| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
56,402 |
14,590 |
$3.17M |
| 97140 |
|
47,547 |
12,972 |
$1.52M |
| 99283 |
|
6,387 |
6,157 |
$1.01M |
| 99284 |
|
5,273 |
5,100 |
$825K |
| 43239 |
|
1,103 |
1,097 |
$798K |
| 99212 |
|
6,413 |
5,923 |
$785K |
| D0120 |
|
12,144 |
5,613 |
$608K |
| 97112 |
|
18,627 |
6,138 |
$566K |
| 96361 |
|
2,677 |
2,458 |
$539K |
| G0378 |
Hospital observation per hr |
1,116 |
1,069 |
$448K |
| 99285 |
|
2,934 |
2,843 |
$439K |
| 97161 |
|
3,544 |
3,513 |
$362K |
| 92507 |
|
2,520 |
600 |
$228K |
| 99281 |
|
1,331 |
1,276 |
$215K |
| 95810 |
|
272 |
272 |
$208K |
| 96365 |
|
1,751 |
1,647 |
$200K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,720 |
2,642 |
$199K |
| 97162 |
|
1,554 |
1,532 |
$191K |
| 99282 |
|
1,124 |
1,104 |
$187K |
| 70450 |
|
786 |
756 |
$172K |
| D1110 |
|
3,261 |
3,009 |
$162K |
| 97530 |
|
4,009 |
1,522 |
$162K |
| 80053 |
|
9,256 |
8,577 |
$156K |
| 97116 |
|
3,858 |
1,555 |
$156K |
| D0274 |
|
3,786 |
1,481 |
$150K |
| 80307 |
|
4,444 |
4,081 |
$142K |
| 74177 |
|
625 |
618 |
$140K |
| 93975 |
|
329 |
316 |
$120K |
| 99202 |
|
892 |
890 |
$112K |
| D7140 |
|
1,196 |
575 |
$111K |
| D2392 |
|
977 |
698 |
$86K |
| 92557 |
|
1,387 |
297 |
$84K |
| U0002 |
Covid-19 lab test non-cdc |
1,766 |
1,713 |
$82K |
| 74176 |
|
324 |
316 |
$69K |
| D2391 |
|
843 |
570 |
$67K |
| 96360 |
|
405 |
382 |
$63K |
| U0005 |
Infec agen detec ampli probe |
2,649 |
2,572 |
$62K |
| D0150 |
|
1,355 |
743 |
$60K |
| 0202U |
|
1,479 |
1,455 |
$53K |
| 36415 |
|
12,444 |
10,377 |
$52K |
| D0210 |
|
1,090 |
802 |
$49K |
| 88305 |
|
1,636 |
1,611 |
$42K |
| J0585 |
Injection,onabotulinumtoxina |
324 |
90 |
$42K |
| 76700 |
|
109 |
108 |
$41K |
| 80048 |
|
2,078 |
1,910 |
$32K |
| D0140 |
|
909 |
566 |
$32K |
| D0220 |
|
1,647 |
1,494 |
$28K |
| 86850 |
|
1,685 |
1,643 |
$27K |
| 96366 |
|
152 |
117 |
$24K |
| 96372 |
|
2,135 |
1,845 |
$22K |
| 86900 |
|
1,700 |
1,658 |
$20K |
| D0230 |
|
873 |
578 |
$20K |
| 86901 |
|
1,701 |
1,659 |
$20K |
| 85610 |
|
5,610 |
5,375 |
$19K |
| 90791 |
|
108 |
106 |
$19K |
| M0245 |
Bamlan and etesev infusion |
67 |
50 |
$13K |
| 93005 |
|
4,724 |
4,394 |
$13K |
| D2331 |
|
127 |
71 |
$13K |
| 83880 |
|
458 |
452 |
$11K |
| 96375 |
|
1,920 |
1,717 |
$11K |
| U0004 |
Cov-19 test non-cdc hgh thru |
152 |
149 |
$11K |
| 87631 |
|
227 |
224 |
$11K |
| G0480 |
Drug test def 1-7 classes |
549 |
515 |
$11K |
| D0160 |
|
178 |
46 |
$10K |
| 81025 |
|
3,766 |
3,574 |
$10K |
| J3490 |
Drugs unclassified injection |
1,336 |
996 |
$9K |
| 97166 |
|
84 |
83 |
$9K |
| 85025 |
|
8,280 |
7,629 |
$8K |
| 84702 |
|
1,385 |
1,349 |
$8K |
| 85730 |
|
5,511 |
5,303 |
$7K |
| 45378 |
|
12 |
12 |
$7K |
| 97165 |
|
68 |
68 |
$6K |
| T1017 |
Targeted case management |
264 |
161 |
$6K |
| M0243 |
Casirivi and imdevi inj |
19 |
19 |
$6K |
| D0330 |
|
115 |
71 |
$6K |
| 96374 |
|
1,574 |
1,496 |
$5K |
| 88342 |
|
79 |
79 |
$5K |
| J7040 |
Normal saline solution infus |
2,979 |
2,885 |
$4K |
| 95806 |
|
52 |
52 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
924 |
833 |
$3K |
| G0463 |
Hospital outpt clinic visit |
74 |
73 |
$3K |
| D4341 |
|
31 |
12 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
3,327 |
2,943 |
$3K |
| 83036 |
|
554 |
551 |
$3K |
| D1208 |
|
227 |
227 |
$3K |
| 80061 |
|
314 |
310 |
$3K |
| 92567 |
|
195 |
168 |
$2K |
| 80076 |
|
286 |
280 |
$2K |
| 87088 |
|
2,351 |
2,273 |
$2K |
| M0222 |
Bebtelovimab injection |
18 |
13 |
$2K |
| D2160 |
|
16 |
12 |
$2K |
| D9110 |
|
55 |
43 |
$2K |
| D2330 |
|
20 |
13 |
$2K |
| 82375 |
|
161 |
161 |
$2K |
| 99211 |
|
95 |
94 |
$2K |
| 84443 |
|
544 |
539 |
$2K |
| 80050 |
|
64 |
64 |
$1K |
| 82746 |
|
1,708 |
1,643 |
$1K |
| 0241U |
|
157 |
154 |
$1K |
| 88304 |
|
70 |
68 |
$1K |
| 85027 |
|
2,562 |
2,364 |
$1K |
| 82947 |
|
1,451 |
978 |
$1K |
| 96367 |
|
30 |
26 |
$1K |
| 97802 |
|
12 |
12 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
93 |
79 |
$909.81 |
| 81003 |
|
3,439 |
3,298 |
$908.35 |
| 71046 |
|
169 |
169 |
$849.98 |
| 71045 |
|
1,686 |
1,635 |
$749.64 |
| 83735 |
|
5,205 |
4,712 |
$644.26 |
| C1889 |
Implant/insert device, noc |
60 |
60 |
$535.79 |
| J2704 |
Inj, propofol, 10 mg |
4,063 |
3,127 |
$417.60 |
| 83690 |
|
2,018 |
1,946 |
$340.43 |
| 82306 |
|
12 |
12 |
$321.08 |
| 84100 |
|
3,983 |
3,654 |
$313.95 |
| 86141 |
|
1,754 |
1,715 |
$277.70 |
| 82550 |
|
2,166 |
2,025 |
$254.02 |
| J7030 |
Normal saline solution infus |
3,505 |
3,095 |
$252.84 |
| 87081 |
|
237 |
234 |
$241.53 |
| 82077 |
|
1,283 |
1,234 |
$198.12 |
| J1100 |
Dexamethasone sodium phos |
2,726 |
2,199 |
$191.78 |
| J0690 |
Cefazolin sodium injection |
935 |
799 |
$175.99 |
| 73562 |
|
16 |
12 |
$170.40 |
| 80305 |
|
321 |
292 |
$160.00 |
| 87077 |
|
14 |
14 |
$158.00 |
| 83655 |
|
12 |
12 |
$145.32 |
| J7120 |
Ringers lactate infusion |
366 |
324 |
$144.48 |
| J1170 |
Hydromorphone injection |
706 |
590 |
$143.56 |
| 82728 |
|
200 |
197 |
$135.66 |
| 84484 |
|
1,880 |
1,472 |
$133.71 |
| J2405 |
Ondansetron hcl injection |
3,664 |
2,945 |
$122.74 |
| 82607 |
|
24 |
24 |
$90.91 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
44 |
36 |
$90.15 |
| 96127 |
|
26 |
13 |
$89.88 |
| 87430 |
|
279 |
273 |
$79.60 |
| 92552 |
|
14 |
14 |
$76.17 |
| J3010 |
Fentanyl citrate injection |
1,842 |
1,798 |
$73.45 |
| 96376 |
|
92 |
68 |
$70.34 |
| J2250 |
Inj midazolam hydrochloride |
2,101 |
2,032 |
$56.11 |
| J1885 |
Ketorolac tromethamine inj |
2,679 |
1,764 |
$52.84 |
| 84145 |
|
701 |
687 |
$52.52 |
| J0137 |
Inj, acetaminophen (hikma) |
167 |
142 |
$52.52 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
91 |
54 |
$52.50 |
| 82140 |
|
231 |
211 |
$46.75 |
| 87040 |
|
377 |
270 |
$42.56 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
38 |
37 |
$36.00 |
| S0020 |
Injection, bupivicaine hydro |
302 |
291 |
$32.11 |
| J2270 |
Morphine sulfate injection |
746 |
660 |
$31.13 |
| 85007 |
|
46 |
44 |
$26.75 |
| 83540 |
|
12 |
12 |
$26.54 |
| 85379 |
|
300 |
295 |
$20.92 |
| 87070 |
|
14 |
12 |
$16.30 |
| J2765 |
Metoclopramide hcl injection |
652 |
628 |
$14.53 |
| J0136 |
Inj, acetaminophen (b braun) |
38 |
32 |
$14.52 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
454 |
311 |
$12.68 |
| S0119 |
Ondansetron 4 mg |
52 |
50 |
$8.61 |
| J7050 |
Normal saline solution infus |
376 |
330 |
$1.52 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
28 |
24 |
$0.92 |
| J3475 |
Inj magnesium sulfate |
85 |
78 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
28 |
28 |
$0.00 |
| 99080 |
|
135 |
32 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
29 |
26 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
13 |
12 |
$0.00 |
| 87186 |
|
14 |
14 |
$0.00 |
| 83605 |
|
316 |
287 |
$0.00 |
| 92700 |
|
38 |
38 |
$0.00 |
| 94640 |
|
29 |
25 |
$0.00 |