| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,824 |
16,031 |
$1.35M |
| 99284 |
|
16,559 |
14,133 |
$1.19M |
| 99285 |
|
4,120 |
3,412 |
$375K |
| 0241U |
|
4,604 |
4,312 |
$353K |
| 70450 |
|
3,523 |
2,837 |
$336K |
| 99282 |
|
4,583 |
4,161 |
$334K |
| 96365 |
|
2,826 |
1,698 |
$300K |
| 96361 |
|
4,417 |
3,329 |
$294K |
| 74177 |
|
1,606 |
1,425 |
$289K |
| 80053 |
|
17,707 |
13,023 |
$254K |
| 81001 |
|
10,133 |
8,653 |
$233K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,659 |
1,434 |
$174K |
| 74176 |
|
1,009 |
878 |
$174K |
| 36415 |
|
6,544 |
4,076 |
$163K |
| G0378 |
Hospital observation per hr |
7,051 |
2,564 |
$149K |
| J0696 |
Ceftriaxone sodium injection |
1,855 |
1,293 |
$81K |
| 87400 |
|
1,485 |
1,372 |
$79K |
| 96360 |
|
1,467 |
1,179 |
$52K |
| 85025 |
|
19,939 |
14,243 |
$50K |
| 80307 |
|
2,986 |
2,478 |
$48K |
| U0003 |
Cov-19 amp prb hgh thruput |
933 |
832 |
$40K |
| 82962 |
|
5,497 |
2,014 |
$34K |
| 80048 |
|
2,502 |
1,714 |
$30K |
| 96366 |
|
671 |
434 |
$27K |
| 71046 |
|
2,368 |
2,131 |
$26K |
| 71045 |
|
6,698 |
5,582 |
$26K |
| 93306 |
|
240 |
228 |
$25K |
| A9270 |
Non-covered item or service |
3,893 |
1,729 |
$24K |
| 72125 |
|
617 |
469 |
$23K |
| 96374 |
|
5,832 |
4,937 |
$21K |
| 71275 |
|
241 |
212 |
$21K |
| 11042 |
|
282 |
89 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
2,297 |
1,935 |
$19K |
| 86850 |
|
886 |
736 |
$19K |
| 93005 |
|
6,578 |
4,870 |
$18K |
| 76705 |
|
452 |
417 |
$17K |
| 96372 |
|
2,751 |
2,054 |
$16K |
| 85610 |
|
7,644 |
6,080 |
$16K |
| 99281 |
|
267 |
243 |
$15K |
| 86140 |
|
1,545 |
1,286 |
$14K |
| 84484 |
|
7,542 |
4,555 |
$13K |
| 94640 |
|
524 |
315 |
$13K |
| 76818 |
|
413 |
310 |
$12K |
| 94761 |
|
2,580 |
1,213 |
$11K |
| 76815 |
|
337 |
299 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
1,241 |
1,036 |
$10K |
| J3490 |
Drugs unclassified injection |
1,660 |
790 |
$9K |
| 87880 |
|
1,109 |
1,049 |
$8K |
| J7030 |
Normal saline solution infus |
4,027 |
3,020 |
$8K |
| 85730 |
|
5,953 |
4,904 |
$7K |
| 96376 |
|
1,761 |
964 |
$7K |
| J2405 |
Ondansetron hcl injection |
3,826 |
3,009 |
$7K |
| 81025 |
|
2,827 |
2,534 |
$7K |
| 83880 |
|
2,658 |
2,114 |
$6K |
| 86900 |
|
1,300 |
1,094 |
$6K |
| 84703 |
|
1,833 |
1,658 |
$6K |
| 76856 |
|
132 |
125 |
$6K |
| 83735 |
|
3,926 |
2,592 |
$5K |
| 96375 |
|
3,852 |
2,981 |
$5K |
| 82550 |
|
442 |
375 |
$4K |
| 94664 |
|
733 |
522 |
$4K |
| 87086 |
|
4,493 |
3,858 |
$4K |
| 73564 |
|
230 |
190 |
$4K |
| 83690 |
|
4,960 |
4,213 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,870 |
1,550 |
$3K |
| 78452 |
|
12 |
12 |
$3K |
| 73630 |
|
217 |
190 |
$3K |
| 73610 |
|
224 |
195 |
$3K |
| J7120 |
Ringers lactate infusion |
1,075 |
905 |
$3K |
| 86901 |
|
1,248 |
1,055 |
$3K |
| 84702 |
|
1,335 |
1,072 |
$2K |
| J1170 |
Hydromorphone injection |
935 |
619 |
$2K |
| 73030 |
|
144 |
121 |
$2K |
| 87186 |
|
1,338 |
1,138 |
$2K |
| 76801 |
|
404 |
345 |
$2K |
| 73110 |
|
89 |
73 |
$2K |
| 97110 |
|
79 |
27 |
$2K |
| 84443 |
|
804 |
700 |
$2K |
| 12001 |
|
14 |
12 |
$1K |
| J2770 |
Quinupristin/dalfopristin |
168 |
108 |
$1K |
| 85027 |
|
482 |
328 |
$1K |
| U0005 |
Infec agen detec ampli probe |
320 |
282 |
$1K |
| 74018 |
|
152 |
131 |
$1K |
| 87077 |
|
840 |
707 |
$1K |
| 87635 |
|
728 |
629 |
$1K |
| 84100 |
|
1,071 |
564 |
$1K |
| G0463 |
Hospital outpt clinic visit |
40 |
25 |
$1K |
| 73130 |
|
66 |
52 |
$1K |
| 99291 |
|
16 |
14 |
$969.88 |
| 93017 |
|
28 |
27 |
$968.91 |
| 93971 |
|
40 |
40 |
$932.52 |
| 87807 |
|
510 |
457 |
$929.10 |
| 87502 |
|
77 |
76 |
$687.91 |
| 87040 |
|
1,328 |
843 |
$571.24 |
| 85014 |
|
27 |
26 |
$557.83 |
| J1200 |
Diphenhydramine hcl injectio |
188 |
145 |
$526.42 |
| 85018 |
|
100 |
81 |
$421.74 |
| 84145 |
|
510 |
434 |
$338.00 |
| 85379 |
|
322 |
255 |
$323.99 |
| G0480 |
Drug test def 1-7 classes |
580 |
485 |
$320.70 |
| 87070 |
|
14 |
12 |
$316.27 |
| 87591 |
|
189 |
170 |
$310.98 |
| 83036 |
|
142 |
121 |
$307.71 |
| 72100 |
|
28 |
27 |
$289.46 |
| 59025 |
|
21 |
17 |
$243.95 |
| 80061 |
|
224 |
185 |
$195.32 |
| 74022 |
|
32 |
25 |
$192.92 |
| J2704 |
Inj, propofol, 10 mg |
311 |
260 |
$171.31 |
| 87491 |
|
175 |
157 |
$164.32 |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$160.00 |
| 73502 |
|
16 |
12 |
$156.74 |
| J0360 |
Hydralazine hcl injection |
45 |
37 |
$145.12 |
| 83605 |
|
719 |
549 |
$140.66 |
| 88305 |
|
210 |
135 |
$115.30 |
| J2060 |
Lorazepam injection |
187 |
131 |
$98.63 |
| 82248 |
|
570 |
474 |
$84.94 |
| 82247 |
|
56 |
40 |
$77.50 |
| 80143 |
|
161 |
139 |
$61.50 |
| J1650 |
Inj enoxaparin sodium |
68 |
25 |
$34.73 |
| J3105 |
Terbutaline sulfate inj |
17 |
13 |
$29.02 |
| J2270 |
Morphine sulfate injection |
621 |
455 |
$27.86 |
| 84436 |
|
57 |
54 |
$20.19 |
| 90715 |
|
32 |
13 |
$14.32 |
| 87641 |
|
30 |
27 |
$13.92 |
| 87081 |
|
233 |
220 |
$9.42 |
| J1100 |
Dexamethasone sodium phos |
515 |
447 |
$9.16 |
| 82077 |
|
393 |
332 |
$7.79 |
| 84132 |
|
19 |
12 |
$1.48 |
| Q0162 |
Ondansetron oral |
591 |
517 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
264 |
220 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
266 |
213 |
$0.00 |
| 99213 |
|
121 |
120 |
$0.00 |
| 99406 |
|
45 |
42 |
$0.00 |
| 86141 |
|
116 |
92 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
122 |
70 |
$0.00 |
| 84480 |
|
33 |
31 |
$0.00 |
| 94760 |
|
175 |
63 |
$0.00 |
| 82150 |
|
32 |
28 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
13 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
33 |
28 |
$0.00 |
| C1769 |
Guide wire |
17 |
14 |
$0.00 |
| 85652 |
|
25 |
17 |
$0.00 |
| J2001 |
Lidocaine injection |
84 |
74 |
$0.00 |
| 76817 |
|
16 |
16 |
$0.00 |
| 80179 |
|
159 |
135 |
$0.00 |
| C1887 |
Catheter, guiding |
18 |
16 |
$0.00 |
| 96367 |
|
14 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
13 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
137 |
57 |
$0.00 |
| 87210 |
|
16 |
15 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
13 |
$0.00 |