| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
10,683 |
8,465 |
$4.25M |
| 85025 |
|
30,807 |
21,067 |
$3.42M |
| 36415 |
|
25,311 |
17,360 |
$2.95M |
| 99283 |
|
12,553 |
10,243 |
$2.91M |
| 80307 |
|
9,156 |
4,493 |
$2.60M |
| 80048 |
|
16,989 |
11,453 |
$2.41M |
| 99284 |
|
8,499 |
7,367 |
$2.15M |
| 96375 |
|
5,861 |
3,413 |
$1.65M |
| G0480 |
Drug test def 1-7 classes |
5,438 |
3,603 |
$1.48M |
| 96413 |
|
2,850 |
1,204 |
$1.44M |
| 80076 |
|
7,777 |
5,966 |
$1.18M |
| 83735 |
|
6,844 |
3,701 |
$1.14M |
| 80053 |
|
15,642 |
12,078 |
$1.10M |
| J1644 |
Inj heparin sodium per 1000u |
3,085 |
1,319 |
$1.09M |
| 96374 |
|
5,541 |
4,183 |
$1.03M |
| 84100 |
|
6,203 |
3,250 |
$969K |
| 96372 |
|
5,057 |
3,129 |
$943K |
| 81001 |
|
8,984 |
7,297 |
$942K |
| 96365 |
|
4,092 |
1,682 |
$855K |
| 93005 |
|
6,527 |
4,843 |
$823K |
| 43239 |
|
1,706 |
1,398 |
$821K |
| J1100 |
Dexamethasone sodium phos |
2,023 |
1,049 |
$782K |
| 84484 |
|
4,990 |
3,373 |
$745K |
| 83690 |
|
4,325 |
3,453 |
$690K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,407 |
1,922 |
$681K |
| J2405 |
Ondansetron hcl injection |
2,607 |
1,774 |
$666K |
| G0378 |
Hospital observation per hr |
1,635 |
1,082 |
$662K |
| 0241U |
|
3,044 |
2,608 |
$639K |
| 82962 |
|
3,238 |
1,311 |
$628K |
| 85610 |
|
5,546 |
3,302 |
$616K |
| 74177 |
|
2,348 |
1,850 |
$598K |
| G0463 |
Hospital outpt clinic visit |
4,216 |
3,226 |
$580K |
| J1885 |
Ketorolac tromethamine inj |
2,094 |
1,554 |
$462K |
| H0035 |
Mh partial hosp tx under 24h |
122 |
12 |
$432K |
| 71046 |
|
3,804 |
3,067 |
$408K |
| 99282 |
|
2,165 |
1,736 |
$393K |
| J3490 |
Drugs unclassified injection |
5,880 |
4,558 |
$392K |
| 70450 |
|
2,066 |
1,677 |
$379K |
| 71045 |
|
1,840 |
1,531 |
$369K |
| 87081 |
|
1,802 |
1,212 |
$357K |
| 99214 |
|
4,292 |
3,424 |
$356K |
| 95806 |
|
496 |
474 |
$353K |
| 84443 |
|
6,508 |
5,743 |
$340K |
| 87086 |
|
3,826 |
3,057 |
$304K |
| 88305 |
|
2,338 |
1,811 |
$301K |
| 80061 |
|
6,094 |
5,406 |
$288K |
| 83036 |
|
5,511 |
4,881 |
$284K |
| J2250 |
Inj midazolam hydrochloride |
1,240 |
854 |
$281K |
| J3010 |
Fentanyl citrate injection |
1,095 |
744 |
$275K |
| 83605 |
|
1,331 |
894 |
$247K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,279 |
1,045 |
$237K |
| 83880 |
|
1,564 |
1,237 |
$193K |
| C9803 |
Hopd covid-19 spec collect |
1,024 |
856 |
$191K |
| S9131 |
Pt in the home per diem |
1,949 |
353 |
$185K |
| 81025 |
|
1,488 |
1,159 |
$183K |
| 87635 |
|
962 |
829 |
$177K |
| 82607 |
|
3,514 |
3,193 |
$174K |
| 82947 |
|
1,107 |
678 |
$172K |
| 45380 |
|
504 |
440 |
$166K |
| 99213 |
|
2,381 |
1,979 |
$162K |
| T1030 |
Rn home care per diem |
1,270 |
378 |
$157K |
| 85730 |
|
1,387 |
902 |
$155K |
| 82306 |
|
3,448 |
3,051 |
$153K |
| 86141 |
|
2,444 |
1,962 |
$153K |
| J1200 |
Diphenhydramine hcl injectio |
755 |
461 |
$151K |
| 82728 |
|
3,208 |
2,819 |
$145K |
| 36591 |
|
326 |
145 |
$139K |
| 82550 |
|
1,021 |
827 |
$132K |
| 83615 |
|
1,487 |
871 |
$130K |
| 87186 |
|
1,357 |
1,090 |
$128K |
| 86900 |
|
895 |
597 |
$125K |
| 82746 |
|
2,136 |
1,963 |
$123K |
| 86901 |
|
895 |
597 |
$123K |
| 85652 |
|
2,686 |
2,256 |
$118K |
| 86850 |
|
812 |
564 |
$117K |
| J7030 |
Normal saline solution infus |
533 |
383 |
$115K |
| U0005 |
Infec agen detec ampli probe |
557 |
481 |
$111K |
| H0015 |
Alcohol and/or drug services |
542 |
75 |
$108K |
| 85045 |
|
1,201 |
966 |
$98K |
| 84466 |
|
2,116 |
1,928 |
$96K |
| 45385 |
|
149 |
148 |
$93K |
| 99281 |
|
571 |
490 |
$89K |
| 84439 |
|
2,595 |
2,349 |
$87K |
| 83540 |
|
3,109 |
2,769 |
$86K |
| 93306 |
|
169 |
139 |
$85K |
| J2270 |
Morphine sulfate injection |
519 |
286 |
$85K |
| J2060 |
Lorazepam injection |
499 |
313 |
$82K |
| 71260 |
|
351 |
298 |
$82K |
| 96367 |
|
278 |
114 |
$80K |
| 96415 |
|
240 |
84 |
$80K |
| 85027 |
|
3,219 |
2,673 |
$78K |
| 94640 |
|
639 |
342 |
$75K |
| 87491 |
|
813 |
678 |
$73K |
| 87591 |
|
813 |
678 |
$73K |
| J2001 |
Lidocaine injection |
586 |
393 |
$73K |
| 93010 |
|
7,993 |
6,278 |
$70K |
| 87502 |
|
524 |
413 |
$68K |
| 87077 |
|
626 |
473 |
$66K |
| 84703 |
|
400 |
371 |
$65K |
| 85379 |
|
420 |
318 |
$60K |
| 99212 |
|
1,218 |
1,005 |
$57K |
| 72125 |
|
300 |
261 |
$56K |
| 83721 |
|
147 |
102 |
$52K |
| 83013 |
|
436 |
430 |
$51K |
| 76705 |
|
368 |
354 |
$49K |
| 97162 |
|
103 |
93 |
$48K |
| U0002 |
Covid-19 lab test non-cdc |
229 |
172 |
$47K |
| J1756 |
Iron sucrose injection |
855 |
362 |
$44K |
| 74176 |
|
247 |
185 |
$42K |
| 74246 |
|
413 |
405 |
$42K |
| 71250 |
|
216 |
198 |
$41K |
| 87389 |
|
626 |
589 |
$40K |
| 96361 |
|
231 |
149 |
$38K |
| 80305 |
|
1,414 |
948 |
$34K |
| 94726 |
|
534 |
465 |
$34K |
| 94729 |
|
580 |
511 |
$34K |
| 86803 |
|
1,185 |
1,076 |
$33K |
| 45378 |
|
52 |
52 |
$32K |
| 99203 |
|
321 |
317 |
$31K |
| 84207 |
|
608 |
568 |
$27K |
| S9097 |
Home visit wound care |
260 |
38 |
$25K |
| 73030 |
|
150 |
132 |
$24K |
| 82150 |
|
200 |
184 |
$24K |
| 82565 |
|
1,269 |
1,042 |
$23K |
| 84252 |
|
572 |
534 |
$21K |
| 97166 |
|
46 |
39 |
$20K |
| S5000 |
Prescription drug, generic |
430 |
273 |
$19K |
| Q9950 |
Inj sulf hexa lipid microsph |
92 |
84 |
$17K |
| 99232 |
|
310 |
98 |
$17K |
| 82803 |
|
93 |
73 |
$17K |
| 84425 |
|
792 |
746 |
$16K |
| 80353 |
|
274 |
128 |
$16K |
| 73630 |
|
245 |
188 |
$16K |
| 94060 |
|
180 |
170 |
$15K |
| 82043 |
|
1,198 |
1,114 |
$14K |
| 87880 |
|
92 |
72 |
$13K |
| J0690 |
Cefazolin sodium injection |
99 |
55 |
$13K |
| 96366 |
|
73 |
26 |
$12K |
| J3475 |
Inj magnesium sulfate |
17 |
12 |
$12K |
| 84480 |
|
209 |
156 |
$11K |
| 71271 |
|
29 |
29 |
$11K |
| J1650 |
Inj enoxaparin sodium |
31 |
12 |
$11K |
| 77067 |
|
116 |
93 |
$11K |
| 88313 |
|
134 |
100 |
$10K |
| 88342 |
|
209 |
104 |
$10K |
| 86480 |
|
145 |
142 |
$10K |
| 82652 |
|
148 |
146 |
$10K |
| 84590 |
|
428 |
390 |
$9K |
| 86592 |
|
175 |
152 |
$9K |
| 84520 |
|
335 |
249 |
$9K |
| 84460 |
|
986 |
754 |
$7K |
| J2916 |
Na ferric gluconate complex |
179 |
70 |
$7K |
| 84450 |
|
962 |
735 |
$7K |
| 87040 |
|
46 |
40 |
$7K |
| 88304 |
|
79 |
60 |
$7K |
| A9579 |
Gad-base mr contrast nos,1ml |
60 |
28 |
$7K |
| 72100 |
|
118 |
82 |
$6K |
| 86706 |
|
270 |
221 |
$6K |
| 90471 |
|
36 |
27 |
$6K |
| 86038 |
|
157 |
150 |
$6K |
| 73560 |
|
34 |
29 |
$6K |
| 84550 |
|
459 |
377 |
$6K |
| S9129 |
Occupational therapy, in the |
59 |
15 |
$6K |
| 90715 |
|
13 |
12 |
$5K |
| 20610 |
|
27 |
26 |
$5K |
| 71275 |
|
33 |
27 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
26 |
26 |
$5K |
| J2930 |
Methylprednisolone injection |
104 |
68 |
$5K |
| 80050 |
|
21 |
13 |
$4K |
| 70553 |
|
15 |
12 |
$4K |
| 87340 |
|
213 |
184 |
$4K |
| 96523 |
|
81 |
55 |
$4K |
| 99215 |
Prolong outpt/office vis |
30 |
26 |
$4K |
| 80358 |
|
99 |
81 |
$4K |
| 99204 |
|
29 |
28 |
$4K |
| 83516 |
|
116 |
86 |
$4K |
| 86762 |
|
25 |
25 |
$4K |
| 86735 |
|
25 |
25 |
$4K |
| 73562 |
|
54 |
38 |
$3K |
| 87070 |
|
120 |
81 |
$3K |
| 83970 |
|
53 |
51 |
$3K |
| 86431 |
|
79 |
74 |
$3K |
| 73110 |
|
51 |
26 |
$2K |
| 86780 |
|
81 |
72 |
$2K |
| 73502 |
|
25 |
24 |
$2K |
| 77063 |
|
36 |
36 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
39 |
28 |
$2K |
| 74019 |
|
15 |
13 |
$2K |
| A4649 |
Surgical supplies |
76 |
65 |
$2K |
| 99239 |
|
26 |
13 |
$2K |
| 82040 |
|
259 |
173 |
$1K |
| 80051 |
|
89 |
72 |
$1K |
| A0425 |
Ground mileage |
13 |
13 |
$1K |
| A0428 |
Bls |
13 |
13 |
$1K |
| 96376 |
|
22 |
12 |
$879.08 |
| 82140 |
|
20 |
12 |
$878.50 |
| 86704 |
|
30 |
13 |
$811.47 |
| A9150 |
Misc/exper non-prescript dru |
36 |
29 |
$792.41 |
| 86787 |
|
26 |
25 |
$718.79 |
| 86765 |
|
24 |
24 |
$674.88 |
| J0696 |
Ceftriaxone sodium injection |
21 |
14 |
$624.65 |
| 84165 |
|
25 |
25 |
$580.00 |
| 82105 |
|
16 |
16 |
$557.35 |
| 84154 |
|
16 |
12 |
$496.54 |
| 83921 |
|
12 |
12 |
$483.35 |
| 82784 |
|
13 |
13 |
$465.05 |
| 94010 |
|
12 |
12 |
$410.86 |
| 82785 |
|
14 |
14 |
$391.25 |
| 87205 |
|
20 |
13 |
$294.89 |
| 84481 |
|
14 |
14 |
$232.10 |
| 82570 |
|
25 |
24 |
$206.95 |
| 85018 |
|
23 |
14 |
$177.49 |
| 85014 |
|
22 |
13 |
$173.92 |
| J1170 |
Hydromorphone injection |
32 |
19 |
$99.59 |
| 83655 |
|
12 |
12 |
$95.70 |