| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
26,327 |
21,183 |
$4.61M |
| 99283 |
|
25,800 |
21,863 |
$3.34M |
| 99285 |
|
9,524 |
7,960 |
$1.79M |
| 96374 |
|
14,397 |
11,439 |
$1.23M |
| 74177 |
|
5,054 |
4,240 |
$728K |
| G0378 |
Hospital observation per hr |
4,635 |
3,384 |
$548K |
| 71046 |
|
9,572 |
8,181 |
$363K |
| 99282 |
|
4,551 |
3,885 |
$347K |
| 96365 |
|
3,425 |
2,878 |
$290K |
| 87637 |
|
2,861 |
2,577 |
$263K |
| 70450 |
|
5,320 |
4,540 |
$246K |
| 71045 |
|
7,939 |
6,616 |
$243K |
| 93005 |
|
11,375 |
9,088 |
$240K |
| 96375 |
|
8,856 |
6,968 |
$228K |
| 96372 |
|
6,850 |
5,787 |
$226K |
| 87635 |
|
6,332 |
5,154 |
$182K |
| 80053 |
|
27,975 |
22,167 |
$159K |
| 71260 |
|
2,204 |
1,879 |
$157K |
| 76815 |
|
2,685 |
2,057 |
$155K |
| 86900 |
|
2,895 |
2,010 |
$139K |
| 94640 |
|
1,571 |
1,027 |
$138K |
| 85025 |
|
32,881 |
25,196 |
$138K |
| 96360 |
|
1,468 |
1,199 |
$137K |
| 87502 |
|
2,263 |
1,949 |
$136K |
| 59025 |
|
1,530 |
1,106 |
$133K |
| 78452 |
|
626 |
436 |
$115K |
| 74176 |
|
1,443 |
1,237 |
$111K |
| 93306 |
|
1,073 |
895 |
$99K |
| 87651 |
|
3,880 |
3,501 |
$93K |
| 96361 |
|
3,388 |
2,756 |
$85K |
| 36415 |
|
39,596 |
27,925 |
$84K |
| 86850 |
|
2,844 |
1,964 |
$61K |
| 80307 |
|
1,745 |
1,450 |
$61K |
| 87400 |
|
3,156 |
2,639 |
$61K |
| 84484 |
|
8,014 |
6,319 |
$57K |
| 73560 |
|
1,471 |
1,180 |
$49K |
| 74018 |
|
1,144 |
964 |
$47K |
| 73630 |
|
1,251 |
1,050 |
$47K |
| 94644 |
|
1,006 |
859 |
$46K |
| 93971 |
|
1,284 |
1,117 |
$44K |
| G0480 |
Drug test def 1-7 classes |
817 |
637 |
$43K |
| 72125 |
|
1,045 |
911 |
$43K |
| 86901 |
|
2,890 |
2,007 |
$43K |
| 93017 |
|
898 |
660 |
$41K |
| 84703 |
|
8,466 |
6,805 |
$39K |
| 87880 |
|
3,126 |
2,578 |
$35K |
| 83880 |
|
2,289 |
1,951 |
$34K |
| 72100 |
|
752 |
637 |
$34K |
| 76705 |
|
527 |
461 |
$28K |
| 73130 |
|
744 |
612 |
$28K |
| 83690 |
|
6,861 |
5,699 |
$27K |
| 73610 |
|
729 |
593 |
$26K |
| 87081 |
|
4,614 |
3,958 |
$26K |
| 81001 |
|
13,700 |
11,347 |
$25K |
| 81025 |
|
4,905 |
4,103 |
$25K |
| 84702 |
|
2,426 |
1,866 |
$23K |
| 73030 |
|
659 |
565 |
$21K |
| 80048 |
|
4,821 |
3,352 |
$20K |
| G0463 |
Hospital outpt clinic visit |
2,876 |
2,632 |
$20K |
| 87040 |
|
2,177 |
1,824 |
$18K |
| 83605 |
|
3,114 |
2,471 |
$16K |
| 84443 |
|
1,606 |
1,352 |
$16K |
| 87634 |
|
298 |
255 |
$16K |
| 76817 |
|
265 |
207 |
$15K |
| 70486 |
|
303 |
249 |
$15K |
| 83735 |
|
4,678 |
3,788 |
$15K |
| 81003 |
|
7,585 |
6,350 |
$10K |
| 73110 |
|
269 |
200 |
$9K |
| 87086 |
|
2,085 |
1,761 |
$9K |
| 87807 |
|
818 |
698 |
$9K |
| 85379 |
|
1,807 |
1,539 |
$9K |
| 71250 |
|
271 |
239 |
$8K |
| 85610 |
|
2,248 |
1,781 |
$8K |
| 72040 |
|
232 |
191 |
$8K |
| 87491 |
|
346 |
299 |
$8K |
| 87591 |
|
346 |
299 |
$8K |
| 70496 |
|
132 |
118 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,699 |
7,264 |
$6K |
| 82962 |
|
3,263 |
2,566 |
$5K |
| J0561 |
Penicillin g benzathine inj |
64 |
54 |
$5K |
| 70498 |
|
132 |
117 |
$5K |
| 70551 |
|
95 |
88 |
$5K |
| 80061 |
|
778 |
652 |
$5K |
| 76856 |
|
76 |
65 |
$4K |
| 85730 |
|
1,242 |
979 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,321 |
872 |
$4K |
| 87077 |
|
643 |
545 |
$3K |
| 71275 |
|
67 |
63 |
$3K |
| 84439 |
|
534 |
465 |
$3K |
| 76642 |
|
96 |
74 |
$3K |
| 99281 |
|
71 |
63 |
$3K |
| 73502 |
|
102 |
91 |
$3K |
| 73090 |
|
61 |
52 |
$3K |
| 76819 |
|
45 |
26 |
$3K |
| 12001 |
|
40 |
26 |
$3K |
| 76700 |
|
43 |
40 |
$2K |
| 83036 |
|
609 |
517 |
$2K |
| 99214 |
|
55 |
52 |
$2K |
| 73070 |
|
42 |
38 |
$2K |
| 82570 |
|
626 |
515 |
$2K |
| 0241U |
|
1,897 |
1,678 |
$2K |
| 87088 |
|
258 |
217 |
$1K |
| 73590 |
|
30 |
24 |
$966.00 |
| 72131 |
|
25 |
24 |
$896.42 |
| 82550 |
|
218 |
180 |
$778.59 |
| 84156 |
|
400 |
307 |
$765.56 |
| 87186 |
|
142 |
119 |
$733.46 |
| 86140 |
|
257 |
224 |
$671.42 |
| 82306 |
|
28 |
28 |
$662.05 |
| 76770 |
|
15 |
13 |
$613.25 |
| 88305 |
|
13 |
12 |
$588.64 |
| J1100 |
Dexamethasone sodium phos |
3,269 |
2,552 |
$490.75 |
| 87210 |
|
177 |
154 |
$479.66 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$439.51 |
| A9270 |
Non-covered item or service |
4,490 |
3,422 |
$367.61 |
| 82565 |
|
297 |
256 |
$277.30 |
| 90471 |
|
16 |
14 |
$266.06 |
| 85027 |
|
79 |
58 |
$253.42 |
| J7030 |
Normal saline solution infus |
364 |
270 |
$173.60 |
| A9577 |
Inj multihance |
29 |
27 |
$159.28 |
| 82248 |
|
36 |
28 |
$117.52 |
| 99490 |
Ccm add 20min |
25 |
24 |
$103.93 |
| 90686 |
|
13 |
13 |
$91.29 |
| A9502 |
Tc99m tetrofosmin |
691 |
491 |
$86.13 |
| J1885 |
Ketorolac tromethamine inj |
9,940 |
7,915 |
$68.08 |
| 85652 |
|
52 |
38 |
$61.97 |
| J1170 |
Hydromorphone injection |
1,663 |
1,085 |
$61.48 |
| 82247 |
|
15 |
12 |
$54.24 |
| J0690 |
Cefazolin sodium injection |
230 |
168 |
$48.03 |
| 80069 |
|
18 |
15 |
$46.86 |
| 85045 |
|
20 |
13 |
$46.67 |
| J0696 |
Ceftriaxone sodium injection |
3,827 |
3,074 |
$44.18 |
| J2405 |
Ondansetron hcl injection |
8,831 |
6,490 |
$35.56 |
| J2270 |
Morphine sulfate injection |
1,491 |
1,140 |
$29.69 |
| J0780 |
Prochlorperazine injection |
378 |
296 |
$23.52 |
| J2930 |
Methylprednisolone injection |
2,281 |
1,941 |
$18.54 |
| J1200 |
Diphenhydramine hcl injectio |
1,564 |
1,215 |
$10.33 |
| J2704 |
Inj, propofol, 10 mg |
947 |
647 |
$9.36 |
| J2919 |
Inj, methylpred sod succ 5mg |
250 |
195 |
$6.88 |
| J2250 |
Inj midazolam hydrochloride |
1,293 |
853 |
$5.24 |
| J3490 |
Drugs unclassified injection |
554 |
374 |
$1.62 |
| Q0162 |
Ondansetron oral |
119 |
94 |
$0.76 |
| 96376 |
|
1,114 |
794 |
$0.03 |
| J1940 |
Furosemide injection |
161 |
116 |
$0.00 |
| J2785 |
Regadenoson injection |
525 |
373 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
74 |
52 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
592 |
483 |
$0.00 |
| J2920 |
Methylprednisolone injection |
29 |
15 |
$0.00 |
| J2001 |
Lidocaine injection |
35 |
27 |
$0.00 |
| J1815 |
Insulin injection |
20 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
74 |
49 |
$0.00 |
| J2060 |
Lorazepam injection |
46 |
37 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
20 |
19 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
30 |
25 |
$0.00 |
| C1769 |
Guide wire |
13 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
104 |
42 |
$0.00 |
| G1004 |
Cdsm ndsc |
734 |
588 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
73 |
51 |
$0.00 |
| 90715 |
|
65 |
61 |
$0.00 |
| J1956 |
Levofloxacin injection |
76 |
63 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
311 |
140 |
$0.00 |
| 94664 |
|
167 |
151 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
79 |
63 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
80 |
54 |
$0.00 |
| A4649 |
Surgical supplies |
16 |
13 |
$0.00 |