| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
48,470 |
44,408 |
$10.76M |
| 99285 |
|
17,459 |
15,811 |
$4.91M |
| 99283 |
|
29,775 |
27,705 |
$4.67M |
| 96374 |
|
12,740 |
10,770 |
$1.45M |
| 87502 |
|
14,747 |
13,369 |
$885K |
| 96372 |
|
17,451 |
14,565 |
$830K |
| 87635 |
|
16,744 |
15,223 |
$610K |
| 71045 |
|
13,745 |
12,417 |
$580K |
| 93005 |
|
14,398 |
12,938 |
$403K |
| 96365 |
|
2,905 |
2,264 |
$306K |
| 96375 |
|
8,678 |
7,166 |
$305K |
| 96361 |
|
8,904 |
6,980 |
$302K |
| 99282 |
|
3,292 |
3,012 |
$263K |
| 80053 |
|
35,802 |
31,053 |
$249K |
| 70450 |
|
2,548 |
2,287 |
$210K |
| 85025 |
|
34,952 |
30,156 |
$180K |
| 74176 |
|
1,035 |
918 |
$168K |
| 81025 |
|
17,478 |
15,895 |
$124K |
| 74177 |
|
439 |
384 |
$117K |
| 93306 |
|
714 |
676 |
$117K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,599 |
1,464 |
$113K |
| G0378 |
Hospital observation per hr |
689 |
342 |
$112K |
| 83880 |
|
5,064 |
4,580 |
$112K |
| 87880 |
|
7,441 |
6,823 |
$100K |
| 43239 |
|
316 |
239 |
$87K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,231 |
1,083 |
$86K |
| 84484 |
|
9,395 |
7,438 |
$68K |
| 80061 |
|
6,253 |
5,784 |
$61K |
| 96360 |
|
519 |
404 |
$59K |
| 94640 |
|
1,239 |
1,064 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
11,413 |
10,163 |
$39K |
| 83690 |
|
7,125 |
6,388 |
$34K |
| 81001 |
|
14,557 |
13,031 |
$33K |
| 71046 |
|
793 |
714 |
$32K |
| 36415 |
|
15,288 |
12,993 |
$31K |
| 97110 |
|
1,064 |
300 |
$29K |
| G0480 |
Drug test def 1-7 classes |
361 |
293 |
$28K |
| 83036 |
|
3,917 |
3,618 |
$26K |
| 82306 |
|
1,171 |
1,080 |
$25K |
| 87400 |
|
1,755 |
790 |
$22K |
| 84443 |
|
1,963 |
1,797 |
$21K |
| M0243 |
Casirivi and imdevi inj |
62 |
52 |
$20K |
| 80050 |
|
625 |
560 |
$19K |
| 73630 |
|
594 |
526 |
$19K |
| 81003 |
|
10,036 |
9,017 |
$16K |
| 93017 |
|
90 |
83 |
$14K |
| 80305 |
|
1,361 |
1,237 |
$13K |
| 82607 |
|
983 |
921 |
$11K |
| J1100 |
Dexamethasone sodium phos |
4,227 |
3,755 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,467 |
1,287 |
$10K |
| 87086 |
|
1,824 |
1,629 |
$10K |
| 87491 |
|
329 |
306 |
$10K |
| 87591 |
|
329 |
306 |
$10K |
| 84439 |
|
1,433 |
1,341 |
$10K |
| 73564 |
|
121 |
117 |
$9K |
| 73562 |
|
295 |
273 |
$9K |
| 99281 |
|
151 |
147 |
$8K |
| J2405 |
Ondansetron hcl injection |
4,145 |
3,608 |
$7K |
| 87081 |
|
1,138 |
1,066 |
$7K |
| 82962 |
|
2,288 |
1,935 |
$5K |
| 77067 |
|
48 |
46 |
$5K |
| 93225 |
|
101 |
77 |
$5K |
| 80074 |
|
149 |
133 |
$5K |
| J2930 |
Methylprednisolone injection |
557 |
487 |
$5K |
| 83735 |
|
1,095 |
979 |
$5K |
| 74018 |
|
97 |
89 |
$4K |
| 87040 |
|
702 |
321 |
$4K |
| 96376 |
|
102 |
53 |
$4K |
| 72100 |
|
112 |
101 |
$4K |
| 86703 |
|
370 |
331 |
$4K |
| 87389 |
|
207 |
195 |
$4K |
| 45385 |
|
18 |
13 |
$4K |
| 83605 |
|
527 |
420 |
$3K |
| 97530 |
|
167 |
54 |
$3K |
| 93226 |
|
101 |
77 |
$3K |
| J2270 |
Morphine sulfate injection |
1,298 |
1,129 |
$3K |
| 87807 |
|
251 |
223 |
$3K |
| J7030 |
Normal saline solution infus |
947 |
833 |
$3K |
| 86803 |
|
219 |
203 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,032 |
897 |
$2K |
| 80048 |
|
301 |
280 |
$2K |
| 82043 |
|
408 |
382 |
$2K |
| 94060 |
|
14 |
14 |
$2K |
| J7120 |
Ringers lactate infusion |
1,282 |
1,127 |
$2K |
| 82570 |
|
433 |
407 |
$2K |
| 86140 |
|
485 |
426 |
$2K |
| 85027 |
|
345 |
321 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
34 |
32 |
$1K |
| 73610 |
|
51 |
42 |
$1K |
| 85610 |
|
634 |
561 |
$1K |
| J2360 |
Orphenadrine injection |
113 |
101 |
$1K |
| 73130 |
|
43 |
41 |
$1K |
| 94726 |
|
14 |
14 |
$1K |
| 86038 |
|
133 |
114 |
$1K |
| 82550 |
|
245 |
227 |
$1K |
| 73030 |
|
41 |
38 |
$848.63 |
| 72040 |
|
13 |
12 |
$846.36 |
| 96366 |
|
31 |
12 |
$757.16 |
| 94729 |
|
14 |
14 |
$712.62 |
| J1790 |
Droperidol injection |
218 |
196 |
$677.19 |
| 84550 |
|
201 |
175 |
$632.80 |
| 84153 |
|
43 |
40 |
$606.87 |
| 87651 |
|
19 |
17 |
$596.53 |
| 86592 |
|
170 |
148 |
$552.15 |
| 85379 |
|
87 |
77 |
$539.93 |
| J0780 |
Prochlorperazine injection |
58 |
55 |
$493.76 |
| 84436 |
|
96 |
88 |
$473.76 |
| 87210 |
|
98 |
86 |
$435.75 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$429.36 |
| 83970 |
|
15 |
12 |
$412.80 |
| 73560 |
|
17 |
17 |
$383.76 |
| 87186 |
|
74 |
66 |
$378.67 |
| 80307 |
|
15 |
12 |
$372.84 |
| 86431 |
|
97 |
85 |
$370.58 |
| 85651 |
|
122 |
105 |
$361.60 |
| 87077 |
|
75 |
66 |
$353.67 |
| J2919 |
Inj, methylpred sod succ 5mg |
82 |
48 |
$349.26 |
| J1170 |
Hydromorphone injection |
129 |
110 |
$307.69 |
| J1630 |
Haloperidol injection |
119 |
106 |
$288.48 |
| 82553 |
|
31 |
27 |
$259.03 |
| J2060 |
Lorazepam injection |
125 |
104 |
$226.14 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
13 |
$203.69 |
| J2272 |
Inj, morphine (fresenius) |
55 |
39 |
$180.53 |
| 86340 |
|
19 |
14 |
$165.88 |
| 80320 |
|
17 |
16 |
$156.00 |
| 82746 |
|
12 |
12 |
$147.00 |
| 85730 |
|
40 |
37 |
$144.24 |
| 82728 |
|
15 |
13 |
$136.30 |
| 84466 |
|
12 |
12 |
$127.60 |
| 82150 |
|
33 |
26 |
$124.80 |
| 36000 |
|
13 |
13 |
$99.72 |
| 87088 |
|
14 |
13 |
$64.72 |
| 83540 |
|
12 |
12 |
$64.70 |
| J1940 |
Furosemide injection |
14 |
12 |
$42.46 |
| J2550 |
Promethazine hcl injection |
32 |
24 |
$39.90 |
| 84156 |
|
13 |
12 |
$22.02 |
| J2704 |
Inj, propofol, 10 mg |
1,393 |
1,045 |
$20.04 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$19.27 |
| J1650 |
Inj enoxaparin sodium |
53 |
40 |
$19.17 |
| J0690 |
Cefazolin sodium injection |
55 |
41 |
$9.45 |
| J2250 |
Inj midazolam hydrochloride |
127 |
106 |
$8.61 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
37 |
25 |
$7.97 |
| J3010 |
Fentanyl citrate injection |
154 |
113 |
$2.92 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
51 |
37 |
$0.00 |
| 00811 |
|
32 |
31 |
$0.00 |
| 00731 |
|
115 |
101 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
51 |
43 |
$0.00 |
| J2001 |
Lidocaine injection |
150 |
127 |
$0.00 |
| 88305 |
|
535 |
338 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
13 |
12 |
$0.00 |