| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
4,045 |
2,644 |
$293K |
| 99285 |
|
7,715 |
5,892 |
$288K |
| 99284 |
|
3,567 |
2,908 |
$208K |
| 74177 |
|
1,998 |
1,591 |
$152K |
| 99283 |
|
1,983 |
1,738 |
$108K |
| 74176 |
|
1,044 |
815 |
$76K |
| 88305 |
|
1,835 |
1,472 |
$76K |
| 82962 |
|
5,223 |
2,167 |
$62K |
| 36415 |
|
22,530 |
12,375 |
$59K |
| 96360 |
|
724 |
585 |
$59K |
| 80053 |
|
21,687 |
13,005 |
$50K |
| 96374 |
|
4,021 |
3,089 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,927 |
2,303 |
$39K |
| 70450 |
|
1,821 |
1,423 |
$36K |
| 71260 |
|
657 |
511 |
$31K |
| 96365 |
|
1,263 |
934 |
$20K |
| 80048 |
|
3,569 |
2,331 |
$20K |
| G0378 |
Hospital observation per hr |
3,151 |
1,622 |
$19K |
| 96372 |
|
1,974 |
1,000 |
$18K |
| 71046 |
|
1,961 |
1,551 |
$16K |
| J3010 |
Fentanyl citrate injection |
2,161 |
1,677 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
1,767 |
1,350 |
$14K |
| 85025 |
|
23,742 |
13,565 |
$14K |
| 84702 |
|
2,059 |
1,681 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,511 |
1,853 |
$12K |
| 84484 |
|
3,884 |
2,608 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,790 |
2,970 |
$11K |
| A9270 |
Non-covered item or service |
3,303 |
1,636 |
$9K |
| 71045 |
|
4,514 |
3,447 |
$8K |
| 71250 |
|
591 |
459 |
$8K |
| 99282 |
|
107 |
100 |
$8K |
| J2405 |
Ondansetron hcl injection |
3,391 |
2,405 |
$7K |
| 70553 |
|
49 |
43 |
$7K |
| 86850 |
|
1,731 |
1,333 |
$7K |
| J1644 |
Inj heparin sodium per 1000u |
2,245 |
1,041 |
$7K |
| 81001 |
|
11,640 |
6,807 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
215 |
162 |
$5K |
| 87086 |
|
6,865 |
3,608 |
$5K |
| G1004 |
Cdsm ndsc |
2,592 |
1,638 |
$4K |
| 76705 |
|
361 |
288 |
$4K |
| 87497 |
|
3,867 |
2,587 |
$4K |
| G0463 |
Hospital outpt clinic visit |
103 |
87 |
$4K |
| U0001 |
2019-ncov diagnostic p |
119 |
101 |
$3K |
| 84100 |
|
8,534 |
3,717 |
$3K |
| 84443 |
|
3,115 |
2,362 |
$3K |
| 83735 |
|
9,914 |
4,571 |
$3K |
| 85610 |
|
3,506 |
2,592 |
$3K |
| 93005 |
|
5,274 |
3,771 |
$3K |
| J1100 |
Dexamethasone sodium phos |
479 |
377 |
$3K |
| J2270 |
Morphine sulfate injection |
1,633 |
1,066 |
$3K |
| J0690 |
Cefazolin sodium injection |
606 |
380 |
$3K |
| 80197 |
|
7,641 |
3,156 |
$3K |
| 96366 |
|
149 |
73 |
$2K |
| 87502 |
|
497 |
436 |
$2K |
| 87636 |
|
534 |
382 |
$2K |
| 82570 |
|
7,574 |
3,678 |
$2K |
| 76830 |
|
73 |
67 |
$2K |
| 83615 |
|
5,263 |
2,334 |
$2K |
| 84156 |
|
6,628 |
3,002 |
$2K |
| 96375 |
|
2,561 |
1,734 |
$2K |
| 86900 |
|
1,728 |
1,332 |
$2K |
| 82040 |
|
601 |
443 |
$2K |
| 82043 |
|
4,383 |
2,293 |
$2K |
| 87077 |
|
1,102 |
773 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
536 |
347 |
$1K |
| J7120 |
Ringers lactate infusion |
693 |
533 |
$1K |
| U0004 |
Cov-19 test non-cdc hgh thru |
49 |
41 |
$1K |
| C1769 |
Guide wire |
19 |
14 |
$1K |
| 82550 |
|
1,705 |
1,193 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
704 |
555 |
$1K |
| 83605 |
|
1,009 |
738 |
$1K |
| 86901 |
|
1,727 |
1,331 |
$1K |
| 77067 |
|
291 |
250 |
$1K |
| 77080 |
|
178 |
137 |
$1K |
| 87799 |
|
3,838 |
2,505 |
$1K |
| 94640 |
|
206 |
143 |
$995.58 |
| 96376 |
|
1,274 |
651 |
$990.06 |
| 83880 |
|
1,474 |
1,105 |
$947.25 |
| 83690 |
|
3,018 |
2,315 |
$932.43 |
| 80061 |
|
3,055 |
2,335 |
$864.42 |
| 86140 |
|
2,064 |
1,619 |
$775.99 |
| 82306 |
|
1,970 |
1,482 |
$764.77 |
| J1885 |
Ketorolac tromethamine inj |
1,976 |
1,444 |
$763.60 |
| 87040 |
|
916 |
654 |
$726.43 |
| 70551 |
|
32 |
25 |
$667.41 |
| 83036 |
|
2,486 |
1,876 |
$642.07 |
| 85730 |
|
1,412 |
1,055 |
$611.94 |
| J2001 |
Lidocaine injection |
198 |
157 |
$543.14 |
| 36430 |
|
19 |
13 |
$507.56 |
| 97161 |
|
75 |
57 |
$490.13 |
| 99152 |
|
270 |
194 |
$480.19 |
| P9016 |
Rbc leukocytes reduced |
19 |
12 |
$453.56 |
| J1200 |
Diphenhydramine hcl injectio |
970 |
651 |
$398.58 |
| 82607 |
|
1,022 |
772 |
$339.03 |
| 84550 |
|
443 |
307 |
$311.76 |
| 0240U |
|
89 |
81 |
$278.73 |
| U0005 |
Infec agen detec ampli probe |
2,209 |
1,771 |
$267.34 |
| 72125 |
|
141 |
105 |
$241.72 |
| 76770 |
|
15 |
12 |
$235.77 |
| 83540 |
|
880 |
642 |
$223.10 |
| 87186 |
|
826 |
566 |
$217.45 |
| 82728 |
|
758 |
549 |
$206.80 |
| 83550 |
|
809 |
590 |
$202.12 |
| 84155 |
|
502 |
384 |
$195.88 |
| J1170 |
Hydromorphone injection |
502 |
278 |
$192.70 |
| 83970 |
|
465 |
339 |
$185.63 |
| J7030 |
Normal saline solution infus |
596 |
409 |
$182.40 |
| 85652 |
|
716 |
554 |
$182.25 |
| 82247 |
|
473 |
354 |
$175.46 |
| 73630 |
|
17 |
12 |
$164.88 |
| 84439 |
|
677 |
517 |
$150.63 |
| J2710 |
Neostigmine methylslfte inj |
37 |
28 |
$150.00 |
| 93296 |
|
17 |
15 |
$136.25 |
| 82553 |
|
451 |
313 |
$134.94 |
| 84075 |
|
339 |
263 |
$80.43 |
| 93971 |
|
18 |
15 |
$78.89 |
| 87070 |
|
42 |
36 |
$76.99 |
| 72100 |
|
13 |
12 |
$61.85 |
| 43239 |
|
37 |
27 |
$56.37 |
| 82746 |
|
145 |
110 |
$55.66 |
| 84295 |
|
122 |
90 |
$45.17 |
| 82248 |
|
70 |
48 |
$9.99 |
| 85379 |
|
409 |
327 |
$9.27 |
| 81003 |
|
380 |
284 |
$2.12 |
| J2765 |
Metoclopramide hcl injection |
170 |
139 |
$1.25 |
| 81025 |
|
15 |
14 |
$0.88 |
| 99153 |
Mod sedat endo service >5yrs |
31 |
24 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
17 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
16 |
12 |
$0.00 |
| 85027 |
|
19 |
14 |
$0.00 |
| J2360 |
Orphenadrine injection |
14 |
12 |
$0.00 |
| 94760 |
|
57 |
40 |
$0.00 |
| 80069 |
|
18 |
12 |
$0.00 |
| 87340 |
|
17 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
19 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
24 |
18 |
$0.00 |
| 82947 |
|
68 |
52 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
38 |
27 |
$0.00 |
| J7040 |
Normal saline solution infus |
16 |
12 |
$0.00 |
| 80307 |
|
48 |
37 |
$0.00 |
| 84145 |
|
51 |
38 |
$0.00 |
| 82565 |
|
49 |
37 |
$0.00 |
| A9552 |
F18 fdg |
18 |
13 |
$0.00 |
| 84460 |
|
57 |
43 |
$0.00 |
| 86923 |
|
19 |
12 |
$0.00 |
| 93970 |
|
17 |
13 |
$0.00 |
| 78815 |
|
18 |
13 |
$0.00 |