| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,207 |
12,850 |
$640K |
| 99284 |
|
17,226 |
14,006 |
$605K |
| 80053 |
|
21,287 |
15,957 |
$443K |
| 70450 |
|
4,671 |
3,547 |
$344K |
| 99285 |
|
4,315 |
3,160 |
$234K |
| 74177 |
|
1,736 |
1,474 |
$203K |
| 74176 |
|
1,935 |
1,629 |
$169K |
| 71045 |
|
8,820 |
7,012 |
$112K |
| 99282 |
|
1,617 |
1,466 |
$75K |
| 99281 |
|
801 |
722 |
$70K |
| G0378 |
Hospital observation per hr |
3,851 |
2,060 |
$57K |
| 80048 |
|
4,418 |
3,122 |
$53K |
| G0480 |
Drug test def 1-7 classes |
2,020 |
1,690 |
$47K |
| 71275 |
|
680 |
573 |
$47K |
| A9270 |
Non-covered item or service |
13,480 |
2,346 |
$40K |
| 71046 |
|
1,739 |
1,489 |
$40K |
| 87040 |
|
2,407 |
1,443 |
$34K |
| 94640 |
|
994 |
744 |
$28K |
| 85027 |
|
25,776 |
18,133 |
$23K |
| 81003 |
|
10,060 |
8,308 |
$20K |
| 72125 |
|
1,628 |
1,161 |
$19K |
| 93005 |
|
10,451 |
7,838 |
$18K |
| 96374 |
|
11,789 |
9,572 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
721 |
580 |
$14K |
| 87070 |
|
563 |
505 |
$13K |
| 87400 |
|
1,883 |
1,600 |
$13K |
| 84484 |
|
8,409 |
5,011 |
$12K |
| 87635 |
|
3,416 |
2,850 |
$10K |
| 85610 |
|
9,038 |
7,038 |
$10K |
| C1769 |
Guide wire |
161 |
113 |
$9K |
| 96372 |
|
3,337 |
2,339 |
$9K |
| 85730 |
|
8,581 |
6,722 |
$7K |
| 83735 |
|
9,626 |
6,617 |
$7K |
| 43239 |
|
142 |
96 |
$6K |
| 87077 |
|
899 |
740 |
$6K |
| J3490 |
Drugs unclassified injection |
250 |
154 |
$6K |
| 93975 |
|
334 |
309 |
$6K |
| 80307 |
|
2,207 |
1,920 |
$5K |
| 73630 |
|
245 |
219 |
$5K |
| 73610 |
|
226 |
199 |
$5K |
| 73562 |
|
383 |
299 |
$4K |
| 73130 |
|
186 |
163 |
$4K |
| 87426 |
|
729 |
575 |
$3K |
| 82803 |
|
893 |
692 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,489 |
1,081 |
$3K |
| 87210 |
|
109 |
101 |
$3K |
| 73030 |
|
233 |
168 |
$3K |
| 87086 |
|
1,878 |
1,597 |
$3K |
| 93306 |
|
60 |
50 |
$3K |
| 83880 |
|
2,082 |
1,617 |
$3K |
| 88305 |
|
541 |
301 |
$2K |
| J7030 |
Normal saline solution infus |
3,662 |
2,538 |
$2K |
| 83690 |
|
4,632 |
3,873 |
$2K |
| 36600 |
|
811 |
636 |
$2K |
| 90471 |
|
385 |
299 |
$2K |
| J1815 |
Insulin injection |
416 |
155 |
$2K |
| J3010 |
Fentanyl citrate injection |
292 |
194 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,329 |
1,026 |
$2K |
| J2270 |
Morphine sulfate injection |
1,003 |
743 |
$1K |
| 84703 |
|
1,746 |
1,601 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,108 |
1,572 |
$1K |
| 84100 |
|
1,774 |
1,354 |
$1K |
| 96375 |
|
4,444 |
3,440 |
$1K |
| 97162 |
|
132 |
102 |
$1K |
| 82550 |
|
1,316 |
1,071 |
$1K |
| 87491 |
|
262 |
251 |
$1K |
| 81025 |
|
472 |
443 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
318 |
234 |
$1K |
| 84145 |
|
305 |
229 |
$909.88 |
| 80076 |
|
354 |
280 |
$839.74 |
| 85379 |
|
901 |
777 |
$804.68 |
| 73502 |
|
83 |
58 |
$788.03 |
| 00731 |
|
33 |
28 |
$748.73 |
| 86900 |
|
481 |
391 |
$654.17 |
| 97116 |
|
22 |
12 |
$635.75 |
| G0463 |
Hospital outpt clinic visit |
27 |
12 |
$631.42 |
| 84443 |
|
585 |
447 |
$625.65 |
| 86901 |
|
482 |
389 |
$612.48 |
| 73110 |
|
45 |
37 |
$604.84 |
| 87186 |
|
493 |
415 |
$599.40 |
| 97161 |
|
120 |
104 |
$596.81 |
| 72110 |
|
151 |
102 |
$590.20 |
| J2765 |
Metoclopramide hcl injection |
390 |
290 |
$544.27 |
| J1650 |
Inj enoxaparin sodium |
365 |
225 |
$520.47 |
| 84702 |
|
259 |
245 |
$487.09 |
| 80061 |
|
406 |
314 |
$484.83 |
| 93971 |
|
83 |
65 |
$471.59 |
| 83605 |
|
1,259 |
978 |
$441.48 |
| 87591 |
|
264 |
253 |
$317.88 |
| 90714 |
|
59 |
41 |
$317.80 |
| 86850 |
|
258 |
208 |
$284.83 |
| J2704 |
Inj, propofol, 10 mg |
335 |
223 |
$274.62 |
| J2060 |
Lorazepam injection |
76 |
49 |
$262.69 |
| J7512 |
Prednisone ir or dr oral 1mg |
141 |
99 |
$223.13 |
| 87880 |
|
473 |
431 |
$193.65 |
| J1100 |
Dexamethasone sodium phos |
105 |
83 |
$192.32 |
| J1170 |
Hydromorphone injection |
598 |
419 |
$186.27 |
| 83036 |
|
283 |
225 |
$155.10 |
| G1003 |
Cdsm medicalis |
298 |
194 |
$153.69 |
| J0696 |
Ceftriaxone sodium injection |
1,277 |
942 |
$151.24 |
| J2930 |
Methylprednisolone injection |
133 |
105 |
$78.14 |
| 97165 |
|
123 |
102 |
$26.31 |
| 87205 |
|
17 |
12 |
$1.82 |
| Q0162 |
Ondansetron oral |
62 |
60 |
$0.16 |
| C1894 |
Intro/sheath, non-laser |
116 |
84 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
228 |
208 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
38 |
29 |
$0.00 |
| 90715 |
|
18 |
13 |
$0.00 |
| 00811 |
|
24 |
24 |
$0.00 |
| 96376 |
|
713 |
436 |
$0.00 |
| 81001 |
|
46 |
43 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
16 |
13 |
$0.00 |
| J7999 |
Compounded drug, noc |
54 |
43 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$0.00 |
| 76830 |
|
14 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
50 |
39 |
$0.00 |
| 82270 |
|
14 |
13 |
$0.00 |