| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,899 |
19,060 |
$3.40M |
| 99283 |
|
21,546 |
18,624 |
$3.14M |
| 96361 |
|
9,619 |
7,608 |
$2.43M |
| 99285 |
|
10,768 |
8,684 |
$1.47M |
| 99282 |
|
6,258 |
5,663 |
$896K |
| 70450 |
|
4,582 |
3,774 |
$699K |
| 74177 |
|
3,182 |
2,835 |
$625K |
| 74176 |
|
2,990 |
2,567 |
$539K |
| 93306 |
|
1,211 |
1,127 |
$337K |
| 97110 |
|
7,055 |
1,758 |
$327K |
| 96365 |
|
4,563 |
3,753 |
$304K |
| 92507 |
|
1,286 |
323 |
$291K |
| G0378 |
Hospital observation per hr |
2,097 |
1,353 |
$265K |
| 96360 |
|
2,159 |
1,901 |
$246K |
| 59025 |
|
1,338 |
961 |
$232K |
| 80307 |
|
7,055 |
5,613 |
$229K |
| 96366 |
|
1,654 |
1,157 |
$217K |
| 71275 |
|
625 |
580 |
$152K |
| 11042 |
|
936 |
406 |
$138K |
| 80053 |
|
17,430 |
14,642 |
$111K |
| G0463 |
Hospital outpt clinic visit |
1,406 |
751 |
$102K |
| 0202U |
|
890 |
779 |
$101K |
| 43239 |
|
229 |
211 |
$98K |
| 76705 |
|
936 |
845 |
$89K |
| 85025 |
|
37,363 |
27,951 |
$81K |
| 99281 |
|
540 |
494 |
$80K |
| 87633 |
|
2,468 |
2,132 |
$76K |
| 97530 |
|
2,332 |
732 |
$76K |
| 82306 |
|
2,628 |
2,454 |
$73K |
| 80048 |
|
18,803 |
14,062 |
$72K |
| C9803 |
Hopd covid-19 spec collect |
3,991 |
3,570 |
$64K |
| 71046 |
|
5,204 |
4,412 |
$64K |
| 80061 |
|
4,097 |
3,808 |
$62K |
| 77063 |
|
1,264 |
1,182 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,479 |
2,151 |
$49K |
| 83036 |
|
3,893 |
3,622 |
$47K |
| 0223U |
|
319 |
295 |
$44K |
| 97161 |
|
669 |
598 |
$41K |
| 94640 |
|
1,065 |
723 |
$41K |
| 87635 |
|
1,900 |
1,701 |
$41K |
| 84439 |
|
2,170 |
2,007 |
$40K |
| 72100 |
|
1,508 |
1,360 |
$33K |
| 84443 |
|
6,836 |
6,086 |
$30K |
| 77067 |
|
1,533 |
1,416 |
$30K |
| 74018 |
|
1,346 |
1,164 |
$28K |
| 78452 |
|
40 |
38 |
$28K |
| 80050 |
|
212 |
208 |
$27K |
| 72125 |
|
744 |
654 |
$26K |
| 93971 |
|
282 |
254 |
$24K |
| 80076 |
|
7,478 |
6,250 |
$24K |
| 87400 |
|
3,444 |
2,648 |
$22K |
| 87486 |
|
2,505 |
2,157 |
$21K |
| 96375 |
|
10,860 |
8,464 |
$21K |
| 87086 |
|
7,310 |
6,047 |
$21K |
| 83880 |
|
3,273 |
2,597 |
$19K |
| 99213 |
|
195 |
177 |
$18K |
| 71045 |
|
8,412 |
6,802 |
$18K |
| 82607 |
|
1,341 |
1,214 |
$16K |
| 87040 |
|
3,823 |
2,413 |
$15K |
| 36415 |
|
10,751 |
8,332 |
$14K |
| 76642 |
|
113 |
105 |
$14K |
| 83735 |
|
6,513 |
5,293 |
$14K |
| 73564 |
|
1,570 |
1,278 |
$14K |
| 93005 |
|
12,649 |
9,797 |
$14K |
| 74178 |
|
22 |
14 |
$13K |
| 45385 |
|
15 |
13 |
$12K |
| 87798 |
|
2,769 |
2,184 |
$12K |
| 73630 |
|
1,405 |
1,245 |
$12K |
| 72148 |
|
71 |
64 |
$11K |
| 97597 |
|
107 |
50 |
$11K |
| 87581 |
|
2,504 |
2,156 |
$10K |
| 96374 |
|
12,598 |
10,317 |
$10K |
| 73030 |
|
923 |
771 |
$10K |
| 84484 |
|
8,757 |
6,219 |
$10K |
| 76856 |
|
127 |
117 |
$9K |
| 73610 |
|
1,296 |
1,145 |
$9K |
| 90715 |
|
546 |
512 |
$9K |
| 97140 |
|
429 |
188 |
$9K |
| 76700 |
|
68 |
64 |
$9K |
| 71260 |
|
79 |
74 |
$8K |
| 73130 |
|
857 |
750 |
$7K |
| 96372 |
|
7,176 |
5,804 |
$7K |
| 85379 |
|
2,058 |
1,834 |
$7K |
| 70496 |
|
19 |
14 |
$7K |
| 81001 |
|
12,107 |
9,882 |
$6K |
| 87070 |
|
942 |
819 |
$6K |
| 12001 |
|
27 |
25 |
$6K |
| 87420 |
|
392 |
365 |
$6K |
| 82746 |
|
548 |
501 |
$5K |
| 90471 |
|
945 |
797 |
$5K |
| 36600 |
|
879 |
675 |
$5K |
| 86140 |
|
1,409 |
1,214 |
$5K |
| 87591 |
|
409 |
375 |
$5K |
| U0005 |
Infec agen detec ampli probe |
1,692 |
1,468 |
$4K |
| 87077 |
|
3,933 |
3,117 |
$4K |
| 99214 |
|
43 |
38 |
$4K |
| 87081 |
|
3,343 |
3,069 |
$4K |
| 73110 |
|
415 |
378 |
$4K |
| 81003 |
|
6,346 |
5,414 |
$4K |
| G0279 |
Tomosynthesis, mammo |
97 |
89 |
$4K |
| 87186 |
|
3,962 |
3,010 |
$4K |
| 82140 |
|
587 |
453 |
$3K |
| 87491 |
|
409 |
375 |
$3K |
| 94664 |
|
996 |
803 |
$3K |
| 83605 |
|
3,526 |
2,769 |
$3K |
| 76801 |
|
28 |
26 |
$3K |
| 84703 |
|
4,444 |
3,906 |
$3K |
| 85652 |
|
692 |
612 |
$3K |
| 83690 |
|
7,573 |
6,202 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
627 |
481 |
$2K |
| 86618 |
|
136 |
114 |
$2K |
| 93017 |
|
70 |
64 |
$2K |
| J2405 |
Ondansetron hcl injection |
10,530 |
8,790 |
$2K |
| Q0162 |
Ondansetron oral |
2,175 |
1,956 |
$2K |
| 85610 |
|
4,160 |
3,157 |
$2K |
| 72131 |
|
29 |
26 |
$2K |
| 84466 |
|
91 |
81 |
$2K |
| 99204 |
|
26 |
25 |
$2K |
| 82150 |
|
1,851 |
1,558 |
$2K |
| 84436 |
|
242 |
232 |
$2K |
| 87507 |
|
26 |
25 |
$2K |
| 82962 |
|
4,884 |
2,683 |
$2K |
| 85730 |
|
2,697 |
2,291 |
$2K |
| 76536 |
|
13 |
12 |
$2K |
| 97162 |
|
14 |
13 |
$2K |
| 76770 |
|
12 |
12 |
$1K |
| 86850 |
|
361 |
298 |
$1K |
| 76830 |
|
13 |
13 |
$1K |
| 88305 |
|
1,466 |
1,307 |
$1K |
| J1650 |
Inj enoxaparin sodium |
403 |
253 |
$1K |
| 87637 |
|
2,278 |
2,043 |
$1K |
| 73502 |
|
117 |
102 |
$1K |
| 96368 |
|
78 |
64 |
$1K |
| 83540 |
|
183 |
161 |
$1K |
| 84100 |
|
943 |
769 |
$1K |
| G0399 |
Home sleep test/type 3 porta |
13 |
12 |
$998.56 |
| J3010 |
Fentanyl citrate injection |
4,190 |
3,527 |
$997.42 |
| 81025 |
|
2,131 |
1,931 |
$861.15 |
| J0696 |
Ceftriaxone sodium injection |
2,425 |
1,939 |
$819.31 |
| 86900 |
|
443 |
365 |
$812.36 |
| 96367 |
|
39 |
30 |
$801.10 |
| 72110 |
|
41 |
35 |
$800.22 |
| 71250 |
|
26 |
24 |
$785.51 |
| 82805 |
|
1,002 |
710 |
$717.57 |
| 84145 |
|
128 |
117 |
$657.88 |
| 72050 |
|
30 |
25 |
$597.11 |
| 86901 |
|
557 |
466 |
$577.87 |
| J1885 |
Ketorolac tromethamine inj |
7,148 |
5,931 |
$550.79 |
| J9370 |
Vincristine sulfate 1 mg inj |
1,559 |
1,320 |
$520.91 |
| 96376 |
|
2,288 |
1,710 |
$487.57 |
| 84702 |
|
530 |
440 |
$481.86 |
| 87430 |
|
3,615 |
3,335 |
$479.41 |
| 73080 |
|
53 |
49 |
$453.15 |
| 72072 |
|
15 |
14 |
$386.36 |
| 82728 |
|
14 |
12 |
$362.88 |
| J2060 |
Lorazepam injection |
1,314 |
1,065 |
$351.40 |
| 93270 |
|
28 |
24 |
$343.50 |
| 85014 |
|
103 |
82 |
$336.48 |
| 74019 |
|
32 |
26 |
$329.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,858 |
4,292 |
$304.05 |
| 86677 |
|
22 |
17 |
$284.99 |
| 85018 |
|
139 |
109 |
$281.71 |
| J2250 |
Inj midazolam hydrochloride |
2,824 |
2,530 |
$254.55 |
| 86308 |
|
17 |
16 |
$189.81 |
| 82077 |
|
517 |
443 |
$186.30 |
| 80143 |
|
329 |
278 |
$166.89 |
| J1170 |
Hydromorphone injection |
2,818 |
2,286 |
$165.79 |
| 87651 |
|
837 |
770 |
$161.62 |
| 73140 |
|
40 |
38 |
$161.60 |
| 80179 |
|
323 |
272 |
$153.47 |
| J2001 |
Lidocaine injection |
1,478 |
1,279 |
$149.73 |
| 80164 |
|
64 |
52 |
$143.06 |
| J1100 |
Dexamethasone sodium phos |
2,890 |
2,573 |
$139.29 |
| J2930 |
Methylprednisolone injection |
704 |
548 |
$122.27 |
| J7030 |
Normal saline solution infus |
1,900 |
1,320 |
$103.79 |
| 82550 |
|
329 |
291 |
$101.89 |
| J1200 |
Diphenhydramine hcl injectio |
1,315 |
1,115 |
$99.75 |
| 87205 |
|
152 |
123 |
$99.04 |
| J2550 |
Promethazine hcl injection |
1,192 |
970 |
$87.97 |
| 72170 |
|
15 |
13 |
$62.02 |
| 85027 |
|
32 |
28 |
$59.77 |
| J2360 |
Orphenadrine injection |
478 |
437 |
$56.68 |
| J0500 |
Dicyclomine injection |
113 |
102 |
$53.32 |
| J2765 |
Metoclopramide hcl injection |
1,045 |
888 |
$44.35 |
| J2270 |
Morphine sulfate injection |
847 |
725 |
$39.89 |
| 88304 |
|
76 |
73 |
$36.14 |
| J2780 |
Ranitidine hydrochloride inj |
341 |
293 |
$24.27 |
| 73590 |
|
14 |
12 |
$17.76 |
| 84132 |
|
40 |
28 |
$17.62 |
| 82565 |
|
17 |
12 |
$16.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
598 |
544 |
$15.41 |
| 82274 |
|
110 |
87 |
$11.48 |
| J1815 |
Insulin injection |
441 |
323 |
$10.81 |
| J3475 |
Inj magnesium sulfate |
346 |
295 |
$7.91 |
| 85651 |
|
24 |
19 |
$7.40 |
| J0690 |
Cefazolin sodium injection |
176 |
166 |
$6.76 |
| 82009 |
|
68 |
53 |
$5.89 |
| C9113 |
Inj pantoprazole sodium, via |
135 |
88 |
$3.59 |
| J7120 |
Ringers lactate infusion |
68 |
53 |
$3.33 |
| J3301 |
Triamcinolone acet inj nos |
14 |
13 |
$1.57 |
| J2704 |
Inj, propofol, 10 mg |
3,313 |
2,957 |
$0.22 |
| A9270 |
Non-covered item or service |
2,403 |
1,651 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
15 |
13 |
$0.00 |
| J3480 |
Inj potassium chloride |
65 |
52 |
$0.00 |
| J8540 |
Oral dexamethasone |
67 |
65 |
$0.00 |
| A9500 |
Tc99m sestamibi |
40 |
38 |
$0.00 |
| 82803 |
|
19 |
14 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
17 |
14 |
$0.00 |
| 70498 |
|
19 |
14 |
$0.00 |
| 88312 |
|
272 |
237 |
$0.00 |
| 51702 |
|
46 |
38 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
24 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
13 |
13 |
$0.00 |
| 88313 |
|
29 |
26 |
$0.00 |