| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
21,756 |
21,075 |
$3.77M |
| 99283 |
|
13,985 |
13,631 |
$1.53M |
| 99285 |
|
6,000 |
5,807 |
$1.25M |
| G0378 |
Hospital observation per hr |
2,434 |
937 |
$581K |
| T1015 |
Clinic service |
13,626 |
11,988 |
$361K |
| 96374 |
|
10,746 |
10,226 |
$196K |
| 0241U |
|
3,242 |
3,202 |
$191K |
| 74177 |
|
1,023 |
1,007 |
$129K |
| 80053 |
|
15,526 |
14,163 |
$122K |
| 85025 |
|
31,253 |
26,226 |
$119K |
| 96413 |
|
1,775 |
1,087 |
$118K |
| 80307 |
|
2,842 |
2,701 |
$117K |
| 70450 |
|
1,806 |
1,763 |
$90K |
| 96375 |
|
6,472 |
5,950 |
$84K |
| J9271 |
Inj pembrolizumab |
130 |
98 |
$82K |
| 93005 |
|
9,729 |
9,229 |
$63K |
| 73721 |
|
238 |
233 |
$60K |
| 96365 |
|
1,976 |
1,233 |
$54K |
| 71045 |
|
8,804 |
8,495 |
$47K |
| 84484 |
|
6,719 |
6,234 |
$45K |
| 74176 |
|
691 |
677 |
$43K |
| 80048 |
|
6,801 |
6,007 |
$37K |
| 71275 |
|
235 |
231 |
$32K |
| 72148 |
|
212 |
207 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
624 |
598 |
$29K |
| 82805 |
|
1,105 |
1,018 |
$28K |
| 85730 |
|
6,013 |
5,764 |
$26K |
| 78452 |
|
198 |
195 |
$25K |
| 72125 |
|
442 |
426 |
$25K |
| 80050 |
|
609 |
577 |
$25K |
| 83735 |
|
5,386 |
4,826 |
$23K |
| 83605 |
|
4,150 |
3,942 |
$22K |
| 99282 |
|
352 |
343 |
$22K |
| 96372 |
|
2,568 |
2,142 |
$20K |
| 93306 |
|
363 |
353 |
$20K |
| 96367 |
|
1,010 |
584 |
$17K |
| 85610 |
|
7,496 |
6,600 |
$17K |
| 99281 |
|
505 |
498 |
$17K |
| 43239 |
|
77 |
74 |
$16K |
| 71250 |
|
289 |
285 |
$15K |
| 96417 |
|
372 |
245 |
$15K |
| 83690 |
|
4,416 |
4,251 |
$14K |
| 80061 |
|
1,126 |
1,100 |
$13K |
| 73221 |
|
54 |
54 |
$12K |
| J1756 |
Iron sucrose injection |
1,963 |
978 |
$12K |
| 83880 |
|
546 |
485 |
$12K |
| 84443 |
|
657 |
645 |
$11K |
| 71046 |
|
1,084 |
1,063 |
$11K |
| 82306 |
|
444 |
437 |
$11K |
| 81025 |
|
4,078 |
3,977 |
$11K |
| 80076 |
|
1,900 |
1,855 |
$11K |
| 71260 |
|
147 |
145 |
$10K |
| J3490 |
Drugs unclassified injection |
2,549 |
1,664 |
$9K |
| 87086 |
|
1,823 |
1,770 |
$9K |
| 81001 |
|
4,639 |
4,505 |
$9K |
| 93971 |
|
171 |
167 |
$9K |
| 87491 |
|
604 |
591 |
$9K |
| 87591 |
|
600 |
587 |
$8K |
| 96361 |
|
778 |
519 |
$8K |
| 87040 |
|
778 |
511 |
$8K |
| 84703 |
|
1,108 |
1,083 |
$7K |
| 70486 |
|
143 |
137 |
$7K |
| 96366 |
|
474 |
302 |
$7K |
| Q3014 |
Telehealth facility fee |
464 |
459 |
$7K |
| J1815 |
Insulin injection |
720 |
330 |
$7K |
| 87389 |
|
268 |
265 |
$7K |
| 83036 |
|
1,257 |
1,227 |
$6K |
| 73630 |
|
724 |
677 |
$6K |
| 76705 |
|
240 |
235 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,596 |
4,358 |
$6K |
| 73610 |
|
438 |
416 |
$6K |
| 93017 |
|
235 |
231 |
$6K |
| 86803 |
|
346 |
338 |
$5K |
| 70551 |
|
28 |
27 |
$5K |
| 62323 |
|
25 |
24 |
$5K |
| 73564 |
|
355 |
347 |
$5K |
| 81003 |
|
2,464 |
2,422 |
$5K |
| J7030 |
Normal saline solution infus |
13,001 |
6,924 |
$5K |
| 73030 |
|
368 |
346 |
$4K |
| 72100 |
|
280 |
273 |
$4K |
| 11042 |
|
56 |
46 |
$4K |
| 84100 |
|
977 |
803 |
$4K |
| 96523 |
|
288 |
248 |
$4K |
| G0108 |
Diab manage trn per indiv |
117 |
107 |
$4K |
| 73130 |
|
432 |
421 |
$3K |
| 90715 |
|
699 |
684 |
$3K |
| 84702 |
|
268 |
245 |
$3K |
| 72141 |
|
16 |
15 |
$3K |
| 82565 |
|
828 |
790 |
$3K |
| 84153 |
|
166 |
157 |
$3K |
| 85379 |
|
446 |
427 |
$3K |
| 73562 |
|
218 |
208 |
$3K |
| 96415 |
|
154 |
84 |
$3K |
| 88305 |
|
315 |
295 |
$3K |
| 82607 |
|
307 |
303 |
$3K |
| 82728 |
|
338 |
332 |
$3K |
| 73502 |
|
207 |
202 |
$3K |
| 85027 |
|
690 |
569 |
$3K |
| 80051 |
|
644 |
610 |
$3K |
| 87880 |
|
577 |
571 |
$3K |
| 80329 |
|
230 |
222 |
$2K |
| 87635 |
|
69 |
68 |
$2K |
| 80305 |
|
362 |
353 |
$2K |
| 82550 |
|
398 |
377 |
$2K |
| 73110 |
|
262 |
241 |
$2K |
| 84520 |
|
648 |
615 |
$2K |
| J3535 |
Metered dose inhaler drug |
519 |
498 |
$2K |
| 83540 |
|
314 |
309 |
$2K |
| 76536 |
|
42 |
42 |
$2K |
| 82962 |
|
1,371 |
810 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| 87186 |
|
276 |
268 |
$2K |
| 86850 |
|
347 |
327 |
$2K |
| 87340 |
|
141 |
140 |
$2K |
| 93970 |
|
31 |
29 |
$2K |
| 87905 |
|
180 |
176 |
$2K |
| 82746 |
|
183 |
181 |
$2K |
| A9500 |
Tc99m sestamibi |
45 |
39 |
$1K |
| 87808 |
|
187 |
182 |
$1K |
| J1170 |
Hydromorphone injection |
3,993 |
2,051 |
$1K |
| G0463 |
Hospital outpt clinic visit |
338 |
237 |
$1K |
| 82043 |
|
228 |
224 |
$1K |
| 84439 |
|
195 |
191 |
$1K |
| 94644 |
|
91 |
88 |
$1K |
| 82947 |
|
646 |
625 |
$1K |
| 76700 |
|
26 |
26 |
$1K |
| 87077 |
|
245 |
236 |
$1K |
| 82010 |
|
344 |
287 |
$1K |
| 74018 |
|
162 |
153 |
$1K |
| 96360 |
|
64 |
47 |
$1K |
| 94729 |
|
55 |
54 |
$1K |
| J2469 |
Palonosetron hcl |
148 |
72 |
$1K |
| 83550 |
|
302 |
297 |
$1K |
| 85651 |
|
462 |
421 |
$1K |
| 76770 |
|
34 |
31 |
$973.10 |
| 87070 |
|
259 |
228 |
$951.44 |
| 88342 |
|
46 |
41 |
$941.32 |
| 87081 |
|
312 |
310 |
$925.12 |
| A9577 |
Inj multihance |
322 |
314 |
$920.10 |
| J7120 |
Ringers lactate infusion |
3,936 |
2,248 |
$908.55 |
| 94726 |
|
42 |
42 |
$907.41 |
| 82977 |
|
121 |
115 |
$859.56 |
| 86901 |
|
359 |
338 |
$840.98 |
| 93922 |
|
34 |
33 |
$835.53 |
| 86900 |
|
360 |
339 |
$834.68 |
| 93925 |
|
13 |
12 |
$770.56 |
| 87205 |
|
260 |
230 |
$615.56 |
| 86140 |
|
242 |
208 |
$560.81 |
| 86592 |
|
145 |
144 |
$511.13 |
| J2930 |
Methylprednisolone injection |
592 |
546 |
$506.71 |
| 94060 |
|
66 |
66 |
$502.96 |
| J1885 |
Ketorolac tromethamine inj |
5,341 |
4,609 |
$494.58 |
| J0780 |
Prochlorperazine injection |
981 |
852 |
$428.92 |
| 86706 |
|
41 |
39 |
$393.89 |
| J1100 |
Dexamethasone sodium phos |
2,551 |
1,723 |
$364.80 |
| 73590 |
|
31 |
30 |
$349.15 |
| J1644 |
Inj heparin sodium per 1000u |
1,537 |
565 |
$303.19 |
| 97161 |
|
13 |
13 |
$279.88 |
| A9579 |
Gad-base mr contrast nos,1ml |
200 |
198 |
$276.44 |
| J2405 |
Ondansetron hcl injection |
5,154 |
4,279 |
$265.42 |
| 97162 |
|
60 |
59 |
$259.72 |
| 73080 |
|
30 |
29 |
$238.70 |
| J0696 |
Ceftriaxone sodium injection |
1,745 |
1,485 |
$236.97 |
| J1200 |
Diphenhydramine hcl injectio |
2,593 |
1,961 |
$227.46 |
| 80069 |
|
51 |
41 |
$217.03 |
| 96376 |
|
195 |
109 |
$213.33 |
| J2543 |
Piperacillin/tazobactam |
184 |
104 |
$209.04 |
| J3370 |
Vancomycin hcl injection |
195 |
105 |
$206.22 |
| J7060 |
5% dextrose/water |
922 |
556 |
$190.95 |
| 84550 |
|
30 |
29 |
$189.48 |
| 72050 |
|
13 |
13 |
$185.10 |
| J7999 |
Compounded drug, noc |
118 |
100 |
$184.00 |
| J0690 |
Cefazolin sodium injection |
293 |
217 |
$156.20 |
| J3010 |
Fentanyl citrate injection |
1,107 |
773 |
$141.07 |
| J1650 |
Inj enoxaparin sodium |
673 |
224 |
$123.69 |
| J2270 |
Morphine sulfate injection |
166 |
123 |
$123.63 |
| J1626 |
Granisetron hcl injection |
91 |
54 |
$111.75 |
| J2060 |
Lorazepam injection |
1,008 |
774 |
$95.92 |
| J7040 |
Normal saline solution infus |
708 |
543 |
$94.05 |
| J7050 |
Normal saline solution infus |
1,359 |
979 |
$84.89 |
| J3475 |
Inj magnesium sulfate |
624 |
502 |
$71.79 |
| 82570 |
|
18 |
14 |
$70.83 |
| J3480 |
Inj potassium chloride |
213 |
104 |
$66.79 |
| 85018 |
|
30 |
27 |
$60.35 |
| J1040 |
Methylprednisolone 80 mg inj |
14 |
12 |
$57.69 |
| 83615 |
|
15 |
12 |
$56.82 |
| J2250 |
Inj midazolam hydrochloride |
928 |
795 |
$51.42 |
| 82140 |
|
13 |
13 |
$38.50 |
| 82150 |
|
12 |
12 |
$38.00 |
| 36415 |
|
3,157 |
2,392 |
$32.18 |
| J7620 |
Albuterol ipratrop non-comp |
2,207 |
1,488 |
$28.35 |
| 94760 |
|
126 |
115 |
$25.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,374 |
1,139 |
$24.26 |
| P9604 |
One-way allow prorated trip |
538 |
260 |
$23.33 |
| J2765 |
Metoclopramide hcl injection |
152 |
131 |
$20.10 |
| J2920 |
Methylprednisolone injection |
55 |
27 |
$17.36 |
| J2704 |
Inj, propofol, 10 mg |
308 |
165 |
$17.02 |
| C9803 |
Hopd covid-19 spec collect |
19 |
18 |
$16.56 |
| 94640 |
|
165 |
95 |
$8.94 |
| 36591 |
|
261 |
135 |
$7.70 |
| J7613 |
Albuterol non-comp unit |
435 |
333 |
$3.90 |
| J2916 |
Na ferric gluconate complex |
110 |
63 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
35 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
135 |
121 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
98 |
75 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
13 |
13 |
$0.00 |
| J1953 |
Levetiracetam injection |
27 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,136 |
1,052 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
53 |
44 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
14 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
35 |
25 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
25 |
25 |
$0.00 |
| 97166 |
|
13 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
31 |
27 |
$0.00 |
| J7611 |
Albuterol non-comp con |
24 |
22 |
$0.00 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$0.00 |