| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
20,203 |
16,936 |
$1.73M |
| 99283 |
|
14,531 |
13,454 |
$1.62M |
| 97110 |
|
18,963 |
4,798 |
$1.33M |
| 99284 |
|
6,883 |
6,153 |
$802K |
| 99285 |
|
4,194 |
3,588 |
$517K |
| 99212 |
|
4,820 |
4,298 |
$407K |
| 99213 |
|
4,116 |
3,212 |
$279K |
| 20611 |
|
1,138 |
904 |
$224K |
| 99282 |
|
2,145 |
1,999 |
$223K |
| 96365 |
|
1,274 |
623 |
$206K |
| 70450 |
|
765 |
637 |
$195K |
| 97112 |
|
5,765 |
1,462 |
$193K |
| 74176 |
|
672 |
543 |
$182K |
| 96361 |
|
476 |
359 |
$158K |
| 74177 |
|
535 |
416 |
$140K |
| 80053 |
|
8,702 |
7,479 |
$110K |
| 20610 |
|
1,072 |
732 |
$104K |
| 97140 |
|
3,378 |
1,088 |
$103K |
| 96110 |
|
1,688 |
1,576 |
$95K |
| 97161 |
|
1,575 |
1,429 |
$91K |
| 96366 |
|
613 |
271 |
$88K |
| 99214 |
|
1,265 |
989 |
$87K |
| G0378 |
Hospital observation per hr |
1,804 |
690 |
$75K |
| J1100 |
Dexamethasone sodium phos |
2,927 |
2,462 |
$53K |
| 92507 |
|
778 |
250 |
$52K |
| 85025 |
|
15,413 |
11,455 |
$41K |
| 87502 |
|
1,858 |
1,620 |
$41K |
| 80061 |
|
3,411 |
3,206 |
$41K |
| J0702 |
Betamethasone acet&sod phosp |
825 |
735 |
$39K |
| 84443 |
|
2,365 |
2,115 |
$38K |
| 93306 |
|
161 |
147 |
$36K |
| 81003 |
|
1,560 |
1,330 |
$34K |
| 97162 |
|
904 |
805 |
$34K |
| 36415 |
|
16,766 |
12,975 |
$30K |
| 97530 |
|
838 |
411 |
$28K |
| 83036 |
|
2,133 |
1,984 |
$27K |
| 90670 |
|
970 |
931 |
$27K |
| G0483 |
Drug test def 22+ classes |
1,068 |
667 |
$26K |
| 82306 |
|
1,217 |
1,110 |
$25K |
| 71046 |
|
1,081 |
958 |
$24K |
| 76000 |
|
327 |
259 |
$24K |
| 52000 |
|
113 |
108 |
$23K |
| 83735 |
|
4,459 |
3,107 |
$23K |
| 80307 |
|
809 |
635 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,820 |
1,225 |
$22K |
| 92526 |
|
361 |
116 |
$21K |
| 71275 |
|
58 |
42 |
$21K |
| 76830 |
|
154 |
148 |
$19K |
| 71250 |
|
323 |
280 |
$19K |
| 93005 |
|
3,648 |
3,020 |
$18K |
| 94640 |
|
230 |
103 |
$17K |
| J3301 |
Triamcinolone acet inj nos |
2,143 |
1,906 |
$15K |
| 97165 |
|
250 |
215 |
$14K |
| 96360 |
|
49 |
41 |
$13K |
| 97014 |
|
383 |
132 |
$13K |
| 77063 |
|
245 |
228 |
$12K |
| 80069 |
|
1,367 |
827 |
$11K |
| 96372 |
|
2,197 |
1,460 |
$11K |
| 66984 |
|
20 |
14 |
$11K |
| 97016 |
|
336 |
105 |
$10K |
| 80048 |
|
1,018 |
839 |
$10K |
| 76816 |
|
50 |
39 |
$10K |
| 86140 |
|
1,127 |
731 |
$10K |
| 97032 |
|
138 |
43 |
$9K |
| 82607 |
|
550 |
494 |
$9K |
| 87635 |
|
2,970 |
2,613 |
$9K |
| 90686 |
|
527 |
466 |
$8K |
| 97760 |
|
75 |
65 |
$8K |
| J3490 |
Drugs unclassified injection |
753 |
336 |
$7K |
| 90633 |
|
298 |
280 |
$6K |
| 73721 |
|
46 |
38 |
$6K |
| G0480 |
Drug test def 1-7 classes |
604 |
498 |
$6K |
| 87086 |
|
1,428 |
1,191 |
$6K |
| 84439 |
|
327 |
292 |
$6K |
| 90471 |
|
2,748 |
2,513 |
$6K |
| 87150 |
|
686 |
550 |
$6K |
| 82570 |
|
705 |
634 |
$5K |
| 82728 |
|
425 |
391 |
$5K |
| 85027 |
|
652 |
603 |
$5K |
| 73564 |
|
446 |
378 |
$5K |
| 99215 |
Prolong outpt/office vis |
77 |
37 |
$5K |
| 71045 |
|
1,915 |
1,595 |
$5K |
| 73030 |
|
350 |
300 |
$5K |
| 83540 |
|
592 |
532 |
$5K |
| 73630 |
|
491 |
412 |
$4K |
| 72125 |
|
233 |
193 |
$4K |
| 81001 |
|
3,321 |
2,814 |
$3K |
| 77067 |
|
246 |
229 |
$3K |
| 99291 |
|
35 |
26 |
$3K |
| 76705 |
|
31 |
26 |
$3K |
| 73610 |
|
386 |
306 |
$3K |
| 82746 |
|
454 |
405 |
$3K |
| 20605 |
|
41 |
29 |
$3K |
| 82043 |
|
446 |
408 |
$3K |
| 84153 |
|
195 |
156 |
$3K |
| 83550 |
|
457 |
412 |
$3K |
| 97803 |
|
40 |
38 |
$3K |
| 85610 |
|
1,612 |
1,236 |
$3K |
| 80076 |
|
1,568 |
1,350 |
$3K |
| 51798 |
|
199 |
189 |
$3K |
| 72110 |
|
79 |
70 |
$3K |
| 96374 |
|
2,041 |
1,658 |
$3K |
| 82565 |
|
3,218 |
2,698 |
$3K |
| 80051 |
|
3,074 |
2,568 |
$3K |
| 90460 |
|
1,119 |
754 |
$3K |
| 86803 |
|
157 |
123 |
$2K |
| 94664 |
|
211 |
162 |
$2K |
| 86850 |
|
92 |
80 |
$2K |
| 73110 |
|
184 |
150 |
$2K |
| 90698 |
|
574 |
554 |
$2K |
| 84484 |
|
1,932 |
1,432 |
$2K |
| 73502 |
|
144 |
125 |
$2K |
| 85652 |
|
918 |
654 |
$2K |
| 80305 |
|
998 |
634 |
$2K |
| 87070 |
|
843 |
712 |
$2K |
| 83880 |
|
442 |
354 |
$2K |
| 90680 |
|
602 |
564 |
$2K |
| 72131 |
|
26 |
24 |
$2K |
| 87088 |
|
482 |
404 |
$2K |
| 84100 |
|
266 |
255 |
$1K |
| 73130 |
|
221 |
176 |
$1K |
| 86900 |
|
131 |
111 |
$1K |
| 96375 |
|
1,906 |
1,271 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| 87880 |
|
85 |
79 |
$1K |
| 87340 |
|
77 |
61 |
$1K |
| 87186 |
|
698 |
533 |
$1K |
| 84156 |
|
356 |
323 |
$1K |
| 96376 |
|
717 |
333 |
$1K |
| 82948 |
|
1,600 |
843 |
$1K |
| 90472 |
|
1,610 |
1,522 |
$1K |
| 81025 |
|
1,486 |
1,090 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
52 |
52 |
$1K |
| 90715 |
|
80 |
71 |
$1K |
| 84300 |
|
305 |
273 |
$984.18 |
| 82947 |
|
3,086 |
2,590 |
$926.53 |
| 97116 |
|
32 |
12 |
$814.77 |
| 84520 |
|
3,103 |
2,598 |
$805.13 |
| 82550 |
|
167 |
143 |
$790.94 |
| 80344 |
|
60 |
53 |
$760.49 |
| 84550 |
|
144 |
131 |
$737.10 |
| 84460 |
|
144 |
104 |
$691.97 |
| 97166 |
|
25 |
17 |
$683.19 |
| 90744 |
|
210 |
209 |
$657.46 |
| 96367 |
|
14 |
12 |
$620.20 |
| 85730 |
|
637 |
535 |
$619.23 |
| 90696 |
|
32 |
32 |
$614.68 |
| 86901 |
|
131 |
111 |
$588.82 |
| 83690 |
|
1,545 |
1,194 |
$558.96 |
| 86701 |
|
37 |
25 |
$537.39 |
| 72100 |
|
15 |
12 |
$518.62 |
| 86704 |
|
39 |
26 |
$490.96 |
| 82784 |
|
44 |
26 |
$488.43 |
| 83605 |
|
823 |
594 |
$487.47 |
| 87801 |
|
195 |
171 |
$434.45 |
| 87651 |
|
725 |
629 |
$419.22 |
| 97535 |
|
17 |
15 |
$398.24 |
| 90651 |
|
25 |
24 |
$384.62 |
| 90681 |
|
84 |
68 |
$382.14 |
| 86706 |
|
37 |
25 |
$327.04 |
| 87040 |
|
341 |
169 |
$313.51 |
| 84450 |
|
73 |
49 |
$297.45 |
| 82803 |
|
341 |
260 |
$294.81 |
| 86708 |
|
36 |
25 |
$280.62 |
| 90656 |
|
29 |
27 |
$259.71 |
| J7030 |
Normal saline solution infus |
1,868 |
1,324 |
$258.63 |
| 90697 |
|
71 |
58 |
$237.84 |
| 86038 |
|
14 |
12 |
$232.12 |
| 90474 |
|
431 |
420 |
$223.14 |
| 82248 |
|
38 |
24 |
$219.25 |
| 85378 |
|
350 |
309 |
$213.96 |
| 84703 |
|
160 |
138 |
$193.63 |
| 84238 |
|
13 |
13 |
$177.63 |
| 90734 |
|
47 |
39 |
$165.05 |
| 84145 |
|
41 |
30 |
$159.64 |
| 87449 |
|
19 |
12 |
$135.06 |
| J1170 |
Hydromorphone injection |
665 |
437 |
$127.57 |
| 80348 |
|
358 |
191 |
$121.17 |
| 87077 |
|
95 |
63 |
$107.07 |
| J2704 |
Inj, propofol, 10 mg |
1,239 |
979 |
$92.78 |
| 90685 |
|
15 |
14 |
$81.89 |
| 90710 |
|
31 |
31 |
$80.06 |
| 85045 |
|
29 |
26 |
$75.95 |
| J0134 |
Inj acetaminophen -fresenius |
63 |
51 |
$66.00 |
| J1650 |
Inj enoxaparin sodium |
277 |
119 |
$63.32 |
| 87205 |
|
90 |
62 |
$59.35 |
| J2270 |
Morphine sulfate injection |
154 |
85 |
$50.15 |
| J1030 |
Methylprednisolone 40 mg inj |
72 |
59 |
$47.77 |
| J7120 |
Ringers lactate infusion |
501 |
338 |
$39.29 |
| J2405 |
Ondansetron hcl injection |
2,039 |
1,438 |
$35.51 |
| 80354 |
|
84 |
46 |
$28.48 |
| J3010 |
Fentanyl citrate injection |
813 |
637 |
$27.30 |
| 87481 |
|
17 |
14 |
$26.73 |
| J1885 |
Ketorolac tromethamine inj |
1,150 |
869 |
$23.17 |
| Q0162 |
Ondansetron oral |
828 |
678 |
$23.12 |
| J7040 |
Normal saline solution infus |
250 |
179 |
$22.96 |
| J0689 |
Inj cefazolin sodium, baxter |
218 |
178 |
$14.52 |
| J3370 |
Vancomycin hcl injection |
112 |
74 |
$11.91 |
| J0696 |
Ceftriaxone sodium injection |
134 |
82 |
$4.79 |
| J7512 |
Prednisone ir or dr oral 1mg |
198 |
138 |
$4.59 |
| J2765 |
Metoclopramide hcl injection |
66 |
42 |
$4.34 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
400 |
335 |
$3.83 |
| J7620 |
Albuterol ipratrop non-comp |
47 |
26 |
$3.60 |
| J2250 |
Inj midazolam hydrochloride |
609 |
484 |
$3.23 |
| J1200 |
Diphenhydramine hcl injectio |
305 |
227 |
$2.51 |
| J2919 |
Inj, methylpred sod succ 5mg |
46 |
29 |
$2.22 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
67 |
40 |
$1.35 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,344 |
1,078 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
13 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
94 |
43 |
$0.00 |
| 90461 |
|
14 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
71 |
59 |
$0.00 |
| 00142 |
|
18 |
14 |
$0.00 |
| 94761 |
|
182 |
74 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
41 |
36 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
40 |
28 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
30 |
27 |
$0.00 |
| J2001 |
Lidocaine injection |
39 |
29 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
29 |
29 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.00 |