| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,642 |
5,526 |
$4.74M |
| 74177 |
|
2,170 |
1,520 |
$2.72M |
| G0378 |
Hospital observation per hr |
1,527 |
830 |
$2.69M |
| 99283 |
|
6,322 |
5,203 |
$2.39M |
| 99285 |
|
2,244 |
1,775 |
$2.22M |
| 97140 |
|
10,897 |
3,279 |
$917K |
| 85025 |
|
18,806 |
14,534 |
$853K |
| 70450 |
|
1,556 |
1,005 |
$833K |
| 80053 |
|
16,281 |
12,861 |
$798K |
| 97110 |
|
11,236 |
3,374 |
$788K |
| 99214 |
|
13,745 |
6,815 |
$667K |
| 96365 |
|
3,312 |
2,069 |
$589K |
| 87633 |
|
2,215 |
1,844 |
$557K |
| 71260 |
|
722 |
470 |
$479K |
| 93005 |
|
4,390 |
3,146 |
$463K |
| 96361 |
|
3,717 |
2,619 |
$452K |
| 96375 |
|
4,224 |
3,156 |
$442K |
| 96374 |
|
4,617 |
3,593 |
$388K |
| 71046 |
|
2,756 |
1,850 |
$378K |
| 71045 |
|
3,811 |
2,329 |
$317K |
| 97112 |
|
3,396 |
1,386 |
$281K |
| 84443 |
|
6,163 |
5,483 |
$246K |
| 99282 |
|
1,162 |
993 |
$213K |
| 97530 |
|
1,774 |
757 |
$209K |
| 80305 |
|
2,877 |
2,426 |
$207K |
| J3490 |
Drugs unclassified injection |
5,812 |
3,523 |
$205K |
| 84484 |
|
3,264 |
2,138 |
$202K |
| 99213 |
|
9,912 |
4,114 |
$174K |
| 96376 |
|
1,372 |
921 |
$172K |
| 83735 |
|
5,800 |
4,068 |
$160K |
| 84145 |
|
2,153 |
1,842 |
$152K |
| 83605 |
|
3,216 |
2,378 |
$140K |
| 92507 |
|
884 |
285 |
$132K |
| 96372 |
|
3,602 |
2,509 |
$130K |
| 73562 |
|
733 |
477 |
$128K |
| 97161 |
|
1,116 |
972 |
$126K |
| 81001 |
|
2,967 |
2,533 |
$120K |
| 82306 |
|
2,096 |
1,928 |
$116K |
| 96360 |
|
589 |
460 |
$115K |
| 83690 |
|
2,742 |
2,362 |
$107K |
| 84439 |
|
1,652 |
1,525 |
$106K |
| 80061 |
|
2,952 |
2,722 |
$104K |
| 72125 |
|
154 |
111 |
$102K |
| 83036 |
|
3,076 |
2,755 |
$96K |
| 87086 |
|
2,569 |
2,238 |
$96K |
| 87040 |
|
1,552 |
784 |
$95K |
| 86140 |
|
2,884 |
2,506 |
$94K |
| J7030 |
Normal saline solution infus |
6,204 |
3,861 |
$93K |
| 76856 |
|
275 |
250 |
$93K |
| 85730 |
|
1,932 |
1,691 |
$80K |
| 83880 |
|
867 |
746 |
$75K |
| 93306 |
|
119 |
78 |
$65K |
| 85610 |
|
2,575 |
2,211 |
$61K |
| 86850 |
|
878 |
738 |
$61K |
| 81003 |
|
4,014 |
3,481 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,295 |
1,049 |
$60K |
| 80048 |
|
1,928 |
1,433 |
$59K |
| 85379 |
|
582 |
525 |
$57K |
| J2405 |
Ondansetron hcl injection |
4,433 |
3,261 |
$57K |
| J2704 |
Inj, propofol, 10 mg |
3,071 |
2,088 |
$56K |
| 82607 |
|
1,541 |
1,434 |
$55K |
| 86803 |
|
903 |
806 |
$55K |
| 99215 |
Prolong outpt/office vis |
293 |
242 |
$52K |
| 73630 |
|
309 |
203 |
$52K |
| J7120 |
Ringers lactate infusion |
3,164 |
2,281 |
$52K |
| 88305 |
|
240 |
224 |
$48K |
| 84481 |
|
732 |
678 |
$48K |
| 73030 |
|
369 |
231 |
$47K |
| 87389 |
|
605 |
546 |
$47K |
| 74176 |
|
40 |
27 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
3,640 |
2,795 |
$46K |
| 36415 |
|
25,882 |
18,793 |
$44K |
| J3010 |
Fentanyl citrate injection |
2,995 |
1,923 |
$43K |
| 87186 |
|
1,413 |
1,020 |
$42K |
| 94640 |
|
340 |
201 |
$40K |
| J7050 |
Normal saline solution infus |
3,241 |
1,541 |
$39K |
| 84703 |
|
1,222 |
1,058 |
$39K |
| 96366 |
|
495 |
281 |
$38K |
| 82728 |
|
710 |
650 |
$36K |
| J3475 |
Inj magnesium sulfate |
1,305 |
744 |
$32K |
| 73610 |
|
157 |
119 |
$30K |
| 82077 |
|
377 |
305 |
$29K |
| J1100 |
Dexamethasone sodium phos |
1,897 |
1,560 |
$29K |
| A9150 |
Misc/exper non-prescript dru |
5,768 |
2,660 |
$29K |
| 85651 |
|
1,440 |
1,300 |
$28K |
| 76805 |
|
95 |
83 |
$28K |
| 86900 |
|
983 |
822 |
$20K |
| 73721 |
|
47 |
17 |
$20K |
| 81025 |
|
615 |
552 |
$20K |
| 87340 |
|
425 |
375 |
$20K |
| 86901 |
|
982 |
822 |
$20K |
| J1170 |
Hydromorphone injection |
1,366 |
653 |
$18K |
| 83540 |
|
592 |
535 |
$18K |
| 82948 |
|
1,923 |
642 |
$18K |
| 82803 |
|
196 |
149 |
$14K |
| M0243 |
Casirivi and imdevi inj |
114 |
78 |
$14K |
| 87070 |
|
251 |
213 |
$14K |
| J0690 |
Cefazolin sodium injection |
674 |
493 |
$12K |
| 87635 |
|
864 |
723 |
$12K |
| J2250 |
Inj midazolam hydrochloride |
822 |
693 |
$11K |
| 87088 |
|
391 |
307 |
$11K |
| 76705 |
|
71 |
48 |
$10K |
| 83550 |
|
498 |
450 |
$10K |
| 77067 |
|
72 |
62 |
$10K |
| 87798 |
|
2,559 |
1,858 |
$9K |
| J2001 |
Lidocaine injection |
545 |
446 |
$9K |
| 86141 |
|
228 |
202 |
$8K |
| 99212 |
|
705 |
320 |
$8K |
| 76700 |
|
31 |
26 |
$8K |
| 86592 |
|
305 |
271 |
$8K |
| 84403 |
|
143 |
131 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
182 |
161 |
$6K |
| 73110 |
|
29 |
25 |
$6K |
| 87651 |
|
117 |
109 |
$6K |
| 72110 |
|
35 |
25 |
$6K |
| 87591 |
|
215 |
193 |
$5K |
| 87491 |
|
215 |
193 |
$5K |
| 87502 |
|
244 |
149 |
$5K |
| 87486 |
|
2,037 |
1,840 |
$5K |
| 87581 |
|
2,035 |
1,839 |
$5K |
| 82550 |
|
128 |
107 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
199 |
167 |
$5K |
| 90834 |
|
20 |
14 |
$4K |
| 99442 |
|
61 |
60 |
$3K |
| S0164 |
Injection pantroprazole |
210 |
164 |
$3K |
| 84144 |
|
54 |
41 |
$3K |
| 36416 |
|
2,000 |
745 |
$3K |
| 84702 |
|
34 |
26 |
$3K |
| 20610 |
|
24 |
13 |
$3K |
| 93010 |
|
1,163 |
811 |
$2K |
| 72100 |
|
14 |
12 |
$2K |
| 96367 |
|
32 |
24 |
$2K |
| 82670 |
|
47 |
39 |
$2K |
| 90715 |
|
80 |
69 |
$2K |
| 82570 |
|
86 |
74 |
$2K |
| 77063 |
|
59 |
50 |
$2K |
| 97116 |
|
27 |
12 |
$2K |
| 94760 |
|
49 |
42 |
$2K |
| 86787 |
|
48 |
38 |
$2K |
| 87801 |
|
109 |
105 |
$2K |
| 80307 |
|
17 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
155 |
107 |
$1K |
| 83921 |
|
26 |
25 |
$1K |
| 90471 |
|
204 |
177 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
91 |
53 |
$1K |
| 87653 |
|
14 |
14 |
$1K |
| 83001 |
|
14 |
12 |
$1K |
| 99443 |
|
19 |
17 |
$898.46 |
| J7620 |
Albuterol ipratrop non-comp |
103 |
55 |
$879.67 |
| U0001 |
2019-ncov diagnostic p |
93 |
76 |
$722.92 |
| 86376 |
|
15 |
13 |
$633.60 |
| J2270 |
Morphine sulfate injection |
69 |
25 |
$626.27 |
| 86038 |
|
12 |
12 |
$557.50 |
| 86308 |
|
13 |
12 |
$525.10 |
| 86762 |
|
16 |
14 |
$518.81 |
| 99204 |
|
25 |
13 |
$489.51 |
| 99203 |
|
26 |
12 |
$362.03 |
| 87077 |
|
25 |
24 |
$349.08 |
| 82150 |
|
12 |
12 |
$326.54 |
| J7040 |
Normal saline solution infus |
16 |
12 |
$308.14 |
| 81015 |
|
100 |
90 |
$296.20 |
| J3420 |
Vitamin b12 injection |
117 |
64 |
$270.81 |
| 80320 |
|
1,903 |
1,496 |
$183.22 |
| J2060 |
Lorazepam injection |
14 |
13 |
$180.90 |
| 80329 |
|
92 |
41 |
$0.00 |
| 0099U |
|
39 |
34 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
60 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
66 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
24 |
$0.00 |
| 91322 |
|
16 |
15 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
28 |
24 |
$0.00 |
| 90837 |
|
18 |
12 |
$0.00 |