| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
11,240 |
9,440 |
$1.32M |
| 96361 |
|
3,993 |
2,567 |
$1.23M |
| 99284 |
|
5,099 |
4,366 |
$566K |
| 97110 |
|
7,951 |
3,144 |
$504K |
| 99283 |
|
4,240 |
3,889 |
$458K |
| 70450 |
|
1,384 |
1,120 |
$328K |
| 74177 |
|
1,391 |
1,123 |
$319K |
| A0429 |
Bls-emergency |
2,534 |
2,188 |
$244K |
| 0241U |
|
1,964 |
1,625 |
$200K |
| G0378 |
Hospital observation per hr |
2,285 |
971 |
$189K |
| 66984 |
|
295 |
213 |
$181K |
| 96365 |
|
1,473 |
1,076 |
$176K |
| 74176 |
|
714 |
552 |
$175K |
| A0427 |
Als1-emergency |
1,376 |
1,233 |
$165K |
| 96366 |
|
1,093 |
505 |
$164K |
| 96360 |
|
781 |
638 |
$136K |
| 80053 |
|
16,378 |
12,499 |
$111K |
| 71260 |
|
496 |
402 |
$91K |
| 11042 |
|
1,192 |
622 |
$83K |
| 94640 |
|
704 |
519 |
$69K |
| 95810 |
|
106 |
91 |
$69K |
| U0003 |
Cov-19 amp prb hgh thruput |
570 |
440 |
$66K |
| G0463 |
Hospital outpt clinic visit |
1,140 |
834 |
$61K |
| 99282 |
|
534 |
479 |
$58K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
167 |
99 |
$43K |
| 76705 |
|
506 |
426 |
$40K |
| 71046 |
|
1,841 |
1,573 |
$31K |
| 97112 |
|
1,069 |
494 |
$29K |
| 93975 |
|
262 |
209 |
$28K |
| 82805 |
|
875 |
659 |
$25K |
| 93306 |
|
104 |
81 |
$24K |
| 0002A |
|
587 |
582 |
$22K |
| 85025 |
|
14,471 |
11,679 |
$22K |
| 80048 |
|
3,011 |
2,074 |
$22K |
| 0001A |
|
603 |
589 |
$21K |
| 95811 |
|
30 |
29 |
$20K |
| 80307 |
|
1,398 |
1,035 |
$20K |
| 84443 |
|
1,594 |
1,357 |
$20K |
| 76642 |
|
185 |
137 |
$19K |
| 36415 |
|
20,387 |
13,879 |
$19K |
| 71250 |
|
238 |
219 |
$19K |
| 97161 |
|
792 |
658 |
$19K |
| 11043 |
|
79 |
43 |
$19K |
| A0425 |
Ground mileage |
4,268 |
3,613 |
$19K |
| 76770 |
|
114 |
103 |
$18K |
| 73564 |
|
511 |
462 |
$18K |
| 43239 |
|
44 |
37 |
$17K |
| 78452 |
|
65 |
40 |
$16K |
| 77067 |
|
599 |
540 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
410 |
383 |
$15K |
| 97535 |
|
648 |
427 |
$14K |
| 70498 |
|
42 |
36 |
$14K |
| 80061 |
|
1,149 |
998 |
$14K |
| 73030 |
|
494 |
413 |
$14K |
| 86850 |
|
685 |
564 |
$14K |
| 73630 |
|
576 |
492 |
$13K |
| 93017 |
|
147 |
113 |
$13K |
| 82306 |
|
624 |
534 |
$13K |
| 85027 |
|
4,527 |
2,765 |
$13K |
| 73130 |
|
306 |
263 |
$12K |
| 84439 |
|
579 |
498 |
$12K |
| 93005 |
|
5,561 |
4,357 |
$12K |
| 73502 |
|
385 |
338 |
$11K |
| J3490 |
Drugs unclassified injection |
252 |
159 |
$11K |
| 97140 |
|
736 |
396 |
$11K |
| 70553 |
|
36 |
30 |
$11K |
| 93971 |
|
122 |
102 |
$10K |
| 83036 |
|
755 |
616 |
$10K |
| 76830 |
|
213 |
168 |
$9K |
| 97530 |
|
458 |
206 |
$9K |
| 93799 |
|
1,702 |
563 |
$8K |
| 96367 |
|
280 |
195 |
$8K |
| 82728 |
|
565 |
477 |
$8K |
| 87631 |
|
45 |
44 |
$8K |
| 97116 |
|
332 |
184 |
$8K |
| 86140 |
|
636 |
508 |
$7K |
| 86900 |
|
692 |
570 |
$7K |
| 77063 |
|
168 |
163 |
$7K |
| 72100 |
|
257 |
221 |
$7K |
| 87086 |
|
1,012 |
805 |
$7K |
| 87491 |
|
232 |
179 |
$7K |
| 83735 |
|
4,950 |
3,311 |
$6K |
| 82607 |
|
465 |
394 |
$6K |
| 73110 |
|
205 |
183 |
$6K |
| 72125 |
|
502 |
414 |
$6K |
| 84484 |
|
4,034 |
2,142 |
$6K |
| 97165 |
|
175 |
128 |
$6K |
| 73610 |
|
354 |
305 |
$6K |
| 84702 |
|
776 |
601 |
$6K |
| 85610 |
|
2,315 |
1,669 |
$5K |
| 83540 |
|
624 |
530 |
$5K |
| 76857 |
|
81 |
66 |
$5K |
| 71045 |
|
1,823 |
1,429 |
$4K |
| 83550 |
|
614 |
525 |
$4K |
| 97162 |
|
105 |
98 |
$4K |
| 86901 |
|
693 |
570 |
$4K |
| 82962 |
|
3,438 |
1,238 |
$4K |
| A9270 |
Non-covered item or service |
751 |
285 |
$4K |
| 87591 |
|
229 |
179 |
$4K |
| 98940 |
|
93 |
61 |
$4K |
| 76856 |
|
26 |
24 |
$4K |
| 96374 |
|
4,181 |
3,222 |
$3K |
| 97810 |
|
119 |
76 |
$3K |
| 81001 |
|
4,083 |
3,205 |
$3K |
| 86803 |
|
149 |
116 |
$3K |
| 88305 |
|
675 |
538 |
$3K |
| 70496 |
|
78 |
65 |
$3K |
| 87077 |
|
633 |
481 |
$3K |
| 96376 |
|
1,353 |
682 |
$2K |
| 83880 |
|
856 |
651 |
$2K |
| 99213 |
|
166 |
100 |
$2K |
| 96375 |
|
2,296 |
1,516 |
$2K |
| U0005 |
Infec agen detec ampli probe |
540 |
413 |
$2K |
| 70551 |
|
17 |
12 |
$2K |
| 86780 |
|
120 |
99 |
$2K |
| 96372 |
|
1,240 |
772 |
$2K |
| 87340 |
|
93 |
68 |
$2K |
| 74018 |
|
41 |
37 |
$1K |
| 87070 |
|
376 |
276 |
$1K |
| 85652 |
|
286 |
226 |
$1K |
| 97811 |
|
119 |
76 |
$1K |
| 83690 |
|
2,475 |
1,888 |
$1K |
| 87389 |
|
89 |
73 |
$1K |
| 87186 |
|
499 |
382 |
$1K |
| 87502 |
|
67 |
53 |
$1K |
| 70486 |
|
16 |
14 |
$1K |
| 82570 |
|
121 |
104 |
$1K |
| 82077 |
|
1,107 |
806 |
$1K |
| 82553 |
|
61 |
56 |
$1K |
| 80076 |
|
73 |
56 |
$984.05 |
| 84100 |
|
372 |
197 |
$957.49 |
| 82784 |
|
53 |
42 |
$880.86 |
| 82550 |
|
471 |
366 |
$880.45 |
| 88175 |
|
32 |
19 |
$831.99 |
| 90715 |
|
37 |
27 |
$770.62 |
| 87635 |
|
300 |
238 |
$667.46 |
| 97802 |
|
13 |
13 |
$639.42 |
| 85730 |
|
1,276 |
1,007 |
$595.83 |
| 83605 |
|
1,237 |
822 |
$505.75 |
| 87205 |
|
350 |
256 |
$505.05 |
| 85379 |
|
706 |
568 |
$497.72 |
| 82746 |
|
108 |
83 |
$493.83 |
| J2270 |
Morphine sulfate injection |
1,183 |
684 |
$488.11 |
| J2543 |
Piperacillin/tazobactam |
104 |
37 |
$478.16 |
| 81025 |
|
1,863 |
1,397 |
$419.27 |
| 85018 |
|
966 |
727 |
$386.34 |
| J1170 |
Hydromorphone injection |
1,140 |
531 |
$381.08 |
| 84132 |
|
1,095 |
846 |
$357.64 |
| 87651 |
|
338 |
305 |
$341.13 |
| 99152 |
|
160 |
121 |
$327.02 |
| 87661 |
|
17 |
12 |
$307.01 |
| 82043 |
|
35 |
25 |
$260.00 |
| 87040 |
|
505 |
367 |
$259.38 |
| 80069 |
|
27 |
12 |
$238.95 |
| 82375 |
|
866 |
656 |
$229.75 |
| 00840 |
|
64 |
42 |
$214.92 |
| 73560 |
|
14 |
13 |
$179.31 |
| 84703 |
|
537 |
413 |
$161.36 |
| 81003 |
|
70 |
54 |
$158.79 |
| 80320 |
|
13 |
12 |
$156.29 |
| J1885 |
Ketorolac tromethamine inj |
3,322 |
2,186 |
$123.93 |
| 83050 |
|
591 |
462 |
$111.05 |
| 84145 |
|
28 |
25 |
$110.01 |
| 84460 |
|
31 |
25 |
$94.84 |
| J2704 |
Inj, propofol, 10 mg |
2,192 |
1,520 |
$92.86 |
| J3010 |
Fentanyl citrate injection |
2,803 |
1,934 |
$76.35 |
| J3475 |
Inj magnesium sulfate |
457 |
288 |
$62.24 |
| J0690 |
Cefazolin sodium injection |
1,106 |
623 |
$61.78 |
| J2405 |
Ondansetron hcl injection |
3,775 |
2,471 |
$58.65 |
| 91300 |
|
1,213 |
1,064 |
$53.55 |
| J0696 |
Ceftriaxone sodium injection |
803 |
450 |
$40.49 |
| 00142 |
|
338 |
244 |
$38.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,831 |
2,259 |
$36.72 |
| J2250 |
Inj midazolam hydrochloride |
2,912 |
2,215 |
$28.72 |
| J7120 |
Ringers lactate infusion |
1,167 |
834 |
$28.21 |
| 90471 |
|
35 |
27 |
$27.40 |
| J1200 |
Diphenhydramine hcl injectio |
583 |
391 |
$21.00 |
| J1790 |
Droperidol injection |
254 |
190 |
$20.13 |
| J1100 |
Dexamethasone sodium phos |
1,320 |
909 |
$20.02 |
| J7030 |
Normal saline solution infus |
84 |
68 |
$20.01 |
| J2919 |
Inj, methylpred sod succ 5mg |
30 |
15 |
$16.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
382 |
255 |
$15.87 |
| J0780 |
Prochlorperazine injection |
82 |
51 |
$13.89 |
| J2060 |
Lorazepam injection |
157 |
119 |
$9.54 |
| J3480 |
Inj potassium chloride |
30 |
13 |
$8.82 |
| J2001 |
Lidocaine injection |
1,599 |
1,111 |
$7.23 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
36 |
$6.15 |
| 84450 |
|
14 |
12 |
$5.98 |
| J2930 |
Methylprednisolone injection |
97 |
57 |
$5.74 |
| J2765 |
Metoclopramide hcl injection |
397 |
284 |
$4.68 |
| J2710 |
Neostigmine methylslfte inj |
23 |
14 |
$4.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
383 |
288 |
$2.78 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
94 |
86 |
$1.23 |
| J1644 |
Inj heparin sodium per 1000u |
28 |
14 |
$0.78 |
| 94760 |
|
778 |
392 |
$0.00 |
| J2785 |
Regadenoson injection |
40 |
24 |
$0.00 |
| 88304 |
|
171 |
108 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
84 |
79 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
23 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
353 |
313 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
65 |
40 |
$0.00 |
| 80143 |
|
21 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
23 |
22 |
$0.00 |
| G1004 |
Cdsm ndsc |
29 |
24 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
75 |
59 |
$0.00 |
| 80179 |
|
20 |
12 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
15 |
14 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
19 |
12 |
$0.00 |