| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
3,287 |
3,008 |
$2.44M |
| 99283 |
|
6,497 |
5,900 |
$1.78M |
| G0378 |
Hospital observation per hr |
1,829 |
1,536 |
$1.53M |
| 99282 |
|
6,199 |
5,530 |
$1.36M |
| 74177 |
|
1,387 |
1,264 |
$979K |
| 99284 |
|
2,574 |
2,411 |
$728K |
| 70450 |
|
2,473 |
2,303 |
$472K |
| 88305 |
|
1,373 |
1,296 |
$367K |
| 74176 |
|
513 |
483 |
$323K |
| 99281 |
|
1,723 |
1,557 |
$262K |
| 96361 |
|
5,059 |
3,255 |
$231K |
| 45380 |
|
361 |
348 |
$146K |
| 99291 |
|
28 |
26 |
$81K |
| A4649 |
Surgical supplies |
1,171 |
1,081 |
$49K |
| 83880 |
|
2,994 |
2,707 |
$30K |
| 71046 |
|
1,348 |
1,299 |
$27K |
| 80053 |
|
1,610 |
1,352 |
$23K |
| 96366 |
|
2,386 |
1,134 |
$15K |
| 76700 |
|
205 |
201 |
$15K |
| 43239 |
|
136 |
127 |
$14K |
| 77067 |
|
90 |
90 |
$10K |
| 96365 |
|
3,995 |
3,197 |
$8K |
| 93005 |
|
8,169 |
6,920 |
$8K |
| 87040 |
|
3,751 |
2,231 |
$5K |
| 87631 |
|
2,220 |
1,998 |
$4K |
| 72100 |
|
215 |
205 |
$4K |
| 80048 |
|
9,653 |
7,104 |
$3K |
| 93306 |
|
69 |
64 |
$3K |
| 72125 |
|
15 |
15 |
$3K |
| 94640 |
|
1,498 |
921 |
$2K |
| 71045 |
|
6,157 |
5,526 |
$2K |
| 96374 |
|
2,923 |
2,690 |
$2K |
| 83605 |
|
4,337 |
3,888 |
$2K |
| 80306 |
|
1,713 |
1,606 |
$2K |
| 87502 |
|
802 |
769 |
$2K |
| 73560 |
|
214 |
203 |
$1K |
| 87636 |
|
1,315 |
1,210 |
$954.82 |
| 96367 |
|
534 |
404 |
$755.82 |
| 71260 |
|
20 |
16 |
$755.20 |
| 96360 |
|
1,355 |
1,278 |
$642.54 |
| 96375 |
|
3,443 |
2,745 |
$573.55 |
| 73130 |
|
29 |
26 |
$555.62 |
| 85730 |
|
2,253 |
2,077 |
$343.94 |
| 85025 |
|
13,654 |
10,125 |
$302.19 |
| 73610 |
|
13 |
13 |
$264.83 |
| G0480 |
Drug test def 1-7 classes |
820 |
739 |
$203.39 |
| 93017 |
|
26 |
24 |
$170.50 |
| 96372 |
|
3,820 |
2,050 |
$155.13 |
| 73630 |
|
29 |
27 |
$146.59 |
| 73030 |
|
54 |
50 |
$134.77 |
| A9270 |
Non-covered item or service |
21,277 |
2,812 |
$86.66 |
| 96160 |
|
528 |
463 |
$57.02 |
| 84443 |
|
377 |
348 |
$55.79 |
| 90715 |
|
111 |
107 |
$38.75 |
| 81001 |
|
5,858 |
5,375 |
$25.16 |
| 83690 |
|
3,769 |
3,446 |
$18.24 |
| 87086 |
|
1,306 |
1,221 |
$12.80 |
| 81025 |
|
751 |
695 |
$12.30 |
| 84484 |
|
6,067 |
4,959 |
$8.47 |
| 86850 |
|
37 |
27 |
$8.12 |
| 87186 |
|
885 |
829 |
$7.51 |
| 80076 |
|
3,966 |
3,537 |
$6.38 |
| J2405 |
Ondansetron hcl injection |
3,812 |
3,339 |
$6.00 |
| 83735 |
|
3,315 |
2,643 |
$5.96 |
| 82550 |
|
463 |
422 |
$5.79 |
| 90471 |
|
106 |
102 |
$4.46 |
| 85610 |
|
4,404 |
3,985 |
$3.49 |
| J0696 |
Ceftriaxone sodium injection |
1,084 |
546 |
$1.18 |
| 82374 |
|
2,383 |
1,746 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
217 |
207 |
$0.00 |
| 84100 |
|
1,636 |
1,350 |
$0.00 |
| 82948 |
|
2,504 |
1,407 |
$0.00 |
| 82310 |
|
2,282 |
1,669 |
$0.00 |
| 82565 |
|
2,391 |
1,750 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,805 |
2,501 |
$0.00 |
| 84460 |
|
886 |
756 |
$0.00 |
| J2270 |
Morphine sulfate injection |
450 |
396 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
15 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
506 |
442 |
$0.00 |
| 84295 |
|
2,391 |
1,751 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
381 |
231 |
$0.00 |
| 88312 |
|
25 |
24 |
$0.00 |
| 97161 |
|
41 |
40 |
$0.00 |
| 82947 |
|
2,347 |
1,726 |
$0.00 |
| 82248 |
|
724 |
674 |
$0.00 |
| 84520 |
|
2,398 |
1,759 |
$0.00 |
| 84155 |
|
886 |
756 |
$0.00 |
| 84450 |
|
885 |
755 |
$0.00 |
| 82247 |
|
884 |
755 |
$0.00 |
| 99152 |
|
14 |
14 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
113 |
82 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
40 |
32 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
90 |
79 |
$0.00 |
| J2930 |
Methylprednisolone injection |
17 |
16 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
12 |
$0.00 |
| 84145 |
|
76 |
70 |
$0.00 |
| G8979 |
Mobility goal status |
16 |
12 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
14 |
13 |
$0.00 |
| G8978 |
Mobility current status |
13 |
12 |
$0.00 |
| 86900 |
|
36 |
27 |
$0.00 |
| 80307 |
|
13 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,469 |
1,148 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,281 |
1,127 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,068 |
1,884 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,700 |
1,557 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,309 |
879 |
$0.00 |
| 96376 |
|
1,281 |
691 |
$0.00 |
| J1815 |
Insulin injection |
33 |
27 |
$0.00 |
| 84703 |
|
566 |
525 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
2,607 |
2,437 |
$0.00 |
| 84132 |
|
2,396 |
1,753 |
$0.00 |
| 82150 |
|
27 |
24 |
$0.00 |
| 82553 |
|
101 |
97 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
282 |
249 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,393 |
2,854 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
173 |
145 |
$0.00 |
| 82040 |
|
887 |
757 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
180 |
138 |
$0.00 |
| 87205 |
|
187 |
179 |
$0.00 |
| 88304 |
|
178 |
161 |
$0.00 |
| 82435 |
|
2,383 |
1,746 |
$0.00 |
| 87077 |
|
464 |
436 |
$0.00 |
| 86901 |
|
36 |
27 |
$0.00 |
| 77063 |
|
51 |
51 |
$0.00 |
| J2060 |
Lorazepam injection |
44 |
39 |
$0.00 |
| J3480 |
Inj potassium chloride |
49 |
25 |
$0.00 |
| 87070 |
|
112 |
107 |
$0.00 |
| P9612 |
Catheterize for urine spec |
14 |
14 |
$0.00 |
| 87071 |
|
60 |
59 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
16 |
14 |
$0.00 |
| 87088 |
|
132 |
126 |
$0.00 |
| 84075 |
|
885 |
755 |
$0.00 |
| J1940 |
Furosemide injection |
13 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
67 |
54 |
$0.00 |
| 94760 |
|
32 |
26 |
$0.00 |
| 80051 |
|
13 |
13 |
$0.00 |
| 97165 |
|
29 |
28 |
$0.00 |
| 85379 |
|
15 |
14 |
$0.00 |