| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
15,507 |
13,861 |
$6.90M |
| 99283 |
|
17,156 |
15,889 |
$5.68M |
| 99285 |
|
6,251 |
5,551 |
$3.57M |
| 74177 |
|
2,632 |
2,461 |
$2.06M |
| G0378 |
Hospital observation per hr |
1,724 |
1,480 |
$949K |
| 99282 |
|
3,187 |
3,059 |
$778K |
| 74176 |
|
775 |
713 |
$527K |
| 41899 |
|
580 |
563 |
$475K |
| 99291 |
|
348 |
314 |
$257K |
| 99281 |
|
964 |
923 |
$166K |
| 70450 |
|
3,441 |
3,127 |
$125K |
| 93306 |
|
653 |
621 |
$113K |
| 0241U |
|
4,046 |
3,756 |
$108K |
| 87502 |
|
484 |
464 |
$101K |
| 59025 |
|
1,533 |
1,057 |
$74K |
| 96365 |
|
3,960 |
3,302 |
$64K |
| 96360 |
|
1,865 |
1,649 |
$53K |
| 71275 |
|
165 |
152 |
$50K |
| 78452 |
|
25 |
25 |
$29K |
| 96366 |
|
353 |
284 |
$23K |
| 99214 |
|
1,144 |
972 |
$20K |
| 96361 |
|
4,735 |
4,215 |
$19K |
| 59020 |
|
163 |
115 |
$15K |
| 88305 |
|
198 |
171 |
$10K |
| 96375 |
|
5,916 |
5,011 |
$10K |
| 76817 |
|
259 |
205 |
$9K |
| J3490 |
Drugs unclassified injection |
87 |
69 |
$7K |
| 71046 |
|
1,774 |
1,712 |
$6K |
| 96160 |
|
4,569 |
3,992 |
$6K |
| 76815 |
|
56 |
43 |
$5K |
| 76705 |
|
545 |
525 |
$5K |
| 96374 |
|
6,836 |
6,078 |
$5K |
| 96413 |
|
73 |
49 |
$5K |
| 72125 |
|
942 |
877 |
$5K |
| 94640 |
|
2,085 |
1,194 |
$4K |
| 71260 |
|
77 |
73 |
$3K |
| 80053 |
|
16,264 |
13,077 |
$3K |
| 93005 |
|
5,725 |
5,032 |
$3K |
| 85025 |
|
20,510 |
16,416 |
$2K |
| 96372 |
|
3,640 |
3,238 |
$2K |
| 71045 |
|
7,512 |
6,709 |
$2K |
| G0463 |
Hospital outpt clinic visit |
192 |
142 |
$2K |
| 87635 |
|
1,764 |
1,557 |
$2K |
| 76805 |
|
14 |
12 |
$1K |
| 99205 |
Prolong outpt/office vis |
16 |
14 |
$1K |
| 83880 |
|
1,470 |
1,299 |
$1K |
| 76830 |
|
58 |
53 |
$1K |
| 84484 |
|
5,138 |
3,884 |
$1K |
| 73630 |
|
587 |
554 |
$922.99 |
| G0480 |
Drug test def 1-7 classes |
461 |
417 |
$839.64 |
| 76856 |
|
126 |
118 |
$722.00 |
| 87186 |
|
1,611 |
1,469 |
$697.19 |
| 84703 |
|
4,968 |
4,483 |
$642.25 |
| 80048 |
|
5,179 |
4,290 |
$582.47 |
| 80307 |
|
2,553 |
1,990 |
$573.47 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,068 |
3,780 |
$535.38 |
| 87491 |
|
186 |
182 |
$522.99 |
| 81001 |
|
11,739 |
10,384 |
$500.91 |
| J7030 |
Normal saline solution infus |
7,139 |
5,855 |
$500.25 |
| 87086 |
|
3,666 |
3,345 |
$491.05 |
| 83690 |
|
4,612 |
4,111 |
$361.03 |
| 87591 |
|
173 |
170 |
$340.76 |
| 87040 |
|
2,562 |
1,857 |
$337.78 |
| 90715 |
|
632 |
611 |
$319.50 |
| 83605 |
|
2,311 |
1,936 |
$263.66 |
| 73130 |
|
214 |
205 |
$258.03 |
| 96161 |
|
1,142 |
1,082 |
$235.62 |
| 73610 |
|
138 |
135 |
$231.57 |
| 73030 |
|
92 |
89 |
$226.24 |
| 83735 |
|
3,077 |
2,265 |
$220.48 |
| 86900 |
|
1,681 |
1,516 |
$205.23 |
| 85379 |
|
705 |
664 |
$196.68 |
| J1885 |
Ketorolac tromethamine inj |
6,217 |
5,504 |
$167.23 |
| 96376 |
|
1,024 |
938 |
$165.64 |
| 94761 |
|
573 |
520 |
$163.94 |
| 87077 |
|
1,605 |
1,440 |
$159.31 |
| 87804 |
|
1,175 |
1,090 |
$158.69 |
| 73110 |
|
64 |
64 |
$151.07 |
| 73562 |
|
172 |
157 |
$147.68 |
| 86901 |
|
1,679 |
1,515 |
$146.42 |
| J2270 |
Morphine sulfate injection |
3,427 |
2,777 |
$143.54 |
| 87651 |
|
357 |
339 |
$116.90 |
| 84702 |
|
512 |
451 |
$113.01 |
| J2405 |
Ondansetron hcl injection |
6,851 |
5,822 |
$109.71 |
| 76801 |
|
27 |
26 |
$101.55 |
| 80305 |
|
1,544 |
1,393 |
$89.37 |
| 93971 |
|
12 |
12 |
$89.23 |
| 96367 |
|
340 |
283 |
$87.62 |
| 85730 |
|
2,068 |
1,843 |
$82.76 |
| 85610 |
|
3,006 |
2,549 |
$72.88 |
| J1100 |
Dexamethasone sodium phos |
3,895 |
3,314 |
$62.58 |
| 87880 |
|
612 |
605 |
$56.85 |
| J0696 |
Ceftriaxone sodium injection |
2,756 |
2,113 |
$55.81 |
| 87634 |
|
15 |
13 |
$55.46 |
| 82962 |
|
3,336 |
1,628 |
$52.09 |
| J1200 |
Diphenhydramine hcl injectio |
904 |
735 |
$45.63 |
| J1170 |
Hydromorphone injection |
1,165 |
959 |
$45.16 |
| 86850 |
|
1,157 |
1,047 |
$42.17 |
| 80076 |
|
222 |
209 |
$41.46 |
| 93041 |
|
1,618 |
1,477 |
$35.64 |
| A9270 |
Non-covered item or service |
3,388 |
1,945 |
$33.57 |
| 87081 |
|
497 |
488 |
$30.43 |
| J3010 |
Fentanyl citrate injection |
3,363 |
2,996 |
$26.07 |
| J2765 |
Metoclopramide hcl injection |
864 |
717 |
$25.83 |
| 90471 |
|
245 |
226 |
$21.50 |
| 73080 |
|
16 |
16 |
$20.64 |
| 74018 |
|
83 |
82 |
$19.68 |
| 85027 |
|
667 |
441 |
$19.34 |
| 85651 |
|
333 |
328 |
$17.05 |
| J2274 |
Inj morphine pf epid ithc |
29 |
27 |
$16.86 |
| 87070 |
|
188 |
174 |
$16.17 |
| J2060 |
Lorazepam injection |
774 |
675 |
$14.59 |
| 87088 |
|
185 |
168 |
$14.17 |
| J0690 |
Cefazolin sodium injection |
1,158 |
938 |
$12.46 |
| 36415 |
|
2,456 |
2,288 |
$11.57 |
| 86140 |
|
500 |
454 |
$11.12 |
| 82550 |
|
15 |
14 |
$9.61 |
| J0136 |
Inj, acetaminophen (b braun) |
371 |
337 |
$9.46 |
| J7120 |
Ringers lactate infusion |
2,083 |
1,742 |
$8.90 |
| 81025 |
|
201 |
190 |
$7.83 |
| J2001 |
Lidocaine injection |
1,626 |
1,320 |
$7.42 |
| J2930 |
Methylprednisolone injection |
27 |
26 |
$6.36 |
| J7050 |
Normal saline solution infus |
754 |
462 |
$5.14 |
| J2250 |
Inj midazolam hydrochloride |
1,615 |
1,436 |
$4.77 |
| 81003 |
|
274 |
250 |
$3.92 |
| J7512 |
Prednisone ir or dr oral 1mg |
137 |
111 |
$0.34 |
| J8540 |
Oral dexamethasone |
385 |
242 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
94 |
79 |
$0.00 |
| 0240U |
|
31 |
29 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
71 |
69 |
$0.00 |
| 99213 |
|
16 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
625 |
583 |
$0.00 |
| 70486 |
|
13 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
37 |
37 |
$0.00 |
| 80329 |
|
64 |
59 |
$0.00 |
| 80320 |
|
35 |
30 |
$0.00 |
| 85652 |
|
31 |
29 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| 96368 |
|
16 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
194 |
147 |
$0.00 |
| 73140 |
|
12 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
160 |
140 |
$0.00 |
| 10060 |
|
39 |
38 |
$0.00 |
| J0780 |
Prochlorperazine injection |
32 |
24 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
29 |
26 |
$0.00 |
| 72100 |
|
24 |
24 |
$0.00 |
| 84100 |
|
50 |
37 |
$0.00 |
| 82805 |
|
58 |
52 |
$0.00 |
| 80143 |
|
18 |
13 |
$0.00 |
| 80179 |
|
18 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$0.00 |
| A4565 |
Slings |
14 |
14 |
$0.00 |
| 84145 |
|
54 |
49 |
$0.00 |
| 93017 |
|
12 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
15 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
13 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
23 |
13 |
$0.00 |
| 73590 |
|
15 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
12 |
$0.00 |