| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,610 |
16,540 |
$1.45M |
| 99284 |
|
12,463 |
10,504 |
$884K |
| 99282 |
|
6,036 |
5,480 |
$522K |
| 36415 |
|
16,525 |
11,840 |
$282K |
| 74177 |
|
1,367 |
1,193 |
$262K |
| 74176 |
|
1,677 |
1,408 |
$255K |
| 70450 |
|
2,495 |
2,006 |
$234K |
| 96361 |
|
4,822 |
3,960 |
$233K |
| 99285 |
|
4,179 |
3,354 |
$194K |
| 99281 |
|
2,711 |
2,487 |
$185K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,737 |
2,217 |
$167K |
| C9803 |
Hopd covid-19 spec collect |
2,751 |
2,342 |
$126K |
| 80053 |
|
11,772 |
9,142 |
$112K |
| 80306 |
|
1,624 |
1,328 |
$94K |
| 86900 |
|
1,800 |
1,521 |
$77K |
| 80307 |
|
2,062 |
1,672 |
$71K |
| 86901 |
|
2,339 |
1,961 |
$64K |
| G0463 |
Hospital outpt clinic visit |
2,195 |
1,832 |
$63K |
| 99213 |
|
1,644 |
1,445 |
$59K |
| 96365 |
|
2,185 |
1,743 |
$58K |
| G0378 |
Hospital observation per hr |
3,562 |
1,966 |
$51K |
| 96360 |
|
1,748 |
1,531 |
$50K |
| J7030 |
Normal saline solution infus |
3,686 |
2,968 |
$48K |
| 97110 |
|
407 |
106 |
$45K |
| 87430 |
|
6,163 |
5,601 |
$41K |
| 85610 |
|
4,898 |
3,680 |
$39K |
| 80048 |
|
4,521 |
3,296 |
$37K |
| 71275 |
|
220 |
182 |
$33K |
| 85027 |
|
7,168 |
5,269 |
$30K |
| 87807 |
|
1,726 |
1,607 |
$28K |
| 72125 |
|
309 |
245 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
2,405 |
1,875 |
$23K |
| 93976 |
|
1,251 |
1,060 |
$22K |
| 85730 |
|
4,181 |
3,176 |
$21K |
| 71046 |
|
1,559 |
1,378 |
$21K |
| 87400 |
|
3,057 |
2,753 |
$20K |
| 82962 |
|
2,650 |
1,123 |
$20K |
| 71045 |
|
6,777 |
5,533 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
2,499 |
1,901 |
$19K |
| 80047 |
|
1,815 |
1,502 |
$18K |
| J3010 |
Fentanyl citrate injection |
1,897 |
1,471 |
$17K |
| 96366 |
|
551 |
390 |
$17K |
| 87086 |
|
4,264 |
3,581 |
$16K |
| 87426 |
|
11,553 |
10,073 |
$15K |
| 93005 |
|
6,615 |
4,750 |
$14K |
| 76817 |
|
1,128 |
936 |
$14K |
| 81003 |
|
5,899 |
5,097 |
$14K |
| J2405 |
Ondansetron hcl injection |
5,140 |
3,806 |
$13K |
| 94640 |
|
1,509 |
1,127 |
$13K |
| 81025 |
|
2,756 |
2,462 |
$13K |
| 99214 |
|
486 |
419 |
$13K |
| 96372 |
|
3,134 |
2,539 |
$12K |
| 85025 |
|
13,474 |
10,752 |
$12K |
| 99212 |
|
1,565 |
1,343 |
$12K |
| 84702 |
|
1,480 |
1,205 |
$11K |
| J7120 |
Ringers lactate infusion |
1,164 |
942 |
$10K |
| 76815 |
|
564 |
507 |
$10K |
| 76856 |
|
258 |
241 |
$10K |
| 73630 |
|
401 |
361 |
$9K |
| 73610 |
|
309 |
276 |
$8K |
| 81001 |
|
6,504 |
5,407 |
$8K |
| 88305 |
|
619 |
502 |
$7K |
| 76801 |
|
605 |
508 |
$7K |
| 96375 |
|
4,430 |
3,395 |
$7K |
| 96376 |
|
1,288 |
685 |
$6K |
| 83735 |
|
4,387 |
2,947 |
$6K |
| 84484 |
|
4,957 |
3,084 |
$6K |
| 73130 |
|
191 |
167 |
$6K |
| 96374 |
|
6,269 |
5,102 |
$6K |
| 76830 |
|
384 |
360 |
$6K |
| 92587 |
|
213 |
175 |
$6K |
| 92507 |
|
34 |
14 |
$5K |
| 76705 |
|
302 |
275 |
$5K |
| 99203 |
|
688 |
547 |
$5K |
| C1769 |
Guide wire |
346 |
245 |
$5K |
| 74018 |
|
171 |
159 |
$5K |
| 92650 |
|
124 |
121 |
$4K |
| 99202 |
|
1,059 |
903 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
171 |
149 |
$4K |
| 83690 |
|
3,072 |
2,535 |
$3K |
| 43239 |
|
15 |
12 |
$3K |
| J2270 |
Morphine sulfate injection |
2,056 |
1,382 |
$3K |
| 86850 |
|
1,611 |
1,367 |
$3K |
| 82550 |
|
2,082 |
1,551 |
$3K |
| 72131 |
|
58 |
49 |
$2K |
| 87077 |
|
1,476 |
1,224 |
$2K |
| 82553 |
|
1,953 |
1,459 |
$2K |
| J1170 |
Hydromorphone injection |
1,248 |
858 |
$2K |
| 84703 |
|
1,222 |
1,088 |
$2K |
| 93306 |
|
45 |
37 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,477 |
2,886 |
$2K |
| 87635 |
|
221 |
197 |
$2K |
| 87186 |
|
1,140 |
922 |
$2K |
| 73110 |
|
56 |
51 |
$1K |
| 87070 |
|
604 |
546 |
$1K |
| 83880 |
|
625 |
496 |
$992.30 |
| 87653 |
|
63 |
58 |
$979.18 |
| 87804 |
|
5,999 |
5,327 |
$971.30 |
| J0690 |
Cefazolin sodium injection |
338 |
271 |
$921.75 |
| 82077 |
|
105 |
88 |
$838.57 |
| 76819 |
|
14 |
12 |
$770.28 |
| 84443 |
|
861 |
727 |
$713.85 |
| 85380 |
|
650 |
540 |
$648.17 |
| 87880 |
|
257 |
231 |
$613.68 |
| J0696 |
Ceftriaxone sodium injection |
1,888 |
1,347 |
$540.77 |
| 73562 |
|
77 |
66 |
$512.14 |
| 82150 |
|
1,302 |
1,077 |
$491.36 |
| 87040 |
|
817 |
548 |
$489.65 |
| 86141 |
|
26 |
25 |
$479.44 |
| 93970 |
|
27 |
26 |
$470.80 |
| 73564 |
|
25 |
24 |
$420.57 |
| 12011 |
|
12 |
12 |
$366.92 |
| 73030 |
|
71 |
54 |
$313.65 |
| 80076 |
|
1,140 |
945 |
$292.17 |
| 80061 |
|
273 |
216 |
$249.69 |
| J1100 |
Dexamethasone sodium phos |
1,451 |
1,244 |
$249.56 |
| 36416 |
|
53 |
30 |
$189.20 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$142.25 |
| J0131 |
Inj, acetaminophen (nos) |
102 |
84 |
$142.25 |
| 87205 |
|
94 |
66 |
$129.11 |
| 82247 |
|
117 |
70 |
$125.68 |
| 92651 |
|
340 |
232 |
$115.44 |
| 84439 |
|
12 |
12 |
$112.79 |
| C9113 |
Inj pantoprazole sodium, via |
420 |
266 |
$110.80 |
| 85379 |
|
485 |
418 |
$98.15 |
| 82248 |
|
302 |
196 |
$69.94 |
| 92652 |
|
51 |
26 |
$57.72 |
| 73560 |
|
13 |
12 |
$54.91 |
| J1644 |
Inj heparin sodium per 1000u |
164 |
106 |
$50.05 |
| 92558 |
|
14 |
12 |
$46.97 |
| 87806 |
|
34 |
32 |
$42.12 |
| 86592 |
|
132 |
122 |
$40.10 |
| 87491 |
|
46 |
43 |
$30.79 |
| 29125 |
|
17 |
15 |
$29.95 |
| J2930 |
Methylprednisolone injection |
100 |
74 |
$24.81 |
| 80074 |
|
14 |
12 |
$23.89 |
| 81000 |
|
268 |
238 |
$22.87 |
| 83036 |
|
67 |
52 |
$21.70 |
| 87389 |
|
45 |
40 |
$5.38 |
| J2060 |
Lorazepam injection |
192 |
122 |
$5.22 |
| 86762 |
|
31 |
30 |
$3.05 |
| 87340 |
|
73 |
67 |
$2.69 |
| 87147 |
|
52 |
38 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
114 |
91 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
21 |
16 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
238 |
200 |
$0.00 |
| 94760 |
|
601 |
389 |
$0.00 |
| 94761 |
|
105 |
45 |
$0.00 |
| 87591 |
|
45 |
43 |
$0.00 |
| 83605 |
|
257 |
211 |
$0.00 |
| 93971 |
|
14 |
12 |
$0.00 |
| 12001 |
|
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
121 |
37 |
$0.00 |
| 85651 |
|
19 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
35 |
29 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
152 |
109 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
123 |
109 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
186 |
140 |
$0.00 |
| 84112 |
|
28 |
26 |
$0.00 |
| 99152 |
|
65 |
48 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
18 |
15 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
20 |
16 |
$0.00 |
| 85007 |
|
15 |
13 |
$0.00 |
| 00731 |
|
12 |
12 |
$0.00 |
| 81002 |
|
42 |
38 |
$0.00 |
| 84100 |
|
20 |
14 |
$0.00 |