| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
11,163 |
9,577 |
$1.40M |
| 99284 |
|
10,435 |
9,230 |
$1.20M |
| 99283 |
|
10,083 |
9,166 |
$1.09M |
| U0003 |
Cov-19 amp prb hgh thruput |
3,565 |
3,164 |
$570K |
| 96361 |
|
1,366 |
890 |
$446K |
| 76817 |
|
2,349 |
1,992 |
$280K |
| G0463 |
Hospital outpt clinic visit |
3,157 |
2,589 |
$246K |
| 70450 |
|
945 |
731 |
$237K |
| 74177 |
|
747 |
554 |
$201K |
| 96365 |
|
1,165 |
741 |
$197K |
| 59025 |
|
1,122 |
656 |
$164K |
| 74176 |
|
543 |
416 |
$148K |
| G0378 |
Hospital observation per hr |
1,557 |
652 |
$123K |
| 97110 |
|
1,587 |
476 |
$107K |
| 80053 |
|
11,382 |
8,872 |
$94K |
| 94640 |
|
772 |
511 |
$91K |
| 76856 |
|
461 |
407 |
$84K |
| 96366 |
|
373 |
194 |
$83K |
| 76816 |
|
552 |
484 |
$73K |
| 76818 |
|
513 |
223 |
$63K |
| 87491 |
|
1,454 |
1,351 |
$60K |
| 85025 |
|
19,392 |
15,375 |
$58K |
| 0202U |
|
361 |
287 |
$56K |
| 73630 |
|
1,280 |
1,065 |
$53K |
| 88143 |
|
2,498 |
2,310 |
$50K |
| 87624 |
|
1,158 |
1,063 |
$50K |
| 97140 |
|
925 |
298 |
$50K |
| 84443 |
|
2,829 |
2,466 |
$48K |
| 36415 |
|
25,000 |
18,992 |
$45K |
| 87591 |
|
1,419 |
1,316 |
$39K |
| 97530 |
|
573 |
191 |
$38K |
| 84702 |
|
2,153 |
1,522 |
$35K |
| 76830 |
|
699 |
610 |
$32K |
| 83036 |
|
2,070 |
1,865 |
$32K |
| 93306 |
|
168 |
145 |
$32K |
| 99282 |
|
274 |
254 |
$31K |
| 80048 |
|
3,918 |
3,119 |
$29K |
| U0005 |
Infec agen detec ampli probe |
2,851 |
2,496 |
$23K |
| 71046 |
|
1,885 |
1,696 |
$22K |
| 73610 |
|
667 |
531 |
$22K |
| 80061 |
|
1,382 |
1,233 |
$22K |
| 99281 |
|
166 |
141 |
$20K |
| 86850 |
|
783 |
668 |
$19K |
| 76805 |
|
150 |
125 |
$16K |
| 87086 |
|
2,101 |
1,719 |
$16K |
| 87480 |
|
624 |
563 |
$15K |
| 87800 |
|
529 |
516 |
$15K |
| 84439 |
|
733 |
643 |
$15K |
| 11042 |
|
254 |
109 |
$14K |
| 80307 |
|
900 |
652 |
$14K |
| J3490 |
Drugs unclassified injection |
2,878 |
1,114 |
$13K |
| 93971 |
|
211 |
171 |
$13K |
| 86900 |
|
908 |
761 |
$12K |
| 76705 |
|
120 |
85 |
$12K |
| 84436 |
|
963 |
868 |
$11K |
| 82306 |
|
482 |
417 |
$11K |
| 87660 |
|
624 |
563 |
$10K |
| 86803 |
|
457 |
399 |
$9K |
| 93005 |
|
5,709 |
4,742 |
$9K |
| 87150 |
|
569 |
463 |
$8K |
| 86901 |
|
908 |
761 |
$8K |
| 83525 |
|
340 |
295 |
$7K |
| 87510 |
|
624 |
563 |
$7K |
| 87081 |
|
647 |
541 |
$7K |
| 84481 |
|
519 |
454 |
$7K |
| 99213 |
|
80 |
73 |
$7K |
| 87389 |
|
466 |
414 |
$6K |
| 83540 |
|
632 |
569 |
$6K |
| 87340 |
|
296 |
257 |
$6K |
| 74018 |
|
193 |
159 |
$6K |
| 92507 |
|
70 |
25 |
$6K |
| 96372 |
|
2,110 |
1,429 |
$6K |
| 84479 |
|
296 |
268 |
$6K |
| 97161 |
|
114 |
94 |
$5K |
| 80076 |
|
484 |
402 |
$5K |
| 87804 |
|
2,068 |
1,822 |
$5K |
| 86140 |
|
531 |
417 |
$5K |
| 94667 |
|
31 |
12 |
$5K |
| 77063 |
|
112 |
99 |
$4K |
| 80320 |
|
558 |
408 |
$4K |
| 81001 |
|
3,368 |
2,749 |
$4K |
| 84484 |
|
2,281 |
1,715 |
$4K |
| 87070 |
|
1,081 |
928 |
$4K |
| 71045 |
|
2,730 |
2,237 |
$4K |
| 86762 |
|
210 |
185 |
$3K |
| 88175 |
|
196 |
192 |
$3K |
| 0001A |
|
106 |
100 |
$3K |
| 85610 |
|
1,274 |
1,001 |
$3K |
| 86592 |
|
256 |
233 |
$3K |
| 87635 |
|
467 |
332 |
$3K |
| 82607 |
|
158 |
134 |
$3K |
| 76815 |
|
28 |
27 |
$3K |
| 0002A |
|
86 |
81 |
$3K |
| 72125 |
|
190 |
152 |
$3K |
| 87186 |
|
672 |
525 |
$2K |
| 82728 |
|
171 |
152 |
$2K |
| 87811 |
|
1,220 |
972 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
12 |
12 |
$2K |
| 83880 |
|
557 |
417 |
$2K |
| 85730 |
|
804 |
647 |
$2K |
| 83735 |
|
731 |
502 |
$2K |
| 85027 |
|
523 |
387 |
$2K |
| 87426 |
|
302 |
286 |
$2K |
| 87420 |
|
283 |
252 |
$2K |
| 96374 |
|
5,174 |
4,185 |
$2K |
| 86593 |
|
171 |
148 |
$2K |
| 81003 |
|
1,923 |
1,545 |
$2K |
| 73030 |
|
107 |
93 |
$2K |
| 82950 |
|
108 |
91 |
$2K |
| 86703 |
|
87 |
81 |
$1K |
| 85652 |
|
451 |
374 |
$1K |
| 84703 |
|
2,129 |
1,645 |
$1K |
| 74022 |
|
140 |
99 |
$1K |
| 87880 |
|
1,452 |
1,221 |
$1K |
| 88305 |
|
144 |
105 |
$1K |
| 73564 |
|
98 |
71 |
$1K |
| 72100 |
|
64 |
52 |
$1K |
| 83605 |
|
1,348 |
922 |
$1K |
| 96367 |
|
40 |
25 |
$1K |
| 96375 |
|
3,881 |
2,754 |
$1K |
| 82553 |
|
307 |
206 |
$1K |
| 96376 |
|
841 |
403 |
$1K |
| 73110 |
|
30 |
26 |
$994.90 |
| 87077 |
|
250 |
198 |
$956.47 |
| 83690 |
|
1,691 |
1,238 |
$885.02 |
| 82570 |
|
91 |
69 |
$765.27 |
| 83874 |
|
293 |
213 |
$683.68 |
| 87040 |
|
596 |
251 |
$609.59 |
| 86706 |
|
30 |
28 |
$512.02 |
| 73130 |
|
28 |
24 |
$485.90 |
| 82105 |
|
23 |
19 |
$481.46 |
| 77067 |
|
118 |
102 |
$455.38 |
| 82948 |
|
524 |
336 |
$443.84 |
| 85007 |
|
183 |
143 |
$442.13 |
| Q0162 |
Ondansetron oral |
396 |
325 |
$397.35 |
| 82150 |
|
256 |
168 |
$385.39 |
| 82550 |
|
349 |
239 |
$362.03 |
| 90715 |
|
22 |
12 |
$359.54 |
| 83001 |
|
16 |
13 |
$323.36 |
| 82043 |
|
53 |
45 |
$308.12 |
| 83002 |
|
16 |
13 |
$303.15 |
| 85378 |
|
408 |
324 |
$250.55 |
| J7030 |
Normal saline solution infus |
2,417 |
1,538 |
$234.67 |
| J1170 |
Hydromorphone injection |
761 |
369 |
$185.03 |
| 84550 |
|
13 |
12 |
$154.35 |
| 73562 |
|
13 |
13 |
$139.24 |
| J2930 |
Methylprednisolone injection |
427 |
234 |
$115.18 |
| J7120 |
Ringers lactate infusion |
922 |
518 |
$94.11 |
| 81015 |
|
69 |
37 |
$85.43 |
| 84100 |
|
16 |
12 |
$56.22 |
| J1885 |
Ketorolac tromethamine inj |
1,459 |
983 |
$36.94 |
| J2270 |
Morphine sulfate injection |
294 |
195 |
$33.77 |
| 87798 |
|
19 |
18 |
$32.02 |
| 80179 |
|
247 |
173 |
$31.28 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,234 |
924 |
$29.51 |
| 80329 |
|
211 |
143 |
$28.59 |
| J2919 |
Inj, methylpred sod succ 5mg |
200 |
152 |
$23.67 |
| 83550 |
|
12 |
12 |
$21.09 |
| J1094 |
Inj dexamethasone acetate |
212 |
145 |
$19.88 |
| J7050 |
Normal saline solution infus |
569 |
248 |
$19.22 |
| J2360 |
Orphenadrine injection |
111 |
76 |
$14.01 |
| J7040 |
Normal saline solution infus |
567 |
344 |
$13.13 |
| J2405 |
Ondansetron hcl injection |
1,984 |
1,269 |
$10.26 |
| J1100 |
Dexamethasone sodium phos |
898 |
573 |
$10.09 |
| J3010 |
Fentanyl citrate injection |
558 |
370 |
$9.74 |
| J0690 |
Cefazolin sodium injection |
180 |
82 |
$6.78 |
| J1200 |
Diphenhydramine hcl injectio |
106 |
84 |
$4.06 |
| J2550 |
Promethazine hcl injection |
73 |
40 |
$3.15 |
| J2704 |
Inj, propofol, 10 mg |
694 |
455 |
$2.13 |
| 91300 |
|
192 |
167 |
$1.61 |
| J2250 |
Inj midazolam hydrochloride |
444 |
307 |
$1.40 |
| J7613 |
Albuterol non-comp unit |
226 |
149 |
$1.02 |
| J7620 |
Albuterol ipratrop non-comp |
160 |
83 |
$0.85 |
| J0696 |
Ceftriaxone sodium injection |
103 |
70 |
$0.57 |
| J3480 |
Inj potassium chloride |
28 |
12 |
$0.23 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
12 |
$0.09 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
287 |
223 |
$0.00 |
| 00840 |
|
52 |
30 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
18 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
35 |
31 |
$0.00 |
| 82800 |
|
19 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
30 |
26 |
$0.00 |
| 36416 |
|
16 |
12 |
$0.00 |
| 94761 |
|
212 |
70 |
$0.00 |
| J2001 |
Lidocaine injection |
143 |
85 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$0.00 |
| 90471 |
|
22 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
27 |
15 |
$0.00 |
| J2060 |
Lorazepam injection |
20 |
13 |
$0.00 |