| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,980 |
9,020 |
$1.53M |
| 99283 |
|
6,493 |
5,801 |
$1.04M |
| 97110 |
|
6,243 |
1,846 |
$1.01M |
| 99285 |
|
4,272 |
3,855 |
$622K |
| 97010 |
|
1,602 |
639 |
$567K |
| 99214 |
|
3,417 |
2,812 |
$414K |
| 99282 |
|
2,967 |
2,549 |
$404K |
| 66984 |
|
551 |
482 |
$403K |
| 96361 |
|
952 |
863 |
$383K |
| 99213 |
|
2,885 |
2,255 |
$351K |
| 94640 |
|
1,913 |
1,377 |
$294K |
| 74177 |
|
950 |
880 |
$270K |
| 96365 |
|
1,372 |
1,147 |
$257K |
| 70450 |
|
1,322 |
1,213 |
$253K |
| G0463 |
Hospital outpt clinic visit |
9,838 |
7,919 |
$216K |
| 97014 |
|
1,026 |
412 |
$214K |
| 95810 |
|
274 |
251 |
$186K |
| 43239 |
|
290 |
275 |
$165K |
| 95811 |
|
239 |
223 |
$157K |
| 74176 |
|
497 |
456 |
$143K |
| G0378 |
Hospital observation per hr |
1,399 |
620 |
$137K |
| 45378 |
|
318 |
304 |
$137K |
| 94660 |
|
259 |
252 |
$131K |
| 90853 |
|
674 |
241 |
$121K |
| 76700 |
|
846 |
816 |
$105K |
| 97162 |
|
752 |
715 |
$95K |
| 80048 |
|
9,591 |
7,394 |
$94K |
| 76642 |
|
697 |
657 |
$94K |
| 77063 |
|
1,922 |
1,880 |
$90K |
| 93306 |
|
358 |
299 |
$88K |
| 76856 |
|
866 |
830 |
$79K |
| 20610 |
|
672 |
453 |
$78K |
| 76801 |
|
565 |
519 |
$75K |
| 99281 |
|
555 |
478 |
$74K |
| 96366 |
|
257 |
209 |
$71K |
| 76830 |
|
511 |
495 |
$70K |
| 97530 |
|
720 |
379 |
$68K |
| 93971 |
|
455 |
409 |
$60K |
| 45380 |
|
168 |
155 |
$59K |
| 76805 |
|
450 |
434 |
$58K |
| 71046 |
|
2,892 |
2,698 |
$56K |
| 72148 |
|
313 |
288 |
$54K |
| 71275 |
|
269 |
245 |
$53K |
| 73721 |
|
258 |
231 |
$52K |
| 97163 |
|
275 |
264 |
$43K |
| G0424 |
Pulmonary rehab w exer |
1,213 |
176 |
$41K |
| 99203 |
|
320 |
266 |
$33K |
| P9016 |
Rbc leukocytes reduced |
78 |
66 |
$32K |
| 97035 |
|
328 |
160 |
$29K |
| 70553 |
|
103 |
91 |
$29K |
| 73630 |
|
1,114 |
906 |
$28K |
| 84484 |
|
2,885 |
2,383 |
$28K |
| 92551 |
|
353 |
239 |
$26K |
| 96360 |
|
301 |
272 |
$24K |
| 71250 |
|
272 |
245 |
$24K |
| J2357 |
Omalizumab injection |
72 |
12 |
$24K |
| 76770 |
|
238 |
224 |
$24K |
| 99212 |
|
221 |
182 |
$23K |
| 97116 |
|
219 |
126 |
$22K |
| 80076 |
|
4,589 |
4,100 |
$22K |
| 77067 |
|
2,032 |
1,987 |
$22K |
| 93970 |
|
215 |
196 |
$21K |
| 76705 |
|
165 |
150 |
$21K |
| 97164 |
|
540 |
489 |
$20K |
| 72141 |
|
109 |
98 |
$20K |
| 85025 |
|
11,247 |
8,704 |
$20K |
| 73562 |
|
1,200 |
982 |
$20K |
| 76536 |
|
140 |
136 |
$19K |
| 87591 |
|
627 |
606 |
$18K |
| 80307 |
|
984 |
890 |
$18K |
| 77080 |
|
426 |
418 |
$17K |
| 70551 |
|
89 |
77 |
$16K |
| 99291 |
|
252 |
214 |
$16K |
| 93005 |
|
4,341 |
3,692 |
$16K |
| 36430 |
|
62 |
52 |
$15K |
| 72110 |
|
396 |
375 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,609 |
1,457 |
$15K |
| 99173 |
|
384 |
269 |
$15K |
| 80053 |
|
2,115 |
1,860 |
$14K |
| J0897 |
Denosumab injection |
43 |
42 |
$14K |
| 73030 |
|
641 |
552 |
$13K |
| 77062 |
|
280 |
273 |
$13K |
| 36415 |
|
9,803 |
7,278 |
$12K |
| 78815 |
|
22 |
15 |
$12K |
| 97012 |
|
37 |
12 |
$12K |
| 97140 |
|
1,374 |
563 |
$12K |
| 97161 |
|
203 |
195 |
$11K |
| 99408 |
|
87 |
78 |
$11K |
| 90714 |
|
421 |
399 |
$11K |
| 74183 |
|
27 |
27 |
$11K |
| 90792 |
|
84 |
68 |
$11K |
| 76641 |
|
69 |
69 |
$10K |
| 76817 |
|
100 |
88 |
$10K |
| 71045 |
|
1,885 |
1,632 |
$9K |
| 73221 |
|
59 |
51 |
$9K |
| 83880 |
|
807 |
709 |
$9K |
| 86803 |
|
1,383 |
1,269 |
$9K |
| 70486 |
|
193 |
175 |
$9K |
| 87040 |
|
525 |
452 |
$9K |
| 73610 |
|
593 |
511 |
$8K |
| 73130 |
|
559 |
475 |
$8K |
| 80320 |
|
570 |
522 |
$8K |
| 85576 |
|
625 |
595 |
$8K |
| 97165 |
|
30 |
24 |
$7K |
| J0881 |
Darbepoetin alfa, non-esrd |
124 |
63 |
$7K |
| 84100 |
|
1,540 |
828 |
$7K |
| 90834 |
|
160 |
93 |
$7K |
| 73502 |
|
391 |
346 |
$7K |
| 97166 |
|
22 |
19 |
$7K |
| J9217 |
Leuprolide acetate suspnsion |
40 |
27 |
$6K |
| 72050 |
|
175 |
168 |
$6K |
| 71260 |
|
126 |
117 |
$6K |
| 94010 |
|
1,171 |
921 |
$6K |
| 83605 |
|
683 |
568 |
$6K |
| 84443 |
|
1,107 |
972 |
$6K |
| 83690 |
|
2,139 |
1,887 |
$5K |
| 96374 |
|
2,987 |
2,704 |
$5K |
| 83735 |
|
2,140 |
1,304 |
$5K |
| 86703 |
|
1,302 |
1,199 |
$5K |
| 82306 |
|
411 |
377 |
$5K |
| 84146 |
|
376 |
335 |
$5K |
| 77066 |
Tomosynthesis, mammo |
397 |
372 |
$5K |
| 82962 |
|
7,158 |
4,931 |
$5K |
| 73110 |
|
270 |
239 |
$4K |
| 84702 |
|
630 |
549 |
$4K |
| 29125 |
|
13 |
13 |
$4K |
| 99396 |
|
113 |
95 |
$4K |
| 99204 |
|
30 |
26 |
$4K |
| 12001 |
|
14 |
13 |
$4K |
| 88305 |
|
1,183 |
766 |
$4K |
| 83036 |
|
1,154 |
1,013 |
$4K |
| 85379 |
|
362 |
337 |
$4K |
| 86901 |
|
524 |
446 |
$4K |
| 97112 |
|
130 |
69 |
$4K |
| 76870 |
|
30 |
28 |
$3K |
| V2632 |
Post chmbr intraocular lens |
588 |
517 |
$3K |
| 72100 |
|
272 |
250 |
$3K |
| 99234 |
|
521 |
225 |
$3K |
| 72197 |
|
13 |
12 |
$3K |
| 72070 |
|
90 |
81 |
$3K |
| 81001 |
|
2,541 |
2,311 |
$3K |
| J2930 |
Methylprednisolone injection |
635 |
522 |
$3K |
| 80164 |
|
263 |
232 |
$3K |
| 96375 |
|
2,078 |
1,839 |
$3K |
| 81025 |
|
5,377 |
4,874 |
$2K |
| 86480 |
|
212 |
192 |
$2K |
| 73560 |
|
101 |
81 |
$2K |
| 73565 |
|
116 |
108 |
$2K |
| 74018 |
|
110 |
94 |
$2K |
| 90686 |
|
263 |
213 |
$2K |
| 73080 |
|
105 |
96 |
$2K |
| 90715 |
|
106 |
80 |
$2K |
| 80061 |
|
561 |
507 |
$2K |
| 86850 |
|
514 |
434 |
$2K |
| 90656 |
|
276 |
227 |
$2K |
| 72040 |
|
113 |
112 |
$2K |
| 99211 |
|
15 |
12 |
$2K |
| 96372 |
|
2,583 |
2,272 |
$2K |
| C1769 |
Guide wire |
320 |
254 |
$2K |
| 70544 |
|
13 |
12 |
$2K |
| 86900 |
|
515 |
433 |
$1K |
| 87081 |
|
692 |
573 |
$1K |
| 73590 |
|
121 |
104 |
$1K |
| 81002 |
|
3,641 |
3,358 |
$1K |
| 87491 |
|
529 |
506 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
43 |
39 |
$1K |
| 82248 |
|
239 |
207 |
$1K |
| 90732 |
|
86 |
61 |
$1K |
| 87086 |
|
531 |
468 |
$1K |
| 80177 |
|
155 |
138 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
385 |
350 |
$1K |
| 76857 |
|
12 |
12 |
$997.50 |
| 80156 |
|
96 |
81 |
$977.32 |
| 86592 |
|
270 |
242 |
$970.60 |
| 84153 |
|
387 |
344 |
$960.75 |
| 90471 |
|
890 |
761 |
$958.94 |
| 86706 |
|
404 |
347 |
$949.93 |
| 82607 |
|
204 |
183 |
$943.75 |
| J2405 |
Ondansetron hcl injection |
2,167 |
1,654 |
$931.40 |
| 90674 |
|
146 |
120 |
$854.18 |
| G0297 |
Ldct for lung ca screen |
16 |
15 |
$838.70 |
| 87340 |
|
355 |
305 |
$787.97 |
| 73522 |
|
40 |
37 |
$778.75 |
| 80185 |
|
66 |
54 |
$693.46 |
| 73090 |
|
40 |
38 |
$662.36 |
| J2550 |
Promethazine hcl injection |
533 |
378 |
$658.11 |
| 88304 |
|
169 |
134 |
$654.97 |
| J2270 |
Morphine sulfate injection |
1,964 |
1,353 |
$653.85 |
| J7030 |
Normal saline solution infus |
3,297 |
2,493 |
$633.77 |
| 99393 |
|
28 |
12 |
$631.05 |
| 90670 |
|
18 |
13 |
$613.75 |
| J1650 |
Inj enoxaparin sodium |
980 |
470 |
$610.74 |
| 74022 |
|
46 |
43 |
$572.37 |
| 85610 |
|
893 |
732 |
$563.95 |
| A9270 |
Non-covered item or service |
8,141 |
5,150 |
$510.44 |
| 84439 |
|
130 |
111 |
$484.80 |
| 73564 |
|
52 |
42 |
$469.27 |
| 87205 |
|
163 |
141 |
$451.80 |
| 85730 |
|
791 |
649 |
$450.45 |
| C1725 |
Cath, translumin non-laser |
20 |
12 |
$447.91 |
| 85027 |
|
227 |
188 |
$447.40 |
| 87088 |
|
393 |
353 |
$402.52 |
| 84295 |
|
154 |
97 |
$399.05 |
| 87070 |
|
149 |
127 |
$389.77 |
| 82746 |
|
120 |
107 |
$341.40 |
| J3301 |
Triamcinolone acet inj nos |
148 |
104 |
$329.11 |
| 99406 |
|
17 |
15 |
$315.36 |
| 87880 |
|
834 |
785 |
$296.10 |
| 99152 |
|
114 |
98 |
$293.78 |
| 88312 |
|
295 |
277 |
$279.13 |
| 82550 |
|
239 |
199 |
$275.05 |
| J0690 |
Cefazolin sodium injection |
804 |
592 |
$273.76 |
| 85014 |
|
239 |
138 |
$271.61 |
| 90658 |
|
21 |
16 |
$266.61 |
| 96376 |
|
508 |
461 |
$262.36 |
| 82150 |
|
210 |
190 |
$261.41 |
| C1894 |
Intro/sheath, non-laser |
122 |
89 |
$238.63 |
| J1030 |
Methylprednisolone 40 mg inj |
396 |
337 |
$215.70 |
| 88313 |
|
315 |
296 |
$207.77 |
| 86140 |
|
247 |
207 |
$206.01 |
| J3010 |
Fentanyl citrate injection |
1,785 |
1,326 |
$204.05 |
| 80184 |
|
27 |
25 |
$202.04 |
| 82565 |
|
356 |
326 |
$201.92 |
| 87186 |
|
165 |
144 |
$197.89 |
| J2060 |
Lorazepam injection |
469 |
328 |
$185.72 |
| J1885 |
Ketorolac tromethamine inj |
2,173 |
1,924 |
$185.62 |
| 85651 |
|
302 |
257 |
$182.19 |
| J0744 |
Ciprofloxacin iv |
283 |
187 |
$179.61 |
| 83540 |
|
108 |
94 |
$178.95 |
| J2250 |
Inj midazolam hydrochloride |
1,687 |
1,455 |
$177.91 |
| 86709 |
|
132 |
114 |
$166.31 |
| 82728 |
|
44 |
41 |
$160.07 |
| 92557 |
|
12 |
12 |
$152.14 |
| 82570 |
|
51 |
48 |
$144.11 |
| 94760 |
|
530 |
342 |
$142.07 |
| J7040 |
Normal saline solution infus |
1,049 |
903 |
$116.40 |
| J1200 |
Diphenhydramine hcl injectio |
526 |
383 |
$102.48 |
| 82010 |
|
279 |
239 |
$101.81 |
| 99153 |
Mod sedat endo service >5yrs |
61 |
53 |
$99.41 |
| 96402 |
|
36 |
27 |
$94.00 |
| 86705 |
|
45 |
41 |
$89.27 |
| J0696 |
Ceftriaxone sodium injection |
878 |
620 |
$79.51 |
| 86920 |
|
114 |
78 |
$76.83 |
| 84550 |
|
97 |
87 |
$76.78 |
| 83550 |
|
81 |
71 |
$69.07 |
| 81000 |
|
236 |
178 |
$67.69 |
| J1100 |
Dexamethasone sodium phos |
620 |
508 |
$65.86 |
| 86735 |
|
16 |
15 |
$65.64 |
| 84132 |
|
179 |
111 |
$57.53 |
| 86787 |
|
28 |
26 |
$54.67 |
| J2001 |
Lidocaine injection |
157 |
128 |
$53.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,031 |
796 |
$52.81 |
| J1644 |
Inj heparin sodium per 1000u |
529 |
278 |
$51.28 |
| 82140 |
|
13 |
12 |
$51.24 |
| G0279 |
Tomosynthesis, mammo |
119 |
107 |
$50.19 |
| C9113 |
Inj pantoprazole sodium, via |
394 |
206 |
$50.05 |
| J7060 |
5% dextrose/water |
680 |
407 |
$49.30 |
| J1170 |
Hydromorphone injection |
450 |
280 |
$48.91 |
| 72125 |
|
14 |
13 |
$46.22 |
| J0360 |
Hydralazine hcl injection |
77 |
47 |
$43.44 |
| J1815 |
Insulin injection |
500 |
337 |
$40.48 |
| J0171 |
Adrenalin epinephrine inject |
148 |
124 |
$37.61 |
| C1729 |
Cath, drainage |
27 |
24 |
$34.78 |
| J1953 |
Levetiracetam injection |
93 |
57 |
$28.17 |
| 82803 |
|
82 |
58 |
$25.62 |
| J3480 |
Inj potassium chloride |
190 |
101 |
$24.18 |
| 85044 |
|
53 |
43 |
$22.34 |
| J1940 |
Furosemide injection |
256 |
145 |
$21.89 |
| 85018 |
|
133 |
82 |
$18.63 |
| 82043 |
|
17 |
16 |
$14.43 |
| 80069 |
|
13 |
12 |
$13.47 |
| 82465 |
|
15 |
12 |
$11.28 |
| 86580 |
|
16 |
12 |
$10.94 |
| 86765 |
|
13 |
12 |
$10.92 |
| G0283 |
Elec stim other than wound |
220 |
84 |
$9.88 |
| 86708 |
|
13 |
12 |
$9.60 |
| J7050 |
Normal saline solution infus |
360 |
202 |
$9.50 |
| 88342 |
|
18 |
14 |
$8.95 |
| 88341 |
|
16 |
12 |
$8.95 |
| J1630 |
Haloperidol injection |
68 |
54 |
$7.06 |
| J1580 |
Garamycin gentamicin inj |
318 |
274 |
$4.94 |
| J3475 |
Inj magnesium sulfate |
111 |
87 |
$4.75 |
| G0480 |
Drug test def 1-7 classes |
74 |
68 |
$4.04 |
| J7042 |
5% dextrose/normal saline |
55 |
35 |
$3.38 |
| 36600 |
|
13 |
12 |
$3.14 |
| J2765 |
Metoclopramide hcl injection |
37 |
27 |
$2.47 |
| J7120 |
Ringers lactate infusion |
56 |
49 |
$2.37 |
| G8978 |
Mobility current status |
374 |
341 |
$0.02 |
| G8979 |
Mobility goal status |
491 |
431 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
89 |
65 |
$0.00 |
| J1956 |
Levofloxacin injection |
75 |
26 |
$0.00 |
| 96367 |
|
29 |
27 |
$0.00 |
| A9552 |
F18 fdg |
23 |
16 |
$0.00 |
| G8985 |
Carry goal status |
47 |
43 |
$0.00 |
| G8984 |
Carry current status |
15 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
12 |
12 |
$0.00 |
| 69210 |
|
17 |
12 |
$0.00 |
| 71101 |
|
13 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
64 |
64 |
$0.00 |
| G0008 |
Admin influenza virus vac |
87 |
75 |
$0.00 |
| 96368 |
|
32 |
28 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
14 |
14 |
$0.00 |