| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,998 |
17,413 |
$2.62M |
| 99283 |
|
16,104 |
15,558 |
$1.75M |
| 99285 |
|
3,959 |
3,831 |
$611K |
| T1015 |
Clinic service |
6,466 |
1,628 |
$245K |
| G0378 |
Hospital observation per hr |
215 |
177 |
$206K |
| 87637 |
|
2,177 |
2,106 |
$199K |
| 80053 |
|
12,624 |
11,950 |
$105K |
| 74177 |
|
645 |
637 |
$96K |
| 96374 |
|
3,755 |
3,607 |
$81K |
| 80307 |
|
1,394 |
1,334 |
$81K |
| U0003 |
Cov-19 amp prb hgh thruput |
847 |
836 |
$65K |
| G0480 |
Drug test def 1-7 classes |
1,086 |
1,006 |
$61K |
| 93005 |
|
7,741 |
7,413 |
$60K |
| 85025 |
|
13,940 |
13,134 |
$60K |
| X0621 |
|
279 |
218 |
$60K |
| 77067 |
|
512 |
510 |
$42K |
| 70450 |
|
655 |
638 |
$39K |
| 96375 |
|
2,178 |
2,005 |
$30K |
| 71045 |
|
4,119 |
3,994 |
$24K |
| 74176 |
|
378 |
372 |
$24K |
| 84484 |
|
2,767 |
2,588 |
$22K |
| 93306 |
|
283 |
278 |
$19K |
| 71260 |
|
288 |
285 |
$19K |
| 84443 |
|
739 |
724 |
$16K |
| 96372 |
|
1,277 |
1,188 |
$16K |
| 96365 |
|
650 |
603 |
$15K |
| 87635 |
|
465 |
447 |
$14K |
| 76642 |
|
306 |
288 |
$12K |
| 96361 |
|
1,416 |
1,342 |
$12K |
| 84703 |
|
1,411 |
1,357 |
$12K |
| 80050 |
|
257 |
253 |
$9K |
| 77063 |
|
432 |
431 |
$9K |
| 80061 |
|
646 |
639 |
$9K |
| 71046 |
|
647 |
635 |
$8K |
| 97162 |
|
155 |
146 |
$8K |
| 82306 |
|
193 |
190 |
$7K |
| 83880 |
|
357 |
350 |
$7K |
| 76705 |
|
194 |
190 |
$7K |
| 93971 |
|
104 |
103 |
$7K |
| 96360 |
|
272 |
233 |
$6K |
| 83690 |
|
1,737 |
1,679 |
$6K |
| 72125 |
|
92 |
91 |
$6K |
| 77066 |
Tomosynthesis, mammo |
73 |
73 |
$6K |
| 84702 |
|
343 |
313 |
$6K |
| 81001 |
|
2,587 |
2,485 |
$6K |
| 0202U |
|
20 |
20 |
$5K |
| 81003 |
|
2,283 |
2,219 |
$5K |
| 85610 |
|
1,773 |
1,705 |
$5K |
| 80048 |
|
707 |
677 |
$5K |
| 76700 |
|
92 |
90 |
$5K |
| 73564 |
|
228 |
218 |
$4K |
| 71250 |
|
82 |
81 |
$4K |
| 83735 |
|
945 |
894 |
$4K |
| 73610 |
|
206 |
202 |
$3K |
| 76536 |
|
74 |
73 |
$3K |
| 73630 |
|
287 |
279 |
$3K |
| 99213 |
|
86 |
72 |
$3K |
| 83605 |
|
617 |
587 |
$3K |
| 87086 |
|
448 |
433 |
$3K |
| J7030 |
Normal saline solution infus |
5,214 |
4,612 |
$3K |
| 85730 |
|
404 |
393 |
$2K |
| 73130 |
|
206 |
198 |
$2K |
| 85379 |
|
246 |
244 |
$2K |
| 99282 |
|
53 |
53 |
$2K |
| 76830 |
|
44 |
44 |
$2K |
| 94729 |
|
62 |
62 |
$2K |
| 86850 |
|
291 |
274 |
$2K |
| 85027 |
|
285 |
275 |
$2K |
| 83036 |
|
270 |
267 |
$2K |
| 87040 |
|
138 |
132 |
$2K |
| 87631 |
|
14 |
14 |
$2K |
| 73030 |
|
123 |
118 |
$2K |
| 93970 |
|
13 |
12 |
$1K |
| 84439 |
|
169 |
166 |
$1K |
| 82803 |
|
59 |
57 |
$1K |
| 82947 |
|
367 |
343 |
$1K |
| 73110 |
|
99 |
97 |
$1K |
| 86900 |
|
326 |
308 |
$1K |
| 86901 |
|
326 |
308 |
$1K |
| 90715 |
|
57 |
54 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,443 |
4,235 |
$953.74 |
| 70486 |
|
14 |
14 |
$814.11 |
| 72110 |
|
39 |
38 |
$769.06 |
| J2270 |
Morphine sulfate injection |
842 |
720 |
$768.31 |
| J0696 |
Ceftriaxone sodium injection |
491 |
456 |
$678.10 |
| 86618 |
|
26 |
26 |
$669.17 |
| 90471 |
|
74 |
69 |
$645.23 |
| 85652 |
|
210 |
206 |
$545.38 |
| J7120 |
Ringers lactate infusion |
1,011 |
804 |
$533.45 |
| 74018 |
|
52 |
52 |
$506.01 |
| 82607 |
|
38 |
37 |
$475.03 |
| J2930 |
Methylprednisolone injection |
565 |
552 |
$474.78 |
| 82550 |
|
88 |
85 |
$473.47 |
| 94726 |
|
18 |
18 |
$455.87 |
| 86140 |
|
171 |
168 |
$452.44 |
| 86803 |
|
25 |
25 |
$436.46 |
| J1100 |
Dexamethasone sodium phos |
1,505 |
1,379 |
$404.30 |
| 96366 |
|
34 |
28 |
$401.25 |
| 87389 |
|
13 |
13 |
$386.53 |
| J2405 |
Ondansetron hcl injection |
3,035 |
2,754 |
$379.78 |
| 82962 |
|
218 |
197 |
$364.35 |
| 87077 |
|
63 |
61 |
$350.41 |
| 83540 |
|
38 |
37 |
$325.12 |
| 36415 |
|
1,283 |
1,173 |
$281.67 |
| 72050 |
|
14 |
14 |
$281.63 |
| 87186 |
|
54 |
53 |
$268.88 |
| 73502 |
|
13 |
13 |
$251.78 |
| J2060 |
Lorazepam injection |
701 |
619 |
$239.45 |
| J2765 |
Metoclopramide hcl injection |
724 |
690 |
$229.32 |
| 82570 |
|
33 |
31 |
$200.48 |
| J3010 |
Fentanyl citrate injection |
378 |
357 |
$190.72 |
| 86038 |
|
12 |
12 |
$179.70 |
| 83655 |
|
13 |
13 |
$150.10 |
| 82728 |
|
14 |
13 |
$148.60 |
| J1200 |
Diphenhydramine hcl injectio |
1,086 |
948 |
$144.75 |
| 87880 |
|
24 |
24 |
$139.60 |
| 84550 |
|
26 |
25 |
$131.20 |
| 94010 |
|
13 |
13 |
$91.14 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,526 |
1,460 |
$74.90 |
| 96368 |
|
12 |
12 |
$70.12 |
| J3475 |
Inj magnesium sulfate |
147 |
134 |
$53.12 |
| J7050 |
Normal saline solution infus |
99 |
81 |
$48.04 |
| 96376 |
|
14 |
14 |
$31.50 |
| A9270 |
Non-covered item or service |
2,608 |
1,293 |
$26.85 |
| J2250 |
Inj midazolam hydrochloride |
83 |
65 |
$25.37 |
| J2704 |
Inj, propofol, 10 mg |
17 |
12 |
$13.20 |
| J7620 |
Albuterol ipratrop non-comp |
97 |
94 |
$9.03 |
| J7512 |
Prednisone ir or dr oral 1mg |
298 |
257 |
$8.78 |
| J1630 |
Haloperidol injection |
48 |
39 |
$0.00 |
| J1170 |
Hydromorphone injection |
13 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
38 |
38 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
184 |
169 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
14 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |