| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
8,986 |
6,981 |
$1.22M |
| 99284 |
|
19,826 |
16,183 |
$1.01M |
| 99283 |
|
16,240 |
13,862 |
$801K |
| 74177 |
|
4,194 |
3,332 |
$781K |
| 70450 |
|
5,165 |
4,336 |
$468K |
| 71275 |
|
1,369 |
1,084 |
$232K |
| 74176 |
|
1,313 |
1,126 |
$175K |
| G0378 |
Hospital observation per hr |
5,455 |
3,690 |
$107K |
| 93975 |
|
356 |
273 |
$105K |
| 11042 |
|
2,049 |
735 |
$67K |
| 99282 |
|
2,016 |
1,767 |
$50K |
| 72125 |
|
1,641 |
1,420 |
$25K |
| 76700 |
|
352 |
285 |
$23K |
| 78452 |
|
56 |
39 |
$18K |
| 96375 |
|
7,526 |
5,172 |
$13K |
| 93970 |
|
154 |
138 |
$10K |
| 87040 |
|
7,567 |
3,848 |
$9K |
| 78492 |
|
33 |
30 |
$8K |
| 93005 |
|
23,259 |
17,863 |
$8K |
| 93306 |
|
340 |
278 |
$7K |
| 96374 |
|
11,562 |
9,213 |
$7K |
| 71045 |
|
14,932 |
12,018 |
$6K |
| 99281 |
|
459 |
409 |
$5K |
| 80307 |
|
6,612 |
5,260 |
$3K |
| 96361 |
|
6,546 |
4,846 |
$3K |
| 93976 |
|
559 |
452 |
$3K |
| 71046 |
|
3,474 |
3,060 |
$3K |
| 85027 |
|
35,767 |
24,957 |
$3K |
| 96365 |
|
2,733 |
2,000 |
$2K |
| 76856 |
|
489 |
405 |
$1K |
| 96372 |
|
6,529 |
3,923 |
$1K |
| 97163 |
|
1,140 |
827 |
$1K |
| 96360 |
|
2,179 |
1,795 |
$1K |
| 93971 |
|
562 |
492 |
$1K |
| 80076 |
|
9,624 |
7,689 |
$1K |
| 76815 |
|
214 |
189 |
$967.40 |
| 84484 |
|
18,928 |
12,090 |
$928.69 |
| 84443 |
|
2,154 |
1,669 |
$886.47 |
| 80048 |
|
9,964 |
7,505 |
$819.68 |
| 96366 |
|
649 |
374 |
$747.41 |
| 97110 |
|
139 |
24 |
$746.74 |
| 84703 |
|
7,365 |
6,025 |
$697.32 |
| 83880 |
|
5,837 |
4,854 |
$668.88 |
| 87088 |
|
3,326 |
2,814 |
$652.45 |
| 81001 |
|
12,735 |
10,329 |
$644.33 |
| 80047 |
|
8,721 |
6,909 |
$640.47 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,329 |
3,431 |
$633.18 |
| J0696 |
Ceftriaxone sodium injection |
2,460 |
1,833 |
$617.80 |
| J7030 |
Normal saline solution infus |
10,114 |
7,706 |
$567.34 |
| 87070 |
|
669 |
540 |
$562.20 |
| 87591 |
|
605 |
506 |
$526.68 |
| 87491 |
|
606 |
507 |
$502.74 |
| 94640 |
|
2,389 |
1,946 |
$492.84 |
| 80053 |
|
17,805 |
13,605 |
$457.43 |
| 84702 |
|
1,462 |
1,136 |
$401.22 |
| 76830 |
|
351 |
293 |
$391.60 |
| 83690 |
|
9,544 |
7,508 |
$388.93 |
| 82550 |
|
7,631 |
5,762 |
$358.34 |
| 97530 |
|
62 |
12 |
$345.99 |
| 73564 |
|
360 |
319 |
$333.20 |
| 83605 |
|
3,365 |
2,343 |
$317.20 |
| 80069 |
|
179 |
103 |
$301.60 |
| 96376 |
|
2,218 |
1,083 |
$281.92 |
| 85610 |
|
14,599 |
11,562 |
$281.33 |
| 85730 |
|
11,333 |
9,036 |
$240.70 |
| P9016 |
Rbc leukocytes reduced |
65 |
51 |
$231.15 |
| 86850 |
|
2,311 |
1,807 |
$226.61 |
| 72100 |
|
383 |
352 |
$210.25 |
| 81025 |
|
2,249 |
1,908 |
$198.24 |
| 73630 |
|
426 |
381 |
$194.71 |
| 87661 |
|
334 |
274 |
$187.96 |
| J2765 |
Metoclopramide hcl injection |
1,288 |
1,044 |
$180.31 |
| J7050 |
Normal saline solution infus |
4,152 |
2,990 |
$166.91 |
| 73130 |
|
142 |
119 |
$156.60 |
| 86920 |
|
61 |
57 |
$151.80 |
| J2543 |
Piperacillin/tazobactam |
266 |
176 |
$145.75 |
| 97161 |
|
35 |
28 |
$141.10 |
| 74018 |
|
226 |
203 |
$139.19 |
| 87635 |
|
214 |
173 |
$128.28 |
| 83735 |
|
5,337 |
3,574 |
$123.39 |
| 97162 |
|
68 |
63 |
$99.58 |
| 87804 |
|
350 |
299 |
$98.16 |
| 86900 |
|
3,267 |
2,592 |
$87.24 |
| 86901 |
|
3,268 |
2,593 |
$85.20 |
| J1885 |
Ketorolac tromethamine inj |
5,945 |
3,244 |
$83.57 |
| J7120 |
Ringers lactate infusion |
1,884 |
1,279 |
$83.42 |
| 83036 |
|
1,207 |
931 |
$79.92 |
| 85379 |
|
595 |
492 |
$78.45 |
| 82805 |
|
223 |
166 |
$77.44 |
| 84439 |
|
864 |
665 |
$67.65 |
| J2930 |
Methylprednisolone injection |
275 |
186 |
$60.25 |
| 82330 |
|
61 |
40 |
$59.41 |
| 87210 |
|
753 |
640 |
$52.21 |
| 81003 |
|
2,202 |
1,815 |
$51.92 |
| J1200 |
Diphenhydramine hcl injectio |
3,214 |
2,417 |
$51.01 |
| 82553 |
|
384 |
331 |
$47.28 |
| J2270 |
Morphine sulfate injection |
2,286 |
1,648 |
$45.33 |
| J2405 |
Ondansetron hcl injection |
6,229 |
4,623 |
$45.22 |
| 82248 |
|
3,349 |
2,482 |
$35.57 |
| 73030 |
|
378 |
319 |
$33.36 |
| J1630 |
Haloperidol injection |
680 |
486 |
$31.55 |
| J1100 |
Dexamethasone sodium phos |
1,536 |
1,202 |
$30.72 |
| 85049 |
|
28 |
26 |
$29.55 |
| 87186 |
|
634 |
496 |
$29.50 |
| 73610 |
|
150 |
132 |
$26.85 |
| 87426 |
|
534 |
423 |
$25.30 |
| 82140 |
|
565 |
455 |
$25.30 |
| 84100 |
|
1,691 |
1,123 |
$19.38 |
| J1170 |
Hydromorphone injection |
476 |
291 |
$18.57 |
| 80061 |
|
1,023 |
776 |
$18.28 |
| 86140 |
|
264 |
233 |
$17.65 |
| Q0162 |
Ondansetron oral |
1,343 |
1,147 |
$17.35 |
| J0456 |
Azithromycin |
99 |
67 |
$16.74 |
| 87430 |
|
295 |
273 |
$16.36 |
| J7040 |
Normal saline solution infus |
259 |
166 |
$11.31 |
| 83050 |
|
14 |
12 |
$10.00 |
| 85652 |
|
161 |
145 |
$7.40 |
| J3370 |
Vancomycin hcl injection |
62 |
41 |
$5.00 |
| J1815 |
Insulin injection |
1,167 |
508 |
$4.33 |
| J2060 |
Lorazepam injection |
1,644 |
1,194 |
$3.75 |
| J1650 |
Inj enoxaparin sodium |
311 |
183 |
$3.48 |
| 87205 |
|
38 |
26 |
$2.91 |
| J3475 |
Inj magnesium sulfate |
193 |
117 |
$2.52 |
| J3010 |
Fentanyl citrate injection |
785 |
605 |
$0.89 |
| S0028 |
Injection, famotidine, 20 mg |
170 |
139 |
$0.88 |
| A9270 |
Non-covered item or service |
10,555 |
3,441 |
$0.00 |
| 11045 |
|
115 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
359 |
280 |
$0.00 |
| 88305 |
|
287 |
244 |
$0.00 |
| 87636 |
|
365 |
314 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
24 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
116 |
102 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
645 |
541 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
153 |
116 |
$0.00 |
| 36430 |
|
35 |
24 |
$0.00 |
| 73502 |
|
61 |
52 |
$0.00 |
| J8540 |
Oral dexamethasone |
17 |
14 |
$0.00 |
| 96368 |
|
50 |
12 |
$0.00 |
| 90471 |
|
106 |
89 |
$0.00 |
| J1940 |
Furosemide injection |
44 |
13 |
$0.00 |
| C1769 |
Guide wire |
13 |
12 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
50 |
46 |
$0.00 |
| J7060 |
5% dextrose/water |
28 |
15 |
$0.00 |
| J3490 |
Drugs unclassified injection |
88 |
55 |
$0.00 |
| J7999 |
Compounded drug, noc |
15 |
12 |
$0.00 |
| 87651 |
|
14 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
57 |
40 |
$0.00 |
| A9555 |
Rb82 rubidium |
33 |
30 |
$0.00 |
| G8978 |
Mobility current status |
66 |
65 |
$0.00 |
| G8979 |
Mobility goal status |
66 |
65 |
$0.00 |
| 86923 |
|
16 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
247 |
132 |
$0.00 |
| 93017 |
|
160 |
128 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
39 |
36 |
$0.00 |
| G0383 |
Lev 4 hosp type b ed visit |
39 |
28 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
19 |
12 |
$0.00 |
| 97167 |
|
20 |
14 |
$0.00 |
| 87631 |
|
93 |
77 |
$0.00 |