| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
35,788 |
33,294 |
$4.17M |
| 96361 |
|
9,152 |
7,586 |
$2.74M |
| 99284 |
|
22,541 |
20,619 |
$2.05M |
| 99282 |
|
7,292 |
6,992 |
$772K |
| 74177 |
|
3,381 |
3,223 |
$605K |
| 99285 |
|
7,839 |
7,189 |
$550K |
| 70450 |
|
3,063 |
2,913 |
$466K |
| 96365 |
|
4,872 |
3,847 |
$410K |
| 96360 |
|
2,473 |
2,326 |
$336K |
| 45380 |
|
1,336 |
1,302 |
$260K |
| 43239 |
|
1,698 |
1,657 |
$215K |
| 74176 |
|
1,155 |
1,094 |
$199K |
| 45385 |
|
697 |
676 |
$182K |
| 96366 |
|
1,141 |
768 |
$171K |
| 76705 |
|
1,871 |
1,814 |
$161K |
| 80053 |
|
23,731 |
20,460 |
$122K |
| 76856 |
|
1,664 |
1,629 |
$115K |
| 99281 |
|
896 |
860 |
$109K |
| 59025 |
|
780 |
649 |
$108K |
| 80307 |
|
3,589 |
2,946 |
$94K |
| 99211 |
|
1,187 |
465 |
$92K |
| 12001 |
|
354 |
337 |
$68K |
| 76830 |
|
901 |
885 |
$67K |
| 76700 |
|
526 |
515 |
$55K |
| 77067 |
|
2,054 |
2,035 |
$50K |
| 77063 |
|
1,370 |
1,362 |
$49K |
| 97110 |
|
1,444 |
566 |
$49K |
| 36415 |
|
26,353 |
22,393 |
$34K |
| 71046 |
|
4,903 |
4,690 |
$29K |
| 73630 |
|
1,256 |
1,147 |
$26K |
| 93306 |
|
112 |
110 |
$25K |
| 87635 |
|
1,215 |
1,089 |
$25K |
| 85025 |
|
27,166 |
23,160 |
$25K |
| 64721 |
|
40 |
40 |
$25K |
| 94640 |
|
3,197 |
2,570 |
$24K |
| 84484 |
|
5,777 |
4,804 |
$24K |
| G0463 |
Hospital outpt clinic visit |
463 |
234 |
$23K |
| G0378 |
Hospital observation per hr |
1,477 |
750 |
$21K |
| 87591 |
|
1,756 |
1,689 |
$20K |
| 73562 |
|
1,240 |
1,180 |
$20K |
| 80048 |
|
3,353 |
3,018 |
$19K |
| 72100 |
|
897 |
868 |
$18K |
| 83605 |
|
2,917 |
2,509 |
$17K |
| 76642 |
|
211 |
196 |
$17K |
| 80050 |
|
2,733 |
2,647 |
$16K |
| 83880 |
|
3,244 |
2,944 |
$15K |
| 45378 |
|
25 |
25 |
$14K |
| 73610 |
|
1,228 |
1,151 |
$14K |
| 93005 |
|
9,093 |
8,074 |
$14K |
| 87040 |
|
2,109 |
1,511 |
$14K |
| 84443 |
|
1,827 |
1,764 |
$14K |
| 99212 |
|
279 |
246 |
$13K |
| 97140 |
|
706 |
338 |
$13K |
| 73030 |
|
1,012 |
942 |
$13K |
| 80306 |
|
5,870 |
5,479 |
$13K |
| 80061 |
|
2,968 |
2,900 |
$13K |
| 82306 |
|
1,308 |
1,283 |
$12K |
| 90714 |
|
778 |
762 |
$12K |
| J0561 |
Penicillin g benzathine inj |
260 |
243 |
$12K |
| 72125 |
|
642 |
608 |
$12K |
| 76801 |
|
215 |
190 |
$12K |
| 82247 |
|
1,444 |
929 |
$12K |
| 73110 |
|
514 |
469 |
$10K |
| 84439 |
|
1,029 |
1,001 |
$9K |
| 83036 |
|
1,988 |
1,929 |
$9K |
| 87426 |
|
4,535 |
4,304 |
$9K |
| 73130 |
|
620 |
579 |
$8K |
| 85379 |
|
1,256 |
1,179 |
$8K |
| 76536 |
|
97 |
96 |
$8K |
| 84145 |
|
801 |
740 |
$8K |
| 99460 |
|
90 |
89 |
$7K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
144 |
138 |
$6K |
| 87086 |
|
6,790 |
6,350 |
$6K |
| 99238 |
|
103 |
99 |
$5K |
| 71260 |
|
69 |
66 |
$5K |
| 71045 |
|
4,806 |
4,420 |
$5K |
| 74018 |
|
941 |
902 |
$4K |
| 97161 |
|
96 |
94 |
$4K |
| 87491 |
|
1,715 |
1,651 |
$4K |
| 86140 |
|
1,835 |
1,668 |
$4K |
| 82607 |
|
294 |
288 |
$3K |
| 73140 |
|
349 |
334 |
$3K |
| 12011 |
|
13 |
13 |
$3K |
| 81001 |
|
14,397 |
13,332 |
$3K |
| 71275 |
|
12 |
12 |
$3K |
| 87637 |
|
3,353 |
3,246 |
$3K |
| 84702 |
|
1,554 |
1,357 |
$3K |
| 76870 |
|
27 |
27 |
$3K |
| 72040 |
|
87 |
83 |
$3K |
| 85652 |
|
996 |
933 |
$2K |
| 82248 |
|
464 |
368 |
$2K |
| 0002A |
|
64 |
63 |
$2K |
| 86780 |
|
174 |
165 |
$2K |
| 73502 |
|
172 |
162 |
$2K |
| 99291 |
|
56 |
52 |
$2K |
| 96367 |
|
135 |
111 |
$2K |
| 76805 |
|
29 |
29 |
$2K |
| 83735 |
|
4,971 |
4,260 |
$2K |
| 83690 |
|
7,595 |
6,899 |
$2K |
| 73721 |
|
13 |
13 |
$2K |
| 87186 |
|
3,231 |
3,060 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
133 |
131 |
$2K |
| 87070 |
|
1,184 |
1,131 |
$2K |
| 81025 |
|
5,733 |
5,383 |
$2K |
| 87081 |
|
5,171 |
4,973 |
$1K |
| 76641 |
|
16 |
14 |
$1K |
| 96374 |
|
9,563 |
8,434 |
$1K |
| 70486 |
|
54 |
53 |
$1K |
| 73080 |
|
68 |
62 |
$1K |
| 85610 |
|
3,698 |
3,289 |
$1K |
| 0001A |
|
66 |
66 |
$1K |
| 85027 |
|
330 |
317 |
$1K |
| 97530 |
|
33 |
13 |
$1K |
| 87661 |
|
108 |
106 |
$979.40 |
| 81003 |
|
2,738 |
2,628 |
$935.50 |
| J3490 |
Drugs unclassified injection |
118 |
105 |
$925.97 |
| 96372 |
|
7,961 |
7,078 |
$915.46 |
| 87804 |
|
5,034 |
4,811 |
$907.92 |
| 87389 |
|
319 |
308 |
$884.02 |
| 83550 |
|
138 |
134 |
$879.91 |
| 76817 |
|
29 |
27 |
$844.13 |
| 72148 |
|
12 |
12 |
$844.11 |
| 90471 |
|
838 |
810 |
$829.69 |
| 87807 |
|
1,312 |
1,250 |
$782.25 |
| 0012A |
|
25 |
25 |
$741.66 |
| 87077 |
|
1,044 |
989 |
$727.66 |
| 87205 |
|
1,427 |
1,314 |
$698.66 |
| 82728 |
|
134 |
126 |
$687.27 |
| 96375 |
|
8,026 |
6,828 |
$685.99 |
| 86900 |
|
668 |
629 |
$655.16 |
| 84703 |
|
1,799 |
1,716 |
$612.80 |
| 80076 |
|
120 |
113 |
$609.85 |
| 86803 |
|
228 |
211 |
$606.11 |
| 82150 |
|
1,841 |
1,726 |
$589.93 |
| 87088 |
|
1,317 |
1,258 |
$578.71 |
| 88175 |
|
38 |
37 |
$557.84 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,705 |
4,454 |
$549.34 |
| 86038 |
|
88 |
86 |
$548.26 |
| G0481 |
Drug test def 8-14 classes |
14 |
13 |
$439.44 |
| 72070 |
|
14 |
14 |
$418.10 |
| 83540 |
|
139 |
135 |
$409.55 |
| 86704 |
|
76 |
69 |
$319.20 |
| 73090 |
|
14 |
12 |
$276.78 |
| 85730 |
|
2,195 |
2,038 |
$254.13 |
| 96376 |
|
2,429 |
1,803 |
$252.86 |
| 87147 |
|
938 |
895 |
$246.18 |
| 80074 |
|
73 |
69 |
$228.89 |
| 86901 |
|
626 |
579 |
$222.38 |
| 86141 |
|
44 |
43 |
$207.93 |
| 0011A |
|
12 |
12 |
$200.00 |
| 87340 |
|
44 |
44 |
$193.17 |
| 88305 |
|
1,472 |
1,445 |
$182.41 |
| 97035 |
|
24 |
12 |
$157.47 |
| 87880 |
|
1,127 |
1,099 |
$144.28 |
| 86708 |
|
27 |
27 |
$136.05 |
| 86706 |
|
27 |
27 |
$136.05 |
| 86701 |
|
56 |
52 |
$128.50 |
| 86850 |
|
72 |
68 |
$121.80 |
| J7030 |
Normal saline solution infus |
7,307 |
6,202 |
$113.99 |
| 86317 |
|
13 |
12 |
$111.50 |
| 83615 |
|
244 |
229 |
$105.57 |
| 82570 |
|
14 |
14 |
$85.53 |
| J0696 |
Ceftriaxone sodium injection |
2,822 |
2,343 |
$84.05 |
| J2405 |
Ondansetron hcl injection |
9,254 |
8,079 |
$80.38 |
| 86702 |
|
56 |
52 |
$78.32 |
| J7050 |
Normal saline solution infus |
5,111 |
3,336 |
$74.00 |
| 84153 |
|
13 |
13 |
$72.95 |
| 85651 |
|
87 |
83 |
$65.81 |
| J1100 |
Dexamethasone sodium phos |
3,007 |
2,817 |
$60.56 |
| 82140 |
|
85 |
79 |
$58.87 |
| 73590 |
|
12 |
12 |
$51.13 |
| 86200 |
|
12 |
12 |
$41.88 |
| 82550 |
|
88 |
83 |
$38.09 |
| 84550 |
|
13 |
13 |
$32.96 |
| 82043 |
|
12 |
12 |
$29.66 |
| 81015 |
|
36 |
36 |
$27.35 |
| J2360 |
Orphenadrine injection |
637 |
602 |
$23.08 |
| J2270 |
Morphine sulfate injection |
2,945 |
2,454 |
$15.09 |
| J1170 |
Hydromorphone injection |
3,206 |
2,713 |
$13.81 |
| 88342 |
|
223 |
220 |
$13.34 |
| J1885 |
Ketorolac tromethamine inj |
7,365 |
6,066 |
$13.18 |
| 87075 |
|
13 |
12 |
$12.84 |
| J2060 |
Lorazepam injection |
1,323 |
1,157 |
$10.91 |
| 82077 |
|
194 |
181 |
$8.11 |
| 81002 |
|
319 |
300 |
$7.54 |
| J7120 |
Ringers lactate infusion |
4,842 |
4,263 |
$2.50 |
| J1200 |
Diphenhydramine hcl injectio |
1,717 |
1,615 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
368 |
356 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,801 |
1,565 |
$0.00 |
| 99152 |
|
689 |
682 |
$0.00 |
| J2930 |
Methylprednisolone injection |
209 |
190 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
67 |
65 |
$0.00 |
| J2550 |
Promethazine hcl injection |
384 |
341 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,903 |
1,800 |
$0.00 |
| 80179 |
|
38 |
37 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
49 |
40 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
155 |
132 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
70 |
69 |
$0.00 |
| 85014 |
|
29 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
35 |
$0.00 |
| 80143 |
|
41 |
38 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
34 |
13 |
$0.00 |
| J7070 |
D5w infusion |
14 |
12 |
$0.00 |
| 29125 |
|
15 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
106 |
94 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
47 |
46 |
$0.00 |
| S0164 |
Injection pantroprazole |
34 |
30 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
18 |
15 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
466 |
421 |
$0.00 |
| A9270 |
Non-covered item or service |
1,897 |
1,003 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
267 |
249 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,252 |
2,899 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,135 |
1,071 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
3,199 |
2,885 |
$0.00 |
| 82803 |
|
45 |
41 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,842 |
3,465 |
$0.00 |
| 71101 |
|
13 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
350 |
321 |
$0.00 |
| 74019 |
|
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
277 |
217 |
$0.00 |
| 0241U |
|
280 |
262 |
$0.00 |
| 94761 |
|
307 |
275 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
142 |
93 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
80 |
78 |
$0.00 |
| J1630 |
Haloperidol injection |
198 |
175 |
$0.00 |
| 94760 |
|
539 |
464 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| G0379 |
Direct refer hospital observ |
40 |
39 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
1,024 |
885 |
$0.00 |
| J7999 |
Compounded drug, noc |
270 |
247 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
64 |
59 |
$0.00 |
| J2372 |
Inj, biorphen, 20 micrograms |
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
12 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$0.00 |
| 80047 |
|
14 |
12 |
$0.00 |
| J7626 |
Budesonide non-comp unit |
13 |
13 |
$0.00 |
| 80320 |
|
62 |
58 |
$0.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |