| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,485 |
13,719 |
$4.98M |
| 99285 |
|
7,345 |
6,806 |
$2.66M |
| 99283 |
|
15,330 |
14,793 |
$1.33M |
| 80053 |
|
18,639 |
16,608 |
$565K |
| 87804 |
|
11,081 |
8,551 |
$407K |
| 93005 |
|
7,177 |
6,500 |
$364K |
| 85025 |
|
20,767 |
18,562 |
$327K |
| 87426 |
|
7,614 |
7,366 |
$322K |
| 74176 |
|
1,260 |
1,187 |
$245K |
| 71045 |
|
5,977 |
5,563 |
$228K |
| 87088 |
|
9,358 |
8,813 |
$213K |
| 96361 |
|
1,999 |
1,506 |
$176K |
| J0696 |
Ceftriaxone sodium injection |
2,106 |
1,818 |
$176K |
| 99218 |
|
476 |
246 |
$137K |
| 99282 |
|
1,852 |
1,801 |
$132K |
| G0378 |
Hospital observation per hr |
1,417 |
773 |
$123K |
| 70450 |
|
1,437 |
1,378 |
$119K |
| 76801 |
|
796 |
699 |
$93K |
| 81001 |
|
8,847 |
8,242 |
$93K |
| 87430 |
|
3,734 |
3,642 |
$91K |
| 80307 |
|
1,120 |
1,010 |
$81K |
| 76805 |
|
705 |
624 |
$80K |
| 81025 |
|
3,682 |
3,459 |
$61K |
| 84703 |
|
2,399 |
2,243 |
$57K |
| J7030 |
Normal saline solution infus |
3,524 |
3,062 |
$53K |
| 76705 |
|
346 |
326 |
$50K |
| 74177 |
|
160 |
148 |
$50K |
| 71046 |
|
1,545 |
1,491 |
$47K |
| 83690 |
|
3,983 |
3,692 |
$39K |
| 87040 |
|
2,393 |
1,630 |
$37K |
| 87081 |
|
3,398 |
3,321 |
$36K |
| 81003 |
|
4,868 |
4,627 |
$36K |
| 96360 |
|
264 |
258 |
$33K |
| 80048 |
|
2,533 |
2,121 |
$32K |
| 86850 |
|
1,754 |
1,597 |
$28K |
| J2405 |
Ondansetron hcl injection |
4,375 |
3,934 |
$27K |
| 84484 |
|
3,502 |
2,965 |
$27K |
| U0002 |
Covid-19 lab test non-cdc |
649 |
618 |
$24K |
| 77067 |
|
1,004 |
1,001 |
$24K |
| 96365 |
|
675 |
599 |
$24K |
| 76819 |
|
308 |
220 |
$22K |
| 83605 |
|
1,697 |
1,507 |
$22K |
| 95810 |
|
14 |
14 |
$21K |
| 96372 |
|
2,957 |
2,609 |
$21K |
| 96374 |
|
2,803 |
2,581 |
$21K |
| J7120 |
Ringers lactate infusion |
3,836 |
2,099 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
2,231 |
1,989 |
$18K |
| 84702 |
|
1,310 |
1,104 |
$17K |
| J7060 |
5% dextrose/water |
1,189 |
843 |
$14K |
| 83880 |
|
958 |
902 |
$13K |
| 76700 |
|
68 |
66 |
$13K |
| 96375 |
|
2,008 |
1,717 |
$11K |
| J7040 |
Normal saline solution infus |
927 |
856 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
980 |
923 |
$10K |
| 87420 |
|
556 |
541 |
$10K |
| G0463 |
Hospital outpt clinic visit |
4,024 |
1,734 |
$9K |
| 85610 |
|
3,287 |
3,021 |
$9K |
| 99213 |
|
76 |
26 |
$9K |
| 87077 |
|
1,466 |
1,304 |
$8K |
| 87186 |
|
1,301 |
1,165 |
$7K |
| 85730 |
|
2,625 |
2,414 |
$7K |
| J7050 |
Normal saline solution infus |
679 |
479 |
$6K |
| 43235 |
|
12 |
12 |
$5K |
| 69436 |
|
12 |
12 |
$5K |
| 86901 |
|
2,163 |
1,955 |
$5K |
| 86900 |
|
2,165 |
1,957 |
$5K |
| 11721 |
|
1,368 |
1,364 |
$5K |
| 70551 |
|
12 |
12 |
$5K |
| 72125 |
|
52 |
51 |
$4K |
| 82306 |
|
85 |
83 |
$4K |
| 82746 |
|
89 |
88 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,583 |
1,431 |
$4K |
| G0379 |
Direct refer hospital observ |
82 |
78 |
$4K |
| 74018 |
|
98 |
93 |
$4K |
| 82248 |
|
730 |
664 |
$4K |
| 83735 |
|
1,354 |
1,149 |
$4K |
| 80061 |
|
490 |
479 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,370 |
1,254 |
$3K |
| 76817 |
|
40 |
31 |
$3K |
| 82550 |
|
698 |
643 |
$3K |
| J0690 |
Cefazolin sodium injection |
665 |
571 |
$3K |
| 82247 |
|
547 |
502 |
$3K |
| 43239 |
|
12 |
12 |
$3K |
| 88305 |
|
481 |
429 |
$3K |
| 82150 |
|
423 |
397 |
$2K |
| 82607 |
|
92 |
90 |
$2K |
| 85027 |
|
1,095 |
975 |
$2K |
| 76641 |
|
16 |
12 |
$2K |
| 87070 |
|
501 |
438 |
$2K |
| 84145 |
|
63 |
59 |
$2K |
| J2270 |
Morphine sulfate injection |
301 |
245 |
$1K |
| 11042 |
|
28 |
24 |
$1K |
| 96376 |
|
239 |
122 |
$1K |
| 97803 |
|
930 |
922 |
$1K |
| 99212 |
|
22 |
12 |
$1K |
| 85379 |
|
193 |
186 |
$993.16 |
| J2250 |
Inj midazolam hydrochloride |
1,085 |
1,008 |
$670.00 |
| J1170 |
Hydromorphone injection |
282 |
242 |
$584.64 |
| J0360 |
Hydralazine hcl injection |
175 |
146 |
$487.56 |
| 82140 |
|
116 |
109 |
$399.63 |
| 82803 |
|
45 |
42 |
$391.57 |
| 97802 |
|
161 |
160 |
$390.78 |
| 94664 |
|
37 |
36 |
$382.98 |
| J0330 |
Succinycholine chloride inj |
44 |
42 |
$361.44 |
| J1741 |
Ibuprofen injection |
43 |
36 |
$255.62 |
| 83036 |
|
27 |
26 |
$231.44 |
| 84443 |
|
56 |
55 |
$207.76 |
| J1644 |
Inj heparin sodium per 1000u |
81 |
62 |
$207.48 |
| J2765 |
Metoclopramide hcl injection |
42 |
40 |
$207.18 |
| A9270 |
Non-covered item or service |
2,357 |
2,016 |
$186.95 |
| J2704 |
Inj, propofol, 10 mg |
2,197 |
2,050 |
$184.48 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$148.65 |
| J2272 |
Inj, morphine (fresenius) |
22 |
13 |
$117.56 |
| 80305 |
|
15 |
14 |
$77.14 |
| C1769 |
Guide wire |
13 |
12 |
$72.55 |
| 87467 |
|
17 |
16 |
$52.08 |
| 88304 |
|
13 |
12 |
$45.51 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
164 |
119 |
$38.88 |
| 87340 |
|
14 |
13 |
$31.43 |
| J3370 |
Vancomycin hcl injection |
12 |
12 |
$26.96 |
| S0028 |
Injection, famotidine, 20 mg |
13 |
12 |
$24.95 |
| 82565 |
|
14 |
14 |
$16.16 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
65 |
60 |
$13.09 |
| 84520 |
|
14 |
14 |
$12.48 |
| 82962 |
|
3,341 |
1,706 |
$7.48 |
| J2710 |
Neostigmine methylslfte inj |
31 |
26 |
$2.30 |
| J2370 |
Phenylephrine hcl injection |
40 |
38 |
$0.00 |
| 88312 |
|
14 |
12 |
$0.00 |