| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,260 |
8,896 |
$1.43M |
| 99284 |
|
8,556 |
8,200 |
$1.30M |
| 96361 |
|
4,792 |
4,459 |
$1.01M |
| 96365 |
|
5,209 |
4,482 |
$844K |
| 99285 |
|
5,348 |
5,079 |
$794K |
| 70450 |
|
2,808 |
2,719 |
$605K |
| 74177 |
|
2,449 |
2,398 |
$560K |
| G0378 |
Hospital observation per hr |
1,926 |
1,878 |
$556K |
| 99282 |
|
3,195 |
3,097 |
$498K |
| 80053 |
|
15,775 |
13,940 |
$299K |
| 74176 |
|
1,201 |
1,179 |
$282K |
| 96360 |
|
988 |
962 |
$186K |
| 96366 |
|
1,008 |
847 |
$140K |
| 0202U |
|
3,405 |
3,322 |
$123K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,526 |
1,446 |
$112K |
| 99281 |
|
721 |
679 |
$109K |
| 71275 |
|
372 |
371 |
$97K |
| 36415 |
|
18,848 |
15,596 |
$95K |
| 76856 |
|
172 |
172 |
$93K |
| U0002 |
Covid-19 lab test non-cdc |
1,428 |
1,404 |
$62K |
| 86850 |
|
2,126 |
2,052 |
$57K |
| 80307 |
|
1,501 |
1,436 |
$51K |
| 86900 |
|
2,128 |
2,051 |
$48K |
| 86901 |
|
2,129 |
2,052 |
$48K |
| M0243 |
Casirivi and imdevi inj |
133 |
133 |
$43K |
| 92507 |
|
375 |
68 |
$43K |
| 83880 |
|
1,668 |
1,628 |
$42K |
| U0005 |
Infec agen detec ampli probe |
1,551 |
1,479 |
$33K |
| 80048 |
|
2,030 |
1,906 |
$30K |
| 96374 |
|
5,986 |
5,507 |
$28K |
| 95806 |
|
334 |
327 |
$28K |
| 93306 |
|
148 |
148 |
$27K |
| 96367 |
|
668 |
577 |
$26K |
| 96372 |
|
2,342 |
2,057 |
$24K |
| J3490 |
Drugs unclassified injection |
2,042 |
1,664 |
$22K |
| M0245 |
Bamlan and etesev infusion |
87 |
68 |
$21K |
| 81025 |
|
7,884 |
7,431 |
$20K |
| 96375 |
|
6,783 |
5,958 |
$19K |
| 85610 |
|
5,402 |
5,177 |
$18K |
| 87631 |
|
381 |
375 |
$18K |
| J0248 |
Inj, remdesivir, 1 mg |
30 |
14 |
$16K |
| U0004 |
Cov-19 test non-cdc hgh thru |
235 |
230 |
$16K |
| 76705 |
|
245 |
243 |
$13K |
| 87633 |
|
300 |
294 |
$13K |
| 87798 |
|
331 |
322 |
$9K |
| M0222 |
Bebtelovimab injection |
48 |
42 |
$9K |
| G0480 |
Drug test def 1-7 classes |
358 |
313 |
$8K |
| 71046 |
|
1,923 |
1,882 |
$8K |
| 93005 |
|
6,207 |
5,456 |
$7K |
| 80061 |
|
729 |
702 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,409 |
2,743 |
$7K |
| 84702 |
|
2,056 |
1,977 |
$7K |
| 99213 |
|
27 |
13 |
$5K |
| 85025 |
|
13,593 |
11,866 |
$5K |
| 71045 |
|
3,989 |
3,828 |
$5K |
| 87581 |
|
331 |
323 |
$5K |
| 87486 |
|
330 |
322 |
$5K |
| 85027 |
|
1,889 |
1,758 |
$4K |
| 90715 |
|
194 |
194 |
$4K |
| 88304 |
|
138 |
137 |
$4K |
| 80050 |
|
163 |
159 |
$4K |
| 12001 |
|
12 |
12 |
$4K |
| 87088 |
|
5,614 |
5,373 |
$3K |
| 76830 |
|
52 |
52 |
$3K |
| 0241U |
|
635 |
620 |
$3K |
| 96376 |
|
1,467 |
1,167 |
$3K |
| 87491 |
|
81 |
79 |
$2K |
| J7030 |
Normal saline solution infus |
8,718 |
7,721 |
$2K |
| 99212 |
|
17 |
13 |
$2K |
| 94640 |
|
632 |
543 |
$2K |
| 73630 |
|
308 |
288 |
$2K |
| 82947 |
|
2,482 |
1,634 |
$2K |
| 80076 |
|
134 |
134 |
$1K |
| G0108 |
Diab manage trn per indiv |
14 |
13 |
$1K |
| 87591 |
|
81 |
79 |
$1K |
| 85730 |
|
4,717 |
4,515 |
$1K |
| 81003 |
|
7,203 |
6,855 |
$1K |
| 83735 |
|
8,922 |
7,981 |
$1K |
| 87070 |
|
856 |
837 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
1,420 |
1,362 |
$943.85 |
| 72125 |
|
85 |
82 |
$882.98 |
| 84484 |
|
5,749 |
4,333 |
$849.86 |
| 83036 |
|
323 |
319 |
$774.34 |
| 88305 |
|
85 |
84 |
$639.80 |
| 87186 |
|
547 |
521 |
$630.35 |
| 87077 |
|
558 |
533 |
$577.50 |
| 83690 |
|
4,803 |
4,454 |
$524.92 |
| 84100 |
|
6,730 |
6,172 |
$351.39 |
| J1100 |
Dexamethasone sodium phos |
1,993 |
1,692 |
$347.82 |
| J2405 |
Ondansetron hcl injection |
3,985 |
3,481 |
$343.43 |
| 87040 |
|
2,487 |
1,250 |
$330.81 |
| 82550 |
|
2,376 |
2,246 |
$294.08 |
| 84443 |
|
1,077 |
1,037 |
$293.94 |
| 83605 |
|
2,306 |
1,962 |
$285.63 |
| 87636 |
|
14 |
13 |
$242.48 |
| J0690 |
Cefazolin sodium injection |
364 |
343 |
$186.20 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$172.80 |
| J7040 |
Normal saline solution infus |
610 |
540 |
$145.06 |
| 82077 |
|
825 |
771 |
$134.85 |
| 85379 |
|
971 |
953 |
$111.51 |
| J2704 |
Inj, propofol, 10 mg |
1,372 |
1,053 |
$107.57 |
| J1170 |
Hydromorphone injection |
799 |
653 |
$94.67 |
| J1885 |
Ketorolac tromethamine inj |
6,144 |
4,027 |
$83.20 |
| 80143 |
|
146 |
140 |
$80.43 |
| S0028 |
Injection, famotidine, 20 mg |
1,538 |
1,401 |
$80.27 |
| J0137 |
Inj, acetaminophen (hikma) |
366 |
333 |
$75.80 |
| J0696 |
Ceftriaxone sodium injection |
655 |
555 |
$59.87 |
| 80179 |
|
132 |
127 |
$58.16 |
| J0136 |
Inj, acetaminophen (b braun) |
776 |
694 |
$54.62 |
| 90471 |
|
55 |
55 |
$52.32 |
| J2270 |
Morphine sulfate injection |
1,471 |
1,268 |
$51.87 |
| 73030 |
|
52 |
39 |
$51.65 |
| J3010 |
Fentanyl citrate injection |
920 |
900 |
$50.35 |
| 74019 |
|
14 |
13 |
$48.59 |
| J7050 |
Normal saline solution infus |
938 |
645 |
$47.11 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
68 |
58 |
$46.20 |
| 73562 |
|
88 |
86 |
$40.77 |
| 73610 |
|
60 |
56 |
$37.84 |
| J7120 |
Ringers lactate infusion |
63 |
61 |
$31.36 |
| J2765 |
Metoclopramide hcl injection |
1,778 |
1,642 |
$29.40 |
| 85007 |
|
134 |
123 |
$29.09 |
| 84439 |
|
44 |
40 |
$25.48 |
| 84145 |
|
204 |
197 |
$23.39 |
| J2250 |
Inj midazolam hydrochloride |
876 |
860 |
$22.86 |
| J2800 |
Methocarbamol injection |
454 |
435 |
$18.10 |
| J1200 |
Diphenhydramine hcl injectio |
1,406 |
1,224 |
$16.51 |
| J2930 |
Methylprednisolone injection |
127 |
124 |
$13.56 |
| 73130 |
|
96 |
93 |
$12.63 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
100 |
67 |
$11.40 |
| J3475 |
Inj magnesium sulfate |
752 |
700 |
$8.76 |
| S0020 |
Injection, bupivicaine hydro |
85 |
85 |
$3.52 |
| J2060 |
Lorazepam injection |
242 |
210 |
$3.33 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
20 |
$1.20 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
39 |
$0.90 |
| 87389 |
|
13 |
13 |
$0.00 |
| J3360 |
Diazepam injection |
33 |
14 |
$0.00 |
| 84436 |
|
139 |
139 |
$0.00 |
| 87276 |
|
29 |
29 |
$0.00 |
| 86141 |
|
15 |
14 |
$0.00 |
| 87275 |
|
29 |
29 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
12 |
$0.00 |
| 99080 |
|
75 |
13 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
13 |
13 |
$0.00 |
| 73110 |
|
15 |
13 |
$0.00 |