| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,776 |
9,969 |
$1.63M |
| 99285 |
|
4,971 |
4,127 |
$1.32M |
| 99283 |
|
13,679 |
11,925 |
$1.27M |
| 74177 |
|
2,327 |
1,957 |
$831K |
| 80053 |
|
29,874 |
22,647 |
$552K |
| 87637 |
|
6,664 |
5,976 |
$508K |
| 96374 |
|
8,035 |
6,304 |
$473K |
| 85025 |
|
28,207 |
22,206 |
$337K |
| 93306 |
|
1,213 |
1,078 |
$324K |
| 99282 |
|
3,987 |
3,509 |
$274K |
| 74176 |
|
989 |
841 |
$263K |
| 70450 |
|
2,332 |
2,028 |
$259K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,560 |
3,304 |
$254K |
| 99212 |
|
8,054 |
7,035 |
$231K |
| 96361 |
|
3,370 |
2,422 |
$227K |
| 93005 |
|
8,029 |
6,588 |
$202K |
| 96365 |
|
2,902 |
1,916 |
$195K |
| 84443 |
|
9,398 |
8,422 |
$193K |
| 96372 |
|
7,305 |
4,943 |
$187K |
| 71046 |
|
3,018 |
2,642 |
$180K |
| 71045 |
|
6,270 |
5,259 |
$179K |
| 96375 |
|
6,712 |
4,626 |
$178K |
| G0480 |
Drug test def 1-7 classes |
1,206 |
936 |
$169K |
| 97110 |
|
4,062 |
1,014 |
$165K |
| 81001 |
|
12,775 |
10,665 |
$136K |
| 80061 |
|
6,613 |
6,154 |
$129K |
| U0002 |
Covid-19 lab test non-cdc |
2,706 |
2,310 |
$127K |
| 87081 |
|
10,250 |
9,322 |
$120K |
| G0463 |
Hospital outpt clinic visit |
11,138 |
9,325 |
$116K |
| 84484 |
|
5,495 |
4,139 |
$114K |
| J7120 |
Ringers lactate infusion |
2,167 |
1,613 |
$114K |
| 83690 |
|
5,058 |
4,079 |
$108K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,660 |
3,053 |
$104K |
| 85027 |
|
9,010 |
5,966 |
$101K |
| J2405 |
Ondansetron hcl injection |
5,812 |
4,206 |
$99K |
| 83735 |
|
6,912 |
3,708 |
$98K |
| 99211 |
|
3,163 |
2,883 |
$92K |
| 80048 |
|
5,974 |
4,628 |
$91K |
| 94640 |
|
1,981 |
1,193 |
$85K |
| 87086 |
|
5,797 |
4,827 |
$82K |
| 82306 |
|
3,955 |
3,653 |
$81K |
| J1885 |
Ketorolac tromethamine inj |
5,782 |
4,491 |
$79K |
| 73630 |
|
1,209 |
1,014 |
$73K |
| 71275 |
|
400 |
346 |
$72K |
| 83036 |
|
4,824 |
4,464 |
$71K |
| 36415 |
|
18,353 |
13,606 |
$70K |
| 82607 |
|
4,138 |
3,781 |
$68K |
| 85610 |
|
3,978 |
3,089 |
$65K |
| 80307 |
|
2,024 |
1,711 |
$63K |
| 82550 |
|
2,738 |
2,241 |
$57K |
| 87186 |
|
2,750 |
2,300 |
$55K |
| 87491 |
|
2,094 |
1,783 |
$54K |
| 81025 |
|
1,903 |
1,511 |
$54K |
| 76705 |
|
524 |
464 |
$50K |
| 77067 |
|
406 |
372 |
$50K |
| 96376 |
|
1,597 |
955 |
$50K |
| 87591 |
|
2,087 |
1,775 |
$49K |
| 87040 |
|
1,400 |
878 |
$47K |
| J1100 |
Dexamethasone sodium phos |
2,856 |
2,039 |
$44K |
| G0378 |
Hospital observation per hr |
1,083 |
432 |
$43K |
| 85007 |
|
4,384 |
2,353 |
$41K |
| 96366 |
|
619 |
316 |
$39K |
| U0005 |
Infec agen detec ampli probe |
1,951 |
1,850 |
$38K |
| 88305 |
|
811 |
667 |
$37K |
| 97014 |
|
744 |
223 |
$36K |
| 87077 |
|
2,159 |
1,864 |
$34K |
| 85730 |
|
1,064 |
880 |
$33K |
| 87070 |
|
1,247 |
1,055 |
$31K |
| 73610 |
|
641 |
553 |
$31K |
| 87804 |
|
967 |
785 |
$31K |
| 76830 |
|
499 |
440 |
$31K |
| 97161 |
|
684 |
605 |
$29K |
| 83880 |
|
1,258 |
1,092 |
$28K |
| 84439 |
|
1,827 |
1,636 |
$28K |
| 0241U |
|
1,231 |
1,143 |
$28K |
| 76816 |
|
293 |
260 |
$28K |
| 72110 |
|
285 |
255 |
$27K |
| 84466 |
|
2,097 |
1,868 |
$27K |
| 71260 |
|
189 |
159 |
$27K |
| 72125 |
|
482 |
410 |
$26K |
| 83605 |
|
2,822 |
2,205 |
$26K |
| 82728 |
|
1,974 |
1,738 |
$26K |
| 86850 |
|
1,936 |
1,561 |
$26K |
| 84703 |
|
1,439 |
1,181 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
370 |
336 |
$25K |
| J7030 |
Normal saline solution infus |
254 |
168 |
$25K |
| 96360 |
|
287 |
248 |
$24K |
| 83540 |
|
2,292 |
2,039 |
$24K |
| 87880 |
|
1,591 |
1,395 |
$24K |
| J2250 |
Inj midazolam hydrochloride |
1,636 |
1,264 |
$22K |
| C9803 |
Hopd covid-19 spec collect |
1,244 |
1,018 |
$22K |
| 82553 |
|
384 |
306 |
$22K |
| 82746 |
|
1,684 |
1,507 |
$21K |
| 74018 |
|
420 |
350 |
$20K |
| 86900 |
|
1,929 |
1,527 |
$19K |
| 99213 |
|
589 |
539 |
$19K |
| 73030 |
|
574 |
481 |
$18K |
| 73562 |
|
452 |
366 |
$18K |
| J2270 |
Morphine sulfate injection |
1,863 |
1,302 |
$17K |
| 72148 |
|
15 |
13 |
$17K |
| 86803 |
|
1,242 |
1,085 |
$15K |
| 86140 |
|
1,258 |
1,065 |
$14K |
| 59025 |
|
253 |
139 |
$14K |
| 84702 |
|
531 |
363 |
$14K |
| 36592 |
|
124 |
110 |
$14K |
| 84550 |
|
850 |
685 |
$12K |
| 87147 |
|
631 |
526 |
$12K |
| 83615 |
|
1,357 |
1,054 |
$11K |
| 87480 |
|
910 |
801 |
$11K |
| A9576 |
Inj prohance multipack |
143 |
131 |
$11K |
| 73130 |
|
215 |
180 |
$11K |
| 82962 |
|
2,633 |
1,325 |
$10K |
| 87660 |
|
908 |
800 |
$10K |
| 76817 |
|
198 |
144 |
$10K |
| 87510 |
|
908 |
800 |
$10K |
| 73110 |
|
167 |
140 |
$10K |
| 90471 |
|
1,234 |
1,139 |
$10K |
| 85651 |
|
654 |
572 |
$10K |
| 99202 |
|
458 |
449 |
$9K |
| J1170 |
Hydromorphone injection |
655 |
409 |
$9K |
| 76819 |
|
19 |
12 |
$9K |
| 93041 |
|
141 |
124 |
$9K |
| 96367 |
|
347 |
176 |
$8K |
| 97140 |
|
187 |
53 |
$8K |
| 82570 |
|
925 |
744 |
$8K |
| 82803 |
|
597 |
441 |
$8K |
| 81002 |
|
564 |
482 |
$8K |
| J2930 |
Methylprednisolone injection |
599 |
438 |
$8K |
| 87088 |
|
149 |
127 |
$8K |
| J3010 |
Fentanyl citrate injection |
942 |
746 |
$8K |
| 87340 |
|
804 |
699 |
$7K |
| 82248 |
|
1,988 |
1,632 |
$7K |
| 76536 |
|
38 |
37 |
$7K |
| G0475 |
Hiv combination assay |
689 |
597 |
$7K |
| 85379 |
|
785 |
672 |
$7K |
| J0690 |
Cefazolin sodium injection |
367 |
209 |
$6K |
| 82565 |
|
227 |
156 |
$6K |
| 86762 |
|
224 |
194 |
$6K |
| 93971 |
|
52 |
43 |
$6K |
| 72050 |
|
19 |
15 |
$6K |
| 80050 |
|
156 |
147 |
$6K |
| J2001 |
Lidocaine injection |
809 |
604 |
$6K |
| 88175 |
|
435 |
380 |
$5K |
| 94760 |
|
554 |
298 |
$5K |
| 73564 |
|
170 |
141 |
$5K |
| 99281 |
|
98 |
92 |
$5K |
| 76856 |
|
87 |
77 |
$5K |
| 76805 |
|
73 |
62 |
$5K |
| 84153 |
|
213 |
194 |
$5K |
| 82043 |
|
572 |
521 |
$5K |
| 0064U |
|
87 |
69 |
$5K |
| 86780 |
|
500 |
429 |
$4K |
| 84156 |
|
210 |
128 |
$4K |
| 90686 |
|
352 |
333 |
$4K |
| 73590 |
|
32 |
24 |
$4K |
| 20610 |
|
64 |
50 |
$4K |
| 86618 |
|
273 |
180 |
$3K |
| 87205 |
|
409 |
341 |
$3K |
| 88142 |
|
153 |
133 |
$3K |
| 96110 |
|
67 |
66 |
$3K |
| 77063 |
|
179 |
170 |
$3K |
| 86901 |
|
1,415 |
1,132 |
$3K |
| 84100 |
|
251 |
148 |
$3K |
| 87389 |
|
144 |
137 |
$3K |
| 87624 |
|
73 |
64 |
$2K |
| 86787 |
|
193 |
170 |
$2K |
| 90715 |
|
173 |
160 |
$2K |
| 99392 |
|
68 |
68 |
$2K |
| G0283 |
Elec stim other than wound |
94 |
36 |
$2K |
| 51700 |
|
76 |
26 |
$2K |
| 86038 |
|
103 |
98 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
822 |
584 |
$2K |
| 73502 |
|
112 |
96 |
$2K |
| J2060 |
Lorazepam injection |
51 |
36 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,503 |
1,166 |
$1K |
| 73721 |
|
18 |
13 |
$1K |
| 80179 |
|
158 |
138 |
$1K |
| 85046 |
|
231 |
201 |
$1K |
| 87430 |
|
206 |
200 |
$1K |
| 20611 |
|
12 |
12 |
$1K |
| 99391 |
|
46 |
45 |
$1K |
| 86592 |
|
32 |
30 |
$1K |
| 70553 |
|
12 |
12 |
$1K |
| 90472 |
|
85 |
84 |
$996.87 |
| 80143 |
|
140 |
123 |
$951.60 |
| J3420 |
Vitamin b12 injection |
340 |
264 |
$851.03 |
| 99203 |
|
19 |
17 |
$816.97 |
| 86706 |
|
107 |
91 |
$789.44 |
| 84630 |
|
184 |
171 |
$779.24 |
| 83970 |
|
27 |
26 |
$770.31 |
| 85652 |
|
488 |
427 |
$769.74 |
| 90656 |
|
109 |
102 |
$754.43 |
| 84520 |
|
87 |
64 |
$754.40 |
| 93880 |
|
12 |
12 |
$735.23 |
| 82378 |
|
127 |
90 |
$717.64 |
| 86704 |
|
59 |
54 |
$632.69 |
| 80076 |
|
63 |
54 |
$613.11 |
| J3475 |
Inj magnesium sulfate |
535 |
271 |
$593.96 |
| J1650 |
Inj enoxaparin sodium |
226 |
110 |
$530.00 |
| 84145 |
|
49 |
38 |
$525.81 |
| 71250 |
|
14 |
14 |
$494.18 |
| J0696 |
Ceftriaxone sodium injection |
300 |
211 |
$427.51 |
| 82947 |
|
127 |
111 |
$413.68 |
| 82950 |
|
73 |
69 |
$353.50 |
| 94727 |
|
26 |
25 |
$350.84 |
| 94060 |
|
27 |
26 |
$340.71 |
| 99396 |
|
17 |
16 |
$340.04 |
| 93356 |
|
189 |
175 |
$262.89 |
| 88304 |
|
29 |
13 |
$257.48 |
| 88342 |
|
12 |
12 |
$243.72 |
| 94729 |
|
14 |
13 |
$222.31 |
| G0008 |
Admin influenza virus vac |
85 |
76 |
$212.07 |
| 87807 |
|
15 |
15 |
$187.14 |
| 82105 |
|
15 |
14 |
$180.37 |
| 93017 |
|
13 |
13 |
$175.48 |
| 0065U |
|
326 |
292 |
$146.65 |
| J0780 |
Prochlorperazine injection |
121 |
90 |
$140.96 |
| Q3014 |
Telehealth facility fee |
23 |
22 |
$131.87 |
| J2919 |
Inj, methylpred sod succ 5mg |
145 |
111 |
$124.99 |
| J1010 |
Inj, methylpred acetate 1 mg |
97 |
95 |
$95.35 |
| 84460 |
|
35 |
29 |
$90.74 |
| 84450 |
|
34 |
28 |
$85.87 |
| J2550 |
Promethazine hcl injection |
26 |
12 |
$80.46 |
| 86431 |
|
16 |
16 |
$78.44 |
| Q0162 |
Ondansetron oral |
314 |
249 |
$58.12 |
| J3301 |
Triamcinolone acet inj nos |
121 |
81 |
$53.98 |
| J1040 |
Methylprednisolone 80 mg inj |
17 |
14 |
$46.00 |
| 96127 |
|
13 |
12 |
$37.70 |
| 90694 |
|
54 |
47 |
$37.53 |
| 51798 |
|
19 |
14 |
$22.40 |
| 76376 |
|
264 |
237 |
$20.65 |
| 90653 |
|
19 |
17 |
$18.87 |
| 90460 |
|
16 |
16 |
$10.62 |
| J2765 |
Metoclopramide hcl injection |
49 |
39 |
$9.13 |
| J2272 |
Inj, morphine (fresenius) |
20 |
16 |
$8.49 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
12 |
$8.26 |
| J0330 |
Succinycholine chloride inj |
14 |
12 |
$1.50 |
| J3490 |
Drugs unclassified injection |
1,868 |
876 |
$1.35 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
17 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
25 |
14 |
$0.00 |
| G1010 |
Cdsm stanson |
19 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
13 |
$0.00 |