| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,326 |
9,055 |
$1.10M |
| 99284 |
|
5,345 |
4,422 |
$579K |
| 99285 |
|
2,369 |
1,872 |
$336K |
| 96361 |
|
928 |
643 |
$282K |
| 74177 |
|
744 |
615 |
$214K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
558 |
454 |
$181K |
| 93306 |
|
517 |
480 |
$159K |
| 99282 |
|
1,313 |
1,211 |
$134K |
| 0241U |
|
1,154 |
993 |
$131K |
| 70450 |
|
284 |
247 |
$78K |
| 74176 |
|
222 |
194 |
$72K |
| 96366 |
|
417 |
207 |
$70K |
| 96365 |
|
780 |
626 |
$70K |
| 80053 |
|
4,683 |
4,102 |
$70K |
| 73721 |
|
201 |
183 |
$58K |
| G0378 |
Hospital observation per hr |
683 |
269 |
$44K |
| 72148 |
|
148 |
146 |
$35K |
| 94640 |
|
465 |
306 |
$35K |
| 94726 |
|
273 |
248 |
$22K |
| 97161 |
|
393 |
316 |
$20K |
| 84443 |
|
1,127 |
1,037 |
$20K |
| 94010 |
|
145 |
128 |
$17K |
| 85025 |
|
4,021 |
3,386 |
$17K |
| 80061 |
|
1,193 |
1,132 |
$17K |
| 94729 |
|
270 |
246 |
$16K |
| 36415 |
|
4,714 |
3,568 |
$15K |
| 76000 |
|
120 |
88 |
$14K |
| 71046 |
|
747 |
654 |
$12K |
| 71250 |
|
101 |
91 |
$12K |
| 82306 |
|
444 |
418 |
$11K |
| 96375 |
|
1,206 |
897 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
1,962 |
1,401 |
$10K |
| J3010 |
Fentanyl citrate injection |
1,979 |
1,375 |
$9K |
| 82962 |
|
1,925 |
737 |
$8K |
| 85027 |
|
1,059 |
860 |
$7K |
| 72141 |
|
28 |
28 |
$7K |
| 76536 |
|
60 |
58 |
$7K |
| 83036 |
|
408 |
375 |
$7K |
| 94761 |
|
962 |
814 |
$7K |
| 82607 |
|
212 |
195 |
$6K |
| 96372 |
|
1,878 |
1,505 |
$6K |
| 71260 |
|
30 |
25 |
$6K |
| 80048 |
|
948 |
652 |
$6K |
| 96374 |
|
1,171 |
954 |
$6K |
| 93005 |
|
1,039 |
868 |
$5K |
| 96360 |
|
39 |
32 |
$5K |
| 81001 |
|
2,557 |
2,256 |
$5K |
| 86850 |
|
176 |
152 |
$4K |
| 87086 |
|
723 |
624 |
$4K |
| 96376 |
|
290 |
154 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
17 |
17 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,649 |
1,919 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,990 |
1,255 |
$3K |
| 87651 |
|
878 |
765 |
$3K |
| 80307 |
|
245 |
219 |
$3K |
| 82565 |
|
468 |
398 |
$3K |
| 97165 |
|
69 |
60 |
$3K |
| 97110 |
|
112 |
77 |
$3K |
| 72131 |
|
39 |
36 |
$3K |
| 86900 |
|
193 |
166 |
$3K |
| J0690 |
Cefazolin sodium injection |
761 |
357 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,445 |
1,209 |
$2K |
| C1776 |
Joint device (implantable) |
26 |
25 |
$2K |
| 71045 |
|
476 |
396 |
$2K |
| 94618 |
|
12 |
12 |
$2K |
| 94760 |
|
779 |
715 |
$2K |
| 86140 |
|
407 |
340 |
$2K |
| 83735 |
|
910 |
740 |
$2K |
| 85610 |
|
588 |
479 |
$2K |
| 85652 |
|
691 |
595 |
$2K |
| J3490 |
Drugs unclassified injection |
327 |
182 |
$2K |
| 87635 |
|
153 |
151 |
$1K |
| 73630 |
|
265 |
226 |
$1K |
| J0689 |
Inj cefazolin sodium, baxter |
821 |
448 |
$1K |
| 72125 |
|
17 |
13 |
$1K |
| 87077 |
|
211 |
173 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,352 |
1,721 |
$1K |
| 86901 |
|
191 |
166 |
$1K |
| 93010 |
|
167 |
151 |
$1K |
| J7120 |
Ringers lactate infusion |
1,996 |
1,235 |
$1K |
| J3370 |
Vancomycin hcl injection |
658 |
278 |
$1K |
| 84484 |
|
713 |
467 |
$1K |
| 83690 |
|
718 |
595 |
$1K |
| 84439 |
|
49 |
46 |
$983.81 |
| J2250 |
Inj midazolam hydrochloride |
1,350 |
1,065 |
$817.83 |
| J1170 |
Hydromorphone injection |
905 |
491 |
$586.15 |
| 87186 |
|
154 |
124 |
$536.15 |
| 97530 |
|
19 |
12 |
$521.81 |
| 97535 |
|
40 |
29 |
$491.22 |
| 73610 |
|
30 |
24 |
$482.36 |
| 87070 |
|
57 |
42 |
$404.18 |
| 85730 |
|
349 |
285 |
$364.19 |
| 81025 |
|
518 |
426 |
$346.18 |
| A9585 |
Gadobutrol injection |
178 |
157 |
$335.09 |
| 83540 |
|
28 |
26 |
$326.71 |
| 87502 |
|
32 |
28 |
$317.64 |
| Q0162 |
Ondansetron oral |
424 |
320 |
$312.38 |
| J7030 |
Normal saline solution infus |
1,322 |
860 |
$309.54 |
| 83550 |
|
28 |
26 |
$294.66 |
| 85379 |
|
94 |
82 |
$282.21 |
| 81003 |
|
198 |
168 |
$176.79 |
| J2270 |
Morphine sulfate injection |
376 |
234 |
$166.16 |
| 83880 |
|
77 |
63 |
$166.06 |
| 83605 |
|
120 |
95 |
$147.94 |
| J2795 |
Ropivacaine hcl injection |
122 |
89 |
$143.88 |
| 82553 |
|
64 |
56 |
$134.27 |
| 82150 |
|
48 |
44 |
$123.93 |
| J7040 |
Normal saline solution infus |
476 |
292 |
$116.95 |
| 84550 |
|
15 |
13 |
$115.52 |
| 82550 |
|
148 |
129 |
$114.22 |
| 73130 |
|
14 |
13 |
$101.47 |
| A4222 |
Infusion supplies with pump |
44 |
33 |
$100.26 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
12 |
$99.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
354 |
290 |
$91.56 |
| J2001 |
Lidocaine injection |
136 |
103 |
$90.04 |
| 84100 |
|
105 |
90 |
$87.92 |
| 97116 |
|
18 |
12 |
$81.17 |
| 90471 |
|
13 |
12 |
$66.00 |
| 84703 |
|
32 |
26 |
$54.25 |
| 87040 |
|
46 |
38 |
$28.76 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
56 |
43 |
$15.24 |
| 73562 |
|
13 |
12 |
$12.14 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
96 |
84 |
$2.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
15 |
$2.16 |
| A9270 |
Non-covered item or service |
398 |
67 |
$0.00 |