| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80048 |
|
4,653 |
3,109 |
$103K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
367 |
286 |
$94K |
| 87637 |
|
751 |
606 |
$51K |
| 80076 |
|
1,824 |
1,332 |
$33K |
| 74177 |
|
299 |
206 |
$24K |
| 93005 |
|
4,351 |
2,750 |
$24K |
| 93306 |
|
473 |
394 |
$19K |
| 70450 |
|
346 |
256 |
$19K |
| 80061 |
|
391 |
332 |
$17K |
| 96360 |
|
650 |
456 |
$15K |
| 85025 |
|
3,321 |
2,211 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
687 |
659 |
$14K |
| 84484 |
|
2,649 |
1,634 |
$14K |
| 71045 |
|
2,439 |
1,813 |
$12K |
| T1015 |
Clinic visit/encounter, all-inclusive |
519 |
485 |
$11K |
| 83735 |
|
2,640 |
1,732 |
$10K |
| 83880 |
|
691 |
486 |
$9K |
| 36415 |
|
1,497 |
1,009 |
$7K |
| 85027 |
|
707 |
515 |
$7K |
| 81025 |
|
1,062 |
796 |
$6K |
| 83036 |
|
636 |
506 |
$6K |
| 82948 |
|
835 |
486 |
$6K |
| 96365 |
|
113 |
80 |
$6K |
| 96361 |
|
259 |
186 |
$5K |
| 83690 |
|
1,143 |
798 |
$5K |
| C1769 |
Guide wire |
49 |
41 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
410 |
318 |
$4K |
| 99285 |
|
449 |
369 |
$3K |
| 81003 |
|
1,425 |
1,065 |
$3K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
67 |
56 |
$3K |
| 82553 |
|
401 |
298 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,225 |
770 |
$2K |
| 81015 |
|
1,110 |
784 |
$2K |
| 82550 |
|
401 |
299 |
$2K |
| 85379 |
|
285 |
209 |
$2K |
| 43239 |
|
17 |
12 |
$1K |
| 71275 |
|
13 |
12 |
$1K |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
44 |
38 |
$1K |
| 85610 |
|
520 |
428 |
$1K |
| 84443 |
|
110 |
98 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,081 |
767 |
$1K |
| 87430 |
|
83 |
71 |
$791.20 |
| 80305 |
|
97 |
75 |
$748.57 |
| 84439 |
|
97 |
86 |
$605.44 |
| 78431 |
|
367 |
286 |
$502.21 |
| 96374 |
|
1,575 |
1,181 |
$328.41 |
| 82150 |
|
70 |
54 |
$258.35 |
| 71046 |
|
24 |
16 |
$253.16 |
| 87081 |
|
40 |
32 |
$246.22 |
| 86140 |
|
56 |
48 |
$206.92 |
| J2704 |
Injection, propofol, 10 mg |
27 |
12 |
$168.53 |
| 96375 |
|
1,297 |
931 |
$143.15 |
| 99284 |
|
47 |
31 |
$102.00 |
| 99283 |
|
25 |
13 |
$51.00 |
| 87086 |
|
12 |
12 |
$46.12 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,059 |
822 |
$33.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
742 |
571 |
$20.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$13.40 |
| 96372 |
|
532 |
371 |
$1.97 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
637 |
487 |
$0.00 |
| 87635 |
|
171 |
153 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
24 |
18 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,039 |
445 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$0.00 |