| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
21,285 |
16,752 |
$2.70M |
| 99284 |
|
16,013 |
13,800 |
$2.12M |
| 74177 |
|
4,284 |
3,477 |
$1.85M |
| G0378 |
Hospital observation per hr |
5,013 |
1,895 |
$1.78M |
| 74176 |
|
3,220 |
2,757 |
$1.07M |
| 99283 |
|
15,831 |
14,147 |
$1.06M |
| 71275 |
|
1,260 |
1,039 |
$486K |
| 72125 |
|
1,770 |
1,527 |
$471K |
| 99291 |
|
1,527 |
1,284 |
$300K |
| 77067 |
|
2,608 |
2,277 |
$226K |
| 70450 |
|
5,491 |
4,547 |
$165K |
| 99281 |
|
3,318 |
2,984 |
$60K |
| 96365 |
|
6,363 |
4,265 |
$54K |
| 96375 |
|
15,445 |
10,908 |
$54K |
| 99282 |
|
844 |
805 |
$40K |
| 97530 |
|
986 |
209 |
$32K |
| 96374 |
|
16,273 |
12,464 |
$22K |
| 93005 |
|
20,278 |
15,231 |
$20K |
| 97110 |
|
1,365 |
269 |
$18K |
| 96361 |
|
11,096 |
8,722 |
$18K |
| 93306 |
|
798 |
604 |
$12K |
| 77066 |
Tomosynthesis, mammo |
80 |
68 |
$12K |
| 93971 |
|
162 |
146 |
$11K |
| J3490 |
Drugs unclassified injection |
8,295 |
3,787 |
$10K |
| 80053 |
|
30,617 |
21,150 |
$9K |
| 80307 |
|
4,600 |
3,835 |
$8K |
| 96376 |
|
5,593 |
3,267 |
$8K |
| 87426 |
|
5,156 |
4,487 |
$7K |
| 85025 |
|
33,266 |
23,033 |
$7K |
| 96372 |
|
8,017 |
6,017 |
$7K |
| 71045 |
|
18,255 |
14,369 |
$7K |
| 96366 |
|
458 |
377 |
$7K |
| 72148 |
|
36 |
36 |
$7K |
| 76642 |
|
536 |
471 |
$7K |
| 76705 |
|
876 |
744 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
644 |
494 |
$6K |
| 71046 |
|
1,984 |
1,733 |
$6K |
| 76830 |
|
64 |
58 |
$5K |
| 84484 |
|
22,524 |
11,726 |
$5K |
| 83880 |
|
7,483 |
5,855 |
$5K |
| 94060 |
|
37 |
37 |
$4K |
| 71250 |
|
103 |
77 |
$4K |
| 72100 |
|
271 |
247 |
$4K |
| 84443 |
|
2,663 |
1,951 |
$3K |
| 76856 |
|
70 |
69 |
$3K |
| 97162 |
|
44 |
37 |
$3K |
| 96360 |
|
2,112 |
1,882 |
$3K |
| 87804 |
|
4,263 |
3,773 |
$3K |
| 94640 |
|
3,450 |
2,491 |
$3K |
| 73562 |
|
653 |
555 |
$2K |
| 99070 |
|
17 |
12 |
$2K |
| 73721 |
|
18 |
12 |
$2K |
| 36415 |
|
34,639 |
23,917 |
$2K |
| 73630 |
|
597 |
506 |
$2K |
| 78454 |
|
34 |
26 |
$2K |
| 85730 |
|
13,820 |
10,793 |
$2K |
| 83735 |
|
12,427 |
8,205 |
$2K |
| 83690 |
|
9,610 |
7,618 |
$2K |
| 73130 |
|
680 |
568 |
$2K |
| 84703 |
|
7,673 |
6,434 |
$2K |
| 83605 |
|
7,432 |
5,726 |
$2K |
| 82553 |
|
7,022 |
5,469 |
$2K |
| 72131 |
|
27 |
24 |
$2K |
| 94664 |
|
3,339 |
2,648 |
$2K |
| 73610 |
|
688 |
602 |
$2K |
| 73030 |
|
656 |
557 |
$2K |
| 80050 |
|
121 |
118 |
$1K |
| 81000 |
|
16,732 |
13,621 |
$1K |
| 71260 |
|
43 |
37 |
$1K |
| 85610 |
|
14,464 |
11,128 |
$1K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 82550 |
|
9,509 |
7,367 |
$1K |
| 90471 |
|
1,272 |
1,040 |
$1K |
| U0001 |
2019-ncov diagnostic p |
572 |
496 |
$1K |
| 87086 |
|
4,935 |
4,163 |
$1K |
| 90715 |
|
702 |
615 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
3,269 |
2,485 |
$976.41 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,321 |
5,234 |
$964.42 |
| 87040 |
|
2,027 |
1,397 |
$700.65 |
| 73110 |
|
170 |
149 |
$683.81 |
| 80061 |
|
1,524 |
1,123 |
$634.94 |
| 80048 |
|
2,412 |
2,075 |
$594.55 |
| J7030 |
Normal saline solution infus |
3,238 |
2,345 |
$463.22 |
| 0450 |
|
13 |
12 |
$457.23 |
| 84702 |
|
781 |
658 |
$456.39 |
| G0480 |
Drug test def 1-7 classes |
117 |
102 |
$455.64 |
| Q0162 |
Ondansetron oral |
1,757 |
1,611 |
$450.40 |
| 70486 |
|
15 |
12 |
$448.88 |
| A9502 |
Tc99m tetrofosmin |
33 |
26 |
$435.95 |
| 82803 |
|
600 |
433 |
$423.63 |
| 76815 |
|
101 |
89 |
$372.00 |
| 83036 |
|
1,374 |
1,019 |
$360.18 |
| 85378 |
|
1,586 |
1,368 |
$355.61 |
| 87070 |
|
1,505 |
1,125 |
$342.82 |
| 87430 |
|
1,200 |
1,102 |
$263.01 |
| 86756 |
|
575 |
540 |
$246.64 |
| 87088 |
|
958 |
858 |
$221.15 |
| 36600 |
|
523 |
374 |
$170.65 |
| 94727 |
|
36 |
36 |
$155.70 |
| J2270 |
Morphine sulfate injection |
997 |
791 |
$147.51 |
| 94762 |
|
544 |
464 |
$143.36 |
| 88305 |
|
65 |
56 |
$140.66 |
| 93015 |
|
35 |
27 |
$133.84 |
| 94761 |
|
1,888 |
671 |
$109.81 |
| J0500 |
Dicyclomine injection |
83 |
77 |
$96.07 |
| 94644 |
|
90 |
84 |
$96.06 |
| 51702 |
|
41 |
27 |
$83.71 |
| 77080 |
|
12 |
12 |
$82.42 |
| 96368 |
|
191 |
159 |
$72.20 |
| 80329 |
|
1,848 |
1,270 |
$60.17 |
| J2060 |
Lorazepam injection |
257 |
223 |
$55.30 |
| 87186 |
|
191 |
161 |
$54.02 |
| J1790 |
Droperidol injection |
157 |
146 |
$52.63 |
| 73590 |
|
44 |
39 |
$49.18 |
| 73080 |
|
20 |
15 |
$48.79 |
| J1885 |
Ketorolac tromethamine inj |
560 |
513 |
$47.46 |
| J1094 |
Inj dexamethasone acetate |
67 |
63 |
$29.11 |
| 77063 |
|
1,252 |
1,096 |
$27.88 |
| 96367 |
|
192 |
157 |
$26.69 |
| J2405 |
Ondansetron hcl injection |
1,529 |
1,280 |
$26.32 |
| 51701 |
|
29 |
25 |
$26.08 |
| J7050 |
Normal saline solution infus |
249 |
208 |
$25.13 |
| J2930 |
Methylprednisolone injection |
94 |
86 |
$22.81 |
| 87077 |
|
213 |
183 |
$22.08 |
| 74018 |
|
29 |
28 |
$18.54 |
| 82150 |
|
166 |
139 |
$17.81 |
| J1170 |
Hydromorphone injection |
259 |
211 |
$17.43 |
| 86901 |
|
159 |
139 |
$16.47 |
| 82272 |
|
75 |
67 |
$11.17 |
| 86140 |
|
120 |
101 |
$10.86 |
| J2765 |
Metoclopramide hcl injection |
83 |
77 |
$8.71 |
| J3370 |
Vancomycin hcl injection |
90 |
79 |
$6.08 |
| J1200 |
Diphenhydramine hcl injectio |
227 |
207 |
$5.85 |
| J1650 |
Inj enoxaparin sodium |
20 |
12 |
$4.80 |
| 85652 |
|
41 |
39 |
$3.83 |
| J3480 |
Inj potassium chloride |
98 |
76 |
$3.50 |
| J3475 |
Inj magnesium sulfate |
201 |
182 |
$2.44 |
| J2543 |
Piperacillin/tazobactam |
114 |
100 |
$2.40 |
| J7620 |
Albuterol ipratrop non-comp |
89 |
83 |
$1.81 |
| 82962 |
|
141 |
118 |
$1.23 |
| J1815 |
Insulin injection |
20 |
13 |
$1.15 |
| J1100 |
Dexamethasone sodium phos |
214 |
202 |
$1.08 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
30 |
26 |
$0.27 |
| 82565 |
|
67 |
65 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
140 |
134 |
$0.00 |
| 01999 |
|
30 |
26 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
111 |
95 |
$0.00 |
| 84439 |
|
29 |
24 |
$0.00 |
| 87880 |
|
53 |
52 |
$0.00 |
| S0164 |
Injection pantroprazole |
29 |
25 |
$0.00 |
| 84520 |
|
67 |
65 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
197 |
162 |
$0.00 |
| 94729 |
|
37 |
37 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
19 |
15 |
$0.00 |
| 87633 |
|
18 |
18 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
71 |
63 |
$0.00 |
| 80320 |
|
3,503 |
2,885 |
$0.00 |
| 86850 |
|
34 |
27 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
52 |
50 |
$0.00 |
| J3360 |
Diazepam injection |
26 |
24 |
$0.00 |
| G0202 |
Scr mammo bi incl cad |
71 |
36 |
$0.00 |
| 84132 |
|
40 |
25 |
$0.00 |
| 12001 |
|
27 |
24 |
$0.00 |