3,233 |
$80K |
| 80053 |
|
16,465 |
13,213 |
$67K |
| 96365 |
|
764 |
655 |
$66K |
| 87070 |
|
2,230 |
1,886 |
$53K |
| 59025 |
|
876 |
704 |
$49K |
| 94640 |
|
1,432 |
1,175 |
$48K |
| 87400 |
|
3,968 |
3,716 |
$33K |
| G0378 |
Hospital observation per hr |
2,141 |
1,178 |
$32K |
| 81001 |
|
10,032 |
8,577 |
$32K |
| 76805 |
|
560 |
524 |
$31K |
| 76856 |
|
307 |
291 |
$30K |
| 87426 |
|
1,022 |
820 |
$30K |
| 71046 |
|
2,113 |
1,899 |
$29K |
| 80048 |
|
4,927 |
4,102 |
$27K |
| 71045 |
|
8,905 |
7,539 |
$26K |
| 87040 |
|
1,243 |
896 |
$19K |
| 85027 |
|
22,580 |
17,558 |
$18K |
| 86850 |
|
1,470 |
1,212 |
$18K |
| 76705 |
|
555 |
512 |
$17K |
| 96372 |
|
3,779 |
3,082 |
$16K |
| 97597 |
|
353 |
167 |
$14K |
| 93005 |
|
8,857 |
7,063 |
$13K |
| 97162 |
|
369 |
320 |
$12K |
| 87088 |
|
2,601 |
2,218 |
$12K |
| A9270 |
Non-covered item or service |
3,609 |
1,883 |
$12K |
| 73610 |
|
393 |
358 |
$12K |
| 87430 |
|
2,750 |
2,606 |
$11K |
| 72125 |
|
910 |
688 |
$11K |
| 96374 |
|
10,028 |
8,560 |
$11K |
| G0383 |
Lev 4 hosp type b ed visit |
65 |
56 |
$10K |
| 74018 |
|
694 |
627 |
$10K |
| 71275 |
|
67 |
58 |
$10K |
| 87635 |
|
3,073 |
2,785 |
$10K |
| 76801 |
|
437 |
388 |
$9K |
| 97161 |
|
258 |
232 |
$9K |
| 85610 |
|
5,183 |
4,155 |
$8K |
| 73630 |
|
464 |
415 |
$8K |
| 84484 |
|
5,851 |
3,691 |
$7K |
| 76815 |
|
205 |
184 |
$7K |
| 73562 |
|
432 |
354 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,986 |
1,612 |
$6K |
| 81025 |
|
3,058 |
2,778 |
$6K |
| 80076 |
|
1,933 |
1,778 |
$6K |
| 73030 |
|
363 |
311 |
$5K |
| 93971 |
|
237 |
211 |
$5K |
| 87420 |
|
724 |
706 |
$4K |
| 77067 |
|
199 |
182 |
$4K |
| 85730 |
|
2,504 |
2,078 |
$3K |
| J7050 |
Normal saline solution infus |
1,341 |
982 |
$3K |
| 96375 |
|
2,787 |
2,320 |
$3K |
| 83690 |
|
3,861 |
3,379 |
$3K |
| 83880 |
|
1,703 |
1,432 |
$3K |
| 86900 |
|
1,840 |
1,509 |
$3K |
| J2405 |
Ondansetron hcl injection |
941 |
710 |
$3K |
| 73130 |
|
216 |
192 |
$2K |
| 76700 |
|
12 |
12 |
$2K |
| 77063 |
|
243 |
222 |
$2K |
| 72100 |
|
174 |
161 |
$2K |
| 83735 |
|
2,820 |
2,237 |
$2K |
| 73110 |
|
72 |
64 |
$2K |
| 81003 |
|
1,568 |
1,404 |
$2K |
| G0480 |
Drug test def 1-7 classes |
270 |
230 |
$1K |
| 88305 |
|
107 |
72 |
$1K |
| 12001 |
|
29 |
25 |
$1K |
| 82150 |
|
1,148 |
1,034 |
$989.87 |
| 72131 |
|
17 |
15 |
$982.93 |
| 82248 |
|
904 |
631 |
$948.00 |
| G8979 |
Mobility goal status |
18 |
13 |
$915.09 |
| 76830 |
|
28 |
27 |
$902.16 |
| 84702 |
|
3,154 |
2,809 |
$780.86 |
| J1885 |
Ketorolac tromethamine inj |
328 |
256 |
$757.99 |
| 87186 |
|
521 |
429 |
$755.29 |
| 86901 |
|
1,791 |
1,466 |
$698.27 |
| 84443 |
|
1,070 |
929 |
$685.41 |
| 87591 |
|
62 |
57 |
$681.50 |
| G0463 |
Hospital outpt clinic visit |
147 |
80 |
$617.54 |
| 93017 |
|
13 |
13 |
$570.43 |
| C1769 |
Guide wire |
93 |
76 |
$546.13 |
| 83605 |
|
709 |
571 |
$529.64 |
| J2704 |
Inj, propofol, 10 mg |
130 |
101 |
$526.12 |
| 70486 |
|
16 |
14 |
$448.75 |
| 82805 |
|
33 |
25 |
$437.75 |
| Q0162 |
Ondansetron oral |
680 |
635 |
$412.54 |
| 76770 |
|
14 |
13 |
$400.71 |
| J3010 |
Fentanyl citrate injection |
88 |
76 |
$367.70 |
| 80061 |
|
272 |
239 |
$362.98 |
| 90714 |
|
138 |
123 |
$321.35 |
| J0696 |
Ceftriaxone sodium injection |
137 |
104 |
$303.24 |
| 87491 |
|
35 |
32 |
$301.03 |
| J3490 |
Drugs unclassified injection |
130 |
79 |
$282.12 |
| J2270 |
Morphine sulfate injection |
127 |
106 |
$254.54 |
| J7030 |
Normal saline solution infus |
256 |
198 |
$222.06 |
| 73502 |
|
31 |
27 |
$147.51 |
| 87205 |
|
93 |
79 |
$87.90 |
| 76817 |
|
39 |
37 |
$71.81 |
| 85379 |
|
26 |
25 |
$60.90 |
| 90471 |
|
42 |
37 |
$46.62 |
| G1004 |
Cdsm ndsc |
50 |
36 |
$45.88 |
| 96376 |
|
587 |
410 |
$23.07 |
| J2250 |
Inj midazolam hydrochloride |
123 |
91 |
$0.00 |
| 84703 |
|
13 |
12 |
$0.00 |
| J7999 |
Compounded drug, noc |
45 |
37 |
$0.00 |
| 82077 |
|
14 |
14 |
$0.00 |
| 86140 |
|
27 |
24 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
68 |
65 |
$0.00 |
| 99152 |
|
16 |
12 |
$0.00 |
| 36600 |
|
14 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
17 |
16 |
$0.00 |
| 80143 |
|
69 |
65 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
14 |
12 |
$0.00 |
| 97530 |
|
35 |
12 |
$0.00 |