| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,028 |
20,437 |
$3.30M |
| 99283 |
|
17,108 |
14,793 |
$2.09M |
| 96361 |
|
9,149 |
7,142 |
$1.77M |
| 99285 |
|
11,094 |
9,375 |
$1.22M |
| 74177 |
|
3,323 |
2,975 |
$574K |
| 97110 |
|
12,359 |
3,680 |
$567K |
| 99282 |
|
4,237 |
3,766 |
$548K |
| 70450 |
|
3,260 |
2,797 |
$468K |
| 0241U |
|
7,835 |
7,041 |
$421K |
| 74176 |
|
2,309 |
2,069 |
$393K |
| 80307 |
|
5,042 |
4,340 |
$268K |
| 92507 |
|
2,513 |
791 |
$238K |
| 93306 |
|
904 |
823 |
$234K |
| 80053 |
|
32,722 |
26,006 |
$199K |
| 36415 |
|
21,214 |
15,552 |
$194K |
| 96360 |
|
2,118 |
1,800 |
$188K |
| G0463 |
Hospital outpt clinic visit |
2,540 |
1,945 |
$183K |
| 99291 |
|
1,164 |
1,029 |
$182K |
| 96365 |
|
2,747 |
2,091 |
$154K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,156 |
4,581 |
$120K |
| 94640 |
|
3,102 |
2,336 |
$107K |
| 97162 |
|
1,232 |
1,107 |
$91K |
| G0378 |
Hospital observation per hr |
834 |
683 |
$91K |
| 96366 |
|
588 |
403 |
$87K |
| 97113 |
|
1,438 |
563 |
$68K |
| 71046 |
|
3,925 |
3,510 |
$67K |
| 84443 |
|
9,576 |
8,487 |
$67K |
| 77067 |
|
1,594 |
1,533 |
$62K |
| 76705 |
|
576 |
535 |
$50K |
| 81001 |
|
10,486 |
8,911 |
$49K |
| 82306 |
|
3,428 |
3,179 |
$46K |
| J7030 |
Normal saline solution infus |
1,366 |
1,035 |
$43K |
| 85025 |
|
34,140 |
26,680 |
$42K |
| 71275 |
|
213 |
198 |
$41K |
| 87651 |
|
1,431 |
1,346 |
$37K |
| 73130 |
|
1,562 |
1,382 |
$35K |
| 73610 |
|
1,511 |
1,364 |
$34K |
| 72148 |
|
223 |
207 |
$33K |
| 72100 |
|
1,444 |
1,339 |
$32K |
| 73630 |
|
1,814 |
1,600 |
$32K |
| 83880 |
|
2,823 |
2,330 |
$31K |
| 80048 |
|
4,994 |
4,161 |
$29K |
| 73562 |
|
1,683 |
1,414 |
$28K |
| 71045 |
|
8,982 |
7,490 |
$27K |
| 81025 |
|
3,800 |
3,390 |
$26K |
| 97014 |
|
1,132 |
441 |
$25K |
| 73030 |
|
1,089 |
938 |
$24K |
| 43239 |
|
72 |
62 |
$23K |
| 97140 |
|
1,317 |
593 |
$23K |
| G0480 |
Drug test def 1-7 classes |
2,384 |
2,013 |
$22K |
| 87040 |
|
4,670 |
2,287 |
$21K |
| 71260 |
|
165 |
151 |
$21K |
| 73721 |
|
111 |
102 |
$21K |
| 93005 |
|
11,602 |
8,998 |
$20K |
| 99212 |
|
190 |
151 |
$20K |
| 77063 |
|
870 |
846 |
$20K |
| J3490 |
Drugs unclassified injection |
1,439 |
1,131 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
911 |
844 |
$19K |
| 87491 |
|
1,082 |
1,033 |
$17K |
| 73110 |
|
808 |
715 |
$17K |
| 80061 |
|
4,587 |
4,251 |
$17K |
| G0283 |
Elec stim other than wound |
915 |
381 |
$16K |
| 96372 |
|
7,803 |
6,355 |
$16K |
| 87880 |
|
2,381 |
2,200 |
$15K |
| 87591 |
|
1,083 |
1,034 |
$15K |
| 83036 |
|
3,990 |
3,730 |
$14K |
| 97035 |
|
406 |
179 |
$14K |
| 96374 |
|
13,551 |
11,116 |
$14K |
| 82607 |
|
3,454 |
3,164 |
$13K |
| 84484 |
|
9,300 |
6,380 |
$13K |
| 81003 |
|
6,579 |
5,744 |
$13K |
| 0202U |
|
65 |
65 |
$12K |
| 93971 |
|
150 |
136 |
$12K |
| 80329 |
|
1,634 |
772 |
$12K |
| 74018 |
|
730 |
658 |
$11K |
| 87077 |
|
3,220 |
2,943 |
$11K |
| J7620 |
Albuterol ipratrop non-comp |
377 |
322 |
$11K |
| 87804 |
|
4,949 |
2,225 |
$11K |
| 90715 |
|
676 |
591 |
$10K |
| 76830 |
|
85 |
82 |
$10K |
| 84439 |
|
1,873 |
1,633 |
$9K |
| J7040 |
Normal saline solution infus |
288 |
231 |
$8K |
| 87635 |
|
448 |
359 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
852 |
737 |
$7K |
| 73502 |
|
545 |
487 |
$7K |
| 96375 |
|
9,283 |
7,261 |
$7K |
| 87086 |
|
2,648 |
2,402 |
$7K |
| J2405 |
Ondansetron hcl injection |
8,752 |
7,076 |
$7K |
| J7120 |
Ringers lactate infusion |
674 |
574 |
$6K |
| 78452 |
|
14 |
12 |
$6K |
| 80143 |
|
1,137 |
999 |
$6K |
| 83605 |
|
3,750 |
2,858 |
$5K |
| 73221 |
|
28 |
27 |
$5K |
| 80320 |
|
1,075 |
923 |
$5K |
| 12001 |
|
25 |
24 |
$5K |
| 97530 |
|
129 |
53 |
$5K |
| 71250 |
|
84 |
79 |
$4K |
| 85027 |
|
3,744 |
3,210 |
$4K |
| 82140 |
|
1,874 |
1,572 |
$4K |
| 87070 |
|
612 |
549 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
80 |
72 |
$4K |
| 82728 |
|
1,211 |
1,071 |
$4K |
| 88305 |
|
628 |
551 |
$3K |
| 87088 |
|
1,914 |
1,683 |
$3K |
| 71101 |
|
134 |
120 |
$3K |
| 87186 |
|
2,313 |
2,055 |
$3K |
| 99213 |
|
16 |
14 |
$3K |
| 83540 |
|
2,322 |
2,087 |
$3K |
| 85379 |
|
854 |
763 |
$3K |
| 83735 |
|
4,453 |
3,426 |
$3K |
| 86140 |
|
823 |
725 |
$3K |
| 99281 |
|
20 |
13 |
$3K |
| 82746 |
|
690 |
628 |
$3K |
| 90471 |
|
840 |
685 |
$2K |
| 72040 |
|
87 |
80 |
$2K |
| 80179 |
|
1,125 |
992 |
$2K |
| J7050 |
Normal saline solution infus |
86 |
45 |
$2K |
| M0243 |
Casirivi and imdevi inj |
18 |
15 |
$2K |
| 83690 |
|
8,057 |
6,752 |
$2K |
| 85610 |
|
1,793 |
1,357 |
$2K |
| J7613 |
Albuterol non-comp unit |
47 |
44 |
$2K |
| 85652 |
|
1,135 |
981 |
$2K |
| 73080 |
|
89 |
81 |
$1K |
| 83550 |
|
616 |
573 |
$1K |
| 72125 |
|
205 |
180 |
$1K |
| 87081 |
|
1,079 |
971 |
$1K |
| 84703 |
|
2,425 |
2,190 |
$1K |
| 96376 |
|
2,179 |
1,482 |
$1K |
| 94729 |
|
26 |
26 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
9,283 |
7,817 |
$1K |
| 93017 |
|
26 |
24 |
$836.59 |
| 96523 |
|
17 |
12 |
$804.36 |
| 36600 |
|
185 |
141 |
$716.76 |
| J2930 |
Methylprednisolone injection |
1,753 |
1,378 |
$708.51 |
| J3010 |
Fentanyl citrate injection |
1,212 |
1,015 |
$682.13 |
| 84100 |
|
1,098 |
787 |
$660.82 |
| 96367 |
|
17 |
12 |
$609.70 |
| 83615 |
|
1,097 |
798 |
$609.29 |
| 87807 |
|
275 |
261 |
$561.44 |
| J1100 |
Dexamethasone sodium phos |
3,260 |
2,716 |
$475.81 |
| 84466 |
|
352 |
279 |
$440.00 |
| 87205 |
|
367 |
323 |
$372.99 |
| 72072 |
|
14 |
12 |
$361.17 |
| J2360 |
Orphenadrine injection |
1,143 |
1,013 |
$354.92 |
| 80164 |
|
114 |
93 |
$350.57 |
| J1200 |
Diphenhydramine hcl injectio |
1,219 |
953 |
$319.79 |
| J2250 |
Inj midazolam hydrochloride |
910 |
778 |
$297.84 |
| 94727 |
|
12 |
12 |
$245.37 |
| J2270 |
Morphine sulfate injection |
1,940 |
1,493 |
$239.06 |
| 86141 |
|
31 |
29 |
$228.17 |
| J0696 |
Ceftriaxone sodium injection |
3,042 |
2,474 |
$212.40 |
| Q0162 |
Ondansetron oral |
950 |
812 |
$202.94 |
| 87811 |
|
72 |
72 |
$182.67 |
| J1642 |
Inj heparin sodium per 10 u |
859 |
450 |
$172.19 |
| 85730 |
|
179 |
150 |
$144.83 |
| L4350 |
Ankle control ortho pre ots |
16 |
15 |
$128.43 |
| 87389 |
|
12 |
12 |
$121.26 |
| 73090 |
|
12 |
12 |
$118.65 |
| J2060 |
Lorazepam injection |
468 |
372 |
$114.09 |
| 83970 |
|
14 |
12 |
$108.35 |
| J8540 |
Oral dexamethasone |
45 |
41 |
$97.01 |
| 87147 |
|
74 |
68 |
$95.82 |
| J1170 |
Hydromorphone injection |
1,470 |
1,070 |
$74.39 |
| J0780 |
Prochlorperazine injection |
1,169 |
1,016 |
$66.98 |
| 86850 |
|
49 |
42 |
$66.17 |
| 87210 |
|
29 |
27 |
$62.70 |
| 82803 |
|
355 |
255 |
$62.07 |
| 84702 |
|
13 |
13 |
$54.48 |
| 82550 |
|
148 |
119 |
$52.13 |
| 88312 |
|
89 |
77 |
$45.78 |
| J2919 |
Inj, methylpred sod succ 5mg |
156 |
140 |
$44.52 |
| 82272 |
|
28 |
25 |
$37.73 |
| 80050 |
|
12 |
12 |
$35.22 |
| 86900 |
|
70 |
55 |
$35.21 |
| 86901 |
|
66 |
55 |
$31.73 |
| 94760 |
|
323 |
287 |
$29.24 |
| 82565 |
|
30 |
28 |
$23.48 |
| 82150 |
|
26 |
18 |
$21.64 |
| J2550 |
Promethazine hcl injection |
282 |
223 |
$17.26 |
| J0690 |
Cefazolin sodium injection |
332 |
287 |
$14.03 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
12 |
12 |
$13.00 |
| J1815 |
Insulin injection |
139 |
80 |
$6.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
170 |
145 |
$4.69 |
| G0500 |
Mod sedat endo service >5yrs |
14 |
13 |
$3.71 |
| J1020 |
Methylprednisolone 20 mg inj |
37 |
35 |
$2.48 |
| J2704 |
Inj, propofol, 10 mg |
1,878 |
1,622 |
$2.44 |
| 84550 |
|
13 |
13 |
$2.41 |
| J2765 |
Metoclopramide hcl injection |
64 |
56 |
$2.18 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$1.19 |
| C9113 |
Inj pantoprazole sodium, via |
95 |
65 |
$0.72 |
| J1040 |
Methylprednisolone 80 mg inj |
32 |
26 |
$0.23 |
| A9502 |
Tc99m tetrofosmin |
14 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
36 |
31 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
17 |
14 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
21 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
31 |
24 |
$0.00 |
| J3480 |
Inj potassium chloride |
22 |
15 |
$0.00 |
| 94761 |
|
93 |
69 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
40 |
24 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
146 |
50 |
$0.00 |