| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
24,633 |
22,314 |
$7.04M |
| 99283 |
|
20,954 |
18,933 |
$4.14M |
| 96374 |
|
5,581 |
5,059 |
$830K |
| 99285 |
|
2,096 |
1,903 |
$738K |
| 99282 |
|
3,871 |
3,590 |
$486K |
| 87635 |
|
4,617 |
4,131 |
$198K |
| 99233 |
Prolong inpt eval add15 m |
3,408 |
825 |
$142K |
| 71045 |
|
1,456 |
1,300 |
$89K |
| G0463 |
Hospital outpt clinic visit |
2,859 |
1,973 |
$71K |
| 99232 |
|
1,920 |
567 |
$67K |
| 87624 |
|
1,917 |
1,830 |
$64K |
| 88142 |
|
2,855 |
2,730 |
$63K |
| 99223 |
Prolong inpt eval add15 m |
528 |
495 |
$55K |
| G0410 |
Grp psych php/iop 45-50 |
232 |
24 |
$52K |
| 96375 |
|
956 |
850 |
$47K |
| 87591 |
|
1,344 |
1,233 |
$42K |
| 87491 |
|
1,343 |
1,232 |
$42K |
| J7030 |
Normal saline solution infus |
2,183 |
1,964 |
$39K |
| 74177 |
|
126 |
120 |
$38K |
| 80053 |
|
36,098 |
32,059 |
$36K |
| 0202U |
|
94 |
91 |
$33K |
| 36415 |
|
39,200 |
34,400 |
$24K |
| 93306 |
|
818 |
628 |
$22K |
| 84443 |
|
1,898 |
1,737 |
$21K |
| 99291 |
|
151 |
64 |
$18K |
| 93010 |
|
10,784 |
7,424 |
$15K |
| J7120 |
Ringers lactate infusion |
712 |
613 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
619 |
558 |
$14K |
| 87651 |
|
413 |
364 |
$13K |
| 99238 |
|
223 |
94 |
$11K |
| 85025 |
|
32,579 |
28,831 |
$11K |
| 99213 |
|
211 |
175 |
$10K |
| 80061 |
|
983 |
899 |
$10K |
| 93296 |
|
1,188 |
879 |
$9K |
| 99214 |
|
342 |
277 |
$8K |
| 77336 |
|
99 |
36 |
$8K |
| 80307 |
|
138 |
122 |
$7K |
| 83036 |
|
788 |
708 |
$5K |
| 87636 |
|
35 |
33 |
$4K |
| 82306 |
|
183 |
171 |
$4K |
| 70450 |
|
34 |
26 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
137 |
103 |
$3K |
| 81514 |
|
13 |
13 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
74 |
71 |
$3K |
| 82274 |
|
165 |
157 |
$2K |
| 87389 |
|
115 |
98 |
$2K |
| 99222 |
|
24 |
24 |
$2K |
| 71046 |
|
31 |
28 |
$2K |
| 87086 |
|
474 |
427 |
$2K |
| 99220 |
|
14 |
14 |
$2K |
| 72110 |
|
27 |
24 |
$2K |
| 85027 |
|
544 |
486 |
$2K |
| 0241U |
|
14 |
13 |
$2K |
| 86780 |
|
147 |
139 |
$2K |
| 93005 |
|
7,616 |
6,636 |
$1K |
| 86850 |
|
68 |
65 |
$1K |
| 86803 |
|
73 |
72 |
$876.18 |
| 99239 |
|
13 |
12 |
$871.55 |
| 88305 |
|
61 |
54 |
$765.05 |
| A9270 |
Non-covered item or service |
3,852 |
2,863 |
$708.06 |
| 99281 |
|
14 |
13 |
$698.54 |
| 96361 |
|
14 |
12 |
$688.61 |
| 93294 |
|
141 |
100 |
$546.53 |
| 94726 |
|
28 |
27 |
$542.17 |
| 87081 |
|
91 |
89 |
$462.11 |
| 82728 |
|
100 |
93 |
$439.23 |
| 86140 |
|
145 |
133 |
$419.01 |
| 99231 |
|
30 |
12 |
$384.14 |
| 93248 |
|
91 |
70 |
$320.78 |
| 84481 |
|
14 |
13 |
$203.28 |
| 0298T |
|
85 |
72 |
$190.07 |
| 94729 |
|
33 |
31 |
$180.51 |
| 86704 |
|
17 |
17 |
$168.70 |
| 81001 |
|
13,413 |
12,072 |
$167.55 |
| 86709 |
|
17 |
17 |
$166.99 |
| 84439 |
|
28 |
26 |
$153.34 |
| 86706 |
|
17 |
17 |
$150.36 |
| 87340 |
|
17 |
17 |
$144.62 |
| G0480 |
Drug test def 1-7 classes |
426 |
351 |
$89.26 |
| 94060 |
|
13 |
12 |
$84.54 |
| 87502 |
|
531 |
493 |
$76.64 |
| 73030 |
|
14 |
12 |
$74.56 |
| 82247 |
|
15 |
12 |
$58.73 |
| G0411 |
Interactive grp psyc php/iop |
71 |
12 |
$57.45 |
| 84703 |
|
949 |
871 |
$21.00 |
| 85652 |
|
16 |
14 |
$20.10 |
| 73140 |
|
19 |
13 |
$19.17 |
| 83690 |
|
4,078 |
3,700 |
$17.89 |
| 84484 |
|
1,299 |
1,058 |
$14.08 |
| 99024 |
|
63 |
51 |
$0.00 |
| 96372 |
|
98 |
93 |
$0.00 |
| 87077 |
|
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
18 |
$0.00 |
| 80306 |
|
453 |
408 |
$0.00 |
| 81003 |
|
16 |
12 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
242 |
24 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
25 |
12 |
$0.00 |
| 97803 |
|
72 |
62 |
$0.00 |
| 81025 |
|
55 |
50 |
$0.00 |
| 87186 |
|
13 |
13 |
$0.00 |
| 76000 |
|
19 |
14 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
12 |
$0.00 |