| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,945 |
7,622 |
$1.38M |
| 99283 |
|
5,273 |
5,151 |
$1.02M |
| 99285 |
|
3,416 |
3,339 |
$638K |
| 74177 |
|
1,729 |
1,711 |
$372K |
| 43239 |
|
590 |
588 |
$335K |
| 70450 |
|
1,725 |
1,694 |
$331K |
| 96361 |
|
1,588 |
1,558 |
$315K |
| 99214 |
|
2,072 |
2,015 |
$292K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,301 |
2,238 |
$279K |
| 80053 |
|
10,308 |
9,817 |
$198K |
| 99282 |
|
909 |
893 |
$171K |
| 74176 |
|
525 |
519 |
$113K |
| 99213 |
|
881 |
519 |
$90K |
| 36415 |
|
13,159 |
11,604 |
$76K |
| C1889 |
Implant/insert device, noc |
204 |
198 |
$66K |
| 96374 |
|
4,746 |
4,571 |
$62K |
| 88305 |
|
1,933 |
1,907 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
891 |
798 |
$49K |
| 96360 |
|
290 |
289 |
$48K |
| 96365 |
|
287 |
281 |
$40K |
| 45380 |
|
58 |
57 |
$31K |
| 86850 |
|
1,982 |
1,912 |
$31K |
| 96375 |
|
2,946 |
2,823 |
$29K |
| 86900 |
|
1,990 |
1,920 |
$29K |
| 86901 |
|
1,990 |
1,920 |
$27K |
| J7030 |
Normal saline solution infus |
5,601 |
5,313 |
$21K |
| 71275 |
|
99 |
99 |
$18K |
| 80307 |
|
469 |
439 |
$17K |
| 45385 |
|
26 |
26 |
$17K |
| 93005 |
|
4,831 |
4,624 |
$17K |
| 84702 |
|
3,704 |
3,553 |
$15K |
| 0225U |
|
1,101 |
1,050 |
$15K |
| 87798 |
|
616 |
613 |
$15K |
| 71045 |
|
2,330 |
2,256 |
$14K |
| 0241U |
|
1,236 |
1,209 |
$14K |
| J0131 |
Inj, acetaminophen (nos) |
1,328 |
1,300 |
$13K |
| 80048 |
|
937 |
917 |
$13K |
| 85027 |
|
4,344 |
4,144 |
$10K |
| 83880 |
|
448 |
439 |
$10K |
| 87635 |
|
527 |
513 |
$10K |
| 87631 |
|
194 |
192 |
$9K |
| 88312 |
|
548 |
545 |
$8K |
| 87651 |
|
573 |
570 |
$8K |
| J3490 |
Drugs unclassified injection |
2,304 |
2,217 |
$7K |
| 81025 |
|
2,116 |
2,049 |
$7K |
| 88304 |
|
184 |
181 |
$7K |
| 71046 |
|
1,350 |
1,335 |
$6K |
| 82962 |
|
1,877 |
1,077 |
$6K |
| U0005 |
Infec agen detec ampli probe |
756 |
689 |
$6K |
| 99281 |
|
29 |
29 |
$5K |
| 85610 |
|
2,293 |
2,239 |
$4K |
| 85730 |
|
2,214 |
2,165 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,988 |
1,927 |
$3K |
| 96372 |
|
327 |
315 |
$3K |
| 70498 |
|
12 |
12 |
$2K |
| 85025 |
|
6,303 |
5,991 |
$2K |
| J1170 |
Hydromorphone injection |
482 |
451 |
$2K |
| 87086 |
|
2,097 |
2,024 |
$2K |
| J2270 |
Morphine sulfate injection |
691 |
643 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,616 |
2,482 |
$2K |
| 83690 |
|
3,356 |
3,217 |
$2K |
| 94640 |
|
208 |
187 |
$1K |
| 81001 |
|
2,828 |
2,722 |
$1K |
| 76705 |
|
24 |
24 |
$1K |
| 84484 |
|
2,727 |
2,534 |
$1K |
| J7120 |
Ringers lactate infusion |
125 |
124 |
$920.62 |
| J2704 |
Inj, propofol, 10 mg |
329 |
329 |
$743.32 |
| G0463 |
Hospital outpt clinic visit |
14 |
13 |
$707.55 |
| 72125 |
|
49 |
49 |
$610.04 |
| 85379 |
|
1,228 |
1,204 |
$587.88 |
| 87633 |
|
31 |
31 |
$362.72 |
| J2765 |
Metoclopramide hcl injection |
319 |
313 |
$312.46 |
| 83735 |
|
1,003 |
977 |
$290.83 |
| J2930 |
Methylprednisolone injection |
14 |
14 |
$261.03 |
| 83605 |
|
979 |
940 |
$253.84 |
| 90715 |
|
12 |
12 |
$243.60 |
| 87486 |
|
34 |
34 |
$237.51 |
| 87581 |
|
34 |
34 |
$237.51 |
| 88313 |
|
382 |
380 |
$216.98 |
| J7050 |
Normal saline solution infus |
17 |
17 |
$209.64 |
| 81003 |
|
856 |
850 |
$205.80 |
| J1100 |
Dexamethasone sodium phos |
227 |
227 |
$198.52 |
| 87040 |
|
442 |
431 |
$180.84 |
| 87880 |
|
43 |
43 |
$180.37 |
| J3010 |
Fentanyl citrate injection |
225 |
225 |
$151.31 |
| J2001 |
Lidocaine injection |
116 |
115 |
$140.31 |
| J0696 |
Ceftriaxone sodium injection |
53 |
53 |
$117.98 |
| 73630 |
|
28 |
26 |
$73.94 |
| J2250 |
Inj midazolam hydrochloride |
145 |
145 |
$65.39 |
| 82553 |
|
150 |
148 |
$54.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
33 |
32 |
$52.10 |
| 84443 |
|
39 |
39 |
$51.35 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
12 |
$33.28 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$21.70 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
17 |
$20.94 |
| 82550 |
|
110 |
108 |
$14.63 |
| 87186 |
|
16 |
16 |
$13.32 |
| 87081 |
|
19 |
19 |
$0.00 |
| 83036 |
|
28 |
28 |
$0.00 |
| 96376 |
|
14 |
14 |
$0.00 |
| 70496 |
|
12 |
12 |
$0.00 |
| 73610 |
|
29 |
28 |
$0.00 |