| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
16,522 |
14,003 |
$1.99M |
| 36415 |
|
9,122 |
6,015 |
$1.20M |
| 99283 |
|
18,326 |
16,391 |
$1.08M |
| 80048 |
|
9,750 |
7,724 |
$808K |
| 96361 |
|
3,547 |
3,023 |
$640K |
| 81003 |
|
18,551 |
16,460 |
$607K |
| 99282 |
|
6,460 |
5,709 |
$607K |
| 99284 |
|
18,536 |
16,614 |
$508K |
| 87804 |
|
2,391 |
2,202 |
$465K |
| 96372 |
|
5,848 |
4,951 |
$261K |
| 96360 |
|
1,032 |
932 |
$240K |
| 87430 |
|
2,811 |
2,616 |
$236K |
| 99281 |
|
1,594 |
1,243 |
$226K |
| 84702 |
|
1,466 |
1,291 |
$211K |
| 71046 |
|
5,066 |
4,546 |
$206K |
| 87210 |
|
1,970 |
1,816 |
$193K |
| 78452 |
|
608 |
562 |
$174K |
| 87899 |
|
769 |
656 |
$172K |
| 11042 |
|
383 |
312 |
$171K |
| 70450 |
|
3,237 |
2,993 |
$145K |
| 81025 |
|
11,511 |
10,312 |
$140K |
| 73130 |
|
849 |
777 |
$137K |
| 71045 |
|
8,132 |
7,122 |
$129K |
| 87086 |
|
2,840 |
2,586 |
$125K |
| 96365 |
|
1,162 |
1,046 |
$120K |
| 87491 |
|
3,389 |
3,112 |
$113K |
| 73030 |
|
1,068 |
982 |
$111K |
| 73630 |
|
1,167 |
1,064 |
$111K |
| 73610 |
|
736 |
682 |
$108K |
| 93306 |
|
1,326 |
1,240 |
$108K |
| 73560 |
|
1,160 |
1,031 |
$93K |
| 99285 |
|
14,669 |
13,070 |
$71K |
| C9803 |
Hopd covid-19 spec collect |
509 |
477 |
$69K |
| 96374 |
|
8,473 |
7,509 |
$68K |
| 72100 |
|
1,245 |
1,172 |
$64K |
| 72040 |
|
456 |
420 |
$55K |
| 73110 |
|
410 |
381 |
$55K |
| U0002 |
Covid-19 lab test non-cdc |
602 |
574 |
$54K |
| 87077 |
|
787 |
721 |
$45K |
| 93458 |
|
630 |
575 |
$44K |
| 10060 |
|
305 |
279 |
$40K |
| G0463 |
Hospital outpt clinic visit |
1,719 |
1,375 |
$36K |
| G0480 |
Drug test def 1-7 classes |
1,740 |
1,558 |
$33K |
| 85025 |
|
22,294 |
18,311 |
$32K |
| 93017 |
|
744 |
695 |
$31K |
| 76377 |
|
543 |
481 |
$30K |
| 87426 |
|
686 |
630 |
$28K |
| 82962 |
|
343 |
299 |
$23K |
| 74176 |
|
1,604 |
1,451 |
$23K |
| 93970 |
|
209 |
201 |
$20K |
| 97110 |
|
500 |
123 |
$20K |
| 93005 |
|
11,919 |
9,842 |
$20K |
| 72050 |
|
195 |
173 |
$18K |
| 93971 |
|
596 |
559 |
$18K |
| 73070 |
|
109 |
98 |
$18K |
| 73502 |
|
335 |
315 |
$18K |
| 71275 |
|
1,665 |
1,550 |
$17K |
| 74177 |
|
2,870 |
2,686 |
$17K |
| 87637 |
|
374 |
331 |
$16K |
| 90471 |
|
300 |
275 |
$15K |
| 29581 |
|
312 |
97 |
$14K |
| 88305 |
|
431 |
379 |
$13K |
| 12001 |
|
71 |
67 |
$12K |
| 73562 |
|
101 |
88 |
$11K |
| 86900 |
|
1,211 |
1,096 |
$11K |
| 74019 |
|
357 |
324 |
$11K |
| C1769 |
Guide wire |
1,210 |
1,063 |
$9K |
| 96376 |
|
1,075 |
814 |
$8K |
| 88304 |
|
94 |
93 |
$7K |
| 73140 |
|
27 |
26 |
$7K |
| 84703 |
|
960 |
898 |
$7K |
| G0378 |
Hospital observation per hr |
1,730 |
770 |
$7K |
| 72125 |
|
643 |
592 |
$7K |
| 74018 |
|
220 |
201 |
$6K |
| 73090 |
|
34 |
28 |
$6K |
| 87389 |
|
31 |
29 |
$6K |
| 12011 |
|
27 |
25 |
$5K |
| J2270 |
Morphine sulfate injection |
2,558 |
2,277 |
$5K |
| 87502 |
|
64 |
59 |
$5K |
| 70486 |
|
128 |
119 |
$5K |
| 99213 |
|
85 |
80 |
$5K |
| 84484 |
|
7,748 |
6,317 |
$5K |
| 0001A |
|
127 |
112 |
$4K |
| 87651 |
|
55 |
48 |
$4K |
| 85379 |
|
2,664 |
2,431 |
$4K |
| 73590 |
|
67 |
59 |
$4K |
| 85027 |
|
3,646 |
3,003 |
$4K |
| 76705 |
|
162 |
146 |
$4K |
| 91300 |
|
167 |
87 |
$3K |
| 81001 |
|
173 |
147 |
$3K |
| 72072 |
|
79 |
68 |
$3K |
| 83690 |
|
5,680 |
5,051 |
$3K |
| A9270 |
Non-covered item or service |
12,790 |
9,597 |
$3K |
| 93880 |
|
15 |
13 |
$3K |
| 76815 |
|
522 |
467 |
$2K |
| 71250 |
|
68 |
66 |
$2K |
| 84443 |
|
2,688 |
2,411 |
$2K |
| 80061 |
|
1,427 |
1,296 |
$2K |
| 93922 |
|
12 |
12 |
$2K |
| 87420 |
|
179 |
155 |
$2K |
| 94644 |
|
526 |
452 |
$2K |
| 12002 |
|
18 |
15 |
$2K |
| 85610 |
|
2,665 |
2,224 |
$1K |
| 83735 |
|
5,214 |
4,228 |
$1K |
| 85730 |
|
1,539 |
1,312 |
$1K |
| 83880 |
|
2,051 |
1,763 |
$974.51 |
| 87070 |
|
45 |
40 |
$967.64 |
| 96375 |
|
3,852 |
3,303 |
$950.97 |
| 87591 |
|
3,398 |
3,120 |
$873.04 |
| 87081 |
|
2,409 |
2,239 |
$856.12 |
| 76801 |
|
119 |
106 |
$831.28 |
| J2405 |
Ondansetron hcl injection |
5,668 |
5,056 |
$764.55 |
| 83036 |
|
1,218 |
1,110 |
$644.91 |
| 82306 |
|
486 |
459 |
$629.55 |
| 82803 |
|
103 |
76 |
$533.66 |
| 84439 |
|
140 |
134 |
$489.90 |
| 76830 |
|
40 |
37 |
$488.88 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,457 |
1,316 |
$485.67 |
| 87631 |
|
33 |
31 |
$436.06 |
| Q0162 |
Ondansetron oral |
2,059 |
1,890 |
$432.49 |
| 94640 |
|
322 |
180 |
$419.83 |
| 83605 |
|
1,037 |
883 |
$317.98 |
| 80076 |
|
412 |
370 |
$291.11 |
| C1894 |
Intro/sheath, non-laser |
1,192 |
836 |
$223.78 |
| 82550 |
|
787 |
673 |
$221.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,145 |
3,890 |
$141.29 |
| Q0163 |
Diphenhydramine hcl 50mg |
651 |
570 |
$128.32 |
| J1885 |
Ketorolac tromethamine inj |
5,865 |
5,300 |
$124.85 |
| 76817 |
|
734 |
657 |
$120.00 |
| 82272 |
|
34 |
30 |
$116.18 |
| J1100 |
Dexamethasone sodium phos |
1,519 |
1,413 |
$104.31 |
| 0002A |
|
124 |
109 |
$97.13 |
| J7050 |
Normal saline solution infus |
1,848 |
1,603 |
$87.78 |
| J1170 |
Hydromorphone injection |
991 |
833 |
$77.96 |
| U0003 |
Cov-19 amp prb hgh thruput |
199 |
192 |
$75.00 |
| 97162 |
|
16 |
12 |
$72.81 |
| J1644 |
Inj heparin sodium per 1000u |
1,605 |
1,246 |
$48.73 |
| 80074 |
|
32 |
32 |
$44.05 |
| 82043 |
|
14 |
13 |
$28.18 |
| 87040 |
|
644 |
533 |
$23.22 |
| 96366 |
|
112 |
92 |
$21.82 |
| J3010 |
Fentanyl citrate injection |
3,031 |
2,772 |
$21.67 |
| 86901 |
|
1,212 |
1,097 |
$13.68 |
| 82570 |
|
117 |
112 |
$11.33 |
| 87186 |
|
803 |
735 |
$11.24 |
| 82607 |
|
49 |
43 |
$6.60 |
| J0360 |
Hydralazine hcl injection |
327 |
277 |
$4.59 |
| J2765 |
Metoclopramide hcl injection |
1,072 |
953 |
$1.25 |
| J0696 |
Ceftriaxone sodium injection |
2,857 |
2,554 |
$0.23 |
| J2250 |
Inj midazolam hydrochloride |
1,798 |
1,652 |
$0.00 |
| A9500 |
Tc99m sestamibi |
289 |
262 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,615 |
1,484 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,094 |
970 |
$0.00 |
| G0379 |
Direct refer hospital observ |
123 |
115 |
$0.00 |
| J2785 |
Regadenoson injection |
98 |
95 |
$0.00 |
| 85651 |
|
50 |
45 |
$0.00 |
| J1940 |
Furosemide injection |
223 |
159 |
$0.00 |
| J0500 |
Dicyclomine injection |
219 |
199 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
100 |
97 |
$0.00 |
| 88342 |
|
45 |
38 |
$0.00 |
| J2060 |
Lorazepam injection |
632 |
573 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
56 |
49 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
29 |
26 |
$0.00 |
| 82150 |
|
29 |
26 |
$0.00 |
| 86141 |
|
30 |
30 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
143 |
134 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
13 |
$0.00 |
| 87205 |
|
46 |
41 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
114 |
109 |
$0.00 |
| J2001 |
Lidocaine injection |
17 |
14 |
$0.00 |
| 82746 |
|
25 |
24 |
$0.00 |
| 82728 |
|
29 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
216 |
200 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
63 |
52 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,382 |
1,223 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,090 |
979 |
$0.00 |
| 87880 |
|
244 |
219 |
$0.00 |
| 76856 |
|
40 |
37 |
$0.00 |
| J2550 |
Promethazine hcl injection |
710 |
634 |
$0.00 |
| 85045 |
|
22 |
12 |
$0.00 |
| 84100 |
|
201 |
131 |
$0.00 |
| 90715 |
|
86 |
78 |
$0.00 |
| 84156 |
|
13 |
12 |
$0.00 |
| 85347 |
|
62 |
58 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
82 |
68 |
$0.00 |
| J0780 |
Prochlorperazine injection |
59 |
53 |
$0.00 |
| C1760 |
Closure dev, vasc |
44 |
41 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
78 |
67 |
$0.00 |
| 86038 |
|
13 |
13 |
$0.00 |
| 36600 |
|
13 |
12 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
43 |
24 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 83970 |
|
13 |
12 |
$0.00 |