| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
18,311 |
16,992 |
$7.71M |
| 99284 |
|
22,348 |
21,264 |
$7.29M |
| 41899 |
|
596 |
566 |
$854K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,137 |
5,260 |
$697K |
| 99283 |
|
12,667 |
12,147 |
$613K |
| 71045 |
|
12,257 |
11,387 |
$609K |
| 80053 |
|
31,603 |
25,964 |
$374K |
| 85025 |
|
34,694 |
29,386 |
$349K |
| 87635 |
|
1,688 |
1,674 |
$270K |
| 87636 |
|
1,312 |
1,288 |
$266K |
| 87651 |
|
1,511 |
1,491 |
$177K |
| C9803 |
Hopd covid-19 spec collect |
7,639 |
7,323 |
$173K |
| 99282 |
|
3,043 |
2,954 |
$151K |
| U0005 |
Infec agen detec ampli probe |
4,148 |
3,927 |
$143K |
| 0241U |
|
2,285 |
2,239 |
$107K |
| 93005 |
|
4,946 |
4,452 |
$81K |
| 96374 |
|
7,904 |
7,173 |
$70K |
| 96361 |
|
3,106 |
2,795 |
$65K |
| 87880 |
|
2,499 |
2,192 |
$65K |
| 87804 |
|
2,818 |
1,232 |
$60K |
| 81514 |
|
179 |
177 |
$51K |
| 70450 |
|
1,475 |
1,400 |
$49K |
| 0240U |
|
1,019 |
992 |
$47K |
| 42820 |
|
14 |
14 |
$47K |
| 87591 |
|
715 |
687 |
$47K |
| 87491 |
|
715 |
687 |
$46K |
| 87637 |
|
185 |
180 |
$46K |
| 74177 |
|
574 |
557 |
$43K |
| 96375 |
|
4,317 |
3,660 |
$38K |
| 87389 |
|
730 |
697 |
$34K |
| 81001 |
|
9,203 |
8,557 |
$33K |
| 96365 |
|
2,593 |
1,526 |
$33K |
| J7050 |
Normal saline solution infus |
6,105 |
4,302 |
$31K |
| 87086 |
|
4,642 |
4,245 |
$26K |
| 84443 |
|
3,836 |
3,727 |
$25K |
| 87081 |
|
2,178 |
1,915 |
$23K |
| G0378 |
Hospital observation per hr |
505 |
464 |
$22K |
| 84703 |
|
2,104 |
1,977 |
$18K |
| 86780 |
|
684 |
656 |
$18K |
| 84439 |
|
1,790 |
1,759 |
$14K |
| 84484 |
|
3,150 |
2,108 |
$12K |
| J3490 |
Drugs unclassified injection |
2,082 |
1,147 |
$11K |
| 96372 |
|
1,812 |
1,726 |
$11K |
| 81003 |
|
3,525 |
3,235 |
$10K |
| 73630 |
|
191 |
176 |
$10K |
| 83880 |
|
1,949 |
1,614 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,066 |
1,021 |
$9K |
| 83690 |
|
1,785 |
1,568 |
$8K |
| 87420 |
|
420 |
340 |
$7K |
| 72125 |
|
452 |
435 |
$7K |
| 71046 |
|
194 |
192 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
2,398 |
2,209 |
$7K |
| 87801 |
|
90 |
89 |
$7K |
| 74176 |
|
188 |
185 |
$6K |
| 0353U |
|
727 |
704 |
$6K |
| 86850 |
|
985 |
874 |
$6K |
| J7030 |
Normal saline solution infus |
2,005 |
1,594 |
$5K |
| 82306 |
|
665 |
660 |
$5K |
| 83036 |
|
3,535 |
3,465 |
$5K |
| 97110 |
|
255 |
76 |
$5K |
| 84702 |
|
519 |
424 |
$5K |
| G0463 |
Hospital outpt clinic visit |
829 |
688 |
$5K |
| 80306 |
|
799 |
749 |
$4K |
| 11042 |
|
90 |
74 |
$3K |
| 80048 |
|
2,897 |
2,278 |
$3K |
| 86803 |
|
125 |
124 |
$3K |
| J2405 |
Ondansetron hcl injection |
3,442 |
3,059 |
$3K |
| 85027 |
|
850 |
777 |
$3K |
| 87088 |
|
1,463 |
1,292 |
$3K |
| 87340 |
|
181 |
179 |
$3K |
| 94640 |
|
363 |
243 |
$3K |
| 84481 |
|
100 |
99 |
$3K |
| 76801 |
|
31 |
29 |
$2K |
| 80061 |
|
3,650 |
3,600 |
$2K |
| 83735 |
|
1,741 |
1,264 |
$2K |
| 85730 |
|
1,447 |
1,269 |
$2K |
| 96366 |
|
263 |
232 |
$2K |
| 80076 |
|
174 |
172 |
$2K |
| 81025 |
|
225 |
218 |
$2K |
| 85610 |
|
2,400 |
1,737 |
$2K |
| 86901 |
|
967 |
849 |
$2K |
| 86900 |
|
928 |
817 |
$2K |
| 77063 |
|
307 |
307 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,641 |
1,532 |
$1K |
| 82565 |
|
325 |
294 |
$1K |
| 87186 |
|
1,370 |
1,262 |
$1K |
| 82607 |
|
834 |
821 |
$1K |
| 86762 |
|
70 |
70 |
$1K |
| 82803 |
|
215 |
183 |
$1K |
| 80050 |
|
33 |
25 |
$1K |
| 86140 |
|
1,282 |
803 |
$1K |
| 82728 |
|
211 |
205 |
$1K |
| 73560 |
|
222 |
203 |
$1K |
| J2270 |
Morphine sulfate injection |
408 |
334 |
$1K |
| 83605 |
|
327 |
288 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
377 |
312 |
$970.56 |
| 87070 |
|
42 |
41 |
$925.95 |
| 82140 |
|
733 |
578 |
$854.10 |
| 80177 |
|
917 |
768 |
$826.21 |
| J2272 |
Inj, morphine (fresenius) |
420 |
364 |
$799.71 |
| 85652 |
|
1,506 |
1,001 |
$723.20 |
| 86800 |
|
16 |
16 |
$651.14 |
| 82550 |
|
470 |
348 |
$590.91 |
| 96360 |
|
304 |
298 |
$586.09 |
| 86376 |
|
16 |
16 |
$549.62 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
576 |
546 |
$518.83 |
| 82105 |
|
12 |
12 |
$517.70 |
| 77067 |
|
307 |
307 |
$444.16 |
| 87040 |
|
102 |
66 |
$427.74 |
| 82375 |
|
165 |
142 |
$398.72 |
| 82951 |
|
12 |
12 |
$359.32 |
| 80164 |
|
537 |
502 |
$343.18 |
| 82077 |
|
72 |
67 |
$332.09 |
| 84134 |
|
1,205 |
1,129 |
$314.88 |
| 84100 |
|
537 |
407 |
$298.67 |
| 96413 |
|
19 |
12 |
$295.50 |
| J3010 |
Fentanyl citrate injection |
1,003 |
953 |
$272.90 |
| A9270 |
Non-covered item or service |
3,076 |
2,482 |
$244.45 |
| 84460 |
|
13 |
13 |
$216.72 |
| 84450 |
|
13 |
13 |
$212.03 |
| 83050 |
|
99 |
87 |
$205.47 |
| 82330 |
|
188 |
157 |
$205.14 |
| 82040 |
|
13 |
13 |
$202.79 |
| 83721 |
|
213 |
211 |
$201.46 |
| 85379 |
|
116 |
106 |
$201.45 |
| 82950 |
|
15 |
15 |
$194.48 |
| 82947 |
|
536 |
509 |
$185.35 |
| 82962 |
|
3,515 |
1,962 |
$160.81 |
| 70551 |
|
12 |
12 |
$151.22 |
| 82570 |
|
208 |
200 |
$150.14 |
| 87641 |
|
37 |
37 |
$132.29 |
| 84145 |
|
45 |
38 |
$129.64 |
| 96376 |
|
34 |
27 |
$124.20 |
| 88305 |
|
25 |
24 |
$117.39 |
| 73030 |
|
69 |
65 |
$110.96 |
| J2550 |
Promethazine hcl injection |
116 |
95 |
$91.20 |
| J7120 |
Ringers lactate infusion |
956 |
899 |
$91.08 |
| 87210 |
|
13 |
12 |
$84.59 |
| 83540 |
|
104 |
95 |
$82.00 |
| J2250 |
Inj midazolam hydrochloride |
345 |
324 |
$80.15 |
| 82150 |
|
43 |
42 |
$77.25 |
| 90686 |
|
36 |
36 |
$77.01 |
| J2704 |
Inj, propofol, 10 mg |
814 |
776 |
$69.33 |
| 72100 |
|
28 |
27 |
$60.88 |
| 73610 |
|
13 |
12 |
$59.48 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
12 |
$56.75 |
| 82043 |
|
68 |
67 |
$52.14 |
| J1170 |
Hydromorphone injection |
21 |
13 |
$43.03 |
| 36415 |
|
20,567 |
13,528 |
$40.74 |
| 84132 |
|
116 |
93 |
$38.52 |
| 82435 |
|
98 |
83 |
$35.45 |
| J7040 |
Normal saline solution infus |
230 |
218 |
$32.22 |
| 84550 |
|
145 |
143 |
$29.32 |
| J0690 |
Cefazolin sodium injection |
73 |
69 |
$27.22 |
| J7613 |
Albuterol non-comp unit |
15 |
13 |
$19.48 |
| 84295 |
|
26 |
25 |
$13.38 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$5.26 |
| G1004 |
Cdsm ndsc |
2,854 |
2,244 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
35 |
25 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| 80185 |
|
18 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 94762 |
|
15 |
15 |
$0.00 |