| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
26,170 |
22,125 |
$4.12M |
| 99284 |
|
16,605 |
13,445 |
$2.36M |
| 99282 |
|
7,571 |
6,862 |
$1.25M |
| 96361 |
|
5,177 |
4,208 |
$1.19M |
| 99285 |
|
4,672 |
3,798 |
$683K |
| 74177 |
|
3,527 |
3,093 |
$675K |
| 70450 |
|
3,497 |
2,895 |
$540K |
| 99281 |
|
1,638 |
1,542 |
$290K |
| 74176 |
|
1,786 |
1,528 |
$285K |
| 80307 |
|
5,768 |
4,692 |
$209K |
| 43239 |
|
552 |
496 |
$204K |
| 96365 |
|
2,780 |
2,149 |
$201K |
| 97110 |
|
5,356 |
1,489 |
$193K |
| 87635 |
|
2,275 |
2,083 |
$157K |
| 97530 |
|
5,522 |
1,648 |
$152K |
| 96360 |
|
1,021 |
823 |
$138K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,941 |
4,367 |
$130K |
| 93306 |
|
537 |
434 |
$120K |
| C9803 |
Hopd covid-19 spec collect |
4,648 |
4,176 |
$103K |
| 71275 |
|
503 |
443 |
$96K |
| 96366 |
|
415 |
306 |
$94K |
| 97140 |
|
4,287 |
1,166 |
$93K |
| 80053 |
|
21,152 |
16,268 |
$67K |
| 71046 |
|
4,972 |
4,097 |
$62K |
| 94640 |
|
2,072 |
1,495 |
$59K |
| 76705 |
|
663 |
618 |
$57K |
| 77336 |
|
890 |
359 |
$54K |
| G0378 |
Hospital observation per hr |
1,282 |
619 |
$47K |
| 77386 |
|
222 |
12 |
$46K |
| 45380 |
|
66 |
63 |
$41K |
| 96374 |
|
11,289 |
8,976 |
$39K |
| 93005 |
|
9,282 |
7,112 |
$38K |
| 77412 |
|
136 |
12 |
$37K |
| G0480 |
Drug test def 1-7 classes |
2,889 |
2,446 |
$34K |
| 87400 |
|
8,129 |
7,059 |
$28K |
| 77063 |
|
565 |
547 |
$24K |
| 96375 |
|
7,600 |
5,748 |
$22K |
| 85027 |
|
27,529 |
19,807 |
$21K |
| 80048 |
|
5,347 |
4,114 |
$20K |
| 87040 |
|
4,493 |
2,928 |
$18K |
| 77067 |
|
674 |
647 |
$17K |
| 71045 |
|
9,160 |
7,344 |
$17K |
| 83880 |
|
3,461 |
2,685 |
$16K |
| 97161 |
|
428 |
362 |
$15K |
| 72110 |
|
780 |
713 |
$14K |
| 73564 |
|
1,227 |
1,088 |
$13K |
| 72125 |
|
682 |
601 |
$13K |
| 96372 |
|
3,117 |
2,610 |
$12K |
| 84484 |
|
8,182 |
5,488 |
$8K |
| 73030 |
|
802 |
692 |
$8K |
| G0463 |
Hospital outpt clinic visit |
347 |
229 |
$7K |
| 73630 |
|
1,141 |
1,022 |
$7K |
| 85379 |
|
1,955 |
1,673 |
$7K |
| 80047 |
|
1,552 |
1,087 |
$6K |
| 73610 |
|
839 |
764 |
$6K |
| 84443 |
|
3,147 |
2,578 |
$6K |
| 12001 |
|
24 |
24 |
$6K |
| 71260 |
|
59 |
51 |
$6K |
| 87591 |
|
571 |
518 |
$5K |
| 84703 |
|
3,250 |
2,858 |
$5K |
| 84439 |
|
1,208 |
1,015 |
$5K |
| 85018 |
|
1,206 |
1,079 |
$4K |
| 90715 |
|
252 |
244 |
$4K |
| 81001 |
|
10,320 |
8,570 |
$4K |
| 83605 |
|
3,898 |
2,909 |
$4K |
| 93971 |
|
51 |
45 |
$4K |
| J7030 |
Normal saline solution infus |
9,470 |
7,048 |
$3K |
| 73130 |
|
579 |
539 |
$3K |
| 80076 |
|
1,460 |
1,103 |
$3K |
| 87420 |
|
817 |
771 |
$3K |
| 85610 |
|
4,461 |
3,487 |
$3K |
| J2405 |
Ondansetron hcl injection |
6,251 |
4,930 |
$3K |
| 87088 |
|
3,207 |
2,578 |
$3K |
| 77300 |
|
52 |
42 |
$3K |
| 83735 |
|
6,992 |
4,903 |
$3K |
| 71250 |
|
27 |
26 |
$2K |
| 82728 |
|
387 |
350 |
$2K |
| 87426 |
|
4,301 |
3,817 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,278 |
2,625 |
$2K |
| 73110 |
|
366 |
342 |
$2K |
| 36415 |
|
1,282 |
898 |
$2K |
| 86140 |
|
1,025 |
850 |
$2K |
| 96376 |
|
831 |
651 |
$2K |
| 74018 |
|
137 |
121 |
$2K |
| 81025 |
|
3,733 |
3,353 |
$2K |
| 83690 |
|
6,108 |
4,933 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,267 |
3,993 |
$1K |
| 76641 |
|
13 |
12 |
$1K |
| 72100 |
|
43 |
38 |
$1K |
| 83550 |
|
332 |
299 |
$1K |
| J7050 |
Normal saline solution infus |
6,598 |
5,075 |
$1K |
| 84100 |
|
3,536 |
2,182 |
$996.88 |
| 71271 |
|
12 |
12 |
$952.75 |
| 87070 |
|
3,937 |
3,538 |
$893.25 |
| 82607 |
|
101 |
96 |
$834.88 |
| 73502 |
|
85 |
73 |
$824.05 |
| 81003 |
|
5,994 |
5,028 |
$796.64 |
| 83540 |
|
370 |
333 |
$796.02 |
| 96367 |
|
16 |
12 |
$759.58 |
| 10060 |
|
19 |
13 |
$750.00 |
| 87077 |
|
2,465 |
2,020 |
$695.75 |
| 87491 |
|
560 |
507 |
$694.53 |
| 71101 |
|
54 |
52 |
$642.87 |
| 83036 |
|
195 |
169 |
$526.32 |
| 80061 |
|
176 |
155 |
$517.45 |
| 90471 |
|
360 |
334 |
$495.73 |
| 87186 |
|
1,381 |
1,112 |
$427.22 |
| 87430 |
|
3,981 |
3,652 |
$403.71 |
| 82746 |
|
85 |
80 |
$383.16 |
| 74022 |
|
97 |
83 |
$381.59 |
| 85652 |
|
294 |
231 |
$325.71 |
| J7120 |
Ringers lactate infusion |
2,882 |
2,401 |
$302.34 |
| 87086 |
|
1,157 |
936 |
$288.92 |
| J1650 |
Inj enoxaparin sodium |
562 |
267 |
$278.43 |
| U0002 |
Covid-19 lab test non-cdc |
21 |
17 |
$275.82 |
| 83090 |
|
55 |
50 |
$267.28 |
| 85730 |
|
2,110 |
1,649 |
$264.04 |
| 80305 |
|
959 |
850 |
$236.55 |
| 83615 |
|
159 |
141 |
$234.68 |
| J1200 |
Diphenhydramine hcl injectio |
1,463 |
1,139 |
$229.78 |
| 82306 |
|
41 |
38 |
$204.66 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,303 |
4,234 |
$185.87 |
| S0119 |
Ondansetron 4 mg |
1,951 |
1,787 |
$168.02 |
| J1100 |
Dexamethasone sodium phos |
1,659 |
964 |
$146.03 |
| J2930 |
Methylprednisolone injection |
791 |
596 |
$141.18 |
| 83921 |
|
29 |
27 |
$138.59 |
| 85045 |
|
87 |
73 |
$133.48 |
| 73590 |
|
16 |
15 |
$130.46 |
| J1170 |
Hydromorphone injection |
1,802 |
1,207 |
$130.25 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,651 |
1,441 |
$129.09 |
| J2765 |
Metoclopramide hcl injection |
756 |
690 |
$126.27 |
| J2270 |
Morphine sulfate injection |
1,961 |
1,465 |
$125.83 |
| 82805 |
|
427 |
298 |
$115.97 |
| 80074 |
|
30 |
26 |
$73.75 |
| 73080 |
|
13 |
12 |
$69.51 |
| 72072 |
|
12 |
12 |
$69.28 |
| 87205 |
|
206 |
164 |
$62.13 |
| 74021 |
|
13 |
12 |
$56.31 |
| 82248 |
|
56 |
48 |
$55.29 |
| 85014 |
|
123 |
109 |
$54.67 |
| J0780 |
Prochlorperazine injection |
151 |
130 |
$50.96 |
| 82565 |
|
17 |
13 |
$44.83 |
| A9270 |
Non-covered item or service |
5,507 |
1,605 |
$40.53 |
| J1815 |
Insulin injection |
733 |
382 |
$39.11 |
| 86618 |
|
42 |
40 |
$35.25 |
| J3010 |
Fentanyl citrate injection |
1,310 |
1,037 |
$33.04 |
| 87147 |
|
261 |
230 |
$32.86 |
| J2060 |
Lorazepam injection |
577 |
455 |
$32.69 |
| 82550 |
|
146 |
105 |
$32.33 |
| J0690 |
Cefazolin sodium injection |
600 |
534 |
$31.88 |
| C9113 |
Inj pantoprazole sodium, via |
372 |
282 |
$31.58 |
| 87210 |
|
61 |
51 |
$27.98 |
| J2550 |
Promethazine hcl injection |
287 |
211 |
$23.55 |
| J7040 |
Normal saline solution infus |
681 |
355 |
$21.92 |
| J1642 |
Inj heparin sodium per 10 u |
272 |
132 |
$14.54 |
| 86900 |
|
46 |
38 |
$9.02 |
| 96368 |
|
13 |
12 |
$6.91 |
| 86901 |
|
46 |
38 |
$5.93 |
| J3475 |
Inj magnesium sulfate |
393 |
326 |
$4.94 |
| J2250 |
Inj midazolam hydrochloride |
41 |
26 |
$0.46 |
| J3370 |
Vancomycin hcl injection |
103 |
75 |
$0.44 |
| J3490 |
Drugs unclassified injection |
1,757 |
1,455 |
$0.13 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
14 |
$0.00 |
| A9577 |
Inj multihance |
41 |
24 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
232 |
218 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
73 |
43 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
62 |
42 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
39 |
38 |
$0.00 |
| G1003 |
Cdsm medicalis |
38 |
31 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
42 |
35 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
349 |
264 |
$0.00 |
| 82803 |
|
50 |
44 |
$0.00 |
| G1011 |
Cdsm qualified nos |
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
59 |
25 |
$0.00 |