| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,854 |
14,522 |
$7.31M |
| 99284 |
|
12,154 |
10,906 |
$6.18M |
| 99285 |
|
7,584 |
6,649 |
$5.41M |
| G0378 |
Hospital observation per hr |
3,717 |
2,483 |
$1.85M |
| 74177 |
|
2,610 |
2,437 |
$1.68M |
| 99282 |
|
4,048 |
3,820 |
$1.46M |
| 74176 |
|
1,428 |
1,336 |
$757K |
| L8699 |
Prosthetic implant nos |
460 |
432 |
$405K |
| 93306 |
|
1,865 |
1,785 |
$361K |
| 77067 |
|
3,490 |
3,425 |
$355K |
| 97110 |
|
8,476 |
3,412 |
$280K |
| 99281 |
|
625 |
566 |
$191K |
| 97140 |
|
6,605 |
2,764 |
$152K |
| 76856 |
|
1,094 |
1,047 |
$100K |
| 73110 |
|
2,519 |
1,915 |
$89K |
| 70450 |
|
3,538 |
3,246 |
$86K |
| 96361 |
|
3,954 |
3,311 |
$84K |
| 73130 |
|
2,400 |
2,113 |
$73K |
| 71046 |
|
4,966 |
4,670 |
$73K |
| 70553 |
|
115 |
113 |
$70K |
| 96367 |
|
1,699 |
1,166 |
$63K |
| 80307 |
|
2,834 |
2,437 |
$60K |
| 73564 |
|
1,659 |
1,571 |
$59K |
| 73630 |
|
2,322 |
2,118 |
$56K |
| 96366 |
|
1,327 |
766 |
$49K |
| A4649 |
Surgical supplies |
26,375 |
20,429 |
$49K |
| 43239 |
|
139 |
135 |
$48K |
| 71260 |
|
1,037 |
972 |
$48K |
| 96413 |
|
1,846 |
1,175 |
$47K |
| 73610 |
|
1,939 |
1,667 |
$44K |
| 73721 |
|
113 |
111 |
$40K |
| 93005 |
|
8,871 |
7,788 |
$38K |
| 73030 |
|
1,838 |
1,694 |
$35K |
| 73080 |
|
981 |
772 |
$28K |
| 72100 |
|
783 |
762 |
$28K |
| 73140 |
|
1,118 |
887 |
$27K |
| 70551 |
|
124 |
120 |
$25K |
| C9803 |
Hopd covid-19 spec collect |
1,701 |
1,550 |
$25K |
| 73502 |
|
1,142 |
1,014 |
$25K |
| 97162 |
|
641 |
588 |
$24K |
| 97161 |
|
390 |
384 |
$21K |
| 76700 |
|
249 |
247 |
$18K |
| 73562 |
|
655 |
637 |
$16K |
| 97166 |
|
310 |
288 |
$16K |
| 76705 |
|
405 |
376 |
$15K |
| 96374 |
|
6,904 |
6,093 |
$13K |
| 86850 |
|
1,251 |
1,117 |
$13K |
| 96375 |
|
6,902 |
5,767 |
$13K |
| 66984 |
|
28 |
27 |
$12K |
| 45385 |
|
14 |
14 |
$12K |
| 96365 |
|
4,686 |
3,893 |
$10K |
| 0241U |
|
1,912 |
1,829 |
$8K |
| 72148 |
|
27 |
25 |
$7K |
| 72125 |
|
271 |
258 |
$6K |
| 73221 |
|
13 |
13 |
$6K |
| 87502 |
|
1,240 |
1,179 |
$6K |
| 76805 |
|
65 |
63 |
$5K |
| A4215 |
Sterile needle |
10,179 |
8,450 |
$5K |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$5K |
| 76642 |
|
183 |
174 |
$5K |
| 93017 |
|
71 |
69 |
$5K |
| 96360 |
|
473 |
414 |
$4K |
| 88305 |
|
1,824 |
1,725 |
$4K |
| 80053 |
|
12,793 |
10,692 |
$4K |
| 76801 |
|
86 |
79 |
$3K |
| 73590 |
|
123 |
110 |
$3K |
| G0379 |
Direct refer hospital observ |
412 |
333 |
$3K |
| 92558 |
|
37 |
37 |
$3K |
| 73090 |
|
119 |
90 |
$2K |
| J3490 |
Drugs unclassified injection |
12,026 |
3,650 |
$2K |
| 74018 |
|
147 |
138 |
$2K |
| 76536 |
|
26 |
24 |
$2K |
| 97530 |
|
132 |
64 |
$2K |
| 85025 |
|
19,867 |
15,560 |
$2K |
| 71045 |
|
4,694 |
4,222 |
$2K |
| 87086 |
|
1,845 |
1,705 |
$2K |
| 87635 |
|
2,105 |
1,944 |
$2K |
| A9270 |
Non-covered item or service |
2,229 |
903 |
$1K |
| 80048 |
|
6,849 |
5,679 |
$912.98 |
| 93971 |
|
32 |
30 |
$865.07 |
| J0131 |
Inj, acetaminophen (nos) |
4,134 |
3,566 |
$843.68 |
| 96372 |
|
4,852 |
3,644 |
$831.54 |
| 70486 |
|
14 |
13 |
$789.13 |
| 84484 |
|
4,806 |
3,989 |
$719.12 |
| 87186 |
|
887 |
839 |
$665.96 |
| 76770 |
|
15 |
12 |
$633.06 |
| 83880 |
|
1,474 |
1,266 |
$632.20 |
| 0450 |
|
14 |
12 |
$530.58 |
| 87804 |
|
3,965 |
1,982 |
$497.26 |
| 72170 |
|
12 |
12 |
$476.13 |
| 84703 |
|
4,304 |
3,911 |
$470.87 |
| 83690 |
|
4,184 |
3,707 |
$441.08 |
| G0480 |
Drug test def 1-7 classes |
85 |
73 |
$312.87 |
| 76830 |
|
816 |
775 |
$305.66 |
| 83735 |
|
2,371 |
1,974 |
$278.27 |
| 81001 |
|
8,318 |
7,546 |
$272.60 |
| 87634 |
|
741 |
710 |
$249.56 |
| 83605 |
|
2,322 |
1,996 |
$246.74 |
| 72040 |
|
12 |
12 |
$233.21 |
| J1885 |
Ketorolac tromethamine inj |
5,884 |
4,711 |
$225.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,390 |
3,983 |
$225.60 |
| 85379 |
|
554 |
527 |
$208.24 |
| 87040 |
|
2,003 |
1,825 |
$202.21 |
| 85610 |
|
3,740 |
3,247 |
$186.73 |
| 73560 |
|
17 |
15 |
$186.72 |
| 73552 |
|
12 |
12 |
$182.53 |
| 94640 |
|
1,514 |
1,106 |
$180.96 |
| J2405 |
Ondansetron hcl injection |
7,679 |
6,230 |
$174.03 |
| 73660 |
|
15 |
14 |
$161.31 |
| 85730 |
|
2,102 |
1,878 |
$140.39 |
| J2704 |
Inj, propofol, 10 mg |
5,364 |
4,589 |
$130.81 |
| 87651 |
|
105 |
104 |
$128.66 |
| J1100 |
Dexamethasone sodium phos |
5,848 |
4,886 |
$122.05 |
| J0137 |
Inj, acetaminophen (hikma) |
674 |
555 |
$117.05 |
| 96376 |
|
2,876 |
1,759 |
$99.35 |
| 36415 |
|
10,967 |
8,194 |
$98.72 |
| 84443 |
|
1,090 |
1,009 |
$94.61 |
| 87077 |
|
1,426 |
1,122 |
$94.45 |
| J2270 |
Morphine sulfate injection |
2,375 |
1,781 |
$72.18 |
| 87420 |
|
417 |
410 |
$56.72 |
| A4217 |
Sterile water/saline, 500 ml |
1,781 |
1,648 |
$55.00 |
| J1170 |
Hydromorphone injection |
1,971 |
1,460 |
$48.70 |
| 87880 |
|
238 |
233 |
$47.67 |
| J3010 |
Fentanyl citrate injection |
5,031 |
3,991 |
$44.24 |
| 90715 |
|
38 |
37 |
$41.22 |
| 87591 |
|
31 |
24 |
$38.51 |
| E0114 |
Crutch underarm pair no wood |
168 |
164 |
$35.00 |
| A9585 |
Gadobutrol injection |
436 |
409 |
$33.00 |
| J2060 |
Lorazepam injection |
739 |
575 |
$32.06 |
| 87491 |
|
31 |
24 |
$31.17 |
| A4467 |
Belt strap sleev grmnt cover |
1,112 |
1,009 |
$29.56 |
| J1200 |
Diphenhydramine hcl injectio |
1,870 |
1,467 |
$26.90 |
| 87081 |
|
130 |
126 |
$23.96 |
| 87070 |
|
495 |
450 |
$22.38 |
| J0690 |
Cefazolin sodium injection |
1,558 |
1,332 |
$20.79 |
| J0696 |
Ceftriaxone sodium injection |
538 |
402 |
$20.59 |
| 86901 |
|
1,486 |
1,313 |
$17.53 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
84 |
75 |
$17.10 |
| 80076 |
|
124 |
123 |
$15.30 |
| 86900 |
|
1,473 |
1,300 |
$15.19 |
| J3475 |
Inj magnesium sulfate |
493 |
377 |
$12.97 |
| J2765 |
Metoclopramide hcl injection |
1,186 |
1,048 |
$9.82 |
| J2250 |
Inj midazolam hydrochloride |
3,531 |
3,228 |
$9.06 |
| 90471 |
|
167 |
165 |
$8.92 |
| J0136 |
Inj, acetaminophen (b braun) |
87 |
73 |
$8.66 |
| J7030 |
Normal saline solution infus |
115 |
88 |
$7.20 |
| 86140 |
|
398 |
373 |
$5.08 |
| 87205 |
|
255 |
231 |
$4.41 |
| 84100 |
|
13 |
12 |
$3.37 |
| 85651 |
|
119 |
116 |
$1.90 |
| A6453 |
Self-adher band w <3"/yd |
262 |
245 |
$0.60 |
| A4620 |
Variable concentration mask |
1,337 |
1,268 |
$0.56 |
| A6402 |
Sterile gauze <= 16 sq in |
1,146 |
1,052 |
$0.50 |
| J7120 |
Ringers lactate infusion |
1,116 |
1,032 |
$0.00 |
| A4550 |
Surgical trays |
820 |
732 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
497 |
437 |
$0.00 |
| 87075 |
|
57 |
50 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
204 |
41 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
206 |
167 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
135 |
51 |
$0.00 |
| 88312 |
|
16 |
16 |
$0.00 |
| A6258 |
Transparent film >16<=48 in |
68 |
63 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
33 |
30 |
$0.00 |
| J2930 |
Methylprednisolone injection |
37 |
31 |
$0.00 |
| A4565 |
Slings |
49 |
42 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
188 |
46 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
25 |
12 |
$0.00 |
| 84702 |
|
18 |
16 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
46 |
43 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
369 |
340 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
199 |
105 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,688 |
967 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,074 |
570 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
274 |
261 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
14 |
12 |
$0.00 |
| 77063 |
|
1,853 |
1,822 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
55 |
55 |
$0.00 |
| J1940 |
Furosemide injection |
26 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
81 |
76 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
26 |
25 |
$0.00 |
| 80320 |
|
299 |
261 |
$0.00 |
| 74022 |
|
13 |
12 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
138 |
106 |
$0.00 |
| A4580 |
Cast supplies (plaster) |
12 |
12 |
$0.00 |
| 88304 |
|
43 |
37 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
26 |
24 |
$0.00 |
| 96415 |
|
96 |
76 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
15 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
168 |
116 |
$0.00 |
| 82550 |
|
16 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
37 |
31 |
$0.00 |