| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,521 |
24,980 |
$9.08M |
| 99285 |
|
12,529 |
11,547 |
$4.57M |
| 99283 |
|
31,840 |
30,609 |
$2.71M |
| 87804 |
|
24,109 |
19,585 |
$982K |
| 87426 |
|
19,964 |
19,276 |
$861K |
| 80053 |
|
25,091 |
22,542 |
$488K |
| 93005 |
|
8,262 |
7,440 |
$486K |
| 74177 |
|
1,111 |
1,053 |
$433K |
| 85025 |
|
27,008 |
24,112 |
$320K |
| 87430 |
|
11,661 |
11,378 |
$297K |
| 99282 |
|
3,191 |
3,067 |
$231K |
| 59025 |
|
2,344 |
1,690 |
$230K |
| 70450 |
|
2,003 |
1,901 |
$205K |
| 71045 |
|
6,299 |
5,904 |
$193K |
| G0378 |
Hospital observation per hr |
1,398 |
684 |
$139K |
| 96361 |
|
5,631 |
4,913 |
$139K |
| 81025 |
|
7,649 |
7,129 |
$133K |
| 99218 |
|
561 |
234 |
$112K |
| 87081 |
|
9,802 |
9,567 |
$106K |
| J0696 |
Ceftriaxone sodium injection |
3,543 |
3,140 |
$105K |
| 80307 |
|
1,642 |
1,429 |
$103K |
| J7030 |
Normal saline solution infus |
5,808 |
5,058 |
$98K |
| 74176 |
|
555 |
534 |
$97K |
| 71046 |
|
1,783 |
1,737 |
$95K |
| 87807 |
|
4,928 |
4,790 |
$95K |
| 11042 |
|
1,105 |
474 |
$86K |
| 76705 |
|
489 |
458 |
$86K |
| 96360 |
|
1,904 |
1,714 |
$80K |
| 87088 |
|
5,934 |
5,527 |
$68K |
| 70551 |
|
192 |
182 |
$66K |
| 81001 |
|
10,141 |
9,296 |
$60K |
| 76801 |
|
484 |
428 |
$59K |
| J7120 |
Ringers lactate infusion |
6,247 |
4,715 |
$58K |
| 97110 |
|
862 |
213 |
$55K |
| 84484 |
|
4,718 |
3,870 |
$51K |
| 96365 |
|
1,648 |
1,259 |
$44K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,425 |
1,289 |
$44K |
| 81003 |
|
10,110 |
9,503 |
$40K |
| J2405 |
Ondansetron hcl injection |
8,404 |
7,607 |
$31K |
| 96374 |
|
6,302 |
5,776 |
$30K |
| 83690 |
|
3,054 |
2,780 |
$28K |
| 95816 |
|
54 |
54 |
$28K |
| 96375 |
|
4,172 |
3,658 |
$28K |
| 72125 |
|
415 |
397 |
$27K |
| 77067 |
|
529 |
527 |
$27K |
| J1885 |
Ketorolac tromethamine inj |
4,731 |
4,363 |
$23K |
| 87040 |
|
1,698 |
1,314 |
$20K |
| J7050 |
Normal saline solution infus |
2,814 |
1,830 |
$18K |
| 84702 |
|
1,056 |
899 |
$16K |
| 73610 |
|
233 |
221 |
$16K |
| 86850 |
|
1,061 |
969 |
$16K |
| 74270 |
|
86 |
83 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,041 |
1,920 |
$14K |
| 83605 |
|
1,544 |
1,341 |
$13K |
| 76700 |
|
70 |
70 |
$13K |
| 96372 |
|
6,280 |
5,762 |
$11K |
| 80048 |
|
2,059 |
1,601 |
$11K |
| 93306 |
|
42 |
41 |
$10K |
| 83880 |
|
633 |
582 |
$10K |
| 74018 |
|
215 |
203 |
$9K |
| 87077 |
|
1,394 |
1,222 |
$8K |
| 80305 |
|
525 |
493 |
$8K |
| 76805 |
|
56 |
51 |
$8K |
| 73630 |
|
111 |
107 |
$7K |
| 87186 |
|
1,187 |
1,048 |
$7K |
| J1100 |
Dexamethasone sodium phos |
3,093 |
2,814 |
$7K |
| J7040 |
Normal saline solution infus |
736 |
659 |
$6K |
| J0561 |
Penicillin g benzathine inj |
27 |
26 |
$6K |
| 85730 |
|
2,101 |
1,911 |
$5K |
| 85610 |
|
2,521 |
2,254 |
$4K |
| 87633 |
|
16 |
12 |
$4K |
| 85027 |
|
1,637 |
1,392 |
$4K |
| J2270 |
Morphine sulfate injection |
1,362 |
1,030 |
$3K |
| 86901 |
|
1,419 |
1,272 |
$3K |
| 86900 |
|
1,413 |
1,266 |
$3K |
| 83735 |
|
1,035 |
807 |
$2K |
| 82550 |
|
351 |
311 |
$2K |
| 73030 |
|
72 |
65 |
$2K |
| 73130 |
|
25 |
25 |
$2K |
| 72082 |
|
13 |
13 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| 84443 |
|
190 |
183 |
$2K |
| G0463 |
Hospital outpt clinic visit |
776 |
503 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
280 |
257 |
$1K |
| 73560 |
|
44 |
39 |
$1K |
| 82962 |
|
5,753 |
2,818 |
$1K |
| 84703 |
|
199 |
184 |
$1K |
| J0690 |
Cefazolin sodium injection |
587 |
449 |
$1K |
| 88305 |
|
64 |
49 |
$1K |
| S5010 |
5% dextrose and 0.45% saline |
88 |
52 |
$995.48 |
| 90715 |
|
42 |
38 |
$960.20 |
| 96376 |
|
193 |
115 |
$934.21 |
| J2250 |
Inj midazolam hydrochloride |
1,211 |
1,096 |
$857.30 |
| 73140 |
|
13 |
12 |
$786.49 |
| 73080 |
|
12 |
12 |
$763.62 |
| 87147 |
|
67 |
66 |
$660.92 |
| J3010 |
Fentanyl citrate injection |
1,239 |
1,108 |
$637.93 |
| 82306 |
|
14 |
13 |
$635.37 |
| 87798 |
|
30 |
12 |
$602.82 |
| 87070 |
|
292 |
213 |
$552.52 |
| 71250 |
|
12 |
12 |
$547.60 |
| 80061 |
|
117 |
106 |
$537.58 |
| 90471 |
|
41 |
40 |
$474.61 |
| 96366 |
|
17 |
13 |
$429.62 |
| 83036 |
|
196 |
180 |
$424.95 |
| J7042 |
5% dextrose/normal saline |
16 |
14 |
$409.32 |
| 84145 |
|
28 |
27 |
$388.14 |
| 87486 |
|
16 |
12 |
$351.23 |
| 87581 |
|
16 |
12 |
$351.23 |
| S0028 |
Injection, famotidine, 20 mg |
604 |
559 |
$327.65 |
| 82607 |
|
15 |
14 |
$323.81 |
| 72100 |
|
13 |
12 |
$319.31 |
| 82746 |
|
15 |
14 |
$315.65 |
| J2765 |
Metoclopramide hcl injection |
108 |
104 |
$280.07 |
| 84100 |
|
336 |
261 |
$265.19 |
| 94664 |
|
97 |
87 |
$226.29 |
| J3370 |
Vancomycin hcl injection |
28 |
25 |
$204.05 |
| 84439 |
|
12 |
12 |
$176.30 |
| 86140 |
|
94 |
77 |
$167.76 |
| 77080 |
|
25 |
25 |
$159.78 |
| J1170 |
Hydromorphone injection |
178 |
120 |
$154.40 |
| J2930 |
Methylprednisolone injection |
14 |
13 |
$141.13 |
| J2370 |
Phenylephrine hcl injection |
382 |
364 |
$139.86 |
| J1644 |
Inj heparin sodium per 1000u |
76 |
55 |
$122.28 |
| J2543 |
Piperacillin/tazobactam |
20 |
13 |
$120.04 |
| 85379 |
|
12 |
12 |
$110.45 |
| 82150 |
|
33 |
28 |
$71.94 |
| 82248 |
|
12 |
12 |
$26.13 |
| J2704 |
Inj, propofol, 10 mg |
1,300 |
1,198 |
$25.56 |
| C1769 |
Guide wire |
31 |
27 |
$17.24 |
| 97116 |
|
18 |
13 |
$15.78 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
18 |
$1.87 |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
362 |
331 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
2,527 |
2,059 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
13 |
12 |
$0.00 |