| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
26,144 |
25,152 |
$1.76M |
| 99283 |
|
27,620 |
26,655 |
$1.09M |
| G0463 |
Hospital outpt clinic visit |
15,732 |
14,023 |
$676K |
| 80053 |
|
28,052 |
25,886 |
$294K |
| 85025 |
|
27,342 |
25,161 |
$234K |
| 81220 |
|
1,017 |
953 |
$180K |
| 87633 |
|
480 |
468 |
$127K |
| 80307 |
|
1,685 |
1,520 |
$94K |
| 88175 |
|
3,734 |
3,452 |
$91K |
| 95810 |
|
328 |
318 |
$90K |
| 96413 |
|
1,201 |
673 |
$85K |
| 87801 |
|
3,877 |
3,544 |
$84K |
| 87389 |
|
3,512 |
3,164 |
$77K |
| 87804 |
|
5,370 |
2,620 |
$64K |
| 97110 |
|
1,854 |
539 |
$55K |
| 99282 |
|
1,419 |
1,384 |
$55K |
| 86762 |
|
2,765 |
2,468 |
$53K |
| 87426 |
|
2,136 |
2,015 |
$51K |
| 87086 |
|
4,371 |
3,847 |
$48K |
| 76805 |
|
1,772 |
1,576 |
$46K |
| 84443 |
|
2,498 |
2,422 |
$45K |
| 87340 |
|
3,377 |
3,043 |
$44K |
| G0378 |
Hospital observation per hr |
1,514 |
1,093 |
$42K |
| 80061 |
|
2,290 |
2,253 |
$39K |
| 76856 |
|
717 |
682 |
$35K |
| 84702 |
|
2,937 |
2,374 |
$35K |
| 86850 |
|
5,433 |
4,849 |
$34K |
| 86592 |
|
6,177 |
5,572 |
$33K |
| 83036 |
|
2,151 |
2,060 |
$33K |
| 85027 |
|
7,128 |
6,207 |
$32K |
| 87536 |
|
1,203 |
1,161 |
$32K |
| 87070 |
|
2,328 |
2,095 |
$26K |
| 81003 |
|
8,966 |
8,600 |
$24K |
| 69436 |
|
134 |
110 |
$24K |
| 88307 |
|
143 |
141 |
$21K |
| M0243 |
Casirivi and imdevi inj |
108 |
98 |
$20K |
| 86360 |
|
478 |
449 |
$18K |
| 86803 |
|
924 |
854 |
$17K |
| 87428 |
|
385 |
364 |
$17K |
| 76815 |
|
524 |
471 |
$16K |
| 87880 |
|
973 |
924 |
$15K |
| 88305 |
|
1,120 |
1,050 |
$15K |
| 82950 |
|
2,220 |
2,002 |
$15K |
| 76830 |
|
480 |
458 |
$14K |
| 82105 |
|
658 |
627 |
$14K |
| 92507 |
|
750 |
289 |
$13K |
| 83021 |
|
885 |
810 |
$13K |
| 71046 |
|
1,154 |
1,135 |
$13K |
| 84146 |
|
417 |
392 |
$11K |
| 82677 |
|
363 |
350 |
$11K |
| 83735 |
|
1,353 |
1,326 |
$10K |
| 83002 |
|
462 |
430 |
$10K |
| 83001 |
|
456 |
430 |
$10K |
| 84439 |
|
1,012 |
965 |
$10K |
| 83020 |
|
531 |
469 |
$9K |
| 82306 |
|
1,061 |
1,047 |
$9K |
| 99214 |
|
117 |
114 |
$9K |
| 86900 |
|
3,247 |
2,875 |
$9K |
| 93005 |
|
1,026 |
993 |
$9K |
| 86901 |
|
3,234 |
2,863 |
$9K |
| 87624 |
|
377 |
346 |
$7K |
| 86336 |
|
363 |
350 |
$7K |
| 59025 |
|
1,261 |
805 |
$6K |
| 87651 |
|
156 |
150 |
$6K |
| 88182 |
|
838 |
449 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
160 |
154 |
$5K |
| 87636 |
|
38 |
38 |
$5K |
| 87625 |
|
196 |
184 |
$5K |
| 85652 |
|
1,408 |
1,361 |
$4K |
| 96375 |
|
242 |
114 |
$4K |
| 93976 |
|
47 |
46 |
$4K |
| 87637 |
|
32 |
32 |
$4K |
| M0245 |
Bamlan and etesev infusion |
18 |
18 |
$4K |
| 96365 |
|
105 |
63 |
$4K |
| 77336 |
|
192 |
56 |
$3K |
| 87635 |
|
58 |
57 |
$3K |
| 43235 |
|
12 |
12 |
$3K |
| 36902 |
|
55 |
52 |
$3K |
| 87807 |
|
207 |
205 |
$2K |
| 80048 |
|
174 |
173 |
$2K |
| 83655 |
|
135 |
130 |
$2K |
| 71045 |
|
349 |
336 |
$2K |
| G0480 |
Drug test def 1-7 classes |
38 |
36 |
$2K |
| 85045 |
|
286 |
281 |
$2K |
| 93458 |
|
12 |
12 |
$2K |
| 70450 |
|
32 |
30 |
$2K |
| 97530 |
|
104 |
37 |
$1K |
| 77067 |
|
26 |
25 |
$1K |
| 81025 |
|
370 |
335 |
$1K |
| 84484 |
|
190 |
186 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
559 |
513 |
$926.81 |
| 85014 |
|
2,266 |
2,051 |
$901.22 |
| 85018 |
|
2,265 |
2,050 |
$897.75 |
| 84466 |
|
39 |
39 |
$894.24 |
| 82570 |
|
122 |
94 |
$869.00 |
| J1885 |
Ketorolac tromethamine inj |
1,011 |
970 |
$861.05 |
| 86140 |
|
580 |
542 |
$586.95 |
| 80069 |
|
97 |
84 |
$586.74 |
| 82607 |
|
26 |
26 |
$572.01 |
| 96367 |
|
19 |
12 |
$567.00 |
| J7120 |
Ringers lactate infusion |
939 |
739 |
$541.12 |
| 97140 |
|
34 |
12 |
$533.50 |
| 82728 |
|
39 |
39 |
$532.80 |
| 95816 |
|
12 |
12 |
$525.84 |
| J1642 |
Inj heparin sodium per 10 u |
1,165 |
622 |
$505.55 |
| 85041 |
|
1,005 |
909 |
$505.38 |
| 84156 |
|
106 |
81 |
$497.87 |
| 80076 |
|
63 |
63 |
$484.88 |
| 83615 |
|
61 |
55 |
$440.55 |
| 94729 |
|
17 |
17 |
$435.96 |
| 87088 |
|
54 |
38 |
$429.12 |
| 82803 |
|
16 |
16 |
$399.42 |
| 94726 |
|
17 |
17 |
$398.02 |
| 83540 |
|
39 |
39 |
$367.20 |
| 88300 |
|
184 |
184 |
$355.40 |
| 80164 |
|
15 |
14 |
$352.94 |
| 82140 |
|
14 |
14 |
$317.52 |
| 86787 |
|
13 |
13 |
$293.52 |
| 84460 |
|
33 |
24 |
$281.07 |
| 82565 |
|
243 |
220 |
$251.86 |
| 84450 |
|
33 |
24 |
$248.36 |
| 76801 |
|
16 |
12 |
$234.53 |
| 87186 |
|
39 |
24 |
$222.42 |
| J7040 |
Normal saline solution infus |
381 |
221 |
$191.05 |
| J2469 |
Palonosetron hcl |
32 |
12 |
$182.00 |
| J2405 |
Ondansetron hcl injection |
1,017 |
918 |
$145.96 |
| J1100 |
Dexamethasone sodium phos |
718 |
547 |
$143.84 |
| 87081 |
|
12 |
12 |
$133.50 |
| 82248 |
|
25 |
25 |
$118.45 |
| 80051 |
|
114 |
103 |
$103.51 |
| 82947 |
|
666 |
611 |
$93.00 |
| 84520 |
|
201 |
185 |
$81.20 |
| J1790 |
Droperidol injection |
29 |
27 |
$73.80 |
| 86706 |
|
14 |
13 |
$72.75 |
| 82375 |
|
15 |
15 |
$68.64 |
| J7030 |
Normal saline solution infus |
480 |
447 |
$60.22 |
| 83690 |
|
13 |
12 |
$56.56 |
| 81001 |
|
12 |
12 |
$49.12 |
| J2704 |
Inj, propofol, 10 mg |
660 |
604 |
$42.40 |
| 84132 |
|
454 |
414 |
$40.32 |
| 84295 |
|
453 |
414 |
$40.32 |
| 83050 |
|
15 |
15 |
$38.22 |
| 85049 |
|
17 |
15 |
$26.94 |
| J1170 |
Hydromorphone injection |
37 |
36 |
$22.64 |
| J3010 |
Fentanyl citrate injection |
881 |
772 |
$16.62 |
| J0690 |
Cefazolin sodium injection |
304 |
258 |
$14.12 |
| J7050 |
Normal saline solution infus |
33 |
24 |
$12.82 |
| J2250 |
Inj midazolam hydrochloride |
1,471 |
1,089 |
$12.52 |
| J1644 |
Inj heparin sodium per 1000u |
1,195 |
713 |
$8.20 |
| J2550 |
Promethazine hcl injection |
12 |
12 |
$6.22 |
| 36415 |
|
355 |
333 |
$0.00 |
| 86361 |
|
637 |
625 |
$0.00 |
| 29581 |
|
170 |
80 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
90 |
89 |
$0.00 |
| 82962 |
|
231 |
189 |
$0.00 |
| 0241U |
|
86 |
86 |
$0.00 |
| C1769 |
Guide wire |
123 |
117 |
$0.00 |
| J2001 |
Lidocaine injection |
39 |
36 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
15 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
51 |
26 |
$0.00 |
| 77063 |
|
26 |
25 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
124 |
117 |
$0.00 |
| 99152 |
|
77 |
67 |
$0.00 |
| 0202U |
|
12 |
12 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
12 |
12 |
$0.00 |