| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,334 |
14,892 |
$2.11M |
| G0378 |
Hospital observation per hr |
2,353 |
888 |
$446K |
| 99283 |
|
4,722 |
4,598 |
$430K |
| 99285 |
|
2,467 |
2,386 |
$410K |
| 74177 |
|
1,175 |
1,149 |
$160K |
| 96374 |
|
5,717 |
5,441 |
$111K |
| T1015 |
Clinic service |
3,456 |
3,169 |
$97K |
| 80053 |
|
9,204 |
8,493 |
$72K |
| 85025 |
|
16,469 |
14,843 |
$67K |
| 70551 |
|
250 |
245 |
$51K |
| 71275 |
|
315 |
313 |
$47K |
| 96375 |
|
3,298 |
2,903 |
$45K |
| 0241U |
|
660 |
651 |
$43K |
| 70450 |
|
946 |
912 |
$42K |
| 64415 |
|
125 |
125 |
$37K |
| 80050 |
|
851 |
844 |
$37K |
| 74176 |
|
573 |
556 |
$35K |
| 43239 |
|
279 |
276 |
$34K |
| 93306 |
|
515 |
503 |
$29K |
| 72148 |
|
196 |
193 |
$28K |
| 70553 |
|
137 |
134 |
$28K |
| 73721 |
|
118 |
116 |
$27K |
| 72141 |
|
117 |
116 |
$26K |
| 93975 |
|
280 |
271 |
$26K |
| 93005 |
|
3,628 |
3,431 |
$26K |
| 82306 |
|
690 |
684 |
$21K |
| 80048 |
|
3,978 |
3,301 |
$21K |
| 71260 |
|
357 |
352 |
$20K |
| 45380 |
|
108 |
108 |
$20K |
| 84443 |
|
967 |
946 |
$19K |
| J3490 |
Drugs unclassified injection |
4,328 |
3,014 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
310 |
302 |
$18K |
| 71046 |
|
1,268 |
1,224 |
$16K |
| 80061 |
|
1,267 |
1,256 |
$16K |
| 93971 |
|
298 |
287 |
$16K |
| 71250 |
|
291 |
282 |
$15K |
| 96365 |
|
527 |
442 |
$14K |
| 78452 |
|
99 |
99 |
$14K |
| G0399 |
Home sleep test/type 3 porta |
112 |
110 |
$13K |
| 76536 |
|
271 |
265 |
$12K |
| 80307 |
|
307 |
292 |
$12K |
| 84484 |
|
1,817 |
1,648 |
$11K |
| 76705 |
|
357 |
353 |
$11K |
| 72125 |
|
258 |
251 |
$11K |
| M0243 |
Casirivi and imdevi inj |
27 |
26 |
$11K |
| 71045 |
|
2,169 |
2,064 |
$11K |
| G0480 |
Drug test def 1-7 classes |
266 |
259 |
$11K |
| 99282 |
|
215 |
210 |
$11K |
| 83605 |
|
2,026 |
1,916 |
$11K |
| 45378 |
|
44 |
44 |
$10K |
| 96413 |
|
105 |
81 |
$10K |
| 96361 |
|
826 |
625 |
$9K |
| 85730 |
|
1,948 |
1,867 |
$9K |
| 83735 |
|
2,062 |
1,649 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,945 |
5,521 |
$8K |
| 11042 |
|
216 |
167 |
$8K |
| 83690 |
|
2,313 |
2,169 |
$8K |
| 76770 |
|
184 |
179 |
$7K |
| 88305 |
|
845 |
824 |
$7K |
| 85610 |
|
2,920 |
2,544 |
$7K |
| 83880 |
|
318 |
306 |
$7K |
| 84439 |
|
915 |
900 |
$6K |
| 99281 |
|
226 |
223 |
$6K |
| 82607 |
|
551 |
545 |
$6K |
| 87040 |
|
499 |
312 |
$6K |
| 83036 |
|
967 |
954 |
$6K |
| 72100 |
|
355 |
347 |
$6K |
| 80076 |
|
859 |
816 |
$5K |
| 78815 |
|
12 |
12 |
$5K |
| 87635 |
|
188 |
180 |
$5K |
| 96372 |
|
831 |
584 |
$5K |
| 93017 |
|
169 |
165 |
$5K |
| 82728 |
|
462 |
448 |
$5K |
| 84702 |
|
534 |
490 |
$5K |
| 86803 |
|
276 |
276 |
$5K |
| 76856 |
|
140 |
136 |
$5K |
| 87086 |
|
798 |
758 |
$4K |
| 81025 |
|
1,532 |
1,382 |
$4K |
| 62323 |
|
69 |
67 |
$4K |
| A9577 |
Inj multihance |
1,001 |
977 |
$4K |
| 73610 |
|
267 |
262 |
$4K |
| 85379 |
|
454 |
445 |
$4K |
| Q3014 |
Telehealth facility fee |
233 |
221 |
$4K |
| 86618 |
|
198 |
194 |
$4K |
| 85027 |
|
967 |
785 |
$3K |
| J7030 |
Normal saline solution infus |
8,915 |
5,793 |
$3K |
| 83540 |
|
439 |
433 |
$3K |
| 73564 |
|
194 |
192 |
$3K |
| 96360 |
|
135 |
131 |
$3K |
| J1170 |
Hydromorphone injection |
6,777 |
3,315 |
$3K |
| 73630 |
|
365 |
359 |
$3K |
| 72158 |
|
12 |
12 |
$3K |
| 81001 |
|
1,268 |
1,211 |
$3K |
| 73502 |
|
174 |
167 |
$3K |
| 73030 |
|
235 |
229 |
$2K |
| 87077 |
|
417 |
407 |
$2K |
| 85652 |
|
969 |
920 |
$2K |
| 81003 |
|
968 |
928 |
$2K |
| 82565 |
|
495 |
472 |
$2K |
| 90715 |
|
217 |
213 |
$2K |
| J1815 |
Insulin injection |
209 |
96 |
$2K |
| 86140 |
|
889 |
835 |
$2K |
| 84100 |
|
476 |
381 |
$2K |
| 96366 |
|
160 |
98 |
$2K |
| 86038 |
|
157 |
153 |
$2K |
| 74018 |
|
233 |
215 |
$2K |
| 84153 |
|
81 |
81 |
$2K |
| 76830 |
|
59 |
58 |
$2K |
| 73130 |
|
214 |
208 |
$2K |
| J7120 |
Ringers lactate infusion |
5,452 |
4,890 |
$2K |
| 93226 |
|
63 |
59 |
$2K |
| 87186 |
|
320 |
310 |
$2K |
| 72110 |
|
93 |
93 |
$2K |
| 83550 |
|
402 |
396 |
$2K |
| 86850 |
|
415 |
396 |
$2K |
| 82043 |
|
219 |
219 |
$2K |
| 82550 |
|
281 |
270 |
$2K |
| 82977 |
|
190 |
166 |
$1K |
| 82746 |
|
128 |
124 |
$1K |
| 73110 |
|
137 |
134 |
$1K |
| 93970 |
|
25 |
25 |
$1K |
| 72040 |
|
101 |
100 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
135 |
132 |
$1K |
| 82962 |
|
1,132 |
691 |
$1K |
| 84403 |
|
46 |
45 |
$1K |
| 84703 |
|
247 |
241 |
$1K |
| 82784 |
|
50 |
50 |
$956.93 |
| 87070 |
|
285 |
269 |
$939.89 |
| 83615 |
|
142 |
101 |
$894.50 |
| 72050 |
|
37 |
37 |
$876.35 |
| 86901 |
|
427 |
408 |
$834.42 |
| 86900 |
|
428 |
409 |
$828.25 |
| J2795 |
Ropivacaine hcl injection |
305 |
273 |
$817.60 |
| 87491 |
|
44 |
42 |
$760.66 |
| J1885 |
Ketorolac tromethamine inj |
6,401 |
5,323 |
$753.23 |
| 87591 |
|
44 |
42 |
$744.74 |
| C9399 |
Unclassified drugs or biolog |
182 |
170 |
$740.09 |
| J0690 |
Cefazolin sodium injection |
1,654 |
1,182 |
$737.84 |
| 93225 |
|
46 |
44 |
$689.63 |
| 70486 |
|
12 |
12 |
$682.00 |
| 82805 |
|
26 |
24 |
$678.16 |
| J3010 |
Fentanyl citrate injection |
3,287 |
2,641 |
$645.44 |
| 86617 |
|
24 |
24 |
$638.36 |
| J2405 |
Ondansetron hcl injection |
8,738 |
6,939 |
$633.94 |
| 87340 |
|
47 |
47 |
$630.96 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
495 |
489 |
$608.96 |
| 87205 |
|
288 |
271 |
$603.75 |
| 82330 |
|
74 |
66 |
$579.22 |
| 84550 |
|
102 |
91 |
$552.40 |
| 82150 |
|
145 |
142 |
$517.76 |
| 87081 |
|
140 |
137 |
$509.30 |
| 85014 |
|
234 |
206 |
$486.28 |
| 88342 |
|
28 |
28 |
$481.51 |
| 83970 |
|
13 |
12 |
$475.06 |
| 84520 |
|
108 |
97 |
$467.35 |
| 85018 |
|
217 |
190 |
$463.11 |
| 88313 |
|
25 |
25 |
$453.20 |
| J1100 |
Dexamethasone sodium phos |
3,102 |
2,781 |
$453.10 |
| 84450 |
|
70 |
63 |
$448.09 |
| 76942 |
|
224 |
223 |
$435.72 |
| 86706 |
|
33 |
33 |
$418.91 |
| 87389 |
|
15 |
15 |
$393.94 |
| 84460 |
|
65 |
62 |
$388.94 |
| 72072 |
|
24 |
24 |
$379.65 |
| J0696 |
Ceftriaxone sodium injection |
852 |
716 |
$377.70 |
| 87430 |
|
78 |
77 |
$373.05 |
| J1644 |
Inj heparin sodium per 1000u |
1,436 |
571 |
$354.85 |
| 80329 |
|
24 |
24 |
$337.69 |
| 93296 |
|
25 |
25 |
$328.23 |
| J3535 |
Metered dose inhaler drug |
57 |
54 |
$302.75 |
| 88304 |
|
164 |
161 |
$299.26 |
| 73590 |
|
29 |
28 |
$294.12 |
| 96415 |
|
13 |
12 |
$293.90 |
| J8501 |
Oral aprepitant |
13 |
13 |
$266.24 |
| 73080 |
|
29 |
28 |
$263.85 |
| 86431 |
|
31 |
30 |
$223.79 |
| G0463 |
Hospital outpt clinic visit |
56 |
39 |
$211.25 |
| J0694 |
Cefoxitin sodium injection |
35 |
25 |
$201.66 |
| J7040 |
Normal saline solution infus |
961 |
761 |
$173.77 |
| 82570 |
|
28 |
25 |
$168.55 |
| J0780 |
Prochlorperazine injection |
449 |
368 |
$167.43 |
| J1200 |
Diphenhydramine hcl injectio |
1,576 |
1,360 |
$152.50 |
| 97162 |
|
12 |
12 |
$137.94 |
| 86592 |
|
30 |
30 |
$124.44 |
| 88307 |
|
82 |
82 |
$116.50 |
| 73090 |
|
14 |
13 |
$112.71 |
| J2930 |
Methylprednisolone injection |
149 |
138 |
$107.38 |
| J2250 |
Inj midazolam hydrochloride |
2,854 |
2,431 |
$106.00 |
| J7050 |
Normal saline solution infus |
968 |
593 |
$96.30 |
| 86376 |
|
12 |
12 |
$88.82 |
| 96376 |
|
97 |
53 |
$87.13 |
| J2270 |
Morphine sulfate injection |
180 |
129 |
$82.67 |
| 73562 |
|
15 |
13 |
$80.10 |
| 73140 |
|
14 |
14 |
$76.40 |
| J2765 |
Metoclopramide hcl injection |
733 |
632 |
$74.78 |
| 36415 |
|
721 |
565 |
$69.86 |
| 97161 |
|
17 |
16 |
$67.97 |
| 97165 |
|
15 |
14 |
$67.90 |
| 86308 |
|
14 |
13 |
$64.24 |
| 84156 |
|
15 |
12 |
$64.08 |
| J2704 |
Inj, propofol, 10 mg |
2,898 |
2,684 |
$52.91 |
| J3370 |
Vancomycin hcl injection |
28 |
26 |
$52.46 |
| 82947 |
|
27 |
27 |
$48.00 |
| J2060 |
Lorazepam injection |
464 |
362 |
$46.87 |
| J3480 |
Inj potassium chloride |
78 |
37 |
$30.50 |
| S0028 |
Injection, famotidine, 20 mg |
172 |
140 |
$10.82 |
| 94761 |
|
15 |
12 |
$9.87 |
| J7512 |
Prednisone ir or dr oral 1mg |
398 |
333 |
$9.09 |
| J7620 |
Albuterol ipratrop non-comp |
366 |
236 |
$6.58 |
| 94640 |
|
41 |
24 |
$3.56 |
| J7613 |
Albuterol non-comp unit |
32 |
25 |
$0.84 |
| S0119 |
Ondansetron 4 mg |
165 |
144 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
128 |
100 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
32 |
30 |
$0.00 |
| 76937 |
|
12 |
12 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
16 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
959 |
832 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
289 |
267 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
336 |
329 |
$0.00 |
| J7999 |
Compounded drug, noc |
1,000 |
816 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
41 |
39 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
12 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
12 |
12 |
$0.00 |