| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,584 |
9,225 |
$3.12M |
| 99283 |
|
22,377 |
21,692 |
$2.03M |
| 99285 |
|
3,716 |
3,482 |
$786K |
| G0378 |
Hospital observation per hr |
1,780 |
1,681 |
$723K |
| G0463 |
Hospital outpt clinic visit |
10,071 |
9,326 |
$703K |
| 59025 |
|
4,365 |
3,916 |
$653K |
| 87428 |
|
8,732 |
8,503 |
$470K |
| 99282 |
|
4,763 |
4,652 |
$439K |
| 76805 |
|
1,581 |
1,540 |
$324K |
| 76816 |
|
1,532 |
1,452 |
$296K |
| 87880 |
|
11,362 |
11,075 |
$266K |
| 76770 |
|
1,484 |
1,459 |
$262K |
| 87426 |
|
9,797 |
9,601 |
$257K |
| 41899 |
|
232 |
231 |
$231K |
| 80053 |
|
30,340 |
24,761 |
$226K |
| A0427 |
Als1-emergency |
2,086 |
1,808 |
$216K |
| 87400 |
|
15,020 |
7,517 |
$193K |
| 85025 |
|
32,484 |
27,076 |
$193K |
| A0429 |
Bls-emergency |
1,622 |
1,322 |
$143K |
| 86703 |
|
7,288 |
7,103 |
$139K |
| 86780 |
|
7,130 |
6,939 |
$135K |
| 72082 |
|
1,090 |
1,076 |
$133K |
| 74177 |
|
846 |
819 |
$129K |
| 80307 |
|
2,512 |
2,300 |
$128K |
| 93005 |
|
4,885 |
4,378 |
$119K |
| 96413 |
|
1,364 |
837 |
$102K |
| 71045 |
|
4,070 |
3,557 |
$83K |
| 70450 |
|
1,190 |
1,141 |
$82K |
| 96375 |
|
2,802 |
1,847 |
$78K |
| 86850 |
|
5,322 |
5,034 |
$78K |
| 54161 |
|
29 |
29 |
$69K |
| 87086 |
|
7,044 |
6,697 |
$68K |
| 83880 |
|
2,629 |
2,134 |
$62K |
| 93306 |
|
210 |
209 |
$60K |
| 86762 |
|
2,921 |
2,833 |
$55K |
| 72170 |
|
1,195 |
1,145 |
$54K |
| 87420 |
|
3,330 |
3,282 |
$49K |
| 76801 |
|
209 |
200 |
$44K |
| 86900 |
|
5,838 |
5,199 |
$42K |
| 84443 |
|
4,654 |
4,348 |
$41K |
| 96374 |
|
2,383 |
1,990 |
$41K |
| 43239 |
|
93 |
92 |
$39K |
| 80050 |
|
831 |
747 |
$38K |
| 87340 |
|
3,154 |
3,064 |
$37K |
| 76811 |
|
196 |
186 |
$36K |
| 94640 |
|
539 |
405 |
$31K |
| 81001 |
|
9,887 |
9,226 |
$30K |
| 84439 |
|
4,139 |
3,814 |
$28K |
| 86901 |
|
5,835 |
5,197 |
$25K |
| 87591 |
|
1,021 |
977 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,022 |
1,900 |
$25K |
| 87491 |
|
1,022 |
978 |
$25K |
| 96365 |
|
771 |
438 |
$24K |
| 71046 |
|
885 |
860 |
$24K |
| 87081 |
|
2,348 |
2,315 |
$24K |
| 80061 |
|
2,886 |
2,836 |
$24K |
| 85027 |
|
6,684 |
4,880 |
$23K |
| J0131 |
Inj, acetaminophen (nos) |
1,465 |
1,411 |
$22K |
| 87633 |
|
53 |
52 |
$22K |
| 84481 |
|
1,508 |
1,269 |
$22K |
| 73110 |
|
338 |
303 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
3,488 |
3,378 |
$19K |
| 72125 |
|
336 |
318 |
$18K |
| 73090 |
|
345 |
273 |
$18K |
| 96372 |
|
981 |
750 |
$17K |
| 83735 |
|
4,280 |
2,963 |
$16K |
| 80048 |
|
3,999 |
2,699 |
$15K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
40 |
37 |
$14K |
| 88305 |
|
963 |
705 |
$14K |
| 84703 |
|
2,414 |
2,256 |
$14K |
| 85730 |
|
3,689 |
3,299 |
$13K |
| 83036 |
|
2,797 |
2,740 |
$13K |
| 85610 |
|
4,925 |
4,204 |
$13K |
| J2405 |
Ondansetron hcl injection |
7,382 |
5,657 |
$13K |
| 96361 |
|
1,163 |
901 |
$12K |
| 86140 |
|
1,997 |
1,811 |
$12K |
| 82950 |
|
1,550 |
1,528 |
$12K |
| 84484 |
|
2,715 |
1,410 |
$12K |
| 73590 |
|
270 |
239 |
$12K |
| 73630 |
|
248 |
209 |
$10K |
| 83690 |
|
2,534 |
2,302 |
$10K |
| 82306 |
|
897 |
885 |
$10K |
| 71275 |
|
58 |
57 |
$9K |
| 84702 |
|
1,097 |
921 |
$9K |
| 88342 |
|
360 |
339 |
$9K |
| 85651 |
|
1,710 |
1,568 |
$8K |
| J1100 |
Dexamethasone sodium phos |
3,655 |
3,154 |
$8K |
| 73030 |
|
249 |
235 |
$8K |
| J7120 |
Ringers lactate infusion |
3,649 |
3,234 |
$7K |
| 86803 |
|
575 |
559 |
$7K |
| 73562 |
|
157 |
151 |
$7K |
| Q9950 |
Inj sulf hexa lipid microsph |
140 |
138 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
1,454 |
760 |
$7K |
| 73080 |
|
119 |
93 |
$6K |
| 87077 |
|
1,427 |
1,289 |
$6K |
| 76815 |
|
75 |
68 |
$6K |
| 85014 |
|
1,998 |
1,930 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,211 |
1,782 |
$5K |
| A0425 |
Ground mileage |
3,983 |
3,201 |
$5K |
| J0690 |
Cefazolin sodium injection |
2,337 |
1,998 |
$5K |
| 92507 |
|
65 |
24 |
$5K |
| 85018 |
|
1,252 |
1,231 |
$5K |
| 82728 |
|
927 |
883 |
$5K |
| 87624 |
|
166 |
166 |
$4K |
| 74176 |
|
42 |
39 |
$4K |
| 76705 |
|
56 |
51 |
$4K |
| 82607 |
|
644 |
638 |
$4K |
| 78452 |
|
14 |
14 |
$4K |
| 82962 |
|
3,493 |
1,247 |
$4K |
| 73560 |
|
64 |
58 |
$4K |
| 81025 |
|
480 |
452 |
$4K |
| 74018 |
|
111 |
106 |
$4K |
| 71260 |
|
39 |
38 |
$3K |
| 96360 |
|
184 |
171 |
$3K |
| 83605 |
|
993 |
687 |
$3K |
| 73610 |
|
89 |
79 |
$3K |
| 73552 |
|
107 |
99 |
$3K |
| 83615 |
|
729 |
618 |
$3K |
| 87186 |
|
980 |
923 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
516 |
382 |
$3K |
| 96366 |
|
21 |
12 |
$3K |
| 73130 |
|
50 |
39 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,625 |
4,375 |
$3K |
| J1170 |
Hydromorphone injection |
1,520 |
1,215 |
$3K |
| J1650 |
Inj enoxaparin sodium |
346 |
157 |
$3K |
| 36415 |
|
6,504 |
5,106 |
$3K |
| 83516 |
|
160 |
101 |
$3K |
| C1769 |
Guide wire |
250 |
241 |
$2K |
| J2001 |
Lidocaine injection |
1,281 |
1,243 |
$2K |
| 84466 |
|
415 |
404 |
$2K |
| 83540 |
|
671 |
643 |
$2K |
| 82784 |
|
150 |
141 |
$2K |
| 73564 |
|
26 |
26 |
$2K |
| J2270 |
Morphine sulfate injection |
1,057 |
758 |
$2K |
| 84145 |
|
148 |
130 |
$2K |
| G0480 |
Drug test def 1-7 classes |
152 |
142 |
$2K |
| 77067 |
|
82 |
82 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,494 |
2,393 |
$2K |
| 73521 |
|
23 |
22 |
$2K |
| 87070 |
|
310 |
283 |
$2K |
| 73502 |
|
54 |
53 |
$1K |
| 87581 |
|
28 |
28 |
$1K |
| 87486 |
|
28 |
28 |
$1K |
| 82533 |
|
191 |
149 |
$1K |
| 93017 |
|
14 |
14 |
$1K |
| 82746 |
|
117 |
117 |
$1K |
| 82570 |
|
562 |
484 |
$956.71 |
| J0330 |
Succinycholine chloride inj |
162 |
155 |
$952.90 |
| J2785 |
Regadenoson injection |
14 |
14 |
$945.00 |
| J7030 |
Normal saline solution infus |
723 |
558 |
$885.15 |
| 80047 |
|
277 |
275 |
$883.26 |
| 84100 |
|
906 |
658 |
$873.76 |
| 87205 |
|
184 |
169 |
$850.80 |
| A9585 |
Gadobutrol injection |
83 |
80 |
$790.45 |
| C1894 |
Intro/sheath, non-laser |
136 |
127 |
$736.60 |
| 97162 |
|
25 |
24 |
$697.44 |
| 82140 |
|
168 |
137 |
$646.69 |
| A9502 |
Tc99m tetrofosmin |
14 |
14 |
$637.95 |
| 97161 |
|
14 |
14 |
$625.93 |
| 80074 |
|
82 |
81 |
$589.57 |
| 87040 |
|
79 |
51 |
$556.14 |
| 96417 |
|
17 |
12 |
$532.66 |
| 71250 |
|
15 |
14 |
$530.86 |
| 82043 |
|
242 |
239 |
$512.67 |
| 36416 |
|
137 |
54 |
$507.60 |
| 84425 |
|
14 |
14 |
$490.86 |
| 97110 |
|
156 |
44 |
$484.92 |
| J1200 |
Diphenhydramine hcl injectio |
1,102 |
761 |
$462.00 |
| J7040 |
Normal saline solution infus |
516 |
448 |
$461.50 |
| 82378 |
|
113 |
99 |
$447.85 |
| J3370 |
Vancomycin hcl injection |
65 |
39 |
$413.13 |
| 74019 |
|
13 |
13 |
$378.23 |
| 88341 |
|
56 |
38 |
$369.85 |
| J3301 |
Triamcinolone acet inj nos |
31 |
29 |
$357.05 |
| 86038 |
|
64 |
64 |
$354.80 |
| 85055 |
|
22 |
17 |
$349.93 |
| J7050 |
Normal saline solution infus |
323 |
182 |
$348.77 |
| 87210 |
|
70 |
69 |
$332.03 |
| 96367 |
|
17 |
12 |
$315.12 |
| 76937 |
|
12 |
12 |
$294.23 |
| 85007 |
|
52 |
42 |
$263.39 |
| C9399 |
Unclassified drugs or biolog |
13 |
12 |
$258.93 |
| 90686 |
|
15 |
14 |
$223.90 |
| J0696 |
Ceftriaxone sodium injection |
74 |
52 |
$193.44 |
| 82550 |
|
110 |
76 |
$191.56 |
| 82777 |
|
26 |
24 |
$183.57 |
| J1940 |
Furosemide injection |
28 |
12 |
$171.95 |
| 82803 |
|
31 |
29 |
$154.37 |
| 80320 |
|
28 |
25 |
$135.54 |
| 82150 |
|
27 |
25 |
$135.12 |
| 87147 |
|
44 |
25 |
$126.96 |
| 82040 |
|
15 |
15 |
$123.92 |
| 81003 |
|
29 |
28 |
$122.19 |
| 82330 |
|
26 |
25 |
$107.14 |
| J2800 |
Methocarbamol injection |
16 |
12 |
$106.07 |
| 83970 |
|
14 |
13 |
$99.80 |
| C1887 |
Catheter, guiding |
28 |
28 |
$98.90 |
| 80164 |
|
17 |
13 |
$92.07 |
| 90471 |
|
12 |
12 |
$84.02 |
| 84156 |
|
12 |
12 |
$79.53 |
| 86706 |
|
12 |
12 |
$68.66 |
| J2550 |
Promethazine hcl injection |
60 |
37 |
$60.11 |
| 77063 |
|
38 |
38 |
$58.07 |
| J0171 |
Adrenalin epinephrine inject |
14 |
14 |
$52.72 |
| 36591 |
|
80 |
65 |
$45.46 |
| 84132 |
|
32 |
27 |
$38.94 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
14 |
$23.17 |
| 82375 |
|
13 |
12 |
$23.16 |
| 82565 |
|
15 |
13 |
$9.08 |
| 84520 |
|
15 |
13 |
$7.24 |