| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
27,990 |
25,539 |
$3.39M |
| 99284 |
|
18,336 |
15,713 |
$1.80M |
| 97110 |
|
11,760 |
2,548 |
$1.69M |
| 97530 |
|
13,453 |
3,072 |
$1.54M |
| 92507 |
|
9,310 |
2,473 |
$1.16M |
| 74176 |
|
3,541 |
3,107 |
$844K |
| 99282 |
|
5,079 |
4,795 |
$671K |
| 70450 |
|
3,721 |
3,126 |
$420K |
| 99285 |
|
4,236 |
3,336 |
$268K |
| 74177 |
|
1,376 |
1,225 |
$248K |
| 80053 |
|
17,027 |
13,393 |
$240K |
| 99281 |
|
1,386 |
1,295 |
$217K |
| 96361 |
|
1,611 |
1,426 |
$200K |
| 80048 |
|
9,139 |
6,113 |
$117K |
| 87070 |
|
7,333 |
6,897 |
$95K |
| 72125 |
|
1,178 |
1,002 |
$93K |
| 97163 |
|
609 |
555 |
$88K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,114 |
1,011 |
$82K |
| A9270 |
Non-covered item or service |
9,628 |
1,727 |
$74K |
| 76856 |
|
493 |
459 |
$71K |
| 36415 |
|
3,178 |
2,248 |
$70K |
| 85027 |
|
26,504 |
19,376 |
$66K |
| 96365 |
|
1,056 |
802 |
$59K |
| 96372 |
|
4,531 |
3,992 |
$57K |
| 73610 |
|
689 |
616 |
$56K |
| G0378 |
Hospital observation per hr |
3,206 |
1,602 |
$52K |
| 71275 |
|
119 |
111 |
$48K |
| 81001 |
|
9,814 |
8,379 |
$47K |
| 84484 |
|
8,086 |
5,390 |
$46K |
| 71045 |
|
11,968 |
10,138 |
$44K |
| 81025 |
|
6,535 |
5,836 |
$43K |
| 71046 |
|
2,511 |
2,171 |
$40K |
| 73030 |
|
771 |
649 |
$38K |
| J3490 |
Drugs unclassified injection |
563 |
453 |
$36K |
| 73564 |
|
872 |
777 |
$34K |
| 87426 |
|
2,844 |
2,561 |
$33K |
| 76705 |
|
279 |
265 |
$31K |
| 87040 |
|
4,195 |
3,042 |
$30K |
| 81003 |
|
4,266 |
3,744 |
$30K |
| 96374 |
|
13,210 |
10,319 |
$28K |
| 94640 |
|
1,764 |
1,357 |
$27K |
| 80076 |
|
2,952 |
2,717 |
$23K |
| 87275 |
|
9,601 |
9,074 |
$22K |
| J7030 |
Normal saline solution infus |
9,721 |
7,774 |
$22K |
| J7120 |
Ringers lactate infusion |
1,298 |
984 |
$22K |
| J7050 |
Normal saline solution infus |
2,224 |
1,358 |
$21K |
| 73130 |
|
629 |
576 |
$21K |
| 93005 |
|
9,494 |
7,073 |
$20K |
| 88305 |
|
922 |
698 |
$20K |
| 73110 |
|
540 |
453 |
$19K |
| 92523 |
|
111 |
111 |
$19K |
| 80307 |
|
2,303 |
1,996 |
$19K |
| 77067 |
|
840 |
780 |
$19K |
| 73630 |
|
728 |
671 |
$19K |
| 96360 |
|
192 |
159 |
$17K |
| 87088 |
|
2,458 |
1,922 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
258 |
246 |
$16K |
| 87635 |
|
6,044 |
5,510 |
$15K |
| 77063 |
|
660 |
611 |
$14K |
| 85610 |
|
9,276 |
5,651 |
$12K |
| 80047 |
|
1,057 |
916 |
$12K |
| 74018 |
|
621 |
572 |
$12K |
| 83735 |
|
7,891 |
5,322 |
$11K |
| 85730 |
|
5,979 |
4,806 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
3,507 |
2,439 |
$9K |
| 96375 |
|
6,089 |
4,974 |
$9K |
| 74019 |
|
254 |
229 |
$9K |
| 93306 |
|
61 |
52 |
$9K |
| J2405 |
Ondansetron hcl injection |
5,583 |
4,509 |
$9K |
| J2930 |
Methylprednisolone injection |
1,385 |
1,142 |
$9K |
| 76830 |
|
163 |
154 |
$9K |
| 73502 |
|
215 |
172 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
329 |
257 |
$8K |
| 87880 |
|
7,351 |
7,018 |
$8K |
| 43239 |
|
53 |
44 |
$7K |
| 82565 |
|
99 |
72 |
$7K |
| J3010 |
Fentanyl citrate injection |
585 |
472 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
6,177 |
4,574 |
$6K |
| 84702 |
|
686 |
571 |
$6K |
| 97162 |
|
32 |
30 |
$5K |
| 85014 |
|
18 |
14 |
$5K |
| 83605 |
|
3,308 |
2,692 |
$5K |
| 76700 |
|
30 |
29 |
$5K |
| 93971 |
|
62 |
54 |
$4K |
| 83690 |
|
6,919 |
5,867 |
$4K |
| 72131 |
|
74 |
70 |
$4K |
| 72110 |
|
79 |
70 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
850 |
729 |
$4K |
| 87807 |
|
3,263 |
3,113 |
$4K |
| 83880 |
|
2,268 |
1,757 |
$3K |
| 82248 |
|
1,700 |
1,184 |
$3K |
| 71250 |
|
59 |
52 |
$3K |
| 87276 |
|
9,597 |
9,073 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,146 |
1,509 |
$3K |
| J2270 |
Morphine sulfate injection |
3,093 |
2,227 |
$3K |
| J7040 |
Normal saline solution infus |
618 |
560 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,343 |
897 |
$3K |
| 76536 |
|
28 |
24 |
$3K |
| 82805 |
|
314 |
231 |
$2K |
| 97167 |
|
27 |
26 |
$2K |
| J1170 |
Hydromorphone injection |
519 |
304 |
$2K |
| 86900 |
|
618 |
522 |
$2K |
| 76641 |
|
16 |
13 |
$1K |
| 85379 |
|
1,534 |
1,273 |
$1K |
| 73620 |
|
12 |
12 |
$1K |
| 84443 |
|
1,750 |
1,303 |
$1K |
| Q0162 |
Ondansetron oral |
754 |
614 |
$1K |
| G0480 |
Drug test def 1-7 classes |
129 |
102 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
927 |
801 |
$1K |
| 80061 |
|
1,390 |
1,015 |
$1K |
| G1003 |
Cdsm medicalis |
104 |
76 |
$1K |
| J2765 |
Metoclopramide hcl injection |
811 |
711 |
$936.55 |
| 83036 |
|
1,157 |
855 |
$869.48 |
| 82247 |
|
318 |
268 |
$863.03 |
| 82040 |
|
317 |
268 |
$840.17 |
| 84075 |
|
297 |
252 |
$837.62 |
| 84450 |
|
297 |
252 |
$837.62 |
| 84460 |
|
296 |
251 |
$837.62 |
| 84155 |
|
296 |
252 |
$831.75 |
| 86901 |
|
617 |
521 |
$670.82 |
| J1815 |
Insulin injection |
646 |
320 |
$659.26 |
| 70551 |
|
14 |
12 |
$649.34 |
| J2250 |
Inj midazolam hydrochloride |
17 |
17 |
$644.38 |
| 82607 |
|
514 |
346 |
$642.10 |
| 73562 |
|
44 |
39 |
$495.43 |
| 97140 |
|
38 |
13 |
$429.81 |
| 88342 |
|
14 |
12 |
$403.02 |
| J2550 |
Promethazine hcl injection |
471 |
403 |
$401.59 |
| 82150 |
|
129 |
116 |
$396.99 |
| 82077 |
|
395 |
321 |
$373.11 |
| J2360 |
Orphenadrine injection |
334 |
304 |
$329.95 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
22 |
12 |
$324.86 |
| 85651 |
|
497 |
427 |
$301.19 |
| 84520 |
|
50 |
44 |
$249.69 |
| 82306 |
|
487 |
330 |
$232.46 |
| 86140 |
|
331 |
215 |
$230.44 |
| J2060 |
Lorazepam injection |
266 |
201 |
$228.47 |
| 85018 |
|
18 |
14 |
$214.47 |
| 36600 |
|
295 |
228 |
$208.14 |
| 84703 |
|
64 |
55 |
$208.00 |
| 82550 |
|
652 |
526 |
$204.88 |
| 96376 |
|
210 |
180 |
$202.57 |
| M0243 |
Casirivi and imdevi inj |
21 |
18 |
$192.29 |
| 84439 |
|
263 |
184 |
$142.10 |
| 76801 |
|
16 |
14 |
$126.70 |
| 82728 |
|
137 |
69 |
$125.76 |
| 86850 |
|
62 |
50 |
$13.02 |
| 80320 |
|
207 |
185 |
$0.00 |
| J2920 |
Methylprednisolone injection |
27 |
15 |
$0.00 |
| 84436 |
|
14 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
54 |
52 |
$0.00 |
| 90471 |
|
55 |
46 |
$0.00 |
| 84134 |
|
14 |
12 |
$0.00 |
| 82553 |
|
18 |
15 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
1,022 |
971 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
222 |
198 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
57 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
45 |
43 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
12 |
12 |
$0.00 |
| 84100 |
|
21 |
13 |
$0.00 |
| 87186 |
|
12 |
12 |
$0.00 |