| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,651 |
4,430 |
$1.51M |
| 99284 |
|
2,924 |
2,698 |
$1.09M |
| 99282 |
|
1,651 |
1,585 |
$337K |
| G0378 |
Hospital observation per hr |
313 |
265 |
$263K |
| 97110 |
|
2,454 |
592 |
$185K |
| 99285 |
|
702 |
676 |
$175K |
| 96413 |
|
66 |
43 |
$88K |
| 96375 |
|
729 |
594 |
$73K |
| 97140 |
|
956 |
309 |
$54K |
| 93306 |
|
73 |
73 |
$52K |
| 97112 |
|
851 |
313 |
$50K |
| 11042 |
|
67 |
28 |
$39K |
| 93005 |
|
1,733 |
1,598 |
$37K |
| 96372 |
|
427 |
328 |
$37K |
| 85025 |
|
4,020 |
3,302 |
$34K |
| 74177 |
|
362 |
356 |
$32K |
| 80053 |
|
3,105 |
2,685 |
$30K |
| 70450 |
|
559 |
544 |
$29K |
| 97150 |
|
583 |
205 |
$27K |
| 99281 |
|
164 |
159 |
$24K |
| 77067 |
|
161 |
161 |
$17K |
| 71046 |
|
1,090 |
1,067 |
$17K |
| 96374 |
|
1,059 |
974 |
$17K |
| 96365 |
|
157 |
140 |
$15K |
| 36415 |
|
2,669 |
2,475 |
$15K |
| OP279 |
|
633 |
582 |
$15K |
| 84484 |
|
1,140 |
956 |
$14K |
| 97010 |
|
1,480 |
412 |
$14K |
| 94640 |
|
735 |
601 |
$13K |
| 97162 |
|
163 |
163 |
$13K |
| 96361 |
|
626 |
580 |
$13K |
| 43239 |
|
14 |
14 |
$13K |
| 74176 |
|
276 |
268 |
$13K |
| 81003 |
|
2,073 |
1,926 |
$11K |
| 71045 |
|
594 |
573 |
$11K |
| 78815 |
|
12 |
12 |
$11K |
| 80307 |
|
587 |
530 |
$11K |
| 97161 |
|
112 |
111 |
$10K |
| OP379 |
|
144 |
142 |
$10K |
| 80048 |
|
1,190 |
1,063 |
$9K |
| 97530 |
|
105 |
63 |
$9K |
| 97164 |
|
127 |
126 |
$8K |
| 85610 |
|
1,023 |
970 |
$8K |
| 70553 |
|
12 |
12 |
$8K |
| 84443 |
|
317 |
305 |
$8K |
| G0480 |
Drug test def 1-7 classes |
506 |
440 |
$8K |
| OP710 |
|
133 |
129 |
$7K |
| OP272 |
|
507 |
450 |
$7K |
| 76830 |
|
148 |
146 |
$7K |
| 36430 |
|
13 |
12 |
$7K |
| 93971 |
|
132 |
131 |
$7K |
| 76705 |
|
263 |
262 |
$7K |
| 71250 |
|
44 |
44 |
$7K |
| 93970 |
|
51 |
49 |
$7K |
| 76700 |
|
100 |
100 |
$7K |
| 76642 |
|
100 |
96 |
$6K |
| 96360 |
|
123 |
121 |
$6K |
| OP259 |
|
3,265 |
2,556 |
$6K |
| 71275 |
|
93 |
93 |
$6K |
| 76856 |
|
97 |
96 |
$5K |
| 82306 |
|
84 |
84 |
$5K |
| 93975 |
|
80 |
78 |
$5K |
| 80061 |
|
250 |
247 |
$5K |
| 85730 |
|
658 |
635 |
$5K |
| 87040 |
|
251 |
245 |
$4K |
| 71260 |
|
24 |
24 |
$4K |
| 72110 |
|
128 |
127 |
$4K |
| 96376 |
|
191 |
152 |
$4K |
| 76536 |
|
57 |
57 |
$4K |
| 72125 |
|
71 |
68 |
$4K |
| 87088 |
|
462 |
452 |
$3K |
| 85027 |
|
188 |
179 |
$3K |
| J2405 |
Ondansetron hcl injection |
805 |
662 |
$3K |
| 87804 |
|
986 |
962 |
$3K |
| 83880 |
|
162 |
158 |
$3K |
| J2060 |
Lorazepam injection |
190 |
154 |
$3K |
| 80076 |
|
413 |
389 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
132 |
117 |
$3K |
| 83036 |
|
137 |
137 |
$3K |
| 83690 |
|
843 |
778 |
$2K |
| 70551 |
|
12 |
12 |
$2K |
| 74018 |
|
139 |
136 |
$2K |
| G0463 |
Hospital outpt clinic visit |
55 |
41 |
$2K |
| 88305 |
|
120 |
117 |
$2K |
| 73610 |
|
196 |
194 |
$2K |
| 76775 |
|
42 |
42 |
$2K |
| 96366 |
|
16 |
12 |
$2K |
| 73130 |
|
157 |
149 |
$2K |
| 73562 |
|
132 |
127 |
$2K |
| 72050 |
|
88 |
88 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
296 |
273 |
$2K |
| 87070 |
|
810 |
802 |
$2K |
| 82607 |
|
69 |
69 |
$2K |
| 73630 |
|
215 |
211 |
$2K |
| 73110 |
|
128 |
125 |
$2K |
| 84439 |
|
115 |
110 |
$2K |
| 87186 |
|
116 |
113 |
$2K |
| 73030 |
|
166 |
160 |
$2K |
| 83735 |
|
303 |
241 |
$2K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
240 |
236 |
$1K |
| 76801 |
|
13 |
12 |
$1K |
| J2270 |
Morphine sulfate injection |
372 |
296 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
15 |
$1K |
| 36591 |
|
47 |
27 |
$1K |
| J1170 |
Hydromorphone injection |
180 |
132 |
$1K |
| 84703 |
|
215 |
206 |
$1K |
| 77063 |
|
33 |
33 |
$1K |
| 81025 |
|
420 |
405 |
$1K |
| J1100 |
Dexamethasone sodium phos |
194 |
164 |
$1K |
| 86885 |
|
211 |
201 |
$1K |
| 87205 |
|
87 |
86 |
$1K |
| 85378 |
|
219 |
216 |
$1K |
| 83605 |
|
43 |
41 |
$1K |
| 83789 |
|
100 |
97 |
$1K |
| A9552 |
F18 fdg |
12 |
12 |
$1K |
| 84702 |
|
187 |
164 |
$1K |
| 86900 |
|
261 |
248 |
$994.61 |
| 86901 |
|
263 |
250 |
$914.27 |
| 73140 |
|
107 |
105 |
$808.59 |
| 82248 |
|
131 |
124 |
$805.99 |
| J1885 |
Ketorolac tromethamine inj |
815 |
752 |
$734.59 |
| 97116 |
|
54 |
43 |
$725.85 |
| 85651 |
|
87 |
85 |
$696.12 |
| 90715 |
|
93 |
91 |
$688.95 |
| 86140 |
|
66 |
64 |
$660.96 |
| 76817 |
|
12 |
12 |
$656.82 |
| 73564 |
|
44 |
44 |
$633.76 |
| 82746 |
|
13 |
13 |
$633.47 |
| 87491 |
|
76 |
76 |
$621.97 |
| 87591 |
|
76 |
76 |
$619.36 |
| J2250 |
Inj midazolam hydrochloride |
95 |
93 |
$600.89 |
| 73502 |
|
46 |
44 |
$574.10 |
| 87880 |
|
366 |
363 |
$495.06 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$492.08 |
| 74022 |
|
29 |
29 |
$421.35 |
| 87999 |
|
228 |
226 |
$374.20 |
| G8979 |
Mobility goal status |
30 |
28 |
$338.24 |
| G8978 |
Mobility current status |
29 |
28 |
$338.24 |
| J1644 |
Inj heparin sodium per 1000u |
20 |
13 |
$304.00 |
| 82728 |
|
25 |
25 |
$297.10 |
| 86923 |
|
18 |
16 |
$275.28 |
| 72100 |
|
12 |
12 |
$273.48 |
| 97535 |
|
16 |
13 |
$258.47 |
| 87147 |
|
122 |
122 |
$253.50 |
| 86617 |
|
18 |
18 |
$209.42 |
| 82150 |
|
139 |
134 |
$204.74 |
| 73080 |
|
31 |
31 |
$184.19 |
| 86308 |
|
92 |
92 |
$174.10 |
| J2765 |
Metoclopramide hcl injection |
89 |
83 |
$157.87 |
| 82550 |
|
40 |
38 |
$125.59 |
| J7030 |
Normal saline solution infus |
91 |
54 |
$109.55 |
| 74019 |
|
12 |
12 |
$83.25 |
| J3010 |
Fentanyl citrate injection |
103 |
101 |
$83.10 |
| 83550 |
|
14 |
14 |
$71.31 |
| J2704 |
Inj, propofol, 10 mg |
107 |
106 |
$61.64 |
| 90471 |
|
13 |
13 |
$23.00 |
| J7510 |
Prednisolone oral per 5 mg |
95 |
94 |
$15.00 |
| 84100 |
|
14 |
13 |
$14.60 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$9.93 |
| 88313 |
|
12 |
12 |
$0.00 |
| 73590 |
|
13 |
12 |
$0.00 |
| 88342 |
|
15 |
15 |
$0.00 |