| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
11,921 |
11,334 |
$2.04M |
| 99284 |
|
11,939 |
11,590 |
$1.94M |
| 99285 |
|
12,104 |
11,609 |
$1.89M |
| 96361 |
|
6,894 |
6,162 |
$1.74M |
| 97110 |
|
8,977 |
2,368 |
$879K |
| 74177 |
|
2,591 |
2,554 |
$741K |
| 76856 |
|
1,051 |
1,008 |
$709K |
| 70450 |
|
2,456 |
2,415 |
$691K |
| 45380 |
|
686 |
683 |
$630K |
| 43239 |
|
813 |
808 |
$529K |
| 87636 |
|
6,887 |
6,579 |
$520K |
| 80053 |
|
25,385 |
23,288 |
$491K |
| 99282 |
|
2,209 |
2,124 |
$377K |
| 96365 |
|
2,750 |
2,071 |
$326K |
| 96360 |
|
2,012 |
1,927 |
$318K |
| 97530 |
|
4,618 |
1,109 |
$275K |
| 97140 |
|
5,975 |
1,650 |
$204K |
| 99214 |
|
1,124 |
978 |
$189K |
| 87633 |
|
2,658 |
2,608 |
$185K |
| 97161 |
|
1,094 |
1,080 |
$145K |
| 96366 |
|
735 |
471 |
$145K |
| 74176 |
|
503 |
497 |
$143K |
| 96413 |
|
912 |
592 |
$142K |
| 82306 |
|
4,210 |
4,123 |
$134K |
| 87491 |
|
5,286 |
5,204 |
$122K |
| 86850 |
|
3,430 |
3,289 |
$114K |
| 87486 |
|
2,689 |
2,646 |
$102K |
| 80048 |
|
6,279 |
5,850 |
$100K |
| 86901 |
|
4,414 |
3,448 |
$100K |
| 81220 |
|
459 |
459 |
$98K |
| 71260 |
|
364 |
359 |
$98K |
| 87591 |
|
4,403 |
4,331 |
$86K |
| 86900 |
|
4,455 |
3,480 |
$85K |
| 87635 |
|
1,818 |
1,751 |
$77K |
| 80076 |
|
3,208 |
3,090 |
$70K |
| 84443 |
|
6,992 |
6,876 |
$57K |
| 99213 |
|
353 |
310 |
$56K |
| 45378 |
|
61 |
61 |
$55K |
| 76830 |
|
1,520 |
1,442 |
$55K |
| 83036 |
|
5,234 |
5,218 |
$54K |
| 96372 |
|
2,979 |
2,755 |
$53K |
| 87581 |
|
2,689 |
2,646 |
$52K |
| 87798 |
|
2,693 |
2,646 |
$52K |
| 83880 |
|
1,616 |
1,579 |
$51K |
| 96375 |
|
5,077 |
4,608 |
$50K |
| 87389 |
|
3,108 |
3,092 |
$50K |
| 80307 |
|
1,284 |
1,154 |
$49K |
| 99215 |
Prolong outpt/office vis |
314 |
249 |
$49K |
| 96374 |
|
7,329 |
6,935 |
$47K |
| 84702 |
|
4,649 |
4,228 |
$46K |
| 88305 |
|
1,928 |
1,880 |
$45K |
| 85025 |
|
25,899 |
23,458 |
$45K |
| 87631 |
|
719 |
631 |
$44K |
| 81401 |
|
208 |
207 |
$44K |
| 87502 |
|
1,148 |
1,023 |
$41K |
| 82607 |
|
3,260 |
3,239 |
$40K |
| 80061 |
|
6,322 |
6,293 |
$39K |
| 84439 |
|
5,159 |
5,086 |
$37K |
| 76817 |
|
930 |
839 |
$36K |
| 87651 |
|
1,111 |
1,050 |
$35K |
| 59025 |
|
138 |
118 |
$34K |
| 82746 |
|
2,708 |
2,697 |
$33K |
| 87086 |
|
5,411 |
5,200 |
$31K |
| 76819 |
|
1,436 |
909 |
$31K |
| 86328 |
|
741 |
741 |
$30K |
| 87480 |
|
1,976 |
1,945 |
$29K |
| 36415 |
|
5,789 |
5,130 |
$28K |
| J3490 |
Drugs unclassified injection |
235 |
207 |
$28K |
| 88307 |
|
581 |
560 |
$27K |
| 81025 |
|
7,151 |
6,968 |
$26K |
| 87660 |
|
2,057 |
2,026 |
$25K |
| 87510 |
|
1,913 |
1,882 |
$23K |
| 76816 |
|
1,422 |
1,281 |
$23K |
| 77067 |
|
342 |
340 |
$23K |
| 87340 |
|
2,325 |
2,314 |
$22K |
| 82728 |
|
1,721 |
1,650 |
$22K |
| 85610 |
|
7,323 |
7,030 |
$22K |
| 76815 |
|
996 |
618 |
$22K |
| 45385 |
|
36 |
36 |
$21K |
| 71046 |
|
4,479 |
4,396 |
$20K |
| 86803 |
|
1,977 |
1,969 |
$20K |
| 76811 |
|
334 |
333 |
$20K |
| 86592 |
|
3,224 |
3,172 |
$19K |
| 81243 |
|
382 |
381 |
$18K |
| 84484 |
|
5,498 |
4,553 |
$18K |
| 87637 |
|
128 |
128 |
$18K |
| 85380 |
|
615 |
597 |
$16K |
| 97116 |
|
440 |
275 |
$16K |
| 97112 |
|
331 |
114 |
$16K |
| 76705 |
|
459 |
449 |
$15K |
| 86694 |
|
479 |
476 |
$15K |
| 85730 |
|
6,177 |
5,995 |
$14K |
| 76801 |
|
310 |
293 |
$14K |
| 84152 |
|
596 |
586 |
$13K |
| 81001 |
|
8,521 |
8,185 |
$13K |
| 86618 |
|
360 |
356 |
$12K |
| 86762 |
|
772 |
772 |
$12K |
| 84146 |
|
546 |
530 |
$12K |
| 83001 |
|
564 |
561 |
$11K |
| 81329 |
|
117 |
117 |
$11K |
| 83021 |
|
582 |
582 |
$11K |
| 82803 |
|
308 |
288 |
$11K |
| 83540 |
|
2,283 |
2,262 |
$11K |
| 83550 |
|
2,268 |
2,246 |
$11K |
| 86765 |
|
777 |
777 |
$10K |
| 88342 |
|
127 |
124 |
$10K |
| 76376 |
|
1,335 |
1,289 |
$9K |
| 84403 |
|
310 |
306 |
$9K |
| 83020 |
|
580 |
580 |
$8K |
| 85027 |
|
3,072 |
2,893 |
$8K |
| 83605 |
|
1,384 |
1,276 |
$8K |
| 83002 |
|
404 |
403 |
$8K |
| 71045 |
|
2,343 |
2,278 |
$8K |
| J7120 |
Ringers lactate infusion |
5,217 |
4,917 |
$7K |
| 82670 |
|
236 |
231 |
$7K |
| 93971 |
|
189 |
188 |
$7K |
| 83735 |
|
2,786 |
2,415 |
$7K |
| J7050 |
Normal saline solution infus |
1,552 |
1,148 |
$7K |
| 83690 |
|
5,124 |
4,898 |
$7K |
| 81003 |
|
4,515 |
4,421 |
$7K |
| 76813 |
|
334 |
330 |
$6K |
| 76700 |
|
40 |
40 |
$6K |
| 88312 |
|
598 |
545 |
$6K |
| 82150 |
|
1,237 |
1,200 |
$6K |
| 86140 |
|
1,783 |
1,737 |
$6K |
| 72125 |
|
117 |
117 |
$6K |
| J7030 |
Normal saline solution infus |
3,860 |
3,451 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
24 |
24 |
$6K |
| 87150 |
|
73 |
71 |
$5K |
| 76942 |
|
56 |
56 |
$5K |
| 93005 |
|
6,265 |
5,591 |
$5K |
| 86480 |
|
106 |
104 |
$5K |
| 71275 |
|
13 |
13 |
$5K |
| 86706 |
|
480 |
479 |
$5K |
| A9585 |
Gadobutrol injection |
100 |
95 |
$5K |
| 82550 |
|
1,212 |
1,166 |
$4K |
| 70553 |
|
12 |
12 |
$4K |
| 84402 |
|
161 |
160 |
$4K |
| 36416 |
|
198 |
196 |
$4K |
| 76641 |
|
151 |
151 |
$4K |
| 82947 |
|
568 |
562 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,570 |
2,461 |
$4K |
| 90715 |
|
144 |
144 |
$4K |
| G0399 |
Home sleep test/type 3 porta |
30 |
28 |
$4K |
| 99203 |
|
21 |
18 |
$4K |
| 95806 |
|
12 |
12 |
$4K |
| 86704 |
|
335 |
334 |
$4K |
| 99291 |
|
27 |
27 |
$3K |
| 83525 |
|
243 |
243 |
$3K |
| 86703 |
|
216 |
216 |
$3K |
| 82950 |
|
604 |
603 |
$3K |
| C9290 |
Inj, bupivacaine liposome |
15 |
12 |
$3K |
| 99281 |
|
13 |
12 |
$3K |
| 85651 |
|
1,135 |
1,118 |
$3K |
| 83655 |
|
165 |
160 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 84145 |
|
233 |
226 |
$2K |
| 93000 |
|
2,019 |
1,943 |
$2K |
| 87081 |
|
434 |
432 |
$2K |
| 87070 |
|
653 |
642 |
$2K |
| 87088 |
|
310 |
300 |
$2K |
| 80320 |
|
620 |
602 |
$2K |
| 76000 |
|
40 |
40 |
$2K |
| 87186 |
|
558 |
526 |
$2K |
| 82248 |
|
293 |
283 |
$2K |
| 85007 |
|
1,244 |
1,198 |
$2K |
| 85055 |
|
49 |
46 |
$2K |
| 73610 |
|
193 |
181 |
$2K |
| 82043 |
|
344 |
343 |
$2K |
| J1100 |
Dexamethasone sodium phos |
3,885 |
3,458 |
$2K |
| 73630 |
|
219 |
205 |
$2K |
| 82962 |
|
1,938 |
1,550 |
$1K |
| 87430 |
|
339 |
339 |
$1K |
| 96376 |
|
453 |
442 |
$1K |
| 84100 |
|
797 |
728 |
$1K |
| J1756 |
Iron sucrose injection |
32 |
12 |
$1K |
| 84550 |
|
297 |
288 |
$1K |
| 85379 |
|
1,213 |
1,194 |
$1K |
| 83970 |
|
28 |
28 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
4,215 |
3,797 |
$1K |
| 86376 |
|
73 |
73 |
$1K |
| 86431 |
|
206 |
205 |
$1K |
| 82948 |
|
609 |
483 |
$1K |
| 86756 |
|
134 |
134 |
$1K |
| 77063 |
|
115 |
115 |
$1K |
| 72100 |
|
139 |
139 |
$1K |
| 73030 |
|
199 |
186 |
$971.90 |
| 86038 |
|
185 |
184 |
$952.92 |
| 84153 |
|
49 |
49 |
$920.17 |
| J0696 |
Ceftriaxone sodium injection |
533 |
507 |
$904.37 |
| 86039 |
|
177 |
176 |
$903.46 |
| 97165 |
|
13 |
13 |
$877.66 |
| 86735 |
|
109 |
109 |
$864.74 |
| 82977 |
|
172 |
169 |
$837.56 |
| 77080 |
|
12 |
12 |
$815.00 |
| 86800 |
|
60 |
59 |
$802.85 |
| 88304 |
|
41 |
41 |
$777.70 |
| 86696 |
|
54 |
54 |
$767.08 |
| J7040 |
Normal saline solution infus |
680 |
425 |
$749.12 |
| 86787 |
|
94 |
94 |
$737.66 |
| J0690 |
Cefazolin sodium injection |
1,592 |
1,494 |
$674.91 |
| J2405 |
Ondansetron hcl injection |
4,848 |
4,442 |
$664.86 |
| J3010 |
Fentanyl citrate injection |
2,833 |
2,666 |
$640.33 |
| J8540 |
Oral dexamethasone |
242 |
180 |
$633.09 |
| 90471 |
|
161 |
148 |
$605.80 |
| 82784 |
|
33 |
32 |
$578.66 |
| 76536 |
|
26 |
26 |
$570.00 |
| 86665 |
|
12 |
12 |
$566.00 |
| 94640 |
|
906 |
771 |
$560.91 |
| 73560 |
|
115 |
110 |
$542.70 |
| 82627 |
|
25 |
25 |
$527.61 |
| J3410 |
Hydroxyzine hcl injection |
116 |
101 |
$516.34 |
| 84481 |
|
49 |
49 |
$441.58 |
| 83615 |
|
148 |
139 |
$421.57 |
| 87040 |
|
294 |
169 |
$368.80 |
| 82570 |
|
48 |
44 |
$349.94 |
| J1885 |
Ketorolac tromethamine inj |
6,148 |
5,775 |
$336.21 |
| 84155 |
|
135 |
120 |
$313.94 |
| 84436 |
|
85 |
84 |
$306.55 |
| J7060 |
5% dextrose/water |
289 |
197 |
$303.71 |
| J2270 |
Morphine sulfate injection |
679 |
594 |
$291.53 |
| 85652 |
|
416 |
413 |
$272.01 |
| 84480 |
|
54 |
53 |
$269.05 |
| J1170 |
Hydromorphone injection |
928 |
789 |
$244.39 |
| 76642 |
|
13 |
13 |
$219.97 |
| 82533 |
|
12 |
12 |
$211.90 |
| 86235 |
|
13 |
13 |
$201.82 |
| 86695 |
|
30 |
30 |
$196.91 |
| J2250 |
Inj midazolam hydrochloride |
2,423 |
2,341 |
$146.21 |
| 85045 |
|
55 |
53 |
$143.80 |
| 86708 |
|
15 |
15 |
$136.50 |
| 84479 |
|
53 |
52 |
$124.76 |
| 86308 |
|
18 |
18 |
$118.00 |
| 86709 |
|
12 |
12 |
$111.50 |
| 87147 |
|
47 |
41 |
$105.08 |
| 82553 |
|
24 |
24 |
$99.14 |
| 82105 |
|
14 |
14 |
$93.46 |
| 87205 |
|
50 |
46 |
$87.23 |
| 82270 |
|
28 |
28 |
$76.66 |
| J2765 |
Metoclopramide hcl injection |
1,522 |
1,458 |
$65.59 |
| 73130 |
|
26 |
24 |
$50.26 |
| 80179 |
|
53 |
52 |
$41.64 |
| C1769 |
Guide wire |
28 |
28 |
$39.74 |
| J0131 |
Inj, acetaminophen (nos) |
114 |
112 |
$32.90 |
| J1200 |
Diphenhydramine hcl injectio |
519 |
486 |
$31.33 |
| G1003 |
Cdsm medicalis |
1,233 |
1,084 |
$30.22 |
| J1644 |
Inj heparin sodium per 1000u |
147 |
111 |
$29.97 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
354 |
328 |
$27.98 |
| Q0162 |
Ondansetron oral |
807 |
749 |
$24.22 |
| J2001 |
Lidocaine injection |
741 |
720 |
$23.21 |
| J1642 |
Inj heparin sodium per 10 u |
111 |
68 |
$19.23 |
| Q0163 |
Diphenhydramine hcl 50mg |
517 |
319 |
$6.30 |
| J2795 |
Ropivacaine hcl injection |
112 |
111 |
$3.58 |
| 80329 |
|
13 |
13 |
$2.24 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
14 |
$2.04 |
| J7613 |
Albuterol non-comp unit |
609 |
498 |
$1.39 |
| J7512 |
Prednisone ir or dr oral 1mg |
116 |
107 |
$1.26 |
| J7644 |
Ipratropium bromide non-comp |
292 |
256 |
$0.80 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
110 |
105 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
14 |
12 |
$0.00 |
| 80050 |
|
514 |
513 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| 99080 |
|
1,444 |
228 |
$0.00 |
| C9153 |
Inj, amisulpride, 1 mg |
20 |
20 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
12 |
12 |
$0.00 |
| 76857 |
|
13 |
13 |
$0.00 |
| J0184 |
Inj, amisulpride, 1 mg |
12 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
44 |
39 |
$0.00 |