| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,661 |
5,310 |
$4.47M |
| 99283 |
|
5,225 |
5,041 |
$2.72M |
| 99282 |
|
5,444 |
5,251 |
$1.61M |
| 99285 |
|
537 |
517 |
$747K |
| 74177 |
|
1,490 |
1,467 |
$746K |
| 99281 |
|
7,173 |
6,367 |
$687K |
| 0002A |
|
7,884 |
7,884 |
$312K |
| 87637 |
|
3,191 |
3,122 |
$285K |
| 70450 |
|
1,924 |
1,871 |
$270K |
| 71046 |
|
3,175 |
3,092 |
$269K |
| 0001A |
|
8,244 |
8,244 |
$234K |
| G0378 |
Hospital observation per hr |
451 |
300 |
$203K |
| 43239 |
|
153 |
150 |
$145K |
| 0270 |
|
3,164 |
2,462 |
$140K |
| 45380 |
|
115 |
113 |
$139K |
| 88305 |
|
1,199 |
1,189 |
$139K |
| 87635 |
|
3,626 |
3,464 |
$133K |
| 0450 |
|
3,807 |
3,369 |
$130K |
| 93005 |
|
5,895 |
5,440 |
$94K |
| 71045 |
|
1,355 |
1,310 |
$84K |
| 36415 |
|
15,446 |
12,547 |
$81K |
| 83880 |
|
2,945 |
2,770 |
$77K |
| 85025 |
|
15,556 |
12,976 |
$77K |
| 76705 |
|
535 |
533 |
$76K |
| 96374 |
|
3,097 |
2,865 |
$70K |
| 71260 |
|
275 |
273 |
$68K |
| 81001 |
|
13,442 |
12,635 |
$45K |
| J0131 |
Inj, acetaminophen (nos) |
2,032 |
1,896 |
$40K |
| 86900 |
|
601 |
522 |
$37K |
| 74176 |
|
110 |
107 |
$36K |
| 80051 |
|
9,268 |
8,252 |
$35K |
| 82565 |
|
11,255 |
9,757 |
$33K |
| 96375 |
|
2,069 |
1,945 |
$31K |
| 87636 |
|
377 |
368 |
$28K |
| 80307 |
|
758 |
708 |
$28K |
| 96361 |
|
1,902 |
1,823 |
$27K |
| 84460 |
|
7,856 |
6,805 |
$25K |
| 82247 |
|
7,829 |
6,688 |
$25K |
| 76830 |
|
136 |
134 |
$22K |
| 84450 |
|
7,157 |
6,275 |
$22K |
| 99199 |
|
410 |
359 |
$20K |
| 82947 |
|
9,520 |
8,449 |
$19K |
| 45385 |
|
14 |
14 |
$18K |
| 96365 |
|
894 |
852 |
$18K |
| 84520 |
|
9,399 |
8,343 |
$18K |
| 81003 |
|
7,476 |
7,284 |
$17K |
| 83690 |
|
5,548 |
5,135 |
$17K |
| 0637 |
|
18,578 |
6,349 |
$17K |
| 85652 |
|
4,495 |
4,348 |
$16K |
| J7030 |
Normal saline solution infus |
5,372 |
4,805 |
$15K |
| 84484 |
|
3,067 |
2,781 |
$15K |
| 84075 |
|
6,015 |
5,420 |
$14K |
| 84702 |
|
1,121 |
912 |
$14K |
| 93976 |
|
40 |
39 |
$13K |
| 71250 |
|
71 |
70 |
$12K |
| 83735 |
|
3,414 |
2,747 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
286 |
284 |
$12K |
| 86901 |
|
601 |
522 |
$11K |
| 96372 |
|
601 |
560 |
$11K |
| 76856 |
|
81 |
79 |
$10K |
| T1999 |
Noc retail items andsupplies |
453 |
217 |
$10K |
| 73560 |
|
111 |
99 |
$10K |
| 87491 |
|
401 |
376 |
$9K |
| 87591 |
|
402 |
376 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,888 |
1,849 |
$9K |
| 71275 |
|
25 |
25 |
$9K |
| 86850 |
|
317 |
275 |
$9K |
| 80048 |
|
2,233 |
2,021 |
$8K |
| 80306 |
|
785 |
751 |
$7K |
| 73610 |
|
57 |
52 |
$7K |
| 85610 |
|
2,658 |
2,042 |
$6K |
| J7120 |
Ringers lactate infusion |
2,440 |
2,080 |
$6K |
| 93971 |
|
46 |
46 |
$6K |
| 73630 |
|
58 |
53 |
$6K |
| 70486 |
|
25 |
25 |
$5K |
| 72125 |
|
26 |
26 |
$5K |
| 82077 |
|
863 |
807 |
$5K |
| 84100 |
|
1,974 |
1,662 |
$5K |
| 96360 |
|
346 |
338 |
$5K |
| J2405 |
Ondansetron hcl injection |
2,344 |
2,127 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,722 |
1,605 |
$5K |
| 82962 |
|
2,203 |
1,927 |
$4K |
| 87088 |
|
1,284 |
1,245 |
$4K |
| 84703 |
|
1,454 |
1,416 |
$4K |
| 85027 |
|
900 |
795 |
$4K |
| 87631 |
|
240 |
235 |
$4K |
| 83605 |
|
1,004 |
917 |
$4K |
| 96366 |
|
92 |
80 |
$4K |
| 84132 |
|
662 |
522 |
$4K |
| 0031A |
|
88 |
88 |
$4K |
| J0690 |
Cefazolin sodium injection |
416 |
380 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
169 |
169 |
$3K |
| J3490 |
Drugs unclassified injection |
1,218 |
935 |
$3K |
| 85379 |
|
473 |
466 |
$3K |
| 73030 |
|
28 |
25 |
$2K |
| 82310 |
|
401 |
304 |
$2K |
| 82248 |
|
477 |
379 |
$2K |
| 73130 |
|
12 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,632 |
1,575 |
$2K |
| 87040 |
|
397 |
376 |
$2K |
| J2270 |
Morphine sulfate injection |
553 |
471 |
$2K |
| 0250 |
|
3,263 |
1,837 |
$2K |
| 73502 |
|
12 |
12 |
$1K |
| 84295 |
|
208 |
160 |
$1K |
| 82570 |
|
196 |
189 |
$1K |
| C1769 |
Guide wire |
32 |
31 |
$1K |
| 85730 |
|
164 |
162 |
$1K |
| A9585 |
Gadobutrol injection |
66 |
65 |
$1K |
| 87449 |
|
55 |
54 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
338 |
293 |
$1K |
| 87651 |
|
122 |
122 |
$1K |
| 87324 |
|
55 |
54 |
$985.00 |
| C1894 |
Intro/sheath, non-laser |
20 |
19 |
$897.05 |
| 96376 |
|
191 |
174 |
$882.87 |
| 86140 |
|
213 |
200 |
$846.67 |
| C1887 |
Catheter, guiding |
20 |
19 |
$813.56 |
| A4217 |
Sterile water/saline, 500 ml |
47 |
41 |
$782.60 |
| J2250 |
Inj midazolam hydrochloride |
1,291 |
1,247 |
$767.05 |
| 84156 |
|
193 |
184 |
$749.45 |
| 80179 |
|
142 |
136 |
$644.58 |
| Z7502 |
|
78 |
73 |
$550.33 |
| 84443 |
|
53 |
51 |
$542.95 |
| J1100 |
Dexamethasone sodium phos |
258 |
239 |
$440.63 |
| J1200 |
Diphenhydramine hcl injectio |
140 |
137 |
$388.58 |
| 85378 |
|
71 |
70 |
$346.05 |
| J2765 |
Metoclopramide hcl injection |
97 |
91 |
$324.29 |
| J1815 |
Insulin injection |
35 |
14 |
$322.83 |
| 97162 |
|
25 |
24 |
$285.94 |
| J1170 |
Hydromorphone injection |
36 |
33 |
$260.93 |
| J2060 |
Lorazepam injection |
140 |
126 |
$236.57 |
| 0710 |
|
753 |
742 |
$203.53 |
| 82040 |
|
35 |
25 |
$189.02 |
| 82550 |
|
13 |
12 |
$60.74 |
| J3475 |
Inj magnesium sulfate |
43 |
34 |
$42.06 |
| 0258 |
|
213 |
188 |
$19.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
12 |
$0.60 |
| 0370 |
|
659 |
654 |
$0.00 |
| J7060 |
5% dextrose/water |
12 |
12 |
$0.00 |
| 76376 |
|
14 |
14 |
$0.00 |