| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
17,080 |
14,557 |
$2.87M |
| 99283 |
|
28,753 |
25,143 |
$2.72M |
| 99284 |
|
20,447 |
17,848 |
$2.50M |
| 74177 |
|
1,416 |
1,248 |
$934K |
| 87637 |
|
3,305 |
2,821 |
$507K |
| 96374 |
|
11,334 |
9,709 |
$350K |
| 70450 |
|
2,383 |
2,024 |
$348K |
| 80307 |
|
6,819 |
4,913 |
$318K |
| 99282 |
|
3,811 |
3,380 |
$231K |
| 80053 |
|
28,907 |
24,412 |
$230K |
| 71045 |
|
6,220 |
5,196 |
$219K |
| 88305 |
|
2,740 |
2,243 |
$204K |
| J7030 |
Normal saline solution infus |
13,820 |
11,199 |
$201K |
| 85025 |
|
28,088 |
23,680 |
$191K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,312 |
1,920 |
$179K |
| 87880 |
|
11,382 |
10,065 |
$170K |
| 71046 |
|
3,576 |
3,192 |
$146K |
| 87804 |
|
14,610 |
6,589 |
$146K |
| 96375 |
|
6,102 |
5,229 |
$129K |
| 74176 |
|
265 |
239 |
$127K |
| 96361 |
|
8,088 |
6,949 |
$100K |
| 87088 |
|
11,723 |
10,021 |
$91K |
| 87086 |
|
11,743 |
10,021 |
$90K |
| 99215 |
Prolong outpt/office vis |
777 |
566 |
$83K |
| 93005 |
|
8,806 |
6,904 |
$82K |
| C9803 |
Hopd covid-19 spec collect |
3,404 |
2,873 |
$81K |
| 87070 |
|
6,650 |
5,801 |
$78K |
| 96365 |
|
1,367 |
1,178 |
$71K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,291 |
2,702 |
$71K |
| 83690 |
|
8,359 |
7,093 |
$54K |
| 96372 |
|
2,896 |
2,550 |
$53K |
| A9270 |
Non-covered item or service |
52,668 |
26,688 |
$51K |
| 81025 |
|
6,862 |
5,890 |
$49K |
| 84484 |
|
6,665 |
5,028 |
$49K |
| 88312 |
|
662 |
539 |
$43K |
| 81001 |
|
13,874 |
11,914 |
$41K |
| 87635 |
|
711 |
611 |
$33K |
| 59025 |
|
742 |
539 |
$32K |
| 83880 |
|
1,142 |
978 |
$31K |
| 43239 |
|
189 |
158 |
$30K |
| 87491 |
|
853 |
701 |
$30K |
| J1885 |
Ketorolac tromethamine inj |
3,059 |
2,597 |
$26K |
| 87591 |
|
841 |
687 |
$23K |
| J3490 |
Drugs unclassified injection |
4,912 |
2,720 |
$23K |
| 84443 |
|
1,589 |
1,411 |
$21K |
| 85730 |
|
4,422 |
3,730 |
$20K |
| 83735 |
|
3,406 |
2,863 |
$19K |
| 87661 |
|
708 |
587 |
$19K |
| G0480 |
Drug test def 1-7 classes |
459 |
264 |
$19K |
| J2704 |
Inj, propofol, 10 mg |
2,061 |
1,481 |
$17K |
| U0005 |
Infec agen detec ampli probe |
835 |
644 |
$17K |
| 85610 |
|
5,484 |
4,646 |
$16K |
| 94640 |
|
1,063 |
817 |
$15K |
| 83605 |
|
1,382 |
1,135 |
$15K |
| 80061 |
|
756 |
708 |
$14K |
| 81003 |
|
5,635 |
4,887 |
$12K |
| 87186 |
|
1,317 |
1,179 |
$12K |
| J2405 |
Ondansetron hcl injection |
6,687 |
5,599 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
2,053 |
1,779 |
$10K |
| 88304 |
|
236 |
207 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,402 |
994 |
$7K |
| 87077 |
|
747 |
667 |
$6K |
| 87040 |
|
594 |
364 |
$6K |
| 82550 |
|
859 |
730 |
$5K |
| 86140 |
|
1,010 |
893 |
$5K |
| S0119 |
Ondansetron 4 mg |
202 |
183 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,081 |
950 |
$5K |
| 87420 |
|
321 |
304 |
$5K |
| 96360 |
|
117 |
103 |
$4K |
| 85027 |
|
576 |
483 |
$4K |
| 73630 |
|
72 |
61 |
$4K |
| J2270 |
Morphine sulfate injection |
1,310 |
1,019 |
$3K |
| 73610 |
|
56 |
52 |
$3K |
| 85380 |
|
322 |
273 |
$3K |
| G0378 |
Hospital observation per hr |
12 |
12 |
$2K |
| 72125 |
|
14 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
650 |
492 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
29 |
26 |
$2K |
| 86803 |
|
78 |
70 |
$2K |
| 84145 |
|
80 |
66 |
$1K |
| 45385 |
|
12 |
12 |
$1K |
| 80048 |
|
192 |
159 |
$1K |
| 76815 |
|
18 |
12 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
347 |
283 |
$1K |
| J7120 |
Ringers lactate infusion |
81 |
59 |
$1K |
| 73110 |
|
12 |
12 |
$1K |
| J0690 |
Cefazolin sodium injection |
116 |
63 |
$1K |
| J2360 |
Orphenadrine injection |
42 |
38 |
$1K |
| 88342 |
|
13 |
12 |
$1K |
| J0780 |
Prochlorperazine injection |
30 |
26 |
$1K |
| 73564 |
|
31 |
24 |
$1K |
| 82306 |
|
16 |
16 |
$797.96 |
| 80320 |
|
91 |
82 |
$699.34 |
| 73130 |
|
15 |
12 |
$667.94 |
| 73030 |
|
16 |
16 |
$620.97 |
| J7620 |
Albuterol ipratrop non-comp |
211 |
181 |
$575.83 |
| 84100 |
|
168 |
138 |
$573.63 |
| 83036 |
|
47 |
37 |
$478.04 |
| 87081 |
|
139 |
130 |
$449.69 |
| J2470 |
Inj pantoprazole sodium 40mg |
37 |
29 |
$411.49 |
| J7626 |
Budesonide non-comp unit |
43 |
42 |
$402.26 |
| J2001 |
Lidocaine injection |
411 |
316 |
$347.19 |
| 90471 |
|
44 |
39 |
$318.54 |
| C9113 |
Inj pantoprazole sodium, via |
32 |
30 |
$297.47 |
| 86703 |
|
15 |
13 |
$283.85 |
| S0164 |
Injection pantroprazole |
46 |
40 |
$254.04 |
| 87340 |
|
14 |
12 |
$207.72 |
| 83655 |
|
13 |
13 |
$196.04 |
| 82800 |
|
27 |
25 |
$179.73 |
| 84702 |
|
13 |
12 |
$173.36 |
| 82728 |
|
13 |
12 |
$149.89 |
| J2550 |
Promethazine hcl injection |
63 |
52 |
$143.15 |
| 80329 |
|
27 |
12 |
$138.18 |
| J2930 |
Methylprednisolone injection |
14 |
14 |
$115.83 |
| J2765 |
Metoclopramide hcl injection |
69 |
59 |
$108.75 |
| 86592 |
|
18 |
16 |
$103.10 |
| 82962 |
|
51 |
37 |
$102.89 |
| 83615 |
|
13 |
12 |
$58.61 |
| 82009 |
|
13 |
12 |
$56.33 |
| J7613 |
Albuterol non-comp unit |
46 |
39 |
$51.39 |
| J1170 |
Hydromorphone injection |
14 |
14 |
$44.50 |
| 85018 |
|
13 |
13 |
$38.35 |
| 85014 |
|
13 |
13 |
$38.35 |
| J2710 |
Neostigmine methylslfte inj |
34 |
26 |
$13.14 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
13 |
$8.87 |