| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
100,119 |
83,928 |
$10.83M |
| 99284 |
|
73,293 |
62,170 |
$8.81M |
| 99285 |
|
24,022 |
20,546 |
$2.43M |
| 01999 |
|
2,391 |
2,183 |
$941K |
| 96361 |
|
15,607 |
13,713 |
$848K |
| 92507 |
|
5,343 |
1,488 |
$664K |
| D2930 |
|
1,232 |
655 |
$596K |
| 90935 |
|
3,223 |
246 |
$455K |
| 87633 |
|
13,046 |
11,942 |
$429K |
| G0378 |
Hospital observation per hr |
2,800 |
2,348 |
$427K |
| 99282 |
|
2,276 |
2,094 |
$255K |
| 92587 |
|
4,681 |
4,328 |
$217K |
| D7140 |
|
704 |
494 |
$165K |
| 54161 |
|
143 |
141 |
$164K |
| 97110 |
|
9,152 |
2,380 |
$129K |
| 59025 |
|
1,309 |
1,069 |
$95K |
| 74177 |
|
318 |
291 |
$77K |
| D3220 |
|
242 |
133 |
$72K |
| 87636 |
|
12,033 |
9,696 |
$71K |
| 97530 |
|
5,682 |
1,659 |
$64K |
| G0463 |
Hospital outpt clinic visit |
1,111 |
930 |
$56K |
| D2932 |
|
92 |
58 |
$51K |
| 97161 |
|
556 |
508 |
$48K |
| J0885 |
Epoetin alfa, non-esrd |
1,593 |
123 |
$37K |
| D2391 |
|
52 |
38 |
$32K |
| D1120 |
|
959 |
868 |
$25K |
| 99291 |
|
274 |
234 |
$25K |
| 43239 |
|
67 |
60 |
$22K |
| 96360 |
|
425 |
374 |
$15K |
| 97140 |
|
1,724 |
544 |
$14K |
| 96374 |
|
28,014 |
24,150 |
$13K |
| 70450 |
|
137 |
127 |
$13K |
| Q5106 |
Inj retacrit non-esrd use |
1,493 |
134 |
$12K |
| D2740 |
|
30 |
16 |
$11K |
| J0136 |
Inj, acetaminophen (b braun) |
648 |
602 |
$11K |
| 96365 |
|
166 |
91 |
$10K |
| 96413 |
|
524 |
269 |
$10K |
| D2392 |
|
15 |
14 |
$10K |
| 97164 |
|
86 |
81 |
$9K |
| 96375 |
|
14,309 |
12,143 |
$8K |
| 80053 |
|
65,570 |
53,552 |
$8K |
| D0272 |
|
73 |
67 |
$7K |
| 97602 |
|
60 |
29 |
$6K |
| 85025 |
|
72,293 |
58,312 |
$6K |
| 83970 |
|
611 |
439 |
$6K |
| 97112 |
|
1,628 |
596 |
$6K |
| 93005 |
|
12,177 |
9,616 |
$6K |
| 92650 |
|
97 |
79 |
$4K |
| 97116 |
|
365 |
144 |
$4K |
| 87637 |
|
2,140 |
2,001 |
$3K |
| 96367 |
|
70 |
36 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
479 |
463 |
$3K |
| 74176 |
|
13 |
12 |
$3K |
| 71045 |
|
7,897 |
6,802 |
$3K |
| D2940 |
|
400 |
343 |
$2K |
| 97150 |
|
932 |
400 |
$2K |
| 88305 |
|
46 |
24 |
$1K |
| 41899 |
|
30 |
30 |
$1K |
| 87651 |
|
8,578 |
8,024 |
$1K |
| 99281 |
|
573 |
115 |
$1K |
| J7120 |
Ringers lactate infusion |
1,999 |
1,715 |
$926.08 |
| D1330 |
|
633 |
577 |
$862.23 |
| J1100 |
Dexamethasone sodium phos |
4,318 |
3,764 |
$830.97 |
| 87491 |
|
1,731 |
1,391 |
$822.70 |
| 71046 |
|
810 |
752 |
$812.34 |
| 82306 |
|
1,171 |
931 |
$756.58 |
| 87591 |
|
1,700 |
1,362 |
$635.47 |
| 80307 |
|
116 |
107 |
$597.91 |
| 96409 |
|
14 |
12 |
$555.26 |
| 84443 |
|
1,968 |
1,568 |
$500.46 |
| D1310 |
|
618 |
571 |
$490.51 |
| 96372 |
|
2,089 |
1,783 |
$490.07 |
| J1885 |
Ketorolac tromethamine inj |
6,025 |
5,205 |
$460.45 |
| 87070 |
|
267 |
221 |
$432.25 |
| 81513 |
|
16 |
12 |
$380.16 |
| 81001 |
|
20,301 |
17,433 |
$303.73 |
| 80061 |
|
2,650 |
2,122 |
$296.99 |
| D0220 |
|
66 |
55 |
$276.27 |
| J2405 |
Ondansetron hcl injection |
4,212 |
3,616 |
$276.27 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
790 |
710 |
$276.27 |
| D1208 |
|
372 |
344 |
$268.24 |
| 84466 |
|
1,472 |
1,160 |
$265.88 |
| 84484 |
|
4,326 |
2,578 |
$264.02 |
| 87086 |
|
2,255 |
1,960 |
$263.29 |
| 87389 |
|
945 |
727 |
$254.69 |
| 82728 |
|
1,471 |
1,161 |
$240.29 |
| 86850 |
|
274 |
210 |
$237.45 |
| 83735 |
|
3,674 |
2,915 |
$236.43 |
| 83880 |
|
544 |
435 |
$235.01 |
| 82607 |
|
999 |
807 |
$233.57 |
| 83036 |
|
1,989 |
1,595 |
$217.05 |
| 86901 |
|
495 |
342 |
$207.60 |
| 83615 |
|
420 |
308 |
$206.96 |
| 84703 |
|
3,002 |
2,574 |
$196.90 |
| 86900 |
|
492 |
340 |
$191.36 |
| 86592 |
|
718 |
540 |
$191.09 |
| 86803 |
|
689 |
512 |
$185.33 |
| J0137 |
Inj, acetaminophen (hikma) |
96 |
92 |
$184.18 |
| 86300 |
|
167 |
75 |
$178.87 |
| 85027 |
|
2,181 |
1,604 |
$176.52 |
| 81025 |
|
12,959 |
11,248 |
$159.04 |
| 87624 |
|
283 |
215 |
$156.46 |
| G0283 |
Elec stim other than wound |
928 |
277 |
$154.65 |
| D1206 |
|
344 |
294 |
$152.64 |
| 87481 |
|
16 |
12 |
$152.24 |
| 87340 |
|
630 |
437 |
$142.24 |
| 80048 |
|
2,368 |
1,934 |
$135.23 |
| 83540 |
|
1,584 |
1,243 |
$133.77 |
| 82746 |
|
572 |
473 |
$132.64 |
| 83020 |
|
82 |
71 |
$131.91 |
| 84100 |
|
1,911 |
1,316 |
$129.72 |
| 84439 |
|
1,179 |
962 |
$128.11 |
| 80197 |
|
636 |
287 |
$127.83 |
| 82784 |
|
432 |
244 |
$115.49 |
| J2704 |
Inj, propofol, 10 mg |
1,794 |
1,562 |
$100.69 |
| 87186 |
|
471 |
379 |
$98.33 |
| 74018 |
|
115 |
111 |
$92.09 |
| J1200 |
Diphenhydramine hcl injectio |
297 |
260 |
$92.09 |
| 87077 |
|
573 |
429 |
$83.99 |
| 82570 |
|
836 |
579 |
$66.32 |
| 85610 |
|
1,679 |
1,192 |
$65.78 |
| 83690 |
|
5,602 |
4,917 |
$63.58 |
| 86140 |
|
1,188 |
846 |
$57.60 |
| 84481 |
|
292 |
241 |
$55.14 |
| 83525 |
|
253 |
203 |
$45.42 |
| A0425 |
Ground mileage |
57 |
27 |
$44.93 |
| 84403 |
|
125 |
90 |
$44.46 |
| 82977 |
|
18 |
12 |
$37.38 |
| 86762 |
|
27 |
25 |
$28.65 |
| 81003 |
|
2,003 |
1,737 |
$25.68 |
| 84270 |
|
51 |
40 |
$25.17 |
| 85007 |
|
493 |
342 |
$25.05 |
| 36415 |
|
921 |
566 |
$22.78 |
| 85652 |
|
684 |
544 |
$22.60 |
| 86706 |
|
84 |
49 |
$19.46 |
| 84156 |
|
238 |
185 |
$18.60 |
| 86038 |
|
88 |
69 |
$16.46 |
| 82043 |
|
366 |
285 |
$16.20 |
| 86376 |
|
43 |
38 |
$15.78 |
| 82378 |
|
18 |
12 |
$15.75 |
| 84550 |
|
71 |
56 |
$15.41 |
| 84146 |
|
49 |
26 |
$12.85 |
| 82950 |
|
85 |
52 |
$8.19 |
| 82248 |
|
597 |
507 |
$7.08 |
| 82947 |
|
1,126 |
559 |
$6.26 |
| 82550 |
|
329 |
290 |
$5.25 |
| 85730 |
|
600 |
507 |
$4.73 |
| 87210 |
|
268 |
245 |
$3.15 |
| J3010 |
Fentanyl citrate injection |
678 |
615 |
$0.97 |
| J2501 |
Paricalcitol |
1,671 |
113 |
$0.00 |
| J7050 |
Normal saline solution infus |
2,390 |
1,097 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
291 |
266 |
$0.00 |
| J1790 |
Droperidol injection |
68 |
61 |
$0.00 |
| 85018 |
|
116 |
95 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
308 |
276 |
$0.00 |
| A0427 |
Als1-emergency |
42 |
13 |
$0.00 |
| 97010 |
|
27 |
12 |
$0.00 |
| 84153 |
|
54 |
50 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
33 |
27 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
181 |
159 |
$0.00 |
| 85379 |
|
40 |
37 |
$0.00 |
| 96376 |
|
68 |
48 |
$0.00 |
| 83002 |
|
12 |
12 |
$0.00 |
| 76817 |
|
46 |
43 |
$0.00 |
| 83001 |
|
64 |
49 |
$0.00 |
| 76801 |
|
18 |
17 |
$0.00 |
| D0230 |
|
59 |
37 |
$0.00 |
| 87205 |
|
15 |
13 |
$0.00 |
| 87661 |
|
15 |
12 |
$0.00 |
| 87040 |
|
14 |
14 |
$0.00 |
| 86364 |
|
26 |
14 |
$0.00 |
| 76815 |
|
19 |
16 |
$0.00 |
| 82657 |
|
12 |
12 |
$0.00 |
| 99406 |
|
17 |
14 |
$0.00 |
| 76819 |
|
17 |
14 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
309 |
290 |
$0.00 |
| 84702 |
|
290 |
224 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
291 |
258 |
$0.00 |
| 87497 |
|
98 |
42 |
$0.00 |
| 86787 |
|
15 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
382 |
177 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
36 |
33 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,182 |
151 |
$0.00 |
| 82010 |
|
27 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
61 |
36 |
$0.00 |
| 85014 |
|
16 |
14 |
$0.00 |
| 87799 |
|
40 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
87 |
79 |
$0.00 |
| 76705 |
|
26 |
25 |
$0.00 |
| 84520 |
|
41 |
38 |
$0.00 |
| 82108 |
|
35 |
17 |
$0.00 |
| Q0511 |
Sup fee antiem,antica,immuno |
14 |
12 |
$0.00 |
| 84145 |
|
18 |
17 |
$0.00 |
| 80074 |
|
17 |
14 |
$0.00 |
| 86003 |
|
15 |
12 |
$0.00 |