| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
69,868 |
63,766 |
$6.38M |
| 99284 |
|
53,541 |
46,677 |
$4.32M |
| 74177 |
|
7,443 |
6,649 |
$1.36M |
| 99282 |
|
13,819 |
12,797 |
$1.32M |
| 80053 |
|
40,300 |
31,816 |
$854K |
| 70450 |
|
8,278 |
7,017 |
$844K |
| 99285 |
|
11,163 |
9,057 |
$629K |
| 71275 |
|
3,007 |
2,597 |
$546K |
| 74176 |
|
3,522 |
3,085 |
$502K |
| 80048 |
|
13,881 |
10,467 |
$323K |
| 99281 |
|
2,993 |
2,834 |
$317K |
| 96361 |
|
3,139 |
2,695 |
$302K |
| 59025 |
|
5,189 |
4,024 |
$256K |
| 87635 |
|
19,457 |
17,379 |
$232K |
| A9270 |
Non-covered item or service |
26,051 |
4,992 |
$164K |
| 11042 |
|
2,048 |
758 |
$164K |
| 72125 |
|
3,126 |
2,656 |
$138K |
| 72131 |
|
2,495 |
2,190 |
$128K |
| U0002 |
Covid-19 lab test non-cdc |
1,918 |
1,692 |
$114K |
| 93306 |
|
1,330 |
1,121 |
$113K |
| G0378 |
Hospital observation per hr |
13,176 |
6,807 |
$109K |
| J7050 |
Normal saline solution infus |
5,319 |
3,344 |
$102K |
| 86850 |
|
2,972 |
2,487 |
$96K |
| 81003 |
|
33,955 |
29,440 |
$91K |
| 87070 |
|
8,492 |
7,939 |
$83K |
| 85027 |
|
56,403 |
42,343 |
$78K |
| 84702 |
|
4,523 |
3,689 |
$75K |
| 96360 |
|
1,316 |
1,236 |
$74K |
| 36415 |
|
3,578 |
2,819 |
$73K |
| 96365 |
|
2,179 |
1,777 |
$71K |
| 70496 |
|
408 |
348 |
$66K |
| 58661 |
|
41 |
37 |
$66K |
| Q0111 |
Wet mounts/ w preparations |
4,196 |
3,873 |
$56K |
| 93976 |
|
4,305 |
3,831 |
$56K |
| G0463 |
Hospital outpt clinic visit |
6,325 |
4,030 |
$55K |
| 78452 |
|
390 |
317 |
$55K |
| 86403 |
|
3,781 |
3,614 |
$52K |
| G0383 |
Lev 4 hosp type b ed visit |
342 |
316 |
$50K |
| 76830 |
|
4,252 |
3,732 |
$49K |
| 10060 |
|
880 |
812 |
$45K |
| G0480 |
Drug test def 1-7 classes |
1,621 |
1,287 |
$44K |
| 93005 |
|
25,605 |
18,188 |
$42K |
| 76856 |
|
1,042 |
974 |
$38K |
| 71045 |
|
15,432 |
12,824 |
$37K |
| 73610 |
|
1,672 |
1,553 |
$37K |
| 81025 |
|
13,037 |
11,830 |
$34K |
| 76705 |
|
1,934 |
1,757 |
$33K |
| 71046 |
|
6,289 |
5,529 |
$33K |
| J7030 |
Normal saline solution infus |
20,283 |
15,283 |
$31K |
| 12001 |
|
486 |
459 |
$31K |
| 87449 |
|
2,284 |
2,075 |
$31K |
| J3010 |
Fentanyl citrate injection |
3,308 |
2,520 |
$30K |
| 96372 |
|
6,641 |
5,833 |
$30K |
| 73130 |
|
1,588 |
1,462 |
$30K |
| 73562 |
|
1,830 |
1,609 |
$28K |
| 94640 |
|
1,239 |
761 |
$28K |
| 73630 |
|
1,929 |
1,767 |
$27K |
| 84484 |
|
17,447 |
11,520 |
$27K |
| 85014 |
|
442 |
351 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,998 |
8,033 |
$26K |
| J2250 |
Inj midazolam hydrochloride |
2,322 |
1,493 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
6,919 |
3,221 |
$25K |
| 80307 |
|
4,494 |
3,840 |
$25K |
| 72128 |
|
298 |
268 |
$24K |
| 84703 |
|
5,373 |
4,877 |
$24K |
| 88305 |
|
1,689 |
1,376 |
$24K |
| 73030 |
|
1,596 |
1,382 |
$23K |
| 96374 |
|
18,834 |
15,956 |
$22K |
| 71250 |
|
470 |
372 |
$20K |
| 87086 |
|
5,488 |
4,824 |
$19K |
| C1769 |
Guide wire |
1,644 |
1,247 |
$18K |
| 73110 |
|
914 |
842 |
$17K |
| 96375 |
|
6,690 |
5,292 |
$16K |
| 87040 |
|
5,487 |
3,534 |
$16K |
| 86900 |
|
4,010 |
3,405 |
$16K |
| 85610 |
|
8,326 |
6,642 |
$16K |
| 87077 |
|
3,160 |
2,695 |
$15K |
| 76805 |
|
671 |
614 |
$15K |
| 93971 |
|
1,608 |
1,411 |
$14K |
| 83690 |
|
13,006 |
11,134 |
$14K |
| 95810 |
|
27 |
27 |
$14K |
| 82550 |
|
4,264 |
2,751 |
$14K |
| 83735 |
|
13,052 |
9,396 |
$14K |
| J7120 |
Ringers lactate infusion |
4,241 |
3,247 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
363 |
299 |
$11K |
| 87426 |
|
8,285 |
7,680 |
$10K |
| 12011 |
|
183 |
173 |
$10K |
| 12002 |
|
202 |
191 |
$10K |
| 70486 |
|
397 |
351 |
$10K |
| 85730 |
|
6,795 |
5,500 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
1,473 |
1,055 |
$9K |
| J2405 |
Ondansetron hcl injection |
9,296 |
7,143 |
$9K |
| 83880 |
|
4,811 |
3,948 |
$9K |
| 93970 |
|
855 |
758 |
$9K |
| 87491 |
|
3,629 |
3,390 |
$8K |
| 84112 |
|
157 |
141 |
$8K |
| C1894 |
Intro/sheath, non-laser |
923 |
718 |
$8K |
| 93017 |
|
512 |
415 |
$8K |
| 73080 |
|
602 |
529 |
$8K |
| 70491 |
|
42 |
36 |
$7K |
| J0690 |
Cefazolin sodium injection |
1,504 |
1,022 |
$7K |
| 76770 |
|
175 |
162 |
$7K |
| 76937 |
|
457 |
352 |
$7K |
| J1815 |
Insulin injection |
2,667 |
1,177 |
$7K |
| 80061 |
|
2,814 |
2,207 |
$7K |
| Q0162 |
Ondansetron oral |
1,541 |
1,213 |
$6K |
| 76700 |
|
90 |
83 |
$5K |
| J0153 |
Adenosine inj 1mg |
283 |
128 |
$5K |
| 84443 |
|
4,119 |
3,328 |
$5K |
| 82553 |
|
1,950 |
1,392 |
$5K |
| 83605 |
|
5,037 |
3,959 |
$5K |
| 87205 |
|
1,176 |
919 |
$5K |
| 73140 |
|
290 |
274 |
$5K |
| 73590 |
|
333 |
304 |
$5K |
| C1725 |
Cath, translumin non-laser |
115 |
91 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,373 |
1,601 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
8,854 |
7,081 |
$4K |
| 72100 |
|
515 |
472 |
$4K |
| 84100 |
|
3,169 |
2,213 |
$4K |
| 70498 |
|
376 |
317 |
$4K |
| 87186 |
|
2,639 |
2,256 |
$4K |
| 87880 |
|
4,529 |
4,261 |
$4K |
| 85379 |
|
2,576 |
2,243 |
$4K |
| 87804 |
|
14,730 |
13,726 |
$3K |
| 83036 |
|
1,543 |
1,231 |
$3K |
| 71260 |
|
28 |
24 |
$3K |
| 90715 |
|
1,215 |
1,086 |
$3K |
| 00840 |
|
248 |
214 |
$3K |
| J1170 |
Hydromorphone injection |
3,419 |
2,463 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,342 |
1,862 |
$3K |
| 82731 |
|
13 |
12 |
$3K |
| 74018 |
|
465 |
416 |
$3K |
| 82607 |
|
1,507 |
1,206 |
$3K |
| C1887 |
Catheter, guiding |
139 |
114 |
$3K |
| 86901 |
|
3,894 |
3,298 |
$3K |
| 80076 |
|
3,435 |
3,079 |
$3K |
| 73502 |
|
357 |
306 |
$3K |
| 83986 |
|
135 |
123 |
$3K |
| 97161 |
|
181 |
139 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,520 |
2,945 |
$2K |
| 82306 |
|
877 |
692 |
$2K |
| 73090 |
|
210 |
198 |
$2K |
| J7999 |
Compounded drug, noc |
81 |
62 |
$2K |
| 87807 |
|
1,600 |
1,541 |
$2K |
| 80047 |
|
29 |
26 |
$2K |
| 64400 |
|
13 |
13 |
$1K |
| 96366 |
|
71 |
45 |
$1K |
| 76641 |
|
29 |
28 |
$1K |
| 86140 |
|
1,017 |
897 |
$1K |
| 70551 |
|
50 |
41 |
$1K |
| J2550 |
Promethazine hcl injection |
449 |
374 |
$1K |
| 84439 |
|
1,483 |
1,197 |
$1K |
| 82248 |
|
1,706 |
1,219 |
$1K |
| 82077 |
|
588 |
501 |
$1K |
| J0360 |
Hydralazine hcl injection |
247 |
182 |
$1K |
| 43239 |
|
49 |
41 |
$932.82 |
| G1003 |
Cdsm medicalis |
537 |
417 |
$930.05 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,669 |
2,056 |
$888.42 |
| J2270 |
Morphine sulfate injection |
2,728 |
1,994 |
$875.61 |
| 97116 |
|
267 |
190 |
$870.94 |
| J2930 |
Methylprednisolone injection |
996 |
765 |
$867.54 |
| 97535 |
|
447 |
274 |
$832.94 |
| 83540 |
|
377 |
312 |
$806.95 |
| 82728 |
|
251 |
211 |
$750.81 |
| J7040 |
Normal saline solution infus |
791 |
670 |
$705.68 |
| 82570 |
|
660 |
566 |
$659.15 |
| 83550 |
|
260 |
218 |
$649.66 |
| 97530 |
|
257 |
174 |
$640.46 |
| J2060 |
Lorazepam injection |
1,025 |
763 |
$587.83 |
| Q0169 |
Promethazine hcl 12.5mg oral |
291 |
234 |
$575.77 |
| 77067 |
|
17 |
15 |
$570.52 |
| 82565 |
|
31 |
26 |
$568.86 |
| S0119 |
Ondansetron 4 mg |
2,239 |
2,052 |
$478.21 |
| 82803 |
|
105 |
83 |
$457.16 |
| 97162 |
|
68 |
53 |
$431.86 |
| 80320 |
|
121 |
98 |
$429.60 |
| 72072 |
|
29 |
25 |
$402.81 |
| 84156 |
|
559 |
467 |
$388.91 |
| 90471 |
|
173 |
123 |
$367.77 |
| 76815 |
|
170 |
159 |
$293.35 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
448 |
293 |
$262.16 |
| J3490 |
Drugs unclassified injection |
182 |
151 |
$244.21 |
| 85651 |
|
429 |
364 |
$220.01 |
| 87400 |
|
2,080 |
1,927 |
$210.92 |
| 72040 |
|
30 |
24 |
$210.81 |
| 85520 |
|
788 |
602 |
$209.62 |
| 88302 |
|
30 |
26 |
$191.70 |
| A9502 |
Tc99m tetrofosmin |
299 |
236 |
$190.39 |
| 88304 |
|
116 |
100 |
$158.45 |
| 72170 |
|
15 |
13 |
$152.69 |
| 73552 |
|
33 |
28 |
$152.69 |
| 29125 |
|
143 |
133 |
$146.17 |
| J2765 |
Metoclopramide hcl injection |
1,272 |
1,063 |
$138.02 |
| 76818 |
|
12 |
12 |
$135.83 |
| 88307 |
|
60 |
51 |
$126.07 |
| J2543 |
Piperacillin/tazobactam |
699 |
462 |
$122.02 |
| 87591 |
|
3,628 |
3,389 |
$118.18 |
| 90662 |
|
187 |
144 |
$115.61 |
| J1940 |
Furosemide injection |
76 |
38 |
$113.13 |
| J0780 |
Prochlorperazine injection |
565 |
483 |
$112.90 |
| 82746 |
|
293 |
247 |
$91.41 |
| J0692 |
Cefepime hcl for injection |
464 |
313 |
$90.00 |
| G0008 |
Admin influenza virus vac |
272 |
208 |
$87.24 |
| 84550 |
|
172 |
148 |
$63.55 |
| 87430 |
|
729 |
699 |
$44.51 |
| J3475 |
Inj magnesium sulfate |
140 |
100 |
$38.48 |
| J0561 |
Penicillin g benzathine inj |
68 |
68 |
$33.65 |
| 87081 |
|
14 |
13 |
$23.01 |
| J1650 |
Inj enoxaparin sodium |
484 |
272 |
$15.00 |
| 82140 |
|
78 |
51 |
$6.68 |
| 73660 |
|
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
30 |
26 |
$0.00 |
| 96376 |
|
584 |
478 |
$0.00 |
| 87147 |
|
41 |
41 |
$0.00 |
| J8540 |
Oral dexamethasone |
78 |
63 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
26 |
25 |
$0.00 |
| 76817 |
|
44 |
41 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
144 |
132 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
150 |
137 |
$0.00 |
| 97166 |
|
19 |
12 |
$0.00 |
| 82330 |
|
41 |
34 |
$0.00 |
| 82150 |
|
16 |
12 |
$0.00 |
| 87340 |
|
14 |
12 |
$0.00 |
| 83615 |
|
16 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
12 |
$0.00 |
| 90686 |
|
16 |
13 |
$0.00 |
| 85384 |
|
77 |
69 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
849 |
706 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
331 |
190 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
12 |
12 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
134 |
125 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
18 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
88 |
67 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
55 |
36 |
$0.00 |
| 82009 |
|
63 |
49 |
$0.00 |
| C1758 |
Catheter, ureteral |
16 |
13 |
$0.00 |
| 99152 |
|
29 |
25 |
$0.00 |