| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,547 |
6,024 |
$1.47M |
| 99283 |
|
11,328 |
10,636 |
$962K |
| 99285 |
|
4,531 |
3,921 |
$578K |
| 80053 |
|
17,697 |
13,793 |
$294K |
| 74177 |
|
2,581 |
2,062 |
$270K |
| 59025 |
|
1,961 |
1,118 |
$235K |
| 72148 |
|
1,246 |
970 |
$224K |
| 70450 |
|
2,469 |
2,087 |
$211K |
| 87426 |
|
5,981 |
5,564 |
$155K |
| 0241U |
|
2,558 |
2,419 |
$152K |
| 80307 |
|
2,590 |
2,128 |
$132K |
| 85025 |
|
22,830 |
16,954 |
$131K |
| 71046 |
|
7,211 |
6,168 |
$99K |
| 36415 |
|
16,572 |
12,279 |
$90K |
| 93005 |
|
9,040 |
6,672 |
$88K |
| 87804 |
|
9,598 |
4,458 |
$76K |
| 93306 |
|
1,004 |
721 |
$70K |
| 74176 |
|
1,129 |
955 |
$65K |
| 80048 |
|
4,530 |
3,276 |
$63K |
| 87651 |
|
1,521 |
1,427 |
$48K |
| 84484 |
|
6,624 |
4,009 |
$41K |
| 71045 |
|
6,004 |
4,693 |
$40K |
| 76805 |
|
937 |
825 |
$38K |
| 96372 |
|
1,826 |
1,114 |
$36K |
| 87086 |
|
5,138 |
4,279 |
$32K |
| U0002 |
Covid-19 lab test non-cdc |
879 |
778 |
$29K |
| 87880 |
|
3,101 |
2,881 |
$29K |
| 81001 |
|
10,306 |
8,664 |
$28K |
| 86901 |
|
1,242 |
986 |
$25K |
| 70551 |
|
121 |
93 |
$24K |
| 81025 |
|
3,165 |
2,799 |
$22K |
| 77067 |
|
525 |
499 |
$21K |
| 87088 |
|
2,505 |
2,122 |
$20K |
| G0463 |
Hospital outpt clinic visit |
1,846 |
1,523 |
$20K |
| 96361 |
|
852 |
438 |
$20K |
| 83690 |
|
3,550 |
2,851 |
$19K |
| 94760 |
|
1,427 |
868 |
$19K |
| 87400 |
|
2,951 |
1,517 |
$17K |
| 87081 |
|
2,575 |
2,378 |
$17K |
| 96365 |
|
517 |
257 |
$17K |
| 82962 |
|
3,404 |
1,604 |
$16K |
| 72125 |
|
107 |
91 |
$14K |
| 96374 |
|
1,539 |
1,255 |
$13K |
| 97110 |
|
921 |
140 |
$13K |
| 81003 |
|
4,955 |
4,185 |
$12K |
| 87186 |
|
2,126 |
1,773 |
$11K |
| 76801 |
|
324 |
297 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,736 |
1,331 |
$10K |
| 87040 |
|
1,098 |
670 |
$9K |
| 85610 |
|
3,075 |
2,318 |
$8K |
| 73630 |
|
375 |
307 |
$8K |
| 76816 |
|
337 |
311 |
$7K |
| 87077 |
|
901 |
781 |
$7K |
| 83880 |
|
457 |
352 |
$7K |
| J1650 |
Inj enoxaparin sodium |
261 |
114 |
$7K |
| 83605 |
|
865 |
634 |
$6K |
| 87807 |
|
746 |
703 |
$6K |
| 78452 |
|
57 |
40 |
$6K |
| 72141 |
|
34 |
25 |
$6K |
| 74018 |
|
325 |
249 |
$6K |
| 86710 |
|
313 |
295 |
$6K |
| 73610 |
|
404 |
323 |
$5K |
| 72100 |
|
277 |
248 |
$5K |
| J2405 |
Ondansetron hcl injection |
4,512 |
3,149 |
$5K |
| 87420 |
|
524 |
427 |
$5K |
| 73560 |
|
276 |
216 |
$5K |
| 86900 |
|
1,237 |
982 |
$5K |
| 85730 |
|
1,377 |
1,063 |
$5K |
| 71260 |
|
46 |
37 |
$5K |
| 93976 |
|
122 |
92 |
$4K |
| 77063 |
|
466 |
443 |
$4K |
| 80061 |
|
967 |
750 |
$4K |
| A9270 |
Non-covered item or service |
7,785 |
1,622 |
$4K |
| 83735 |
|
1,103 |
734 |
$4K |
| 71020 |
|
284 |
260 |
$4K |
| 76642 |
|
165 |
140 |
$4K |
| 80320 |
|
310 |
266 |
$3K |
| 96375 |
|
847 |
620 |
$3K |
| 73130 |
|
167 |
133 |
$3K |
| J2785 |
Regadenoson injection |
34 |
26 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
67 |
45 |
$3K |
| 87070 |
|
174 |
156 |
$3K |
| 84702 |
|
335 |
251 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,792 |
1,358 |
$3K |
| 87635 |
|
220 |
210 |
$3K |
| 97161 |
|
98 |
69 |
$3K |
| 86850 |
|
436 |
340 |
$2K |
| 76815 |
|
182 |
169 |
$2K |
| 76705 |
|
160 |
122 |
$2K |
| 81002 |
|
633 |
447 |
$2K |
| 77066 |
Tomosynthesis, mammo |
41 |
37 |
$2K |
| 99281 |
|
34 |
33 |
$2K |
| 80050 |
|
52 |
46 |
$2K |
| 73030 |
|
114 |
96 |
$2K |
| J1100 |
Dexamethasone sodium phos |
486 |
323 |
$2K |
| 82077 |
|
136 |
111 |
$2K |
| 77065 |
Tomosynthesis, mammo |
44 |
40 |
$2K |
| 83036 |
|
502 |
393 |
$2K |
| 94640 |
|
803 |
434 |
$2K |
| G0378 |
Hospital observation per hr |
435 |
241 |
$2K |
| 88305 |
|
67 |
42 |
$2K |
| 99282 |
|
13 |
13 |
$2K |
| A9500 |
Tc99m sestamibi |
57 |
40 |
$1K |
| 84443 |
|
635 |
523 |
$1K |
| 93017 |
|
75 |
53 |
$1K |
| 80305 |
|
107 |
89 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
12 |
$1K |
| 96366 |
|
73 |
39 |
$1K |
| 87591 |
|
30 |
24 |
$1K |
| T1015 |
Clinic service |
100 |
63 |
$924.37 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,665 |
2,076 |
$775.60 |
| 73110 |
|
48 |
37 |
$697.77 |
| 85027 |
|
157 |
117 |
$644.49 |
| 96376 |
|
269 |
128 |
$622.03 |
| 11042 |
|
19 |
13 |
$594.24 |
| J2270 |
Morphine sulfate injection |
3,082 |
1,789 |
$552.25 |
| 87486 |
|
16 |
12 |
$551.32 |
| J7030 |
Normal saline solution infus |
3,046 |
2,001 |
$488.91 |
| A9579 |
Gad-base mr contrast nos,1ml |
32 |
24 |
$484.50 |
| 71010 |
|
73 |
58 |
$461.21 |
| 82803 |
|
36 |
26 |
$442.08 |
| 80143 |
|
28 |
26 |
$385.65 |
| 73562 |
|
16 |
12 |
$385.00 |
| 85007 |
|
116 |
97 |
$361.15 |
| 82553 |
|
45 |
26 |
$346.08 |
| 72040 |
|
19 |
14 |
$326.62 |
| 73502 |
|
12 |
12 |
$301.28 |
| J2250 |
Inj midazolam hydrochloride |
388 |
203 |
$293.55 |
| 87210 |
|
54 |
52 |
$262.30 |
| J0690 |
Cefazolin sodium injection |
197 |
111 |
$260.71 |
| 90715 |
|
14 |
12 |
$259.20 |
| J3010 |
Fentanyl citrate injection |
802 |
487 |
$246.16 |
| 84703 |
|
34 |
26 |
$233.09 |
| 82947 |
|
175 |
71 |
$206.00 |
| 87205 |
|
26 |
24 |
$199.11 |
| 97165 |
|
19 |
13 |
$197.76 |
| J2704 |
Inj, propofol, 10 mg |
671 |
400 |
$155.26 |
| 85379 |
|
31 |
24 |
$130.77 |
| 87158 |
|
33 |
25 |
$126.24 |
| J1170 |
Hydromorphone injection |
713 |
398 |
$102.46 |
| J2930 |
Methylprednisolone injection |
88 |
66 |
$101.12 |
| J2060 |
Lorazepam injection |
163 |
129 |
$94.74 |
| 82150 |
|
18 |
16 |
$83.34 |
| J1200 |
Diphenhydramine hcl injectio |
88 |
66 |
$41.40 |
| 82607 |
|
16 |
13 |
$21.52 |
| J3490 |
Drugs unclassified injection |
130 |
103 |
$16.65 |
| J2001 |
Lidocaine injection |
38 |
25 |
$13.90 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$11.07 |
| J7510 |
Prednisolone oral per 5 mg |
24 |
20 |
$2.64 |
| G0480 |
Drug test def 1-7 classes |
46 |
39 |
$0.74 |
| G8979 |
Mobility goal status |
14 |
13 |
$0.02 |
| G8978 |
Mobility current status |
13 |
12 |
$0.01 |
| 29799 |
|
55 |
31 |
$0.00 |
| 99212 |
|
22 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
309 |
149 |
$0.00 |
| 96360 |
|
18 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
166 |
141 |
$0.00 |
| G0008 |
Admin influenza virus vac |
14 |
12 |
$0.00 |
| 99213 |
|
45 |
26 |
$0.00 |
| J7050 |
Normal saline solution infus |
21 |
17 |
$0.00 |