| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
13,142 |
11,869 |
$11.85M |
| 99284 |
|
11,160 |
10,289 |
$6.42M |
| 99283 |
|
14,027 |
13,235 |
$4.47M |
| 74177 |
|
3,914 |
3,728 |
$3.79M |
| 70450 |
|
3,029 |
2,833 |
$1.15M |
| 80053 |
|
19,694 |
16,752 |
$809K |
| 99282 |
|
3,745 |
3,636 |
$658K |
| 74176 |
|
1,006 |
964 |
$637K |
| 71275 |
|
532 |
501 |
$579K |
| 96374 |
|
8,264 |
7,519 |
$576K |
| 93005 |
|
10,342 |
9,112 |
$566K |
| 96365 |
|
5,238 |
4,179 |
$551K |
| 84484 |
|
10,811 |
7,283 |
$523K |
| 96375 |
|
8,855 |
7,218 |
$464K |
| 97110 |
|
7,408 |
2,851 |
$409K |
| G0378 |
Hospital observation per hr |
403 |
338 |
$373K |
| 71260 |
|
645 |
623 |
$361K |
| 85025 |
|
20,967 |
17,482 |
$360K |
| 72125 |
|
697 |
664 |
$329K |
| 87631 |
|
3,678 |
3,492 |
$326K |
| 96361 |
|
7,189 |
6,131 |
$320K |
| 71046 |
|
3,346 |
3,174 |
$306K |
| 71045 |
|
4,576 |
4,160 |
$255K |
| 97140 |
|
5,192 |
2,206 |
$238K |
| 84703 |
|
5,591 |
5,172 |
$224K |
| 83605 |
|
5,351 |
4,660 |
$212K |
| 96366 |
|
2,213 |
1,535 |
$205K |
| 83690 |
|
8,878 |
8,036 |
$203K |
| 83880 |
|
2,898 |
2,626 |
$202K |
| 96372 |
|
4,682 |
3,544 |
$173K |
| 87502 |
|
2,280 |
2,147 |
$168K |
| 87635 |
|
7,807 |
7,260 |
$151K |
| 36415 |
|
11,985 |
9,757 |
$146K |
| 96376 |
|
3,241 |
2,627 |
$143K |
| 85379 |
|
2,644 |
2,503 |
$140K |
| 96360 |
|
1,515 |
1,422 |
$137K |
| 84443 |
|
3,688 |
3,419 |
$129K |
| 83735 |
|
5,565 |
4,712 |
$112K |
| 93306 |
|
268 |
267 |
$107K |
| 81001 |
|
11,284 |
10,308 |
$107K |
| J2405 |
Ondansetron hcl injection |
5,879 |
5,050 |
$106K |
| 80305 |
|
4,140 |
3,791 |
$105K |
| 77067 |
|
620 |
618 |
$85K |
| 94640 |
|
2,049 |
1,313 |
$84K |
| J3010 |
Fentanyl citrate injection |
1,855 |
1,659 |
$80K |
| J1170 |
Hydromorphone injection |
2,592 |
2,067 |
$80K |
| 80307 |
|
1,450 |
1,333 |
$79K |
| 76856 |
|
338 |
331 |
$77K |
| 97530 |
|
1,705 |
738 |
$74K |
| J0696 |
Ceftriaxone sodium injection |
2,120 |
1,675 |
$73K |
| J2704 |
Inj, propofol, 10 mg |
1,757 |
1,406 |
$71K |
| 76705 |
|
338 |
333 |
$65K |
| 87040 |
|
946 |
843 |
$60K |
| J2270 |
Morphine sulfate injection |
1,941 |
1,549 |
$60K |
| J1885 |
Ketorolac tromethamine inj |
5,088 |
4,143 |
$59K |
| 73562 |
|
449 |
438 |
$57K |
| 80048 |
|
1,877 |
1,567 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,631 |
5,276 |
$54K |
| 88305 |
|
340 |
332 |
$52K |
| 73610 |
|
439 |
417 |
$52K |
| G0480 |
Drug test def 1-7 classes |
4,146 |
3,654 |
$49K |
| 82550 |
|
1,801 |
1,636 |
$48K |
| 87086 |
|
2,298 |
2,155 |
$46K |
| 85610 |
|
3,228 |
2,895 |
$46K |
| 82803 |
|
1,358 |
1,229 |
$45K |
| J2060 |
Lorazepam injection |
1,770 |
1,401 |
$42K |
| 87430 |
|
1,309 |
1,271 |
$35K |
| J1200 |
Diphenhydramine hcl injectio |
2,481 |
2,055 |
$33K |
| 71250 |
|
75 |
75 |
$32K |
| 73110 |
|
189 |
165 |
$32K |
| 96367 |
|
618 |
516 |
$30K |
| J3475 |
Inj magnesium sulfate |
921 |
757 |
$30K |
| 87081 |
|
1,082 |
1,051 |
$28K |
| 73630 |
|
269 |
258 |
$27K |
| J1100 |
Dexamethasone sodium phos |
2,110 |
1,713 |
$26K |
| 87186 |
|
1,038 |
971 |
$26K |
| 85730 |
|
1,089 |
1,000 |
$24K |
| 73130 |
|
161 |
159 |
$21K |
| 97161 |
|
276 |
270 |
$20K |
| 73030 |
|
171 |
166 |
$18K |
| 86140 |
|
950 |
907 |
$17K |
| 76830 |
|
118 |
113 |
$17K |
| 82553 |
|
396 |
361 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
421 |
386 |
$14K |
| 76700 |
|
37 |
37 |
$12K |
| 87798 |
|
64 |
62 |
$12K |
| 97535 |
|
298 |
208 |
$11K |
| J1630 |
Haloperidol injection |
755 |
646 |
$10K |
| 77063 |
|
561 |
559 |
$10K |
| J0690 |
Cefazolin sodium injection |
176 |
133 |
$9K |
| 12001 |
|
71 |
70 |
$9K |
| 87147 |
|
266 |
258 |
$8K |
| 85027 |
|
468 |
365 |
$8K |
| 93971 |
|
38 |
37 |
$8K |
| 87633 |
|
65 |
63 |
$8K |
| J2765 |
Metoclopramide hcl injection |
509 |
477 |
$7K |
| 80306 |
|
698 |
664 |
$7K |
| 97162 |
|
70 |
67 |
$6K |
| G0463 |
Hospital outpt clinic visit |
768 |
446 |
$6K |
| 87077 |
|
150 |
135 |
$6K |
| 0241U |
|
128 |
125 |
$6K |
| 81003 |
|
478 |
448 |
$6K |
| 87591 |
|
80 |
76 |
$5K |
| 97112 |
|
164 |
77 |
$5K |
| 96368 |
|
266 |
244 |
$5K |
| 85652 |
|
612 |
575 |
$4K |
| 73502 |
|
39 |
38 |
$4K |
| 87491 |
|
53 |
52 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$3K |
| 84460 |
|
177 |
166 |
$3K |
| 84450 |
|
177 |
166 |
$3K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$3K |
| 90471 |
|
214 |
206 |
$3K |
| 72100 |
|
25 |
25 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
100 |
97 |
$3K |
| J0780 |
Prochlorperazine injection |
222 |
212 |
$3K |
| 87088 |
|
129 |
125 |
$3K |
| 73140 |
|
26 |
26 |
$3K |
| 94060 |
|
12 |
12 |
$3K |
| 74022 |
|
16 |
16 |
$3K |
| 90715 |
|
229 |
221 |
$2K |
| 76801 |
|
14 |
13 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
42 |
41 |
$2K |
| 84702 |
|
69 |
64 |
$2K |
| 87205 |
|
107 |
100 |
$2K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
72 |
59 |
$2K |
| 10060 |
|
13 |
12 |
$2K |
| 80076 |
|
94 |
89 |
$2K |
| 82140 |
|
48 |
42 |
$2K |
| 73080 |
|
13 |
12 |
$2K |
| J1790 |
Droperidol injection |
94 |
88 |
$2K |
| J3360 |
Diazepam injection |
70 |
38 |
$2K |
| 84439 |
|
99 |
93 |
$2K |
| 87070 |
|
45 |
43 |
$1K |
| J2930 |
Methylprednisolone injection |
87 |
80 |
$1K |
| 87581 |
|
62 |
60 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
119 |
64 |
$1K |
| 94729 |
|
13 |
13 |
$832.03 |
| 87636 |
|
20 |
20 |
$815.18 |
| 94726 |
|
12 |
12 |
$777.27 |
| Q0162 |
Ondansetron oral |
977 |
929 |
$621.34 |
| 82075 |
|
18 |
16 |
$586.55 |
| J1644 |
Inj heparin sodium per 1000u |
25 |
13 |
$536.50 |
| Q9957 |
Inj perflutren lip micros,ml |
12 |
12 |
$527.49 |
| 97035 |
|
22 |
12 |
$328.09 |
| 87486 |
|
16 |
15 |
$195.88 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$129.65 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
41 |
$28.84 |
| A9270 |
Non-covered item or service |
2,580 |
1,797 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$0.00 |
| 99213 |
|
23 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
110 |
105 |
$0.00 |
| G8978 |
Mobility current status |
48 |
48 |
$0.00 |