| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,802 |
14,062 |
$3.28M |
| 99285 |
|
9,639 |
6,861 |
$2.33M |
| 99283 |
|
15,646 |
12,022 |
$2.01M |
| 80053 |
|
28,478 |
21,079 |
$1.22M |
| 74177 |
|
1,942 |
1,682 |
$594K |
| 96374 |
|
8,130 |
6,295 |
$552K |
| 74176 |
|
2,018 |
1,717 |
$533K |
| 93306 |
|
2,509 |
1,512 |
$520K |
| 70450 |
|
2,761 |
2,432 |
$470K |
| 85025 |
|
33,431 |
24,119 |
$436K |
| 93005 |
|
8,893 |
6,823 |
$352K |
| 87637 |
|
3,053 |
2,295 |
$291K |
| 80307 |
|
2,886 |
2,403 |
$269K |
| 96375 |
|
7,660 |
5,516 |
$251K |
| 87040 |
|
4,090 |
2,614 |
$232K |
| 71045 |
|
8,461 |
6,215 |
$225K |
| 96365 |
|
4,449 |
3,297 |
$222K |
| 81001 |
|
13,732 |
10,907 |
$203K |
| 71275 |
|
497 |
421 |
$198K |
| 88305 |
|
2,019 |
1,040 |
$189K |
| 84484 |
|
7,704 |
5,070 |
$180K |
| 78452 |
|
359 |
302 |
$177K |
| 84443 |
|
5,873 |
5,296 |
$175K |
| 96372 |
|
5,145 |
3,642 |
$163K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,943 |
1,708 |
$151K |
| 80048 |
|
6,125 |
4,756 |
$147K |
| 36415 |
|
35,847 |
25,542 |
$145K |
| 83690 |
|
5,882 |
4,623 |
$126K |
| 99282 |
|
2,286 |
1,898 |
$122K |
| 71046 |
|
3,001 |
2,649 |
$121K |
| 87804 |
|
835 |
593 |
$111K |
| 80061 |
|
3,651 |
3,344 |
$111K |
| 87086 |
|
3,597 |
3,097 |
$104K |
| 83880 |
|
2,083 |
1,719 |
$104K |
| 96361 |
|
3,599 |
2,749 |
$102K |
| G0378 |
Hospital observation per hr |
1,070 |
477 |
$97K |
| 93017 |
|
428 |
366 |
$87K |
| 84703 |
|
1,712 |
1,422 |
$87K |
| 96376 |
|
2,200 |
1,291 |
$86K |
| 72125 |
|
375 |
334 |
$81K |
| 84439 |
|
2,003 |
1,832 |
$78K |
| 82306 |
|
1,039 |
953 |
$77K |
| 77067 |
|
877 |
845 |
$77K |
| 83735 |
|
5,166 |
4,104 |
$76K |
| 76770 |
|
532 |
473 |
$67K |
| 94640 |
|
1,143 |
731 |
$60K |
| 85379 |
|
1,236 |
1,053 |
$55K |
| U0002 |
Covid-19 lab test non-cdc |
1,688 |
1,358 |
$54K |
| 76705 |
|
504 |
450 |
$54K |
| 71250 |
|
238 |
225 |
$50K |
| 72110 |
|
574 |
541 |
$48K |
| 76830 |
|
395 |
360 |
$47K |
| 96360 |
|
568 |
439 |
$46K |
| 83036 |
|
2,351 |
2,228 |
$46K |
| J2704 |
Inj, propofol, 10 mg |
3,472 |
2,015 |
$43K |
| 85610 |
|
3,835 |
2,945 |
$41K |
| 83605 |
|
5,747 |
4,363 |
$40K |
| 73562 |
|
923 |
791 |
$39K |
| 45380 |
|
175 |
87 |
$38K |
| 86140 |
|
1,397 |
1,200 |
$36K |
| 71260 |
|
80 |
52 |
$36K |
| 96366 |
|
1,426 |
912 |
$36K |
| 76700 |
|
257 |
239 |
$36K |
| A9500 |
Tc99m sestamibi |
390 |
331 |
$35K |
| 72148 |
|
83 |
78 |
$34K |
| 73030 |
|
1,002 |
846 |
$33K |
| 94664 |
|
515 |
362 |
$32K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
800 |
633 |
$32K |
| 43239 |
|
309 |
155 |
$31K |
| 73630 |
|
844 |
704 |
$29K |
| 82607 |
|
701 |
621 |
$28K |
| 82803 |
|
1,184 |
942 |
$28K |
| 85027 |
|
2,799 |
2,148 |
$25K |
| G0480 |
Drug test def 1-7 classes |
640 |
509 |
$24K |
| 93971 |
|
337 |
316 |
$23K |
| 73610 |
|
669 |
533 |
$23K |
| 84702 |
|
401 |
298 |
$22K |
| 76536 |
|
221 |
205 |
$22K |
| 85730 |
|
1,977 |
1,708 |
$22K |
| 82550 |
|
1,781 |
1,427 |
$21K |
| 74018 |
|
479 |
444 |
$20K |
| 73130 |
|
452 |
367 |
$19K |
| 0241U |
|
306 |
276 |
$18K |
| 74019 |
|
197 |
155 |
$18K |
| 73110 |
|
434 |
321 |
$17K |
| 99214 |
|
2,082 |
1,238 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
6,217 |
4,713 |
$15K |
| 82570 |
|
643 |
600 |
$15K |
| J2405 |
Ondansetron hcl injection |
5,520 |
3,970 |
$14K |
| J2785 |
Regadenoson injection |
101 |
93 |
$14K |
| 82553 |
|
266 |
202 |
$14K |
| 72050 |
|
174 |
158 |
$13K |
| 80179 |
|
187 |
161 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
1,551 |
1,183 |
$13K |
| 85651 |
|
789 |
685 |
$13K |
| 80143 |
|
188 |
165 |
$13K |
| 86850 |
|
587 |
511 |
$12K |
| 96367 |
|
348 |
281 |
$12K |
| 20610 |
|
240 |
108 |
$12K |
| 76642 |
|
120 |
116 |
$11K |
| 73721 |
|
25 |
25 |
$11K |
| 99291 |
|
186 |
149 |
$11K |
| 87880 |
|
390 |
328 |
$11K |
| 84466 |
|
304 |
288 |
$10K |
| 86901 |
|
626 |
547 |
$9K |
| 86900 |
|
626 |
547 |
$9K |
| 83540 |
|
669 |
610 |
$9K |
| 36600 |
|
293 |
228 |
$9K |
| 87147 |
|
399 |
351 |
$9K |
| 87081 |
|
324 |
285 |
$8K |
| M0243 |
Casirivi and imdevi inj |
39 |
39 |
$8K |
| J7120 |
Ringers lactate infusion |
118 |
79 |
$8K |
| J3010 |
Fentanyl citrate injection |
1,188 |
865 |
$8K |
| 70486 |
|
28 |
28 |
$8K |
| 82728 |
|
262 |
239 |
$8K |
| J7030 |
Normal saline solution infus |
576 |
387 |
$7K |
| 93010 |
|
3,246 |
2,600 |
$7K |
| 74022 |
|
132 |
119 |
$7K |
| 72131 |
|
31 |
28 |
$7K |
| 73564 |
|
186 |
155 |
$7K |
| 87070 |
|
229 |
194 |
$7K |
| 99213 |
|
963 |
604 |
$7K |
| 72072 |
|
109 |
99 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,476 |
1,324 |
$7K |
| 81025 |
|
787 |
629 |
$6K |
| 72100 |
|
126 |
116 |
$6K |
| 73502 |
|
168 |
157 |
$6K |
| 99204 |
|
516 |
359 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
2,125 |
1,627 |
$6K |
| 87807 |
|
79 |
72 |
$6K |
| J2930 |
Methylprednisolone injection |
560 |
389 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,148 |
933 |
$6K |
| 80074 |
|
26 |
24 |
$5K |
| 90471 |
|
366 |
299 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
558 |
408 |
$5K |
| 87205 |
|
397 |
331 |
$5K |
| 87651 |
|
95 |
91 |
$5K |
| 82150 |
|
190 |
164 |
$5K |
| J1650 |
Inj enoxaparin sodium |
803 |
414 |
$5K |
| 90715 |
|
295 |
236 |
$5K |
| 88304 |
|
135 |
78 |
$5K |
| J0330 |
Succinycholine chloride inj |
147 |
64 |
$4K |
| 87186 |
|
165 |
136 |
$4K |
| 80050 |
|
57 |
52 |
$4K |
| 87591 |
|
68 |
64 |
$4K |
| 84075 |
|
196 |
146 |
$4K |
| J2270 |
Morphine sulfate injection |
859 |
569 |
$4K |
| 73590 |
|
98 |
91 |
$4K |
| 85378 |
|
53 |
50 |
$4K |
| U0005 |
Infec agen detec ampli probe |
261 |
228 |
$3K |
| 84100 |
|
271 |
215 |
$3K |
| 73090 |
|
88 |
79 |
$3K |
| J3490 |
Drugs unclassified injection |
2,473 |
1,204 |
$3K |
| 82248 |
|
220 |
190 |
$3K |
| 76817 |
|
64 |
54 |
$3K |
| 51702 |
|
78 |
72 |
$3K |
| 93880 |
|
13 |
13 |
$3K |
| 87491 |
|
54 |
51 |
$2K |
| 82140 |
|
67 |
50 |
$2K |
| J0690 |
Cefazolin sodium injection |
326 |
217 |
$2K |
| 99281 |
|
55 |
50 |
$2K |
| 82043 |
|
433 |
408 |
$2K |
| 77065 |
Tomosynthesis, mammo |
28 |
27 |
$2K |
| 88342 |
|
24 |
12 |
$2K |
| 85007 |
|
156 |
120 |
$2K |
| 77063 |
|
47 |
46 |
$2K |
| 76856 |
|
18 |
14 |
$2K |
| 76641 |
|
18 |
18 |
$2K |
| 94060 |
|
15 |
12 |
$2K |
| 45385 |
|
17 |
12 |
$2K |
| 99203 |
|
170 |
112 |
$1K |
| 86038 |
|
48 |
39 |
$1K |
| J3370 |
Vancomycin hcl injection |
114 |
81 |
$1K |
| 86618 |
|
61 |
28 |
$1K |
| 94761 |
|
105 |
66 |
$1K |
| 82247 |
|
87 |
64 |
$1K |
| J2550 |
Promethazine hcl injection |
318 |
190 |
$1K |
| 99309 |
|
279 |
274 |
$1K |
| 73080 |
|
34 |
26 |
$1K |
| 82565 |
|
72 |
44 |
$1K |
| 71100 |
|
15 |
13 |
$1K |
| J1815 |
Insulin injection |
108 |
51 |
$996.89 |
| 82040 |
|
63 |
48 |
$963.88 |
| J2360 |
Orphenadrine injection |
146 |
117 |
$955.58 |
| 84550 |
|
65 |
60 |
$949.05 |
| 86803 |
|
31 |
28 |
$942.91 |
| 84520 |
|
44 |
31 |
$921.81 |
| J1200 |
Diphenhydramine hcl injectio |
177 |
124 |
$773.88 |
| 80051 |
|
20 |
12 |
$755.39 |
| 99211 |
|
112 |
87 |
$738.43 |
| 99212 |
|
199 |
109 |
$663.34 |
| J2060 |
Lorazepam injection |
171 |
131 |
$615.17 |
| 82310 |
|
20 |
12 |
$609.62 |
| 94760 |
|
241 |
126 |
$586.11 |
| 87210 |
|
13 |
13 |
$567.63 |
| 84450 |
|
18 |
13 |
$519.67 |
| 84460 |
|
18 |
13 |
$519.67 |
| 85652 |
|
101 |
96 |
$379.23 |
| J2780 |
Ranitidine hydrochloride inj |
23 |
12 |
$358.27 |
| E0110 |
Crutch forearm pair |
27 |
25 |
$347.02 |
| 82746 |
|
14 |
13 |
$296.30 |
| 82977 |
|
18 |
13 |
$283.46 |
| J3301 |
Triamcinolone acet inj nos |
107 |
101 |
$268.77 |
| 87389 |
|
16 |
15 |
$218.29 |
| 93018 |
|
27 |
25 |
$211.56 |
| 93016 |
|
27 |
25 |
$178.87 |
| J1940 |
Furosemide injection |
101 |
56 |
$164.96 |
| 90656 |
|
29 |
29 |
$155.19 |
| J1956 |
Levofloxacin injection |
41 |
28 |
$152.53 |
| J0131 |
Inj, acetaminophen (nos) |
17 |
14 |
$139.93 |
| J2919 |
Inj, methylpred sod succ 5mg |
89 |
63 |
$121.41 |
| J0780 |
Prochlorperazine injection |
71 |
57 |
$120.53 |
| J1170 |
Hydromorphone injection |
16 |
14 |
$117.57 |
| 51798 |
|
16 |
14 |
$115.51 |
| A4649 |
Surgical supplies |
24 |
15 |
$111.18 |
| G0463 |
Hospital outpt clinic visit |
12 |
12 |
$97.34 |
| J2543 |
Piperacillin/tazobactam |
34 |
12 |
$67.47 |
| 99222 |
|
16 |
16 |
$42.31 |
| J0171 |
Adrenalin epinephrine inject |
14 |
13 |
$34.69 |
| J2272 |
Inj, morphine (fresenius) |
73 |
52 |
$24.64 |
| J0456 |
Azithromycin |
33 |
27 |
$14.21 |
| G0439 |
Ppps, subseq visit |
63 |
63 |
$14.06 |
| J1642 |
Inj heparin sodium per 10 u |
33 |
25 |
$11.17 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.69 |
| G1010 |
Cdsm stanson |
23 |
14 |
$0.03 |
| G9903 |
Pt scrn tbco id as non user |
112 |
98 |
$0.00 |
| 1036F |
|
112 |
98 |
$0.00 |
| Q0240 |
Casirivi and imdevi 600 mg |
19 |
19 |
$0.00 |
| 1123F |
|
18 |
16 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
15 |
14 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
85 |
74 |
$0.00 |
| 4004F |
|
15 |
14 |
$0.00 |
| 90653 |
|
23 |
23 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
152 |
133 |
$0.00 |
| 1124F |
|
15 |
15 |
$0.00 |