| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
24,934 |
23,596 |
$4.73M |
| 99284 |
|
22,163 |
21,181 |
$4.12M |
| G0378 |
Hospital observation per hr |
3,461 |
1,900 |
$2.89M |
| 99285 |
|
8,892 |
8,473 |
$1.44M |
| 99282 |
|
1,407 |
1,310 |
$170K |
| 99281 |
|
1,354 |
1,316 |
$168K |
| 77067 |
|
1,625 |
1,601 |
$142K |
| 11042 |
|
1,553 |
818 |
$135K |
| 74177 |
|
1,186 |
1,157 |
$72K |
| 36000 |
|
1,455 |
1,374 |
$62K |
| 80048 |
|
16,063 |
13,738 |
$47K |
| 93306 |
|
362 |
357 |
$44K |
| 77063 |
|
1,266 |
1,246 |
$29K |
| 70450 |
|
1,513 |
1,443 |
$26K |
| 80307 |
|
1,317 |
1,135 |
$22K |
| 71046 |
|
2,125 |
2,046 |
$19K |
| 93005 |
|
6,383 |
5,732 |
$19K |
| 96374 |
|
5,156 |
4,816 |
$18K |
| 71260 |
|
318 |
317 |
$17K |
| 85025 |
|
16,256 |
14,376 |
$17K |
| 76830 |
|
379 |
371 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,239 |
4,080 |
$14K |
| 97110 |
|
126 |
44 |
$14K |
| 76856 |
|
410 |
394 |
$13K |
| 87636 |
|
1,947 |
1,896 |
$13K |
| 97161 |
|
137 |
128 |
$11K |
| 76700 |
|
168 |
165 |
$9K |
| U0004 |
Cov-19 test non-cdc hgh thru |
922 |
868 |
$9K |
| 72125 |
|
484 |
471 |
$9K |
| 99291 |
|
74 |
73 |
$8K |
| G0480 |
Drug test def 1-7 classes |
484 |
446 |
$8K |
| 96372 |
|
1,950 |
1,656 |
$6K |
| 0001A |
|
130 |
130 |
$6K |
| 74176 |
|
173 |
170 |
$6K |
| 71045 |
|
2,556 |
2,413 |
$6K |
| 78452 |
|
52 |
51 |
$6K |
| 84484 |
|
3,213 |
2,750 |
$6K |
| 0002A |
|
103 |
103 |
$6K |
| 71250 |
|
103 |
99 |
$5K |
| 70486 |
|
205 |
202 |
$5K |
| 99212 |
|
162 |
127 |
$5K |
| 97150 |
|
58 |
26 |
$5K |
| 70553 |
|
16 |
16 |
$5K |
| 73630 |
|
566 |
516 |
$5K |
| 96375 |
|
2,075 |
1,828 |
$4K |
| 72100 |
|
185 |
177 |
$4K |
| 80076 |
|
2,763 |
2,605 |
$4K |
| 93971 |
|
136 |
131 |
$4K |
| T1015 |
Clinic service |
59 |
14 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
178 |
170 |
$3K |
| 73030 |
|
332 |
318 |
$3K |
| 76705 |
|
166 |
164 |
$3K |
| 76801 |
|
153 |
141 |
$3K |
| 96365 |
|
410 |
394 |
$3K |
| 93975 |
|
77 |
76 |
$3K |
| 73130 |
|
454 |
414 |
$3K |
| 73562 |
|
128 |
103 |
$2K |
| 73564 |
|
349 |
330 |
$2K |
| 90715 |
|
530 |
521 |
$2K |
| 73610 |
|
341 |
316 |
$2K |
| 80320 |
|
427 |
392 |
$2K |
| 93017 |
|
53 |
52 |
$2K |
| 71275 |
|
101 |
99 |
$2K |
| 96361 |
|
770 |
700 |
$2K |
| 94640 |
|
499 |
266 |
$2K |
| 76770 |
|
31 |
31 |
$2K |
| 83690 |
|
2,192 |
2,067 |
$2K |
| 85730 |
|
1,300 |
1,218 |
$2K |
| 12001 |
|
39 |
38 |
$2K |
| 12002 |
|
13 |
13 |
$2K |
| 83735 |
|
1,682 |
1,429 |
$2K |
| 81003 |
|
1,985 |
1,877 |
$1K |
| A9585 |
Gadobutrol injection |
95 |
88 |
$1K |
| 0031A |
|
29 |
29 |
$1K |
| 84702 |
|
411 |
385 |
$1K |
| A9270 |
Non-covered item or service |
19,643 |
6,538 |
$1K |
| 84443 |
|
423 |
392 |
$1K |
| 80053 |
|
645 |
587 |
$1K |
| 99213 |
|
27 |
24 |
$1K |
| 96360 |
|
234 |
223 |
$1K |
| 99214 |
|
17 |
13 |
$1K |
| 80329 |
|
323 |
292 |
$1K |
| 76817 |
|
68 |
63 |
$1K |
| 83880 |
|
327 |
315 |
$990.39 |
| 85610 |
|
1,363 |
1,274 |
$961.69 |
| 82805 |
|
181 |
168 |
$872.59 |
| 83605 |
|
716 |
649 |
$803.77 |
| 87086 |
|
383 |
376 |
$784.28 |
| 87491 |
|
434 |
429 |
$745.20 |
| A9500 |
Tc99m sestamibi |
28 |
28 |
$700.98 |
| 90471 |
|
386 |
363 |
$632.19 |
| 85379 |
|
468 |
446 |
$575.53 |
| 87631 |
|
134 |
133 |
$570.50 |
| 73502 |
|
43 |
42 |
$547.86 |
| 87591 |
|
434 |
429 |
$530.04 |
| 96376 |
|
709 |
526 |
$526.40 |
| 81001 |
|
1,289 |
1,260 |
$524.35 |
| 82962 |
|
1,053 |
707 |
$502.78 |
| 87186 |
|
263 |
258 |
$502.17 |
| 76775 |
|
15 |
13 |
$491.17 |
| 86850 |
|
299 |
287 |
$479.62 |
| 73110 |
|
123 |
120 |
$465.55 |
| 84703 |
|
326 |
312 |
$463.89 |
| 96366 |
|
136 |
106 |
$434.44 |
| 72110 |
|
24 |
24 |
$398.91 |
| J2270 |
Morphine sulfate injection |
1,814 |
1,444 |
$384.22 |
| J7030 |
Normal saline solution infus |
1,362 |
1,150 |
$370.07 |
| 87040 |
|
141 |
122 |
$364.00 |
| 82550 |
|
371 |
337 |
$359.63 |
| 87088 |
|
325 |
316 |
$356.80 |
| 86900 |
|
381 |
365 |
$348.13 |
| 87635 |
|
171 |
166 |
$341.41 |
| 86901 |
|
377 |
361 |
$303.23 |
| 85027 |
|
371 |
309 |
$256.43 |
| 76815 |
|
17 |
16 |
$229.61 |
| 87804 |
|
64 |
41 |
$227.00 |
| 87070 |
|
75 |
68 |
$173.67 |
| J1885 |
Ketorolac tromethamine inj |
5,985 |
5,426 |
$158.13 |
| U0005 |
Infec agen detec ampli probe |
81 |
76 |
$136.53 |
| 83036 |
|
202 |
195 |
$127.61 |
| 87210 |
|
181 |
178 |
$98.94 |
| 84100 |
|
225 |
165 |
$91.25 |
| 80061 |
|
118 |
110 |
$87.99 |
| J2704 |
Inj, propofol, 10 mg |
98 |
87 |
$82.15 |
| 82010 |
|
82 |
72 |
$81.50 |
| J1953 |
Levetiracetam injection |
19 |
15 |
$73.40 |
| 36415 |
|
611 |
451 |
$70.38 |
| J2405 |
Ondansetron hcl injection |
2,955 |
2,569 |
$66.60 |
| J3490 |
Drugs unclassified injection |
1,944 |
1,519 |
$62.71 |
| J2930 |
Methylprednisolone injection |
145 |
135 |
$58.19 |
| 73590 |
|
13 |
13 |
$49.50 |
| J1815 |
Insulin injection |
1,426 |
566 |
$48.85 |
| J0696 |
Ceftriaxone sodium injection |
1,234 |
1,047 |
$48.05 |
| J1200 |
Diphenhydramine hcl injectio |
524 |
472 |
$42.08 |
| J1170 |
Hydromorphone injection |
233 |
157 |
$39.02 |
| 84460 |
|
14 |
14 |
$36.00 |
| J1100 |
Dexamethasone sodium phos |
506 |
460 |
$35.93 |
| J2765 |
Metoclopramide hcl injection |
725 |
635 |
$35.13 |
| 82247 |
|
15 |
15 |
$34.65 |
| J1245 |
Dipyridamole injection |
41 |
40 |
$32.76 |
| 84075 |
|
14 |
14 |
$31.85 |
| 82330 |
|
69 |
65 |
$29.47 |
| 82248 |
|
12 |
12 |
$27.72 |
| J2060 |
Lorazepam injection |
576 |
478 |
$24.78 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,241 |
1,011 |
$23.83 |
| 84155 |
|
15 |
15 |
$23.35 |
| 73080 |
|
18 |
18 |
$23.00 |
| J3370 |
Vancomycin hcl injection |
159 |
95 |
$22.48 |
| J1644 |
Inj heparin sodium per 1000u |
242 |
123 |
$19.57 |
| J1650 |
Inj enoxaparin sodium |
814 |
511 |
$18.74 |
| 82040 |
|
15 |
15 |
$18.25 |
| 86140 |
|
82 |
72 |
$18.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
576 |
554 |
$17.50 |
| J0690 |
Cefazolin sodium injection |
49 |
26 |
$14.67 |
| 84295 |
|
67 |
63 |
$13.19 |
| 84132 |
|
69 |
65 |
$12.87 |
| 82435 |
|
67 |
63 |
$12.87 |
| J7611 |
Albuterol non-comp con |
112 |
98 |
$12.04 |
| J3010 |
Fentanyl citrate injection |
117 |
93 |
$10.55 |
| 87205 |
|
18 |
16 |
$9.00 |
| J1630 |
Haloperidol injection |
42 |
38 |
$6.96 |
| 82947 |
|
69 |
65 |
$4.12 |
| 85651 |
|
15 |
13 |
$3.77 |
| J2250 |
Inj midazolam hydrochloride |
123 |
113 |
$3.41 |
| J2001 |
Lidocaine injection |
199 |
172 |
$2.63 |
| J7620 |
Albuterol ipratrop non-comp |
224 |
160 |
$2.43 |
| S0119 |
Ondansetron 4 mg |
17 |
15 |
$0.48 |
| 91300 |
|
45 |
43 |
$0.06 |
| J3475 |
Inj magnesium sulfate |
163 |
144 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
175 |
121 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
29 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
175 |
131 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
271 |
220 |
$0.00 |
| 81025 |
|
45 |
45 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
38 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
40 |
40 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
24 |
24 |
$0.00 |