| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
20,180 |
17,951 |
$5.19M |
| 99283 |
|
28,163 |
25,733 |
$3.53M |
| 99284 |
|
28,768 |
26,200 |
$3.21M |
| 80053 |
|
27,869 |
24,018 |
$2.56M |
| 74177 |
|
3,359 |
3,162 |
$1.93M |
| 70450 |
|
5,507 |
5,122 |
$1.67M |
| 74176 |
|
3,413 |
3,220 |
$1.46M |
| 43239 |
|
1,566 |
1,509 |
$577K |
| 72125 |
|
1,323 |
1,254 |
$508K |
| 80050 |
|
1,350 |
1,299 |
$390K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
396 |
324 |
$358K |
| 99282 |
|
3,111 |
2,966 |
$267K |
| 99291 |
|
588 |
558 |
$245K |
| 64483 |
|
410 |
343 |
$229K |
| 73562 |
|
1,097 |
1,026 |
$141K |
| 11042 |
|
1,233 |
569 |
$131K |
| 99281 |
|
2,099 |
1,978 |
$108K |
| 94640 |
|
3,631 |
2,799 |
$97K |
| 70486 |
|
1,056 |
1,010 |
$95K |
| 90870 |
|
2,262 |
763 |
$85K |
| 76856 |
|
699 |
664 |
$85K |
| 76705 |
|
1,166 |
1,094 |
$76K |
| 73130 |
|
853 |
816 |
$75K |
| 73610 |
|
762 |
726 |
$59K |
| 93458 |
|
68 |
58 |
$57K |
| 96361 |
|
14,605 |
13,062 |
$57K |
| 95811 |
|
100 |
81 |
$54K |
| 73630 |
|
841 |
787 |
$48K |
| 93975 |
|
83 |
78 |
$36K |
| 72131 |
|
105 |
104 |
$33K |
| 73030 |
|
797 |
720 |
$30K |
| 80307 |
|
7,276 |
6,745 |
$29K |
| 62321 |
|
90 |
68 |
$29K |
| 87635 |
|
2,625 |
2,517 |
$28K |
| 12001 |
|
172 |
162 |
$27K |
| U0003 |
Cov-19 amp prb hgh thruput |
443 |
426 |
$25K |
| 93005 |
|
14,888 |
13,125 |
$24K |
| 36410 |
|
32 |
24 |
$24K |
| G0378 |
Hospital observation per hr |
6,008 |
2,811 |
$19K |
| 73110 |
|
197 |
186 |
$18K |
| 99213 |
|
542 |
297 |
$17K |
| 88305 |
|
2,231 |
2,037 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,093 |
3,820 |
$12K |
| 96366 |
|
734 |
656 |
$12K |
| C1776 |
Joint device (implantable) |
30 |
25 |
$11K |
| 80048 |
|
10,746 |
8,938 |
$11K |
| 45380 |
|
26 |
24 |
$11K |
| 96374 |
|
20,616 |
18,378 |
$10K |
| 64484 |
|
66 |
55 |
$10K |
| 0241U |
|
2,164 |
2,056 |
$10K |
| 10060 |
|
132 |
126 |
$10K |
| U0004 |
Cov-19 test non-cdc hgh thru |
125 |
120 |
$9K |
| 96375 |
|
16,817 |
14,336 |
$8K |
| 99152 |
|
1,914 |
1,496 |
$7K |
| 71275 |
|
760 |
715 |
$7K |
| 71046 |
|
4,066 |
3,806 |
$7K |
| 12002 |
|
24 |
24 |
$7K |
| 96376 |
|
4,406 |
3,563 |
$6K |
| 72100 |
|
67 |
64 |
$6K |
| 87186 |
|
2,431 |
2,257 |
$6K |
| 71101 |
|
25 |
25 |
$5K |
| G0463 |
Hospital outpt clinic visit |
249 |
138 |
$5K |
| 71045 |
|
10,948 |
9,956 |
$4K |
| 73080 |
|
54 |
50 |
$4K |
| M0243 |
Casirivi and imdevi inj |
34 |
29 |
$4K |
| 86901 |
|
1,599 |
1,461 |
$3K |
| 76700 |
|
371 |
348 |
$3K |
| 96372 |
|
8,088 |
7,482 |
$3K |
| 96360 |
|
4,453 |
4,205 |
$3K |
| 85025 |
|
35,045 |
28,765 |
$3K |
| 96365 |
|
3,651 |
3,414 |
$3K |
| 12011 |
|
25 |
25 |
$2K |
| 73090 |
|
26 |
26 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
626 |
565 |
$2K |
| 87491 |
|
2,390 |
2,028 |
$2K |
| 87591 |
|
2,096 |
2,025 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| 84484 |
|
9,134 |
6,365 |
$1K |
| 84703 |
|
6,149 |
5,784 |
$1K |
| 71250 |
|
14 |
12 |
$983.32 |
| 83690 |
|
11,267 |
10,006 |
$913.73 |
| 81003 |
|
8,990 |
8,365 |
$887.96 |
| 36415 |
|
43,453 |
34,284 |
$834.79 |
| A9270 |
Non-covered item or service |
5,006 |
1,274 |
$614.65 |
| 29125 |
|
25 |
24 |
$580.40 |
| 87880 |
|
3,016 |
2,921 |
$560.76 |
| 82803 |
|
49 |
43 |
$497.35 |
| 81025 |
|
7,806 |
7,020 |
$497.00 |
| 85730 |
|
5,912 |
5,405 |
$478.46 |
| 83605 |
|
3,532 |
2,978 |
$475.76 |
| 97597 |
|
15 |
12 |
$423.23 |
| 73140 |
|
16 |
14 |
$423.08 |
| 90715 |
|
1,198 |
1,174 |
$422.44 |
| J7030 |
Normal saline solution infus |
16,990 |
12,901 |
$417.61 |
| 85610 |
|
7,150 |
6,428 |
$406.76 |
| 85379 |
|
2,479 |
2,310 |
$395.32 |
| 81001 |
|
10,217 |
9,464 |
$384.71 |
| 94761 |
|
2,345 |
1,307 |
$372.31 |
| 87428 |
|
1,096 |
1,061 |
$371.02 |
| J2270 |
Morphine sulfate injection |
10,623 |
7,277 |
$365.92 |
| 87661 |
|
804 |
777 |
$358.16 |
| 93971 |
|
383 |
350 |
$353.86 |
| 87400 |
|
1,553 |
1,483 |
$348.77 |
| J1885 |
Ketorolac tromethamine inj |
14,402 |
11,847 |
$347.65 |
| 87040 |
|
3,421 |
2,175 |
$300.85 |
| 82550 |
|
5,088 |
4,464 |
$260.78 |
| 87088 |
|
3,022 |
2,800 |
$239.40 |
| J3490 |
Drugs unclassified injection |
304 |
210 |
$233.60 |
| 85027 |
|
2,351 |
1,959 |
$231.94 |
| 84702 |
|
1,367 |
1,263 |
$203.32 |
| 83735 |
|
5,147 |
4,247 |
$202.55 |
| 87804 |
|
838 |
422 |
$192.14 |
| C9113 |
Inj pantoprazole sodium, via |
837 |
582 |
$187.62 |
| 83880 |
|
3,055 |
2,755 |
$179.31 |
| 80320 |
|
5,327 |
4,654 |
$165.13 |
| J0696 |
Ceftriaxone sodium injection |
3,988 |
3,528 |
$162.09 |
| J2930 |
Methylprednisolone injection |
1,278 |
1,164 |
$161.45 |
| 90471 |
|
1,419 |
1,380 |
$155.93 |
| 87086 |
|
3,180 |
2,999 |
$142.91 |
| 87081 |
|
1,578 |
1,542 |
$134.88 |
| 87651 |
|
365 |
358 |
$127.37 |
| 87077 |
|
1,296 |
1,189 |
$118.34 |
| 82962 |
|
7,072 |
4,203 |
$117.85 |
| 76801 |
|
243 |
215 |
$109.78 |
| 72040 |
|
28 |
28 |
$103.21 |
| 86900 |
|
1,599 |
1,461 |
$94.94 |
| J2795 |
Ropivacaine hcl injection |
538 |
436 |
$94.50 |
| G0480 |
Drug test def 1-7 classes |
59 |
42 |
$91.73 |
| J1100 |
Dexamethasone sodium phos |
4,264 |
3,724 |
$90.22 |
| 87210 |
|
884 |
849 |
$86.00 |
| 80076 |
|
688 |
631 |
$79.39 |
| J2360 |
Orphenadrine injection |
986 |
922 |
$76.64 |
| 82077 |
|
1,510 |
1,379 |
$71.68 |
| J1200 |
Diphenhydramine hcl injectio |
5,166 |
4,209 |
$71.63 |
| J2405 |
Ondansetron hcl injection |
12,315 |
9,248 |
$62.33 |
| 76937 |
|
316 |
284 |
$59.59 |
| 83036 |
|
1,541 |
1,410 |
$56.31 |
| J3010 |
Fentanyl citrate injection |
5,765 |
4,634 |
$48.33 |
| J0330 |
Succinycholine chloride inj |
3,740 |
2,031 |
$44.58 |
| J2765 |
Metoclopramide hcl injection |
2,301 |
2,043 |
$42.10 |
| 76830 |
|
109 |
107 |
$40.59 |
| 96367 |
|
12 |
12 |
$39.37 |
| J2060 |
Lorazepam injection |
4,092 |
3,283 |
$38.63 |
| 84443 |
|
652 |
575 |
$36.62 |
| 86850 |
|
808 |
733 |
$30.99 |
| J7120 |
Ringers lactate infusion |
946 |
673 |
$26.25 |
| 94664 |
|
981 |
897 |
$26.00 |
| J3475 |
Inj magnesium sulfate |
1,601 |
1,387 |
$21.76 |
| 88304 |
|
77 |
76 |
$20.04 |
| 85007 |
|
774 |
682 |
$16.58 |
| J1040 |
Methylprednisolone 80 mg inj |
1,197 |
970 |
$15.97 |
| J0780 |
Prochlorperazine injection |
1,042 |
913 |
$15.13 |
| J2919 |
Inj, methylpred sod succ 5mg |
90 |
79 |
$14.71 |
| J2704 |
Inj, propofol, 10 mg |
6,004 |
4,161 |
$12.75 |
| J3370 |
Vancomycin hcl injection |
691 |
462 |
$12.54 |
| J1170 |
Hydromorphone injection |
3,244 |
1,740 |
$11.32 |
| J0690 |
Cefazolin sodium injection |
2,445 |
1,955 |
$10.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,257 |
1,134 |
$9.66 |
| 82150 |
|
363 |
343 |
$9.16 |
| 87807 |
|
76 |
74 |
$8.57 |
| 87147 |
|
193 |
176 |
$8.25 |
| 82947 |
|
710 |
505 |
$7.58 |
| 87070 |
|
221 |
201 |
$6.01 |
| J1630 |
Haloperidol injection |
998 |
856 |
$5.55 |
| 82271 |
|
13 |
12 |
$3.54 |
| 87205 |
|
373 |
331 |
$2.77 |
| 87420 |
|
144 |
140 |
$2.34 |
| 94760 |
|
1,055 |
984 |
$2.02 |
| J2250 |
Inj midazolam hydrochloride |
6,032 |
4,585 |
$1.74 |
| J3480 |
Inj potassium chloride |
933 |
693 |
$1.50 |
| J7050 |
Normal saline solution infus |
297 |
194 |
$0.68 |
| 85018 |
|
59 |
51 |
$0.00 |
| 80329 |
|
504 |
376 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
484 |
474 |
$0.00 |
| 85652 |
|
128 |
112 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
425 |
363 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
269 |
157 |
$0.00 |
| 88342 |
|
321 |
308 |
$0.00 |
| 82553 |
|
219 |
197 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
322 |
199 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
120 |
112 |
$0.00 |
| J2001 |
Lidocaine injection |
279 |
209 |
$0.00 |
| 85651 |
|
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
189 |
174 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
54 |
28 |
$0.00 |
| 82270 |
|
27 |
27 |
$0.00 |
| 84132 |
|
278 |
230 |
$0.00 |
| 97535 |
|
52 |
40 |
$0.00 |
| C1769 |
Guide wire |
41 |
37 |
$0.00 |
| C1889 |
Implant/insert device, noc |
18 |
18 |
$0.00 |
| 74021 |
|
12 |
12 |
$0.00 |
| 96368 |
|
14 |
14 |
$0.00 |
| 97165 |
|
47 |
43 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
13 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
29 |
26 |
$0.00 |
| J1940 |
Furosemide injection |
16 |
12 |
$0.00 |
| 80143 |
|
324 |
307 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
334 |
285 |
$0.00 |
| 97530 |
|
103 |
77 |
$0.00 |
| 85014 |
|
99 |
85 |
$0.00 |
| 80179 |
|
258 |
248 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
540 |
337 |
$0.00 |
| 97161 |
|
167 |
146 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
663 |
534 |
$0.00 |
| C1760 |
Closure dev, vasc |
48 |
39 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
265 |
208 |
$0.00 |
| C9364 |
Porcine implant, permacol |
97 |
68 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
486 |
309 |
$0.00 |
| 82272 |
|
40 |
37 |
$0.00 |
| J7040 |
Normal saline solution infus |
96 |
93 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
48 |
40 |
$0.00 |
| A4649 |
Surgical supplies |
48 |
38 |
$0.00 |
| 85520 |
|
58 |
52 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
36 |
25 |
$0.00 |
| 82805 |
|
120 |
97 |
$0.00 |
| 84600 |
|
18 |
15 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
24 |
16 |
$0.00 |
| 97116 |
|
27 |
17 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
90 |
81 |
$0.00 |
| 74018 |
|
54 |
52 |
$0.00 |
| A6255 |
Absorpt drg >16<=48 in w/bdr |
12 |
12 |
$0.00 |
| 84100 |
|
105 |
74 |
$0.00 |
| J1953 |
Levetiracetam injection |
61 |
53 |
$0.00 |