| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,226 |
8,863 |
$1.60M |
| 99284 |
|
9,126 |
8,680 |
$1.48M |
| 96361 |
|
4,363 |
3,898 |
$1.27M |
| 99285 |
|
4,362 |
4,153 |
$710K |
| 93306 |
|
1,942 |
1,905 |
$646K |
| 74177 |
|
2,241 |
2,197 |
$616K |
| 97110 |
|
5,650 |
1,858 |
$579K |
| 96365 |
|
2,347 |
1,788 |
$499K |
| 70450 |
|
1,507 |
1,480 |
$429K |
| 80053 |
|
13,177 |
11,598 |
$344K |
| 99282 |
|
2,149 |
2,096 |
$342K |
| 96360 |
|
1,396 |
1,335 |
$328K |
| G0378 |
Hospital observation per hr |
405 |
334 |
$303K |
| 97140 |
|
3,259 |
1,286 |
$224K |
| 87635 |
|
4,625 |
4,460 |
$223K |
| 76856 |
|
317 |
305 |
$197K |
| 74176 |
|
554 |
542 |
$167K |
| 11042 |
|
251 |
123 |
$144K |
| 59025 |
|
391 |
335 |
$109K |
| 43239 |
|
134 |
133 |
$108K |
| 97161 |
|
517 |
512 |
$72K |
| 93017 |
|
374 |
371 |
$66K |
| 97535 |
|
981 |
758 |
$58K |
| 86850 |
|
1,189 |
1,121 |
$52K |
| U0004 |
Cov-19 test non-cdc hgh thru |
664 |
650 |
$50K |
| 77067 |
|
680 |
680 |
$45K |
| 88305 |
|
1,216 |
1,140 |
$42K |
| 93975 |
|
86 |
85 |
$41K |
| 86901 |
|
1,191 |
1,123 |
$34K |
| 76705 |
|
531 |
525 |
$30K |
| 86900 |
|
1,188 |
1,121 |
$25K |
| 96372 |
|
1,676 |
1,471 |
$23K |
| 96413 |
|
122 |
62 |
$23K |
| 71275 |
|
72 |
71 |
$21K |
| 99212 |
|
90 |
61 |
$21K |
| 36415 |
|
3,938 |
3,218 |
$20K |
| 97112 |
|
311 |
169 |
$18K |
| J0131 |
Inj, acetaminophen (nos) |
1,685 |
1,501 |
$17K |
| 81025 |
|
4,654 |
4,455 |
$15K |
| 95810 |
|
14 |
14 |
$15K |
| 80048 |
|
615 |
531 |
$15K |
| 76830 |
|
406 |
396 |
$14K |
| 45378 |
|
13 |
13 |
$14K |
| 96366 |
|
62 |
55 |
$12K |
| 83880 |
|
363 |
349 |
$12K |
| 85025 |
|
9,679 |
8,128 |
$10K |
| 85610 |
|
2,345 |
2,258 |
$10K |
| 76801 |
|
82 |
78 |
$9K |
| 97530 |
|
203 |
130 |
$9K |
| 76817 |
|
143 |
132 |
$9K |
| 12001 |
|
14 |
14 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,596 |
2,509 |
$7K |
| 99204 |
|
33 |
28 |
$5K |
| 77063 |
|
679 |
679 |
$5K |
| 87798 |
|
116 |
94 |
$4K |
| 71046 |
|
1,016 |
1,004 |
$4K |
| 96367 |
|
25 |
16 |
$4K |
| 96375 |
|
4,061 |
3,395 |
$4K |
| 93971 |
|
40 |
40 |
$3K |
| U0005 |
Infec agen detec ampli probe |
130 |
128 |
$3K |
| 96374 |
|
4,375 |
4,050 |
$3K |
| 93225 |
|
12 |
12 |
$3K |
| 71260 |
|
12 |
12 |
$3K |
| 93005 |
|
3,663 |
3,374 |
$3K |
| 99281 |
|
16 |
15 |
$3K |
| 76641 |
|
118 |
118 |
$3K |
| 88304 |
|
49 |
49 |
$2K |
| 71045 |
|
2,483 |
2,415 |
$1K |
| 99406 |
|
73 |
72 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
14 |
$1K |
| 93226 |
|
12 |
12 |
$1K |
| 97165 |
|
13 |
12 |
$1K |
| 81001 |
|
3,332 |
3,109 |
$869.60 |
| 90715 |
|
28 |
28 |
$848.61 |
| 87484 |
|
43 |
43 |
$840.72 |
| 87468 |
|
43 |
43 |
$840.71 |
| 80307 |
|
13 |
12 |
$809.49 |
| 83735 |
|
2,096 |
1,785 |
$718.90 |
| 85027 |
|
460 |
424 |
$690.76 |
| 84484 |
|
2,509 |
2,216 |
$622.59 |
| 96417 |
|
21 |
13 |
$580.56 |
| 87086 |
|
2,068 |
1,970 |
$531.22 |
| 87491 |
|
13 |
13 |
$522.44 |
| 87400 |
|
2,598 |
1,998 |
$510.90 |
| J7030 |
Normal saline solution infus |
2,844 |
2,460 |
$467.84 |
| J7120 |
Ringers lactate infusion |
2,356 |
2,197 |
$453.59 |
| 94640 |
|
209 |
186 |
$441.30 |
| 83605 |
|
937 |
831 |
$414.63 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
69 |
68 |
$399.00 |
| 82947 |
|
475 |
363 |
$387.68 |
| 72125 |
|
12 |
12 |
$358.40 |
| 83690 |
|
2,435 |
2,287 |
$334.93 |
| 87591 |
|
13 |
13 |
$274.46 |
| 85730 |
|
535 |
514 |
$200.14 |
| 81003 |
|
2,159 |
2,086 |
$195.69 |
| 86618 |
|
573 |
328 |
$170.62 |
| 85379 |
|
519 |
514 |
$147.35 |
| 87420 |
|
707 |
694 |
$133.64 |
| J1885 |
Ketorolac tromethamine inj |
2,965 |
2,681 |
$118.60 |
| 87081 |
|
435 |
435 |
$104.04 |
| 87040 |
|
190 |
124 |
$96.74 |
| 87880 |
|
436 |
435 |
$94.00 |
| J2405 |
Ondansetron hcl injection |
3,194 |
2,806 |
$79.64 |
| J1170 |
Hydromorphone injection |
535 |
461 |
$78.58 |
| 82565 |
|
193 |
191 |
$78.23 |
| J0690 |
Cefazolin sodium injection |
563 |
479 |
$70.56 |
| 87077 |
|
319 |
299 |
$59.04 |
| J1100 |
Dexamethasone sodium phos |
2,041 |
1,750 |
$55.79 |
| J2704 |
Inj, propofol, 10 mg |
1,961 |
1,939 |
$43.35 |
| 84702 |
|
43 |
39 |
$40.47 |
| 82948 |
|
325 |
227 |
$38.23 |
| 90471 |
|
28 |
28 |
$36.81 |
| J7050 |
Normal saline solution infus |
131 |
65 |
$34.76 |
| 73030 |
|
13 |
13 |
$29.70 |
| 87186 |
|
86 |
85 |
$24.48 |
| J7060 |
5% dextrose/water |
67 |
53 |
$21.89 |
| 73630 |
|
14 |
14 |
$20.84 |
| 87207 |
|
128 |
125 |
$16.83 |
| 84443 |
|
12 |
12 |
$14.82 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
12 |
$10.80 |
| J1200 |
Diphenhydramine hcl injectio |
373 |
323 |
$9.82 |
| J2250 |
Inj midazolam hydrochloride |
1,216 |
1,181 |
$8.46 |
| J3010 |
Fentanyl citrate injection |
1,091 |
1,078 |
$7.74 |
| J2270 |
Morphine sulfate injection |
168 |
148 |
$6.35 |
| J2765 |
Metoclopramide hcl injection |
207 |
190 |
$5.70 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$2.40 |
| J2001 |
Lidocaine injection |
1,130 |
1,122 |
$1.50 |
| J7620 |
Albuterol ipratrop non-comp |
49 |
41 |
$0.49 |
| 96376 |
|
299 |
273 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
162 |
89 |
$0.00 |
| 95806 |
|
24 |
24 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
128 |
104 |
$0.00 |
| 85651 |
|
41 |
41 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
28 |
28 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| 84703 |
|
14 |
12 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
16 |
16 |
$0.00 |
| A4649 |
Surgical supplies |
38 |
38 |
$0.00 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$0.00 |