| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,939 |
19,494 |
$4.13M |
| 99284 |
|
22,015 |
18,042 |
$3.73M |
| 99282 |
|
6,695 |
5,824 |
$1.13M |
| 99285 |
|
5,469 |
4,495 |
$829K |
| 70450 |
|
5,607 |
4,630 |
$813K |
| 74177 |
|
4,446 |
3,832 |
$774K |
| 96361 |
|
2,391 |
2,140 |
$546K |
| G0378 |
Hospital observation per hr |
5,097 |
2,909 |
$391K |
| 59025 |
|
1,864 |
1,410 |
$307K |
| 99281 |
|
1,461 |
1,307 |
$259K |
| 93975 |
|
2,141 |
1,895 |
$154K |
| 76700 |
|
1,505 |
1,359 |
$152K |
| 74176 |
|
817 |
725 |
$151K |
| 71275 |
|
476 |
438 |
$120K |
| 96360 |
|
559 |
518 |
$101K |
| 76830 |
|
1,022 |
937 |
$89K |
| 97110 |
|
3,287 |
796 |
$79K |
| 80307 |
|
2,081 |
1,734 |
$75K |
| 80053 |
|
23,166 |
18,229 |
$74K |
| 70496 |
|
275 |
258 |
$72K |
| 76805 |
|
742 |
662 |
$58K |
| 76815 |
|
1,238 |
1,065 |
$57K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,076 |
2,727 |
$55K |
| 76856 |
|
1,220 |
1,124 |
$53K |
| 72125 |
|
2,006 |
1,696 |
$46K |
| 96365 |
|
353 |
321 |
$45K |
| G0480 |
Drug test def 1-7 classes |
2,828 |
2,330 |
$39K |
| 87635 |
|
672 |
635 |
$39K |
| 96374 |
|
13,588 |
11,053 |
$37K |
| 71045 |
|
11,032 |
9,033 |
$35K |
| 93005 |
|
14,490 |
11,422 |
$32K |
| 80048 |
|
7,129 |
5,223 |
$29K |
| 71046 |
|
2,662 |
2,289 |
$26K |
| 97530 |
|
1,050 |
580 |
$25K |
| 85027 |
|
30,172 |
22,002 |
$25K |
| 93971 |
|
336 |
296 |
$24K |
| 97163 |
|
354 |
296 |
$23K |
| 76817 |
|
783 |
672 |
$19K |
| 71260 |
|
577 |
508 |
$19K |
| 87040 |
|
2,799 |
1,931 |
$18K |
| 84484 |
|
9,572 |
6,932 |
$15K |
| 86756 |
|
2,896 |
2,658 |
$15K |
| 96375 |
|
6,416 |
5,215 |
$14K |
| 96372 |
|
2,806 |
2,325 |
$13K |
| 83880 |
|
2,080 |
1,694 |
$12K |
| 77063 |
|
310 |
293 |
$11K |
| 76705 |
|
108 |
99 |
$9K |
| 76857 |
|
151 |
140 |
$9K |
| 81025 |
|
1,874 |
1,670 |
$7K |
| 85379 |
|
1,793 |
1,608 |
$6K |
| 84443 |
|
2,195 |
1,915 |
$6K |
| 97116 |
|
320 |
168 |
$5K |
| 70498 |
|
284 |
262 |
$5K |
| 88305 |
|
684 |
589 |
$4K |
| 83036 |
|
1,430 |
1,242 |
$4K |
| 94640 |
|
103 |
63 |
$4K |
| 73564 |
|
460 |
349 |
$4K |
| 80076 |
|
1,195 |
938 |
$4K |
| 85610 |
|
7,061 |
5,476 |
$4K |
| 84703 |
|
6,796 |
5,795 |
$4K |
| 36415 |
|
2,502 |
1,998 |
$4K |
| J7030 |
Normal saline solution infus |
12,675 |
9,309 |
$4K |
| 77067 |
|
310 |
293 |
$3K |
| 83690 |
|
7,774 |
6,392 |
$3K |
| 83735 |
|
5,064 |
3,841 |
$3K |
| 97162 |
|
137 |
98 |
$3K |
| 0042T |
|
12 |
12 |
$3K |
| 83605 |
|
2,339 |
1,800 |
$3K |
| 80061 |
|
1,085 |
936 |
$3K |
| 73030 |
|
491 |
404 |
$3K |
| 74018 |
|
378 |
346 |
$3K |
| 70486 |
|
116 |
101 |
$2K |
| 86885 |
|
2,202 |
1,817 |
$2K |
| 86900 |
|
3,588 |
3,054 |
$2K |
| J7120 |
Ringers lactate infusion |
2,106 |
1,536 |
$2K |
| 76642 |
|
12 |
12 |
$2K |
| 87086 |
|
3,285 |
2,723 |
$2K |
| 87426 |
|
6,842 |
6,236 |
$2K |
| 81001 |
|
7,895 |
6,606 |
$2K |
| 88304 |
|
136 |
120 |
$2K |
| A9270 |
Non-covered item or service |
5,977 |
1,255 |
$2K |
| J1650 |
Inj enoxaparin sodium |
1,054 |
467 |
$2K |
| 85730 |
|
4,426 |
3,542 |
$2K |
| 73130 |
|
325 |
268 |
$2K |
| 73630 |
|
436 |
372 |
$1K |
| 86901 |
|
2,374 |
2,014 |
$1K |
| 87804 |
|
8,823 |
7,929 |
$1K |
| 81003 |
|
5,230 |
4,554 |
$1K |
| J2405 |
Ondansetron hcl injection |
6,660 |
5,207 |
$1K |
| 73610 |
|
328 |
292 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
8,356 |
5,310 |
$1K |
| 87880 |
|
5,111 |
4,684 |
$945.46 |
| 84702 |
|
1,473 |
1,248 |
$898.98 |
| 87070 |
|
2,026 |
1,713 |
$889.35 |
| U0002 |
Covid-19 lab test non-cdc |
203 |
181 |
$879.86 |
| 82550 |
|
1,305 |
989 |
$827.50 |
| G0279 |
Tomosynthesis, mammo |
15 |
15 |
$772.44 |
| 90715 |
|
38 |
37 |
$755.83 |
| J0696 |
Ceftriaxone sodium injection |
2,224 |
1,581 |
$754.95 |
| 96376 |
|
652 |
527 |
$673.43 |
| 84439 |
|
285 |
226 |
$595.28 |
| 86140 |
|
392 |
330 |
$555.63 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,844 |
2,220 |
$393.01 |
| 97140 |
|
26 |
12 |
$392.76 |
| J2270 |
Morphine sulfate injection |
3,973 |
2,737 |
$356.77 |
| 82565 |
|
466 |
402 |
$264.43 |
| 90471 |
|
185 |
166 |
$189.78 |
| S0119 |
Ondansetron 4 mg |
1,280 |
1,129 |
$177.83 |
| 82553 |
|
75 |
26 |
$176.10 |
| 87186 |
|
709 |
599 |
$174.97 |
| 97535 |
|
13 |
13 |
$172.12 |
| 85651 |
|
152 |
136 |
$124.30 |
| 87491 |
|
125 |
124 |
$105.98 |
| 87591 |
|
126 |
125 |
$92.65 |
| J1100 |
Dexamethasone sodium phos |
900 |
684 |
$86.90 |
| J2060 |
Lorazepam injection |
868 |
631 |
$79.70 |
| 73590 |
|
16 |
13 |
$75.26 |
| 82150 |
|
111 |
97 |
$73.77 |
| 82607 |
|
20 |
14 |
$72.39 |
| J1200 |
Diphenhydramine hcl injectio |
986 |
829 |
$68.31 |
| J3010 |
Fentanyl citrate injection |
1,372 |
1,048 |
$48.16 |
| 73560 |
|
21 |
18 |
$41.71 |
| 82248 |
|
41 |
33 |
$31.87 |
| 76376 |
|
260 |
219 |
$29.22 |
| 87077 |
|
198 |
163 |
$28.75 |
| 87147 |
|
30 |
25 |
$27.57 |
| J7512 |
Prednisone ir or dr oral 1mg |
349 |
283 |
$22.75 |
| J2930 |
Methylprednisolone injection |
199 |
169 |
$19.33 |
| J1170 |
Hydromorphone injection |
218 |
133 |
$15.59 |
| 85652 |
|
13 |
13 |
$13.60 |
| J1815 |
Insulin injection |
211 |
103 |
$12.61 |
| J2765 |
Metoclopramide hcl injection |
239 |
214 |
$11.55 |
| J2550 |
Promethazine hcl injection |
76 |
56 |
$9.39 |
| S0028 |
Injection, famotidine, 20 mg |
259 |
244 |
$8.06 |
| 84520 |
|
17 |
12 |
$7.11 |
| 84100 |
|
46 |
37 |
$6.42 |
| J1644 |
Inj heparin sodium per 1000u |
86 |
49 |
$6.05 |
| J0690 |
Cefazolin sodium injection |
313 |
180 |
$5.27 |
| 87205 |
|
16 |
12 |
$5.22 |
| J7040 |
Normal saline solution infus |
139 |
123 |
$4.85 |
| J0780 |
Prochlorperazine injection |
199 |
171 |
$3.00 |
| J7050 |
Normal saline solution infus |
407 |
306 |
$2.84 |
| J2250 |
Inj midazolam hydrochloride |
332 |
255 |
$2.25 |
| J7620 |
Albuterol ipratrop non-comp |
395 |
347 |
$0.50 |
| J8540 |
Oral dexamethasone |
25 |
24 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
474 |
401 |
$0.00 |
| J3490 |
Drugs unclassified injection |
425 |
297 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
30 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
27 |
24 |
$0.00 |
| C1769 |
Guide wire |
24 |
13 |
$0.00 |
| 73090 |
|
17 |
14 |
$0.00 |
| 73110 |
|
38 |
36 |
$0.00 |
| G1003 |
Cdsm medicalis |
145 |
124 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
14 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
27 |
24 |
$0.00 |