| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
5,375 |
5,185 |
$1.97M |
| 99284 |
|
5,254 |
4,856 |
$1.52M |
| G0378 |
Hospital observation per hr |
1,575 |
1,260 |
$1.07M |
| 99285 |
|
1,322 |
1,249 |
$465K |
| 99282 |
|
1,409 |
1,371 |
$286K |
| S9480 |
Intensive outpatient psychia |
325 |
310 |
$260K |
| 97110 |
|
2,500 |
602 |
$206K |
| A0427 |
Als1-emergency |
363 |
357 |
$193K |
| 43239 |
|
117 |
117 |
$129K |
| 45378 |
|
120 |
120 |
$129K |
| 97140 |
|
1,916 |
492 |
$125K |
| 77067 |
|
835 |
835 |
$117K |
| 99211 |
|
958 |
365 |
$91K |
| 96365 |
|
960 |
555 |
$74K |
| 97010 |
|
2,251 |
548 |
$71K |
| 74177 |
|
423 |
422 |
$62K |
| 97014 |
|
1,553 |
379 |
$61K |
| 99281 |
|
483 |
472 |
$52K |
| 93306 |
|
217 |
217 |
$50K |
| 70450 |
|
841 |
818 |
$48K |
| 74176 |
|
450 |
446 |
$48K |
| 93005 |
|
3,029 |
2,612 |
$47K |
| 76830 |
|
391 |
388 |
$45K |
| 76805 |
|
278 |
269 |
$43K |
| 85025 |
|
5,964 |
5,164 |
$41K |
| 93017 |
|
176 |
175 |
$37K |
| 76819 |
|
422 |
352 |
$37K |
| 71046 |
|
2,327 |
2,280 |
$36K |
| 76856 |
|
253 |
251 |
$35K |
| 80053 |
|
5,003 |
4,498 |
$33K |
| 78452 |
|
146 |
146 |
$31K |
| 76642 |
|
252 |
252 |
$29K |
| 76816 |
|
550 |
498 |
$29K |
| 93970 |
|
89 |
89 |
$27K |
| OP250 |
|
3,599 |
1,713 |
$26K |
| 76801 |
|
221 |
215 |
$23K |
| 77080 |
|
172 |
172 |
$23K |
| 58558 |
|
15 |
15 |
$22K |
| 76700 |
|
192 |
192 |
$21K |
| 77065 |
Tomosynthesis, mammo |
164 |
164 |
$20K |
| 80307 |
|
739 |
690 |
$19K |
| A0425 |
Ground mileage |
439 |
430 |
$19K |
| 76811 |
|
171 |
167 |
$19K |
| 76813 |
|
191 |
191 |
$18K |
| 72110 |
|
369 |
369 |
$18K |
| 93971 |
|
151 |
148 |
$17K |
| 70551 |
|
80 |
80 |
$16K |
| 76536 |
|
124 |
124 |
$16K |
| 97161 |
|
286 |
282 |
$16K |
| 73564 |
|
381 |
380 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
366 |
163 |
$15K |
| S9484 |
Crisis intervention per hour |
13 |
12 |
$15K |
| 71045 |
|
989 |
950 |
$14K |
| 82962 |
|
1,541 |
1,041 |
$13K |
| 76820 |
|
192 |
171 |
$12K |
| 84484 |
|
1,740 |
1,501 |
$11K |
| OP270 |
|
1,704 |
1,447 |
$11K |
| 76770 |
|
122 |
122 |
$11K |
| 76705 |
|
241 |
239 |
$10K |
| 96366 |
|
178 |
78 |
$10K |
| 73630 |
|
385 |
381 |
$10K |
| 90791 |
|
416 |
376 |
$10K |
| 96361 |
|
984 |
885 |
$10K |
| 71275 |
|
128 |
127 |
$10K |
| 76817 |
|
344 |
305 |
$10K |
| 96375 |
|
763 |
708 |
$10K |
| 72052 |
|
116 |
116 |
$10K |
| 80048 |
|
1,476 |
1,331 |
$10K |
| 81001 |
|
3,282 |
3,136 |
$10K |
| 73030 |
|
304 |
300 |
$9K |
| J3490 |
Drugs unclassified injection |
1,173 |
919 |
$9K |
| 84443 |
|
566 |
555 |
$9K |
| 96374 |
|
859 |
828 |
$9K |
| 97035 |
|
222 |
84 |
$8K |
| 85610 |
|
1,207 |
1,122 |
$8K |
| 95886 |
|
42 |
42 |
$7K |
| J2405 |
Ondansetron hcl injection |
1,201 |
1,096 |
$7K |
| 96360 |
|
416 |
366 |
$7K |
| G0480 |
Drug test def 1-7 classes |
101 |
76 |
$7K |
| 85730 |
|
994 |
946 |
$7K |
| 36415 |
|
1,557 |
1,472 |
$7K |
| 95911 |
|
21 |
21 |
$6K |
| 72148 |
|
14 |
14 |
$6K |
| 70486 |
|
33 |
33 |
$6K |
| 80061 |
|
505 |
501 |
$6K |
| A9502 |
Tc99m tetrofosmin |
147 |
146 |
$6K |
| 97116 |
|
176 |
104 |
$6K |
| 96372 |
|
482 |
443 |
$6K |
| 72125 |
|
77 |
77 |
$6K |
| 97162 |
|
128 |
128 |
$6K |
| 73130 |
|
261 |
256 |
$6K |
| 82306 |
|
170 |
169 |
$5K |
| OP710 |
|
443 |
440 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
448 |
444 |
$5K |
| 88305 |
|
321 |
316 |
$5K |
| 77066 |
Tomosynthesis, mammo |
28 |
28 |
$4K |
| 87040 |
|
593 |
564 |
$4K |
| G0463 |
Hospital outpt clinic visit |
251 |
71 |
$4K |
| OP258 |
|
599 |
243 |
$4K |
| 83880 |
|
447 |
432 |
$4K |
| 45380 |
|
12 |
12 |
$4K |
| 87086 |
|
759 |
741 |
$4K |
| 83735 |
|
769 |
646 |
$4K |
| 73110 |
|
203 |
199 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,252 |
1,141 |
$4K |
| 84439 |
|
314 |
310 |
$4K |
| 82550 |
|
387 |
350 |
$4K |
| 74018 |
|
217 |
213 |
$4K |
| 83036 |
|
388 |
381 |
$4K |
| 73610 |
|
313 |
308 |
$4K |
| 93226 |
|
54 |
54 |
$3K |
| 82553 |
|
286 |
271 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
33 |
18 |
$3K |
| 76815 |
|
48 |
43 |
$3K |
| 85027 |
|
681 |
655 |
$3K |
| 73502 |
|
118 |
117 |
$3K |
| OP278 |
|
37 |
35 |
$3K |
| 83605 |
|
272 |
251 |
$3K |
| 97112 |
|
61 |
16 |
$3K |
| 83690 |
|
1,627 |
1,536 |
$3K |
| OP272 |
|
607 |
589 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
139 |
71 |
$3K |
| J3010 |
Fentanyl citrate injection |
229 |
226 |
$3K |
| 82607 |
|
183 |
183 |
$3K |
| 93880 |
|
54 |
54 |
$3K |
| 88342 |
|
164 |
164 |
$3K |
| 86850 |
|
438 |
384 |
$3K |
| 86901 |
|
441 |
387 |
$2K |
| 86900 |
|
442 |
388 |
$2K |
| OP370 |
|
444 |
441 |
$2K |
| 72081 |
|
38 |
38 |
$2K |
| 97032 |
|
85 |
26 |
$2K |
| 93225 |
|
55 |
55 |
$2K |
| 94640 |
|
734 |
541 |
$2K |
| 87400 |
|
1,214 |
1,194 |
$2K |
| G0283 |
Elec stim other than wound |
391 |
92 |
$2K |
| 36430 |
|
23 |
12 |
$2K |
| 90792 |
|
57 |
52 |
$2K |
| 72070 |
|
41 |
41 |
$2K |
| 85651 |
|
205 |
200 |
$1K |
| 86738 |
|
73 |
73 |
$1K |
| J1100 |
Dexamethasone sodium phos |
142 |
102 |
$1K |
| 73140 |
|
131 |
130 |
$1K |
| 73080 |
|
94 |
92 |
$1K |
| J1245 |
Dipyridamole injection |
36 |
35 |
$1K |
| C1769 |
Guide wire |
25 |
24 |
$1K |
| 84702 |
|
350 |
311 |
$1K |
| 88304 |
|
120 |
120 |
$1K |
| 84163 |
|
49 |
49 |
$1K |
| 84132 |
|
24 |
24 |
$1K |
| J1650 |
Inj enoxaparin sodium |
22 |
13 |
$1K |
| 81025 |
|
285 |
276 |
$1K |
| 82397 |
|
49 |
49 |
$1K |
| 87491 |
|
93 |
93 |
$909.60 |
| 74019 |
|
115 |
115 |
$901.27 |
| J1815 |
Insulin injection |
114 |
100 |
$848.12 |
| 87591 |
|
93 |
93 |
$846.32 |
| 80320 |
|
596 |
561 |
$831.21 |
| J2250 |
Inj midazolam hydrochloride |
157 |
157 |
$821.66 |
| 82728 |
|
33 |
33 |
$805.10 |
| 82746 |
|
32 |
30 |
$798.59 |
| 83550 |
|
37 |
37 |
$765.22 |
| 83615 |
|
41 |
29 |
$760.01 |
| J0690 |
Cefazolin sodium injection |
84 |
77 |
$749.66 |
| 82800 |
|
66 |
59 |
$731.74 |
| 82803 |
|
27 |
27 |
$726.50 |
| J1630 |
Haloperidol injection |
38 |
28 |
$725.87 |
| 74021 |
|
109 |
107 |
$720.20 |
| 83540 |
|
37 |
37 |
$707.27 |
| 71100 |
|
45 |
45 |
$693.40 |
| 86140 |
|
68 |
67 |
$671.24 |
| 82248 |
|
77 |
67 |
$640.51 |
| 81003 |
|
277 |
276 |
$610.76 |
| J1170 |
Hydromorphone injection |
184 |
138 |
$609.59 |
| 86920 |
|
20 |
12 |
$596.17 |
| 90715 |
|
158 |
158 |
$583.87 |
| 73590 |
|
32 |
29 |
$564.81 |
| 87880 |
|
741 |
735 |
$552.74 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$552.10 |
| 84480 |
|
60 |
58 |
$533.18 |
| 90471 |
|
206 |
195 |
$379.68 |
| 83930 |
|
15 |
14 |
$367.22 |
| 82010 |
|
112 |
105 |
$349.51 |
| 84100 |
|
272 |
237 |
$344.37 |
| 82150 |
|
261 |
249 |
$333.59 |
| J2270 |
Morphine sulfate injection |
249 |
226 |
$319.56 |
| 70360 |
|
12 |
12 |
$302.22 |
| 97166 |
|
12 |
12 |
$300.00 |
| J1200 |
Diphenhydramine hcl injectio |
150 |
138 |
$247.39 |
| 82570 |
|
60 |
60 |
$247.22 |
| 73090 |
|
44 |
44 |
$234.82 |
| L1930 |
Afo plastic |
45 |
45 |
$220.00 |
| 72050 |
|
32 |
32 |
$214.79 |
| 84550 |
|
44 |
32 |
$196.95 |
| G0008 |
Admin influenza virus vac |
31 |
30 |
$181.56 |
| 85379 |
|
230 |
227 |
$171.34 |
| 82247 |
|
23 |
17 |
$166.89 |
| 12001 |
|
14 |
14 |
$161.27 |
| 87420 |
|
206 |
200 |
$146.16 |
| 80329 |
|
96 |
94 |
$145.04 |
| 80076 |
|
30 |
28 |
$101.65 |
| J3475 |
Inj magnesium sulfate |
30 |
26 |
$94.22 |
| 96376 |
|
44 |
43 |
$85.93 |
| 87070 |
|
53 |
53 |
$75.86 |
| S0164 |
Injection pantroprazole |
58 |
37 |
$67.56 |
| 82565 |
|
25 |
25 |
$62.39 |
| 90656 |
|
12 |
12 |
$61.86 |
| 82043 |
|
14 |
14 |
$56.64 |
| 87449 |
|
12 |
12 |
$48.00 |
| J2765 |
Metoclopramide hcl injection |
241 |
224 |
$44.81 |
| S0020 |
Injection, bupivicaine hydro |
31 |
30 |
$29.73 |
| Q0163 |
Diphenhydramine hcl 50mg |
17 |
13 |
$8.00 |
| J0280 |
Aminophyllin 250 mg inj |
15 |
15 |
$7.00 |
| 36600 |
|
12 |
12 |
$6.42 |
| G8978 |
Mobility current status |
19 |
19 |
$2.00 |
| G8979 |
Mobility goal status |
20 |
20 |
$2.00 |
| S0028 |
Injection, famotidine, 20 mg |
20 |
20 |
$0.00 |