| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
|
15,272 |
7,642 |
$2.67M |
| 99284 |
|
15,401 |
14,158 |
$2.52M |
| H0035 |
Mh partial hosp tx under 24h |
7,760 |
899 |
$1.39M |
| 99283 |
|
7,837 |
7,392 |
$1.38M |
| 90853 |
|
11,057 |
3,159 |
$1.09M |
| 43239 |
|
1,021 |
1,013 |
$887K |
| 99213 |
|
9,193 |
8,666 |
$867K |
| 90832 |
|
6,246 |
3,688 |
$789K |
| 74177 |
|
2,312 |
2,243 |
$644K |
| 70450 |
|
2,080 |
2,018 |
$598K |
| 99214 |
|
3,809 |
3,445 |
$472K |
| 99282 |
|
2,656 |
2,435 |
$471K |
| 36415 |
|
52,089 |
21,259 |
$441K |
| 80053 |
|
17,534 |
15,752 |
$430K |
| 96365 |
|
1,837 |
1,485 |
$425K |
| 99285 |
|
2,855 |
2,757 |
$423K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,747 |
2,660 |
$286K |
| 90792 |
|
1,436 |
1,383 |
$274K |
| 93975 |
|
387 |
371 |
$270K |
| 96361 |
|
909 |
827 |
$247K |
| 90791 |
|
1,055 |
1,043 |
$224K |
| 74176 |
|
719 |
697 |
$214K |
| 99281 |
|
1,209 |
1,142 |
$209K |
| 99406 |
|
4,309 |
3,880 |
$198K |
| 80307 |
|
4,179 |
3,858 |
$192K |
| 97110 |
|
1,607 |
465 |
$186K |
| 87635 |
|
3,298 |
3,083 |
$170K |
| 96374 |
|
5,561 |
5,099 |
$129K |
| 76856 |
|
340 |
330 |
$129K |
| J2704 |
Inj, propofol, 10 mg |
1,339 |
1,328 |
$121K |
| 80048 |
|
6,013 |
5,443 |
$113K |
| 87636 |
|
2,344 |
2,273 |
$102K |
| 80061 |
|
7,936 |
7,477 |
$98K |
| 97140 |
|
1,516 |
391 |
$73K |
| 86850 |
|
2,829 |
2,663 |
$72K |
| J0131 |
Inj, acetaminophen (nos) |
1,670 |
1,494 |
$69K |
| 99232 |
|
1,007 |
255 |
$66K |
| 96375 |
|
3,963 |
3,602 |
$65K |
| 83880 |
|
2,060 |
1,972 |
$63K |
| G0378 |
Hospital observation per hr |
651 |
638 |
$56K |
| 88305 |
|
2,109 |
1,542 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
609 |
207 |
$55K |
| G0480 |
Drug test def 1-7 classes |
4,407 |
3,927 |
$52K |
| 86901 |
|
2,854 |
2,671 |
$51K |
| 85610 |
|
8,574 |
7,791 |
$50K |
| 71275 |
|
154 |
153 |
$50K |
| 77067 |
|
474 |
470 |
$43K |
| 86900 |
|
2,861 |
2,676 |
$43K |
| 96372 |
|
3,280 |
3,028 |
$42K |
| C9803 |
Hopd covid-19 spec collect |
2,914 |
2,747 |
$36K |
| 0241U |
|
920 |
868 |
$35K |
| 99442 |
|
701 |
668 |
$34K |
| 80050 |
|
896 |
851 |
$34K |
| 76641 |
|
697 |
411 |
$32K |
| 87637 |
|
360 |
346 |
$31K |
| 85025 |
|
21,458 |
18,715 |
$31K |
| 82306 |
|
829 |
826 |
$29K |
| 93005 |
|
11,087 |
10,274 |
$28K |
| J7030 |
Normal saline solution infus |
4,890 |
4,260 |
$27K |
| 87633 |
|
368 |
364 |
$25K |
| 84443 |
|
5,690 |
5,358 |
$22K |
| 96366 |
|
131 |
109 |
$22K |
| 87631 |
|
328 |
322 |
$22K |
| 83036 |
|
5,092 |
4,778 |
$19K |
| 76705 |
|
358 |
350 |
$18K |
| 87486 |
|
381 |
377 |
$14K |
| 71046 |
|
2,005 |
1,955 |
$11K |
| M0243 |
Casirivi and imdevi inj |
48 |
48 |
$11K |
| 84439 |
|
1,062 |
1,057 |
$11K |
| J2405 |
Ondansetron hcl injection |
3,274 |
2,894 |
$11K |
| 82607 |
|
767 |
762 |
$10K |
| 76830 |
|
183 |
176 |
$9K |
| J7040 |
Normal saline solution infus |
1,794 |
1,757 |
$9K |
| 11042 |
|
28 |
15 |
$9K |
| J0690 |
Cefazolin sodium injection |
454 |
424 |
$9K |
| 85730 |
|
6,839 |
6,495 |
$8K |
| 90715 |
|
206 |
205 |
$8K |
| 82746 |
|
595 |
593 |
$7K |
| 93971 |
|
70 |
68 |
$7K |
| 71045 |
|
4,929 |
4,686 |
$7K |
| 87581 |
|
380 |
376 |
$7K |
| 93970 |
|
12 |
12 |
$7K |
| 90847 |
|
31 |
24 |
$7K |
| 84425 |
|
473 |
470 |
$7K |
| C9290 |
Inj, bupivacaine liposome |
38 |
38 |
$7K |
| 87088 |
|
4,132 |
3,939 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,141 |
1,108 |
$6K |
| 99239 |
|
55 |
53 |
$6K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
293 |
288 |
$6K |
| 83735 |
|
6,070 |
5,420 |
$6K |
| 88304 |
|
109 |
109 |
$6K |
| 87651 |
|
162 |
161 |
$5K |
| 99441 |
|
199 |
192 |
$5K |
| 77063 |
|
472 |
468 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,158 |
987 |
$5K |
| J2270 |
Morphine sulfate injection |
1,582 |
1,304 |
$5K |
| 82728 |
|
418 |
414 |
$5K |
| 81003 |
|
11,649 |
10,929 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,619 |
2,433 |
$5K |
| 88342 |
|
90 |
90 |
$5K |
| 72125 |
|
284 |
283 |
$4K |
| 84702 |
|
2,201 |
2,066 |
$4K |
| 96413 |
|
27 |
26 |
$4K |
| 96376 |
|
917 |
821 |
$4K |
| 81025 |
|
1,182 |
1,159 |
$4K |
| 84703 |
|
5,847 |
5,464 |
$3K |
| 96360 |
|
14 |
14 |
$3K |
| Q0162 |
Ondansetron oral |
162 |
155 |
$3K |
| J2930 |
Methylprednisolone injection |
122 |
98 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,207 |
1,181 |
$3K |
| 84484 |
|
8,803 |
4,924 |
$2K |
| J1170 |
Hydromorphone injection |
161 |
146 |
$2K |
| J2765 |
Metoclopramide hcl injection |
550 |
519 |
$2K |
| J3490 |
Drugs unclassified injection |
70 |
63 |
$2K |
| 83550 |
|
389 |
385 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
244 |
182 |
$2K |
| 83690 |
|
5,567 |
5,160 |
$2K |
| 86617 |
|
129 |
120 |
$2K |
| 97010 |
|
79 |
25 |
$1K |
| J7050 |
Normal saline solution infus |
357 |
273 |
$1K |
| 80076 |
|
121 |
113 |
$1K |
| 87070 |
|
218 |
214 |
$1K |
| 82550 |
|
887 |
841 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,466 |
1,449 |
$1K |
| 87186 |
|
697 |
682 |
$946.39 |
| 83605 |
|
2,270 |
2,094 |
$905.09 |
| 87491 |
|
25 |
25 |
$804.23 |
| 84436 |
|
147 |
147 |
$776.68 |
| 82962 |
|
2,027 |
1,603 |
$675.65 |
| J3360 |
Diazepam injection |
18 |
16 |
$664.88 |
| 85651 |
|
757 |
733 |
$576.60 |
| 86666 |
|
74 |
37 |
$557.90 |
| 82248 |
|
142 |
140 |
$534.13 |
| 73630 |
|
108 |
101 |
$520.77 |
| J0696 |
Ceftriaxone sodium injection |
29 |
25 |
$518.18 |
| 99408 |
|
12 |
12 |
$518.13 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
63 |
63 |
$514.11 |
| 84480 |
|
92 |
92 |
$478.26 |
| 87591 |
|
25 |
25 |
$475.21 |
| J1644 |
Inj heparin sodium per 1000u |
54 |
41 |
$446.12 |
| 86769 |
|
12 |
12 |
$420.67 |
| 84100 |
|
372 |
296 |
$416.13 |
| 84145 |
|
1,152 |
1,119 |
$412.38 |
| 84134 |
|
57 |
57 |
$402.38 |
| 86618 |
|
41 |
40 |
$377.92 |
| 87040 |
|
1,357 |
787 |
$350.98 |
| 85379 |
|
386 |
382 |
$337.63 |
| J2060 |
Lorazepam injection |
455 |
386 |
$333.46 |
| 86140 |
|
169 |
155 |
$311.96 |
| 90471 |
|
114 |
110 |
$300.05 |
| J3475 |
Inj magnesium sulfate |
25 |
25 |
$263.97 |
| 87086 |
|
417 |
405 |
$216.83 |
| 82570 |
|
24 |
24 |
$126.36 |
| J1630 |
Haloperidol injection |
31 |
26 |
$101.84 |
| 87077 |
|
160 |
160 |
$84.00 |
| J7620 |
Albuterol ipratrop non-comp |
72 |
62 |
$56.89 |
| J7512 |
Prednisone ir or dr oral 1mg |
39 |
39 |
$28.87 |
| 80164 |
|
16 |
12 |
$24.04 |
| 83615 |
|
27 |
26 |
$16.30 |
| J2001 |
Lidocaine injection |
14 |
14 |
$10.80 |
| 86753 |
|
13 |
13 |
$9.76 |
| 73030 |
|
43 |
39 |
$9.00 |
| 87205 |
|
13 |
12 |
$8.23 |
| 87880 |
|
54 |
54 |
$0.00 |
| 73610 |
|
18 |
17 |
$0.00 |
| 87804 |
|
16 |
16 |
$0.00 |