| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,309 |
8,395 |
$4.36M |
| 99285 |
|
5,404 |
4,814 |
$4.30M |
| 99283 |
|
11,216 |
10,423 |
$3.48M |
| 43239 |
|
1,967 |
1,835 |
$1.42M |
| 74177 |
|
2,101 |
1,992 |
$1.14M |
| 45380 |
|
1,315 |
1,228 |
$777K |
| J2704 |
Inj, propofol, 10 mg |
6,696 |
3,754 |
$669K |
| 99282 |
|
4,049 |
3,829 |
$667K |
| 88305 |
|
5,005 |
2,755 |
$501K |
| 96375 |
|
5,386 |
4,382 |
$464K |
| 96374 |
|
6,375 |
5,487 |
$384K |
| 70450 |
|
1,729 |
1,602 |
$301K |
| 93005 |
|
5,668 |
5,010 |
$273K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,369 |
3,151 |
$234K |
| 96361 |
|
2,659 |
2,083 |
$224K |
| J2405 |
Ondansetron hcl injection |
5,624 |
4,402 |
$220K |
| 96365 |
|
2,595 |
1,935 |
$209K |
| 85025 |
|
13,442 |
11,079 |
$203K |
| 80053 |
|
9,169 |
7,905 |
$195K |
| 71045 |
|
5,040 |
4,533 |
$182K |
| J1885 |
Ketorolac tromethamine inj |
3,924 |
3,433 |
$181K |
| 45385 |
|
472 |
444 |
$177K |
| 80307 |
|
2,065 |
1,818 |
$164K |
| J0696 |
Ceftriaxone sodium injection |
1,831 |
1,402 |
$162K |
| 96372 |
|
3,693 |
2,948 |
$138K |
| 84484 |
|
5,016 |
3,722 |
$133K |
| 96376 |
|
2,356 |
1,711 |
$113K |
| 83690 |
|
5,413 |
4,826 |
$110K |
| G0378 |
Hospital observation per hr |
187 |
146 |
$103K |
| 93306 |
|
328 |
321 |
$100K |
| 96366 |
|
678 |
443 |
$84K |
| G0463 |
Hospital outpt clinic visit |
3,113 |
1,671 |
$83K |
| 80048 |
|
4,989 |
4,305 |
$77K |
| G0480 |
Drug test def 1-7 classes |
1,877 |
1,603 |
$68K |
| 94640 |
|
1,433 |
1,108 |
$66K |
| 83880 |
|
2,121 |
1,886 |
$61K |
| 71046 |
|
1,221 |
1,157 |
$53K |
| 85610 |
|
5,422 |
3,616 |
$51K |
| 83605 |
|
2,724 |
2,068 |
$50K |
| J2001 |
Lidocaine injection |
4,308 |
3,729 |
$45K |
| 87040 |
|
2,321 |
1,137 |
$42K |
| 81001 |
|
4,498 |
4,143 |
$40K |
| 84703 |
|
2,046 |
1,935 |
$37K |
| J0690 |
Cefazolin sodium injection |
526 |
416 |
$37K |
| 74176 |
|
135 |
132 |
$37K |
| J3010 |
Fentanyl citrate injection |
1,689 |
1,225 |
$37K |
| J2250 |
Inj midazolam hydrochloride |
1,259 |
1,083 |
$36K |
| 81025 |
|
1,810 |
1,713 |
$35K |
| J7120 |
Ringers lactate infusion |
2,942 |
2,360 |
$33K |
| 85379 |
|
956 |
902 |
$32K |
| J1170 |
Hydromorphone injection |
2,746 |
1,991 |
$31K |
| 76856 |
|
332 |
325 |
$30K |
| 87086 |
|
1,738 |
1,588 |
$30K |
| 80076 |
|
2,100 |
1,959 |
$28K |
| J1100 |
Dexamethasone sodium phos |
1,942 |
1,803 |
$27K |
| 82962 |
|
2,665 |
2,000 |
$27K |
| 81003 |
|
2,658 |
2,485 |
$25K |
| 36415 |
|
2,916 |
2,247 |
$24K |
| 77067 |
|
258 |
257 |
$23K |
| 96360 |
|
308 |
253 |
$23K |
| 80143 |
|
698 |
621 |
$23K |
| J2270 |
Morphine sulfate injection |
1,567 |
1,230 |
$22K |
| 80179 |
|
652 |
588 |
$21K |
| 84145 |
|
997 |
881 |
$17K |
| J1200 |
Diphenhydramine hcl injectio |
952 |
831 |
$16K |
| 76830 |
|
166 |
165 |
$16K |
| 87070 |
|
621 |
582 |
$15K |
| 76801 |
|
155 |
145 |
$15K |
| 84702 |
|
311 |
285 |
$14K |
| 87635 |
|
1,479 |
1,362 |
$13K |
| J2060 |
Lorazepam injection |
795 |
622 |
$12K |
| 85027 |
|
985 |
928 |
$12K |
| 71275 |
|
27 |
26 |
$8K |
| 87804 |
|
447 |
420 |
$7K |
| 87186 |
|
450 |
395 |
$7K |
| 83735 |
|
635 |
452 |
$7K |
| 77063 |
|
245 |
245 |
$5K |
| 87651 |
|
88 |
88 |
$4K |
| J2765 |
Metoclopramide hcl injection |
189 |
166 |
$4K |
| 80047 |
|
114 |
106 |
$4K |
| 87430 |
|
279 |
264 |
$4K |
| 76705 |
|
41 |
40 |
$4K |
| 73610 |
|
82 |
80 |
$4K |
| J2930 |
Methylprednisolone injection |
189 |
173 |
$4K |
| 0241U |
|
1,324 |
1,250 |
$4K |
| 74018 |
|
85 |
81 |
$3K |
| 73630 |
|
54 |
52 |
$3K |
| 72125 |
|
12 |
12 |
$3K |
| J2550 |
Promethazine hcl injection |
114 |
86 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
230 |
217 |
$2K |
| 73130 |
|
40 |
36 |
$2K |
| 12001 |
|
14 |
14 |
$2K |
| 81002 |
|
180 |
173 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
31 |
30 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| 82803 |
|
31 |
25 |
$2K |
| 90715 |
|
40 |
39 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
25 |
24 |
$1K |
| 88342 |
|
16 |
13 |
$1K |
| A9270 |
Non-covered item or service |
5,357 |
3,771 |
$1K |
| G0500 |
Mod sedat endo service >5yrs |
67 |
65 |
$857.05 |
| 76817 |
|
13 |
12 |
$753.21 |
| J3475 |
Inj magnesium sulfate |
34 |
26 |
$698.47 |
| 82550 |
|
75 |
71 |
$662.73 |
| 87428 |
|
16 |
16 |
$460.00 |
| 82247 |
|
47 |
46 |
$415.98 |
| 87205 |
|
29 |
25 |
$401.15 |
| 82040 |
|
44 |
43 |
$349.98 |
| 84450 |
|
52 |
49 |
$307.75 |
| 84460 |
|
50 |
47 |
$296.87 |
| 84155 |
|
44 |
43 |
$258.99 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
15 |
$235.07 |
| 84075 |
|
44 |
43 |
$220.89 |
| J1790 |
Droperidol injection |
16 |
16 |
$210.71 |
| 90471 |
|
56 |
51 |
$179.97 |
| 0240U |
|
297 |
279 |
$29.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
12 |
$28.90 |
| J7613 |
Albuterol non-comp unit |
41 |
40 |
$0.00 |