| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
17,612 |
14,933 |
$3.53M |
| 99283 |
|
20,307 |
17,013 |
$2.86M |
| 99285 |
|
6,413 |
5,511 |
$1.49M |
| G0378 |
Hospital observation per hr |
3,027 |
2,403 |
$1.41M |
| 96374 |
|
7,590 |
6,216 |
$740K |
| 87428 |
|
9,625 |
8,549 |
$514K |
| 94640 |
|
4,057 |
2,201 |
$422K |
| 96361 |
|
6,908 |
4,888 |
$417K |
| 74177 |
|
2,209 |
1,935 |
$372K |
| 96372 |
|
8,827 |
6,776 |
$356K |
| 96365 |
|
3,537 |
2,852 |
$342K |
| 11042 |
|
3,090 |
1,282 |
$323K |
| 71045 |
|
7,500 |
6,510 |
$312K |
| D7210 |
|
990 |
182 |
$290K |
| 96360 |
|
1,758 |
1,506 |
$186K |
| 71046 |
|
3,927 |
3,391 |
$170K |
| 96375 |
|
6,168 |
4,773 |
$166K |
| 70450 |
|
3,140 |
2,751 |
$153K |
| 99282 |
|
1,739 |
1,559 |
$149K |
| D7240 |
|
234 |
77 |
$109K |
| 85025 |
|
21,212 |
16,558 |
$101K |
| 87426 |
|
3,293 |
2,862 |
$100K |
| 97110 |
|
3,227 |
637 |
$100K |
| 87880 |
|
7,657 |
6,895 |
$99K |
| 93005 |
|
5,332 |
4,483 |
$97K |
| 80053 |
|
15,803 |
12,661 |
$97K |
| 74176 |
|
968 |
847 |
$93K |
| 97530 |
|
1,813 |
333 |
$90K |
| G0481 |
Drug test def 8-14 classes |
931 |
776 |
$69K |
| D2930 |
|
1,807 |
246 |
$58K |
| 86900 |
|
935 |
724 |
$51K |
| 87400 |
|
3,771 |
2,960 |
$48K |
| 96366 |
|
887 |
500 |
$44K |
| 92507 |
|
832 |
162 |
$42K |
| 87086 |
|
7,549 |
6,232 |
$40K |
| 97597 |
|
837 |
341 |
$39K |
| 87807 |
|
3,238 |
2,922 |
$36K |
| 87430 |
|
2,592 |
2,088 |
$32K |
| G0463 |
Hospital outpt clinic visit |
2,054 |
1,622 |
$32K |
| 93306 |
|
163 |
153 |
$31K |
| 74018 |
|
591 |
521 |
$30K |
| 87081 |
|
5,331 |
4,801 |
$28K |
| 80307 |
|
692 |
550 |
$28K |
| 80048 |
|
4,430 |
3,636 |
$27K |
| 99281 |
|
607 |
519 |
$27K |
| 73630 |
|
606 |
556 |
$27K |
| 81001 |
|
12,818 |
10,475 |
$26K |
| 99291 |
|
89 |
82 |
$23K |
| G0379 |
Direct refer hospital observ |
356 |
292 |
$22K |
| 87070 |
|
3,021 |
2,462 |
$22K |
| 86885 |
|
325 |
254 |
$22K |
| G0480 |
Drug test def 1-7 classes |
441 |
362 |
$21K |
| 84484 |
|
3,544 |
2,648 |
$20K |
| 81025 |
|
3,380 |
2,784 |
$20K |
| 83880 |
|
1,496 |
1,308 |
$20K |
| C9399 |
Unclassified drugs or biolog |
1,048 |
803 |
$20K |
| 99213 |
|
618 |
449 |
$18K |
| 36415 |
|
7,246 |
5,261 |
$18K |
| 88305 |
|
520 |
420 |
$18K |
| 43239 |
|
70 |
57 |
$18K |
| 74019 |
|
244 |
217 |
$16K |
| 83690 |
|
3,991 |
3,390 |
$16K |
| 86901 |
|
965 |
753 |
$16K |
| 73610 |
|
346 |
324 |
$16K |
| D7140 |
|
58 |
13 |
$16K |
| 76705 |
|
261 |
230 |
$14K |
| 31720 |
|
104 |
83 |
$14K |
| 73030 |
|
381 |
345 |
$14K |
| 76811 |
|
114 |
96 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
205 |
183 |
$14K |
| 87040 |
|
2,523 |
1,708 |
$13K |
| 80306 |
|
1,050 |
850 |
$13K |
| 84443 |
|
1,044 |
949 |
$11K |
| 84703 |
|
1,966 |
1,654 |
$11K |
| 87804 |
|
798 |
375 |
$10K |
| 73562 |
|
236 |
217 |
$9K |
| M0243 |
Casirivi and imdevi inj |
53 |
41 |
$8K |
| D2931 |
|
139 |
50 |
$8K |
| 99212 |
|
488 |
350 |
$8K |
| 84702 |
|
715 |
512 |
$8K |
| 87186 |
|
1,158 |
957 |
$7K |
| 87077 |
|
1,216 |
977 |
$7K |
| 83605 |
|
1,429 |
1,121 |
$7K |
| 73130 |
|
181 |
146 |
$7K |
| 83735 |
|
1,885 |
1,571 |
$6K |
| 87420 |
|
568 |
472 |
$6K |
| 80061 |
|
651 |
577 |
$5K |
| 59025 |
|
44 |
38 |
$5K |
| 72100 |
|
110 |
92 |
$5K |
| 73110 |
|
111 |
89 |
$5K |
| 82248 |
|
1,080 |
712 |
$4K |
| 72125 |
|
90 |
81 |
$4K |
| 82247 |
|
1,061 |
680 |
$4K |
| 86140 |
|
1,214 |
1,037 |
$4K |
| 82962 |
|
2,332 |
1,240 |
$4K |
| 74021 |
|
59 |
40 |
$3K |
| 00170 |
|
22 |
22 |
$3K |
| 85610 |
|
1,289 |
1,035 |
$3K |
| 86769 |
|
66 |
64 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
5,037 |
3,956 |
$2K |
| 76801 |
|
27 |
25 |
$2K |
| 71275 |
|
30 |
26 |
$2K |
| 85730 |
|
573 |
482 |
$2K |
| 36600 |
|
57 |
42 |
$1K |
| J0561 |
Penicillin g benzathine inj |
15 |
12 |
$1K |
| 12001 |
|
15 |
12 |
$1K |
| D2394 |
|
16 |
15 |
$1K |
| 87205 |
|
530 |
433 |
$1K |
| 81003 |
|
636 |
543 |
$1K |
| 97162 |
|
30 |
26 |
$1K |
| 82550 |
|
398 |
328 |
$1K |
| 76817 |
|
14 |
12 |
$1K |
| 85027 |
|
244 |
209 |
$1K |
| 88304 |
|
31 |
26 |
$977.78 |
| 85379 |
|
224 |
196 |
$923.87 |
| 83655 |
|
96 |
78 |
$910.46 |
| J0696 |
Ceftriaxone sodium injection |
4,401 |
3,527 |
$878.77 |
| 96367 |
|
31 |
27 |
$862.81 |
| 99211 |
|
155 |
106 |
$836.93 |
| 85652 |
|
511 |
452 |
$763.76 |
| 73080 |
|
20 |
14 |
$757.80 |
| 86677 |
|
99 |
77 |
$738.55 |
| D2392 |
|
20 |
12 |
$641.97 |
| 99214 |
|
15 |
12 |
$537.25 |
| J3490 |
Drugs unclassified injection |
1,324 |
737 |
$517.11 |
| 83036 |
|
114 |
102 |
$486.57 |
| 82803 |
|
62 |
42 |
$471.35 |
| 86850 |
|
12 |
12 |
$416.36 |
| J2405 |
Ondansetron hcl injection |
10,136 |
7,658 |
$411.65 |
| D3220 |
|
31 |
12 |
$367.68 |
| J2270 |
Morphine sulfate injection |
2,849 |
2,226 |
$297.62 |
| 82150 |
|
61 |
51 |
$286.90 |
| 82728 |
|
32 |
31 |
$276.48 |
| 84550 |
|
75 |
64 |
$235.47 |
| J1100 |
Dexamethasone sodium phos |
5,712 |
4,591 |
$227.68 |
| A9270 |
Non-covered item or service |
2,622 |
1,715 |
$226.61 |
| J1885 |
Ketorolac tromethamine inj |
7,286 |
5,757 |
$205.95 |
| J7120 |
Ringers lactate infusion |
2,158 |
1,393 |
$199.64 |
| 90471 |
|
18 |
14 |
$195.20 |
| J0330 |
Succinycholine chloride inj |
1,362 |
1,054 |
$186.00 |
| 82553 |
|
34 |
29 |
$143.58 |
| 83874 |
|
34 |
29 |
$139.92 |
| 83615 |
|
35 |
32 |
$131.26 |
| 90714 |
|
220 |
79 |
$124.24 |
| J7030 |
Normal saline solution infus |
6,518 |
4,962 |
$116.47 |
| 80076 |
|
13 |
13 |
$97.92 |
| J3010 |
Fentanyl citrate injection |
2,405 |
1,857 |
$82.87 |
| J7050 |
Normal saline solution infus |
447 |
341 |
$68.32 |
| 82607 |
|
16 |
14 |
$68.27 |
| J2250 |
Inj midazolam hydrochloride |
2,527 |
1,946 |
$67.36 |
| J7040 |
Normal saline solution infus |
619 |
522 |
$62.42 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,074 |
2,624 |
$32.53 |
| J1170 |
Hydromorphone injection |
3,406 |
1,994 |
$31.56 |
| 84100 |
|
15 |
13 |
$29.20 |
| J0690 |
Cefazolin sodium injection |
1,199 |
817 |
$27.28 |
| J2272 |
Inj, morphine (fresenius) |
979 |
801 |
$26.79 |
| J2919 |
Inj, methylpred sod succ 5mg |
172 |
128 |
$25.72 |
| 80305 |
|
18 |
17 |
$22.68 |
| J2550 |
Promethazine hcl injection |
1,463 |
1,032 |
$18.50 |
| J7510 |
Prednisolone oral per 5 mg |
324 |
260 |
$13.30 |
| J1200 |
Diphenhydramine hcl injectio |
815 |
591 |
$10.68 |
| J2930 |
Methylprednisolone injection |
621 |
486 |
$9.30 |
| Q0162 |
Ondansetron oral |
112 |
101 |
$0.67 |
| 80050 |
|
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
334 |
242 |
$0.00 |
| 96376 |
|
2,014 |
1,223 |
$0.00 |
| 36416 |
|
291 |
236 |
$0.00 |
| 80349 |
|
51 |
42 |
$0.00 |
| J2360 |
Orphenadrine injection |
115 |
98 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
26 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
36 |
25 |
$0.00 |
| J3480 |
Inj potassium chloride |
26 |
12 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
26 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
202 |
132 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
41 |
38 |
$0.00 |
| 84145 |
|
133 |
111 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
157 |
124 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
20 |
19 |
$0.00 |
| J0780 |
Prochlorperazine injection |
287 |
237 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
123 |
72 |
$0.00 |