| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,010 |
14,886 |
$9.49M |
| 99283 |
|
17,085 |
16,138 |
$6.37M |
| 99285 |
|
6,458 |
6,049 |
$4.73M |
| H0035 |
Mh partial hosp tx under 24h |
12,102 |
938 |
$4.13M |
| G0378 |
Hospital observation per hr |
2,433 |
1,926 |
$1.81M |
| 99282 |
|
3,268 |
3,151 |
$746K |
| 11042 |
|
2,961 |
1,722 |
$536K |
| 93306 |
|
599 |
583 |
$418K |
| 74177 |
|
3,398 |
3,266 |
$189K |
| 93005 |
|
8,787 |
8,088 |
$159K |
| 96374 |
|
8,081 |
7,439 |
$137K |
| OP710 |
|
1,005 |
949 |
$99K |
| 71046 |
|
6,569 |
6,328 |
$77K |
| 96375 |
|
6,379 |
5,750 |
$70K |
| OP279 |
|
3,327 |
3,125 |
$65K |
| 97110 |
|
5,297 |
1,323 |
$65K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,508 |
4,246 |
$64K |
| 96365 |
|
2,536 |
2,400 |
$61K |
| 70450 |
|
2,957 |
2,805 |
$54K |
| 97140 |
|
1,537 |
451 |
$54K |
| 96361 |
|
5,787 |
5,351 |
$52K |
| 76856 |
|
630 |
614 |
$43K |
| 96360 |
|
1,717 |
1,663 |
$41K |
| 76801 |
|
728 |
696 |
$40K |
| 77067 |
|
324 |
317 |
$39K |
| 96372 |
|
3,829 |
3,565 |
$38K |
| 97602 |
|
449 |
312 |
$36K |
| 87637 |
|
1,554 |
1,469 |
$35K |
| 94640 |
|
1,353 |
1,178 |
$34K |
| G0463 |
Hospital outpt clinic visit |
3,210 |
2,459 |
$28K |
| 76830 |
|
379 |
370 |
$28K |
| 11045 |
|
181 |
103 |
$27K |
| 74176 |
|
961 |
916 |
$27K |
| 94760 |
|
18,969 |
16,983 |
$25K |
| 80048 |
|
10,738 |
9,304 |
$25K |
| 80053 |
|
8,488 |
7,714 |
$25K |
| 73630 |
|
1,906 |
1,826 |
$24K |
| 36415 |
|
20,912 |
16,872 |
$24K |
| 85025 |
|
18,689 |
15,740 |
$24K |
| 71045 |
|
3,207 |
3,022 |
$22K |
| 36000 |
|
4,406 |
4,196 |
$22K |
| 87631 |
|
1,187 |
1,131 |
$21K |
| OP259 |
|
18,590 |
15,212 |
$20K |
| 93041 |
|
3,579 |
3,360 |
$19K |
| U0003 |
Cov-19 amp prb hgh thruput |
947 |
923 |
$18K |
| 97112 |
|
602 |
203 |
$17K |
| 87491 |
|
1,983 |
1,923 |
$17K |
| 87635 |
|
1,745 |
1,637 |
$17K |
| 95806 |
|
12 |
12 |
$17K |
| 87591 |
|
1,985 |
1,924 |
$16K |
| 73564 |
|
1,013 |
972 |
$16K |
| 77063 |
|
297 |
289 |
$15K |
| 82962 |
|
5,321 |
3,523 |
$14K |
| 80307 |
|
851 |
779 |
$14K |
| 71275 |
|
368 |
351 |
$14K |
| 73610 |
|
1,379 |
1,315 |
$14K |
| 76705 |
|
361 |
352 |
$13K |
| 93971 |
|
274 |
258 |
$13K |
| 99281 |
|
80 |
78 |
$12K |
| 73130 |
|
1,096 |
1,038 |
$12K |
| 84484 |
|
3,698 |
3,173 |
$11K |
| J3490 |
Drugs unclassified injection |
6,494 |
4,825 |
$11K |
| 93975 |
|
321 |
313 |
$10K |
| 86901 |
|
890 |
831 |
$9K |
| 83880 |
|
1,544 |
1,440 |
$9K |
| 80076 |
|
5,610 |
5,178 |
$9K |
| 71250 |
|
112 |
104 |
$8K |
| 83690 |
|
6,991 |
6,500 |
$7K |
| 73030 |
|
602 |
584 |
$7K |
| 87502 |
|
688 |
648 |
$6K |
| 97010 |
|
1,399 |
387 |
$6K |
| 81003 |
|
12,505 |
11,703 |
$6K |
| OP272 |
|
148 |
135 |
$6K |
| 87086 |
|
4,138 |
3,949 |
$6K |
| 76817 |
|
156 |
151 |
$6K |
| 97161 |
|
122 |
120 |
$6K |
| J2405 |
Ondansetron hcl injection |
5,380 |
4,773 |
$5K |
| 72125 |
|
347 |
311 |
$5K |
| 84443 |
|
786 |
740 |
$5K |
| 83735 |
|
4,624 |
3,947 |
$5K |
| 73110 |
|
405 |
376 |
$5K |
| U0005 |
Infec agen detec ampli probe |
898 |
874 |
$5K |
| 81025 |
|
7,295 |
6,762 |
$5K |
| 85610 |
|
2,488 |
2,245 |
$5K |
| 85730 |
|
1,799 |
1,658 |
$4K |
| J1100 |
Dexamethasone sodium phos |
2,118 |
2,036 |
$4K |
| 86900 |
|
889 |
830 |
$4K |
| 87880 |
|
1,863 |
1,812 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,238 |
1,144 |
$4K |
| 81001 |
|
7,265 |
6,851 |
$3K |
| J7030 |
Normal saline solution infus |
7,238 |
6,352 |
$3K |
| 86850 |
|
394 |
363 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
795 |
762 |
$3K |
| 72110 |
|
111 |
104 |
$3K |
| 90471 |
|
338 |
313 |
$2K |
| 87070 |
|
487 |
479 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,275 |
5,706 |
$2K |
| 87186 |
|
819 |
777 |
$2K |
| 84702 |
|
643 |
586 |
$2K |
| A6457 |
Tubular dressing |
803 |
461 |
$2K |
| 87804 |
|
834 |
825 |
$2K |
| 96366 |
|
344 |
317 |
$2K |
| 83605 |
|
815 |
734 |
$2K |
| 90714 |
|
360 |
339 |
$2K |
| OP250 |
|
3,713 |
3,261 |
$2K |
| 87081 |
|
1,225 |
1,191 |
$2K |
| 97535 |
|
607 |
394 |
$2K |
| J2001 |
Lidocaine injection |
1,224 |
1,125 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
810 |
778 |
$2K |
| J2270 |
Morphine sulfate injection |
2,316 |
1,880 |
$2K |
| 71260 |
|
26 |
26 |
$2K |
| 97530 |
|
188 |
76 |
$2K |
| 96376 |
|
251 |
214 |
$2K |
| J1170 |
Hydromorphone injection |
1,010 |
735 |
$1K |
| A6196 |
Alginate dressing <=16 sq in |
1,052 |
556 |
$1K |
| J2060 |
Lorazepam injection |
145 |
132 |
$1K |
| 85027 |
|
166 |
159 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
948 |
822 |
$1K |
| 93970 |
|
12 |
12 |
$950.97 |
| 73590 |
|
84 |
80 |
$927.04 |
| 87077 |
|
531 |
504 |
$887.90 |
| 87210 |
|
1,494 |
1,448 |
$883.92 |
| J0131 |
Inj, acetaminophen (nos) |
941 |
881 |
$836.95 |
| 87147 |
|
1,273 |
1,240 |
$829.81 |
| 87798 |
|
83 |
73 |
$744.17 |
| 84703 |
|
884 |
842 |
$689.04 |
| J2765 |
Metoclopramide hcl injection |
573 |
514 |
$672.85 |
| 94761 |
|
83 |
78 |
$628.53 |
| 73502 |
|
39 |
37 |
$621.55 |
| J7040 |
Normal saline solution infus |
658 |
564 |
$615.83 |
| 85379 |
|
511 |
492 |
$583.99 |
| J7120 |
Ringers lactate infusion |
1,514 |
1,309 |
$533.12 |
| J0696 |
Ceftriaxone sodium injection |
1,283 |
1,072 |
$489.71 |
| 82803 |
|
96 |
88 |
$452.61 |
| 87040 |
|
122 |
109 |
$417.85 |
| 87486 |
|
60 |
59 |
$399.05 |
| 87581 |
|
60 |
59 |
$399.05 |
| 80320 |
|
232 |
204 |
$394.60 |
| A6021 |
Collagen dressing <=16 sq in |
278 |
146 |
$392.16 |
| 82248 |
|
58 |
53 |
$352.24 |
| 87633 |
|
16 |
14 |
$333.42 |
| L2999 |
Lower extremity orthosis nos |
193 |
180 |
$325.84 |
| 87071 |
|
65 |
59 |
$311.97 |
| 29125 |
|
13 |
13 |
$223.26 |
| J7512 |
Prednisone ir or dr oral 1mg |
905 |
785 |
$219.24 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
61 |
58 |
$193.14 |
| J8540 |
Oral dexamethasone |
446 |
430 |
$180.70 |
| 82375 |
|
96 |
88 |
$172.14 |
| 85055 |
|
36 |
29 |
$155.74 |
| J7620 |
Albuterol ipratrop non-comp |
729 |
631 |
$152.27 |
| 82550 |
|
142 |
127 |
$148.85 |
| 97116 |
|
18 |
14 |
$136.46 |
| Q0162 |
Ondansetron oral |
1,458 |
1,368 |
$135.15 |
| OP637 |
|
1,227 |
827 |
$134.03 |
| A6197 |
Alginate drsg >16 <=48 sq in |
222 |
146 |
$132.80 |
| J7050 |
Normal saline solution infus |
132 |
127 |
$128.71 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
65 |
64 |
$105.22 |
| 83050 |
|
96 |
88 |
$88.02 |
| J1790 |
Droperidol injection |
46 |
42 |
$81.31 |
| 87205 |
|
50 |
49 |
$77.90 |
| J2360 |
Orphenadrine injection |
68 |
67 |
$77.02 |
| 82330 |
|
13 |
12 |
$75.50 |
| A6252 |
Absorpt drg >16 <=48 w/o bdr |
606 |
257 |
$74.99 |
| OP270 |
|
15 |
13 |
$74.29 |
| 87073 |
|
56 |
50 |
$55.96 |
| 73080 |
|
13 |
12 |
$48.81 |
| J3475 |
Inj magnesium sulfate |
37 |
34 |
$38.83 |
| 85018 |
|
113 |
100 |
$23.04 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$21.63 |
| J7613 |
Albuterol non-comp unit |
50 |
43 |
$17.00 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
12 |
$15.67 |
| 85008 |
|
244 |
215 |
$12.34 |
| A9270 |
Non-covered item or service |
391 |
283 |
$9.39 |
| 82270 |
|
14 |
12 |
$8.26 |
| 84100 |
|
13 |
13 |
$6.33 |
| J1650 |
Inj enoxaparin sodium |
24 |
12 |
$5.23 |
| 86140 |
|
14 |
13 |
$3.99 |
| 82947 |
|
24 |
24 |
$3.39 |
| J0690 |
Cefazolin sodium injection |
16 |
14 |
$2.85 |
| Q0163 |
Diphenhydramine hcl 50mg |
37 |
28 |
$2.00 |
| J7644 |
Ipratropium bromide non-comp |
14 |
14 |
$1.00 |
| 90832 |
|
34 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
18 |
18 |
$0.00 |