| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
29,622 |
26,994 |
$4.79M |
| 99284 |
|
14,332 |
13,035 |
$4.18M |
| 99282 |
|
12,877 |
11,725 |
$1.47M |
| 41899 |
|
2,237 |
1,980 |
$1.36M |
| 99285 |
|
3,446 |
3,069 |
$1.12M |
| 62323 |
|
1,623 |
1,478 |
$386K |
| 80050 |
|
8,158 |
7,381 |
$328K |
| 93005 |
|
6,019 |
5,279 |
$314K |
| 80307 |
|
5,615 |
4,889 |
$282K |
| 87635 |
|
6,547 |
6,057 |
$270K |
| 95811 |
|
153 |
146 |
$232K |
| 80053 |
|
30,110 |
26,550 |
$232K |
| 95810 |
|
173 |
162 |
$217K |
| 74176 |
|
240 |
222 |
$212K |
| 87502 |
|
2,588 |
2,371 |
$204K |
| 71045 |
|
2,518 |
2,300 |
$187K |
| 85025 |
|
30,686 |
26,724 |
$176K |
| 0241U |
|
1,873 |
1,687 |
$174K |
| 71046 |
|
2,598 |
2,298 |
$167K |
| 87651 |
|
5,410 |
4,924 |
$163K |
| 70450 |
|
411 |
375 |
$161K |
| 87491 |
|
4,716 |
4,297 |
$151K |
| 87591 |
|
4,689 |
4,264 |
$150K |
| 80061 |
|
11,932 |
10,946 |
$139K |
| 36415 |
|
56,850 |
48,473 |
$134K |
| 87661 |
|
3,135 |
2,885 |
$101K |
| 96361 |
|
283 |
55 |
$94K |
| 81025 |
|
13,015 |
11,781 |
$94K |
| 82306 |
|
4,055 |
3,537 |
$94K |
| 87880 |
|
6,452 |
5,796 |
$88K |
| 76856 |
|
396 |
360 |
$88K |
| J7030 |
Normal saline solution infus |
2,417 |
1,599 |
$84K |
| 76830 |
|
487 |
445 |
$77K |
| 83036 |
|
8,434 |
7,696 |
$69K |
| 87400 |
|
4,964 |
4,449 |
$59K |
| G0378 |
Hospital observation per hr |
567 |
336 |
$55K |
| J1885 |
Ketorolac tromethamine inj |
5,107 |
4,576 |
$54K |
| 81001 |
|
20,621 |
18,211 |
$48K |
| M0243 |
Casirivi and imdevi inj |
198 |
132 |
$47K |
| G0480 |
Drug test def 1-7 classes |
587 |
449 |
$45K |
| 95806 |
|
151 |
134 |
$37K |
| 77067 |
|
223 |
207 |
$33K |
| 76811 |
|
193 |
182 |
$32K |
| 73721 |
|
26 |
24 |
$30K |
| 87086 |
|
4,437 |
3,874 |
$29K |
| 83880 |
|
1,137 |
1,016 |
$24K |
| 84484 |
|
3,250 |
2,729 |
$23K |
| 43239 |
|
68 |
58 |
$21K |
| 83970 |
|
765 |
716 |
$21K |
| 0240U |
|
153 |
147 |
$20K |
| 73564 |
|
93 |
92 |
$19K |
| 80081 |
|
242 |
217 |
$15K |
| 86480 |
|
289 |
278 |
$15K |
| 83690 |
|
2,647 |
2,342 |
$14K |
| 82550 |
|
3,012 |
2,463 |
$13K |
| 82553 |
|
1,857 |
1,520 |
$13K |
| 94640 |
|
447 |
374 |
$12K |
| J7120 |
Ringers lactate infusion |
1,630 |
1,381 |
$11K |
| 74019 |
|
170 |
150 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
497 |
433 |
$11K |
| 82150 |
|
2,179 |
1,933 |
$11K |
| G0379 |
Direct refer hospital observ |
268 |
179 |
$10K |
| 87389 |
|
443 |
404 |
$10K |
| 84439 |
|
1,150 |
1,044 |
$9K |
| S0119 |
Ondansetron 4 mg |
685 |
603 |
$9K |
| 99211 |
|
359 |
232 |
$9K |
| J2405 |
Ondansetron hcl injection |
3,251 |
2,853 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
91 |
82 |
$8K |
| 76815 |
|
97 |
91 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,595 |
1,423 |
$7K |
| 81002 |
|
2,368 |
1,401 |
$6K |
| 85610 |
|
2,417 |
2,139 |
$6K |
| 84443 |
|
609 |
540 |
$6K |
| 86850 |
|
1,344 |
1,230 |
$6K |
| 94664 |
|
352 |
247 |
$5K |
| 81003 |
|
3,737 |
2,998 |
$5K |
| 76705 |
|
17 |
17 |
$5K |
| J0561 |
Penicillin g benzathine inj |
37 |
31 |
$4K |
| 85730 |
|
1,042 |
896 |
$4K |
| 99281 |
|
50 |
50 |
$4K |
| 83020 |
|
295 |
273 |
$4K |
| J2930 |
Methylprednisolone injection |
476 |
412 |
$3K |
| 86803 |
|
314 |
283 |
$3K |
| 87420 |
|
250 |
224 |
$3K |
| J7040 |
Normal saline solution infus |
180 |
79 |
$3K |
| 72100 |
|
38 |
36 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
56 |
27 |
$3K |
| 87340 |
|
311 |
280 |
$2K |
| 82570 |
|
690 |
644 |
$2K |
| 96375 |
|
28 |
12 |
$2K |
| 86038 |
|
243 |
217 |
$2K |
| 86592 |
|
554 |
496 |
$2K |
| 83605 |
|
237 |
210 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
3,869 |
3,043 |
$2K |
| 96360 |
|
15 |
12 |
$2K |
| 84156 |
|
696 |
650 |
$2K |
| 87634 |
|
28 |
25 |
$2K |
| 84702 |
|
123 |
109 |
$2K |
| 82728 |
|
146 |
117 |
$1K |
| 85018 |
|
1,027 |
775 |
$1K |
| 73610 |
|
13 |
12 |
$1K |
| 86140 |
|
316 |
286 |
$1K |
| 94760 |
|
425 |
262 |
$1K |
| J2795 |
Ropivacaine hcl injection |
47 |
43 |
$1K |
| 87186 |
|
147 |
130 |
$995.45 |
| 87040 |
|
124 |
72 |
$987.39 |
| 87077 |
|
147 |
131 |
$981.87 |
| 85027 |
|
1,763 |
1,630 |
$967.10 |
| 83550 |
|
147 |
117 |
$958.44 |
| 83735 |
|
194 |
156 |
$956.99 |
| 86431 |
|
226 |
204 |
$952.56 |
| 96372 |
|
118 |
88 |
$873.02 |
| 80048 |
|
139 |
100 |
$870.95 |
| 86200 |
|
83 |
67 |
$786.86 |
| 83540 |
|
159 |
130 |
$769.10 |
| 87081 |
|
108 |
104 |
$649.74 |
| 82950 |
|
135 |
131 |
$589.00 |
| 86901 |
|
228 |
201 |
$575.03 |
| 86900 |
|
229 |
201 |
$572.04 |
| 82677 |
|
26 |
26 |
$556.14 |
| 87798 |
|
14 |
13 |
$519.96 |
| J3490 |
Drugs unclassified injection |
1,015 |
686 |
$486.04 |
| J0131 |
Inj, acetaminophen (nos) |
74 |
70 |
$477.77 |
| J0571 |
Buprenorphine oral 1mg |
207 |
28 |
$462.77 |
| J1642 |
Inj heparin sodium per 10 u |
75 |
51 |
$459.84 |
| 82105 |
|
26 |
26 |
$385.71 |
| 80076 |
|
57 |
42 |
$381.38 |
| J3010 |
Fentanyl citrate injection |
815 |
750 |
$369.22 |
| 86336 |
|
26 |
26 |
$358.57 |
| 82248 |
|
77 |
69 |
$326.37 |
| J2001 |
Lidocaine injection |
1,622 |
1,211 |
$303.26 |
| J1335 |
Ertapenem injection |
70 |
62 |
$300.32 |
| J1100 |
Dexamethasone sodium phos |
2,166 |
1,935 |
$284.18 |
| J0690 |
Cefazolin sodium injection |
192 |
133 |
$275.90 |
| 86225 |
|
26 |
24 |
$274.80 |
| 82607 |
|
26 |
17 |
$269.86 |
| J2360 |
Orphenadrine injection |
13 |
12 |
$260.80 |
| 84481 |
|
26 |
25 |
$241.74 |
| 84100 |
|
77 |
46 |
$225.35 |
| J3301 |
Triamcinolone acet inj nos |
506 |
481 |
$222.81 |
| 84153 |
|
12 |
12 |
$220.68 |
| 82043 |
|
29 |
29 |
$212.90 |
| 83721 |
|
91 |
41 |
$189.47 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
12 |
$171.17 |
| G2023 |
Specimen collect covid-19 |
23 |
18 |
$164.22 |
| J2270 |
Morphine sulfate injection |
175 |
143 |
$145.82 |
| S0028 |
Injection, famotidine, 20 mg |
13 |
13 |
$94.78 |
| 82962 |
|
26 |
14 |
$82.94 |
| 84550 |
|
24 |
23 |
$72.32 |
| J2250 |
Inj midazolam hydrochloride |
551 |
494 |
$54.29 |
| J7620 |
Albuterol ipratrop non-comp |
19 |
13 |
$44.83 |
| A9150 |
Misc/exper non-prescript dru |
28 |
26 |
$30.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
110 |
99 |
$28.46 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
147 |
141 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
268 |
30 |
$0.00 |
| T1015 |
Clinic service |
95 |
30 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
60 |
56 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
13 |
13 |
$0.00 |
| P9604 |
One-way allow prorated trip |
144 |
126 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
147 |
98 |
$0.00 |
| 92551 |
|
51 |
40 |
$0.00 |
| 00000 |
|
224 |
210 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
978 |
890 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
992 |
909 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
665 |
56 |
$0.00 |
| J7060 |
5% dextrose/water |
134 |
101 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
287 |
257 |
$0.00 |
| J2920 |
Methylprednisolone injection |
27 |
25 |
$0.00 |
| 99308 |
|
190 |
183 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
12 |
$0.00 |