| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,796 |
14,831 |
$3.68M |
| 99283 |
|
17,980 |
16,175 |
$3.03M |
| 99285 |
|
2,030 |
1,816 |
$592K |
| 87633 |
|
1,063 |
1,013 |
$391K |
| 96374 |
|
14,521 |
11,706 |
$341K |
| 99282 |
|
4,148 |
3,940 |
$332K |
| 74177 |
|
2,254 |
2,041 |
$258K |
| 93005 |
|
7,943 |
6,568 |
$222K |
| 96375 |
|
6,623 |
5,398 |
$210K |
| 97530 |
|
3,261 |
966 |
$194K |
| G0480 |
Drug test def 1-7 classes |
2,250 |
1,982 |
$152K |
| 92507 |
|
3,077 |
980 |
$152K |
| 80053 |
|
22,410 |
18,033 |
$149K |
| 87631 |
|
1,069 |
1,042 |
$145K |
| 80307 |
|
2,543 |
2,158 |
$110K |
| 96365 |
|
2,126 |
617 |
$108K |
| 85027 |
|
25,231 |
19,809 |
$103K |
| 70450 |
|
2,622 |
2,374 |
$90K |
| 97110 |
|
2,946 |
759 |
$90K |
| 87502 |
|
1,157 |
1,080 |
$86K |
| 71046 |
|
5,825 |
5,339 |
$72K |
| 87798 |
|
2,075 |
1,982 |
$71K |
| 36415 |
|
27,275 |
21,368 |
$67K |
| 87581 |
|
1,968 |
1,890 |
$63K |
| 87486 |
|
1,965 |
1,888 |
$63K |
| 42820 |
|
118 |
105 |
$56K |
| 71275 |
|
586 |
511 |
$53K |
| 74176 |
|
884 |
782 |
$47K |
| 84443 |
|
3,297 |
3,038 |
$43K |
| 88305 |
|
716 |
641 |
$42K |
| 87088 |
|
6,148 |
5,390 |
$41K |
| 96372 |
|
2,996 |
2,514 |
$41K |
| 86140 |
|
11,157 |
9,461 |
$41K |
| 81001 |
|
16,278 |
13,744 |
$39K |
| 84703 |
|
5,551 |
4,673 |
$36K |
| 69436 |
|
95 |
88 |
$35K |
| 99281 |
|
1,147 |
1,087 |
$31K |
| 87507 |
|
100 |
91 |
$31K |
| 72125 |
|
560 |
504 |
$28K |
| 12001 |
|
362 |
343 |
$27K |
| 90870 |
|
197 |
52 |
$24K |
| 87491 |
|
640 |
602 |
$20K |
| 87591 |
|
640 |
602 |
$20K |
| 84439 |
|
2,755 |
2,548 |
$20K |
| G0463 |
Hospital outpt clinic visit |
3,873 |
1,500 |
$20K |
| 84484 |
|
4,402 |
3,307 |
$19K |
| 94640 |
|
1,656 |
1,431 |
$19K |
| 83690 |
|
4,143 |
3,602 |
$19K |
| 12011 |
|
216 |
211 |
$18K |
| Q4133 |
Grafix stravix prime pl sqcm |
29 |
12 |
$18K |
| 74018 |
|
1,324 |
1,232 |
$17K |
| 70553 |
|
129 |
114 |
$17K |
| J7030 |
Normal saline solution infus |
12,010 |
9,908 |
$16K |
| 71045 |
|
4,035 |
3,508 |
$15K |
| 87040 |
|
1,835 |
1,084 |
$14K |
| 84112 |
|
189 |
169 |
$14K |
| 87081 |
|
2,041 |
1,958 |
$13K |
| 93971 |
|
321 |
286 |
$13K |
| 87077 |
|
2,039 |
1,808 |
$13K |
| 80048 |
|
2,412 |
1,967 |
$12K |
| 76700 |
|
263 |
241 |
$12K |
| 87186 |
|
1,803 |
1,610 |
$12K |
| J3486 |
Ziprasidone mesylate |
688 |
437 |
$11K |
| 83880 |
|
811 |
678 |
$11K |
| 97163 |
|
292 |
262 |
$10K |
| 84702 |
|
698 |
576 |
$10K |
| 73130 |
|
579 |
539 |
$10K |
| 73610 |
|
658 |
608 |
$10K |
| 85379 |
|
1,283 |
1,167 |
$9K |
| 80061 |
|
769 |
711 |
$9K |
| 82550 |
|
2,265 |
1,863 |
$9K |
| 87505 |
|
76 |
74 |
$9K |
| 83605 |
|
1,343 |
1,084 |
$9K |
| 99213 |
|
462 |
236 |
$9K |
| 73630 |
|
637 |
597 |
$8K |
| 76856 |
|
165 |
156 |
$8K |
| 96361 |
|
392 |
268 |
$8K |
| 83735 |
|
2,994 |
2,328 |
$8K |
| 82553 |
|
1,385 |
1,126 |
$7K |
| 36000 |
|
877 |
822 |
$7K |
| 99152 |
|
98 |
93 |
$7K |
| 70486 |
|
110 |
104 |
$7K |
| 87660 |
|
334 |
314 |
$6K |
| 72100 |
|
560 |
523 |
$6K |
| 73110 |
|
380 |
355 |
$6K |
| 76801 |
|
129 |
114 |
$6K |
| 76770 |
|
122 |
114 |
$6K |
| 87480 |
|
334 |
314 |
$6K |
| 87510 |
|
334 |
314 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
57 |
55 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
3,083 |
1,912 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
143 |
139 |
$5K |
| 70551 |
|
69 |
66 |
$5K |
| 71260 |
|
90 |
77 |
$5K |
| 88304 |
|
196 |
181 |
$5K |
| 73030 |
|
461 |
426 |
$5K |
| 76705 |
|
138 |
124 |
$5K |
| 87070 |
|
753 |
660 |
$5K |
| 73562 |
|
311 |
296 |
$5K |
| 72148 |
|
60 |
55 |
$5K |
| 93306 |
|
37 |
36 |
$5K |
| 82248 |
|
1,218 |
1,014 |
$4K |
| 90715 |
|
238 |
228 |
$4K |
| J2270 |
Morphine sulfate injection |
2,520 |
2,111 |
$4K |
| 72040 |
|
358 |
327 |
$4K |
| 87205 |
|
1,248 |
1,059 |
$4K |
| 90471 |
|
314 |
296 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
4,979 |
3,796 |
$4K |
| 85610 |
|
1,661 |
1,278 |
$4K |
| 76817 |
|
96 |
85 |
$4K |
| 99211 |
|
579 |
447 |
$3K |
| 85730 |
|
868 |
774 |
$3K |
| 77067 |
|
106 |
105 |
$3K |
| G0378 |
Hospital observation per hr |
803 |
528 |
$3K |
| 99214 |
|
249 |
123 |
$3K |
| J2550 |
Promethazine hcl injection |
1,767 |
1,461 |
$3K |
| J2360 |
Orphenadrine injection |
770 |
715 |
$3K |
| 86850 |
|
611 |
503 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,783 |
2,789 |
$3K |
| G0283 |
Elec stim other than wound |
481 |
110 |
$3K |
| 29125 |
|
61 |
58 |
$3K |
| 73090 |
|
188 |
174 |
$2K |
| 43239 |
|
15 |
12 |
$2K |
| J2930 |
Methylprednisolone injection |
689 |
609 |
$2K |
| 85651 |
|
850 |
752 |
$2K |
| 84145 |
|
153 |
135 |
$2K |
| J7060 |
5% dextrose/water |
1,543 |
538 |
$2K |
| J7040 |
Normal saline solution infus |
2,741 |
2,540 |
$2K |
| 83036 |
|
314 |
292 |
$2K |
| 87335 |
|
191 |
185 |
$2K |
| 86900 |
|
749 |
635 |
$2K |
| 87493 |
|
79 |
66 |
$2K |
| J2405 |
Ondansetron hcl injection |
6,858 |
5,490 |
$2K |
| J7120 |
Ringers lactate infusion |
1,287 |
968 |
$2K |
| 76830 |
|
26 |
26 |
$2K |
| J0561 |
Penicillin g benzathine inj |
15 |
15 |
$2K |
| 86901 |
|
750 |
635 |
$2K |
| 82728 |
|
168 |
153 |
$2K |
| 87045 |
|
191 |
185 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,594 |
1,372 |
$1K |
| 82306 |
|
72 |
69 |
$1K |
| 87075 |
|
220 |
197 |
$1K |
| 76815 |
|
43 |
40 |
$1K |
| 59025 |
|
96 |
50 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,905 |
3,205 |
$1K |
| 99212 |
|
113 |
75 |
$1K |
| 73590 |
|
116 |
105 |
$1K |
| 73140 |
|
74 |
68 |
$1K |
| 82784 |
|
116 |
109 |
$1K |
| 16020 |
|
17 |
14 |
$1K |
| 74021 |
|
81 |
77 |
$1K |
| 88300 |
|
100 |
93 |
$1K |
| 73560 |
|
75 |
74 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
383 |
197 |
$1K |
| 12002 |
|
14 |
13 |
$910.50 |
| 87329 |
|
77 |
75 |
$787.39 |
| 72131 |
|
14 |
13 |
$771.05 |
| 83550 |
|
120 |
111 |
$723.32 |
| J1644 |
Inj heparin sodium per 1000u |
420 |
307 |
$710.19 |
| 80203 |
|
50 |
50 |
$705.08 |
| J7050 |
Normal saline solution infus |
1,172 |
771 |
$701.39 |
| 73502 |
|
46 |
42 |
$637.59 |
| 83540 |
|
132 |
124 |
$628.61 |
| J2765 |
Metoclopramide hcl injection |
1,023 |
910 |
$612.14 |
| 83516 |
|
59 |
58 |
$609.27 |
| J0690 |
Cefazolin sodium injection |
459 |
336 |
$575.94 |
| 74019 |
|
44 |
40 |
$566.38 |
| 89055 |
|
153 |
148 |
$537.49 |
| J2060 |
Lorazepam injection |
980 |
872 |
$499.65 |
| 73080 |
|
27 |
26 |
$427.34 |
| 82140 |
|
50 |
41 |
$368.37 |
| 97116 |
|
29 |
12 |
$365.92 |
| 87328 |
|
40 |
39 |
$345.18 |
| 84100 |
|
150 |
92 |
$325.10 |
| 82270 |
|
102 |
96 |
$322.19 |
| 71101 |
|
26 |
25 |
$291.84 |
| S0119 |
Ondansetron 4 mg |
2,120 |
2,032 |
$283.92 |
| J8540 |
Oral dexamethasone |
90 |
89 |
$253.12 |
| 82247 |
|
45 |
28 |
$250.65 |
| J2250 |
Inj midazolam hydrochloride |
1,066 |
803 |
$243.12 |
| 86308 |
|
44 |
43 |
$242.80 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
221 |
138 |
$223.74 |
| J3360 |
Diazepam injection |
66 |
31 |
$207.90 |
| J7512 |
Prednisone ir or dr oral 1mg |
569 |
522 |
$205.05 |
| 89051 |
|
53 |
36 |
$189.72 |
| 73552 |
|
13 |
12 |
$184.34 |
| J2704 |
Inj, propofol, 10 mg |
469 |
422 |
$180.73 |
| J1170 |
Hydromorphone injection |
115 |
97 |
$173.20 |
| 82150 |
|
40 |
30 |
$164.73 |
| 97035 |
|
34 |
12 |
$154.06 |
| 84157 |
|
28 |
24 |
$147.67 |
| 96376 |
|
1,637 |
1,351 |
$147.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,045 |
3,274 |
$131.55 |
| J0702 |
Betamethasone acet&sod phosp |
18 |
13 |
$123.84 |
| 82607 |
|
14 |
14 |
$117.25 |
| 0100U |
|
630 |
610 |
$109.34 |
| 86038 |
|
12 |
12 |
$108.24 |
| 81002 |
|
37 |
37 |
$95.89 |
| A9579 |
Gad-base mr contrast nos,1ml |
126 |
80 |
$92.39 |
| J7620 |
Albuterol ipratrop non-comp |
852 |
774 |
$92.12 |
| 82570 |
|
24 |
24 |
$92.00 |
| 82009 |
|
30 |
25 |
$89.21 |
| C1894 |
Intro/sheath, non-laser |
122 |
115 |
$83.75 |
| J2175 |
Meperidine hydrochl /100 mg |
13 |
12 |
$78.56 |
| J1642 |
Inj heparin sodium per 10 u |
140 |
86 |
$76.50 |
| 80069 |
|
18 |
13 |
$67.55 |
| C1769 |
Guide wire |
191 |
174 |
$64.95 |
| G0383 |
Lev 4 hosp type b ed visit |
779 |
634 |
$39.07 |
| 76937 |
|
18 |
13 |
$34.38 |
| 84156 |
|
12 |
12 |
$24.48 |
| J7510 |
Prednisolone oral per 5 mg |
40 |
37 |
$12.60 |
| J0330 |
Succinycholine chloride inj |
68 |
41 |
$2.71 |
| Q0169 |
Promethazine hcl 12.5mg oral |
13 |
13 |
$0.94 |
| 77063 |
|
78 |
78 |
$0.00 |
| A9270 |
Non-covered item or service |
4,112 |
1,868 |
$0.00 |
| 0098U |
|
651 |
628 |
$0.00 |
| 87635 |
|
69 |
65 |
$0.00 |
| 87637 |
|
17 |
15 |
$0.00 |
| J7999 |
Compounded drug, noc |
14 |
12 |
$0.00 |
| G0381 |
Lev 2 hosp type b ed visit |
537 |
467 |
$0.00 |
| G0380 |
Lev 1 hosp type b ed visit |
118 |
68 |
$0.00 |
| G8978 |
Mobility current status |
15 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
15 |
12 |
$0.00 |