| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,797 |
7,477 |
$1.22M |
| 99284 |
|
5,005 |
4,763 |
$1.16M |
| 99285 |
|
2,664 |
2,540 |
$866K |
| 74177 |
|
1,033 |
1,001 |
$265K |
| 96374 |
|
2,967 |
2,815 |
$230K |
| 93005 |
|
3,619 |
3,381 |
$184K |
| 96365 |
|
1,535 |
1,486 |
$176K |
| 96375 |
|
3,096 |
2,773 |
$163K |
| 71045 |
|
3,044 |
2,880 |
$158K |
| 70450 |
|
1,048 |
1,006 |
$134K |
| G0378 |
Hospital observation per hr |
461 |
331 |
$127K |
| 99282 |
|
1,255 |
1,224 |
$125K |
| 96361 |
|
2,393 |
2,161 |
$108K |
| 96372 |
|
2,352 |
2,128 |
$94K |
| 76830 |
|
814 |
803 |
$87K |
| 71046 |
|
1,269 |
1,248 |
$76K |
| 76856 |
|
691 |
682 |
$73K |
| 80053 |
|
8,847 |
7,879 |
$73K |
| 73721 |
|
184 |
179 |
$67K |
| 74176 |
|
380 |
369 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,159 |
1,111 |
$54K |
| J3490 |
Drugs unclassified injection |
9,717 |
4,907 |
$53K |
| 80307 |
|
1,035 |
1,004 |
$53K |
| 87811 |
|
1,481 |
1,443 |
$52K |
| 85025 |
|
8,839 |
7,815 |
$51K |
| 72110 |
|
592 |
584 |
$48K |
| 72148 |
|
168 |
168 |
$45K |
| 87635 |
|
1,040 |
1,024 |
$41K |
| 72170 |
|
469 |
462 |
$34K |
| 36415 |
|
6,142 |
5,321 |
$34K |
| 93229 |
|
277 |
240 |
$34K |
| 96360 |
|
408 |
392 |
$34K |
| 76705 |
|
308 |
305 |
$29K |
| 93458 |
|
26 |
25 |
$27K |
| 87804 |
|
1,598 |
1,568 |
$26K |
| 84484 |
|
2,391 |
2,056 |
$24K |
| 96366 |
|
341 |
280 |
$22K |
| 94640 |
|
149 |
122 |
$22K |
| 72100 |
|
273 |
266 |
$21K |
| 96376 |
|
382 |
295 |
$20K |
| 87430 |
|
1,225 |
1,206 |
$19K |
| 80320 |
|
398 |
377 |
$18K |
| J7040 |
Normal saline solution infus |
5,599 |
4,389 |
$18K |
| 83880 |
|
717 |
675 |
$17K |
| 83690 |
|
2,944 |
2,769 |
$16K |
| 72125 |
|
112 |
107 |
$15K |
| 84443 |
|
1,023 |
1,002 |
$15K |
| 85610 |
|
3,618 |
3,362 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
2,823 |
2,702 |
$13K |
| 81025 |
|
1,624 |
1,546 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
640 |
618 |
$11K |
| 73562 |
|
138 |
128 |
$11K |
| 83735 |
|
2,280 |
2,008 |
$11K |
| 83605 |
|
998 |
925 |
$9K |
| 81001 |
|
3,083 |
2,978 |
$8K |
| 93970 |
|
57 |
56 |
$7K |
| 86850 |
|
460 |
452 |
$7K |
| 87086 |
|
1,054 |
1,020 |
$6K |
| J2795 |
Ropivacaine hcl injection |
276 |
243 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$6K |
| 73030 |
|
76 |
69 |
$6K |
| 73610 |
|
74 |
68 |
$6K |
| 80061 |
|
455 |
447 |
$6K |
| 85027 |
|
1,039 |
1,006 |
$5K |
| 77067 |
|
37 |
37 |
$5K |
| 73130 |
|
86 |
77 |
$5K |
| 83036 |
|
628 |
607 |
$5K |
| 76641 |
|
46 |
40 |
$5K |
| 31720 |
|
31 |
31 |
$5K |
| Q0181 |
Unspecified oral anti-emetic |
482 |
471 |
$5K |
| 85730 |
|
1,005 |
943 |
$4K |
| 86141 |
|
380 |
369 |
$4K |
| 73630 |
|
74 |
68 |
$4K |
| 64483 |
|
12 |
12 |
$4K |
| 80048 |
|
658 |
620 |
$4K |
| 82150 |
|
797 |
770 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,802 |
2,696 |
$4K |
| 86900 |
|
334 |
330 |
$4K |
| 70551 |
|
12 |
12 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,108 |
1,071 |
$3K |
| 71275 |
|
17 |
17 |
$3K |
| 70498 |
|
12 |
12 |
$3K |
| 85379 |
|
395 |
380 |
$3K |
| 84702 |
|
207 |
185 |
$3K |
| J7120 |
Ringers lactate infusion |
1,136 |
1,094 |
$3K |
| Q9950 |
Inj sulf hexa lipid microsph |
13 |
13 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,620 |
1,539 |
$2K |
| J3475 |
Inj magnesium sulfate |
393 |
385 |
$2K |
| 74022 |
|
27 |
27 |
$2K |
| 81003 |
|
1,054 |
1,019 |
$2K |
| G0463 |
Hospital outpt clinic visit |
13 |
13 |
$2K |
| C1769 |
Guide wire |
128 |
122 |
$2K |
| A9270 |
Non-covered item or service |
698 |
373 |
$1K |
| 73700 |
|
14 |
13 |
$1K |
| 72050 |
|
17 |
17 |
$1K |
| 82948 |
|
280 |
191 |
$1K |
| 84439 |
|
136 |
136 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,120 |
1,088 |
$1K |
| 87040 |
|
88 |
84 |
$1K |
| 72040 |
|
12 |
12 |
$972.71 |
| S0164 |
Injection pantroprazole |
86 |
85 |
$955.01 |
| 74018 |
|
14 |
14 |
$929.10 |
| 97161 |
|
50 |
50 |
$926.98 |
| J2765 |
Metoclopramide hcl injection |
641 |
621 |
$854.38 |
| 73090 |
|
15 |
15 |
$852.68 |
| 90471 |
|
29 |
28 |
$837.52 |
| 82306 |
|
31 |
31 |
$808.77 |
| 97530 |
|
68 |
52 |
$753.98 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$743.59 |
| 84703 |
|
84 |
82 |
$612.48 |
| J1200 |
Diphenhydramine hcl injectio |
319 |
312 |
$600.36 |
| 77063 |
|
12 |
12 |
$465.87 |
| 85652 |
|
201 |
192 |
$434.62 |
| J3360 |
Diazepam injection |
15 |
12 |
$432.33 |
| 0167U |
|
176 |
175 |
$431.42 |
| J2270 |
Morphine sulfate injection |
244 |
231 |
$420.91 |
| C1893 |
Intro/sheath, fixed,non-peel |
14 |
13 |
$409.13 |
| 94760 |
|
16 |
13 |
$401.45 |
| J2274 |
Inj morphine pf epid ithc |
194 |
184 |
$392.44 |
| 87081 |
|
70 |
69 |
$358.28 |
| J1815 |
Insulin injection |
12 |
12 |
$356.87 |
| J2250 |
Inj midazolam hydrochloride |
290 |
290 |
$351.91 |
| J2919 |
Inj, methylpred sod succ 5mg |
34 |
33 |
$342.74 |
| 96367 |
|
13 |
12 |
$337.05 |
| J2930 |
Methylprednisolone injection |
55 |
54 |
$327.65 |
| 84146 |
|
13 |
13 |
$307.06 |
| 83001 |
|
14 |
13 |
$275.92 |
| C1887 |
Catheter, guiding |
14 |
13 |
$275.75 |
| 83002 |
|
12 |
12 |
$252.92 |
| 84100 |
|
91 |
85 |
$248.95 |
| 86756 |
|
12 |
12 |
$200.72 |
| 97116 |
|
32 |
27 |
$194.24 |
| 80143 |
|
12 |
12 |
$188.72 |
| J1644 |
Inj heparin sodium per 1000u |
33 |
30 |
$161.13 |
| 86803 |
|
12 |
12 |
$143.73 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
96 |
94 |
$138.88 |
| J2370 |
Phenylephrine hcl injection |
103 |
103 |
$134.50 |
| J0690 |
Cefazolin sodium injection |
44 |
41 |
$119.69 |
| J2470 |
Inj pantoprazole sodium 40mg |
42 |
41 |
$106.89 |
| 76942 |
|
24 |
24 |
$84.05 |
| 82550 |
|
15 |
15 |
$79.88 |
| Q0163 |
Diphenhydramine hcl 50mg |
108 |
106 |
$54.35 |
| J7613 |
Albuterol non-comp unit |
12 |
12 |
$23.27 |