| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
73,545 |
66,975 |
$9.40M |
| 99283 |
|
78,713 |
73,774 |
$7.32M |
| 99285 |
|
29,898 |
26,992 |
$4.02M |
| 80053 |
|
77,441 |
68,165 |
$519K |
| 99282 |
|
6,788 |
6,518 |
$512K |
| 11042 |
|
3,479 |
1,651 |
$506K |
| 87636 |
|
4,138 |
3,701 |
$483K |
| 0240U |
|
5,344 |
4,691 |
$464K |
| 96372 |
|
27,173 |
22,935 |
$433K |
| 70450 |
|
4,128 |
3,644 |
$387K |
| 85025 |
|
80,069 |
69,180 |
$381K |
| 74177 |
|
1,557 |
1,397 |
$333K |
| 87502 |
|
3,821 |
3,671 |
$321K |
| 87635 |
|
7,064 |
6,569 |
$295K |
| 96374 |
|
23,669 |
19,248 |
$285K |
| 81220 |
|
2,301 |
1,637 |
$284K |
| 0241U |
|
2,632 |
2,326 |
$283K |
| 93005 |
|
22,843 |
20,421 |
$259K |
| 80307 |
|
6,049 |
5,444 |
$256K |
| 96361 |
|
8,118 |
5,987 |
$209K |
| 87651 |
|
6,711 |
6,123 |
$209K |
| 77386 |
|
1,243 |
171 |
$192K |
| 36415 |
|
89,825 |
74,386 |
$175K |
| 77412 |
|
1,100 |
160 |
$170K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,522 |
3,917 |
$162K |
| 81025 |
|
25,599 |
22,957 |
$161K |
| 96375 |
|
8,725 |
6,857 |
$149K |
| 87591 |
|
4,273 |
3,955 |
$137K |
| 87491 |
|
4,211 |
3,935 |
$135K |
| M0243 |
Casirivi and imdevi inj |
1,131 |
557 |
$130K |
| 84484 |
|
17,012 |
13,230 |
$116K |
| 71045 |
|
8,309 |
7,491 |
$115K |
| 81001 |
|
50,372 |
44,714 |
$104K |
| 77336 |
|
2,016 |
894 |
$98K |
| 87637 |
|
830 |
796 |
$98K |
| G0379 |
Direct refer hospital observ |
589 |
459 |
$96K |
| G0480 |
Drug test def 1-7 classes |
1,840 |
1,444 |
$89K |
| 71046 |
|
4,419 |
4,019 |
$87K |
| 0002A |
|
6,421 |
2,543 |
$81K |
| J3490 |
Drugs unclassified injection |
29,487 |
16,048 |
$75K |
| 99214 |
|
1,580 |
1,493 |
$74K |
| 0001A |
|
6,176 |
2,476 |
$70K |
| 87389 |
|
3,318 |
2,856 |
$65K |
| 87088 |
|
8,671 |
7,805 |
$56K |
| J1885 |
Ketorolac tromethamine inj |
13,331 |
12,174 |
$55K |
| 84443 |
|
4,187 |
3,617 |
$55K |
| 87811 |
|
1,413 |
1,247 |
$50K |
| 87661 |
|
1,532 |
1,398 |
$43K |
| 80055 |
|
1,604 |
1,521 |
$36K |
| 83690 |
|
6,997 |
6,371 |
$34K |
| G0378 |
Hospital observation per hr |
934 |
662 |
$34K |
| J7030 |
Normal saline solution infus |
4,288 |
3,812 |
$33K |
| 87631 |
|
403 |
377 |
$29K |
| 86803 |
|
2,696 |
2,248 |
$29K |
| 80050 |
|
660 |
625 |
$26K |
| 87624 |
|
1,008 |
954 |
$26K |
| 99213 |
|
756 |
697 |
$24K |
| 82677 |
|
1,054 |
1,001 |
$24K |
| 87804 |
|
1,867 |
1,049 |
$24K |
| 83880 |
|
1,055 |
965 |
$21K |
| 77334 |
|
121 |
82 |
$21K |
| J2405 |
Ondansetron hcl injection |
7,911 |
6,878 |
$20K |
| 87400 |
|
3,237 |
1,508 |
$20K |
| 84702 |
|
1,375 |
1,233 |
$20K |
| J7120 |
Ringers lactate infusion |
3,339 |
2,795 |
$19K |
| 78815 |
|
84 |
43 |
$19K |
| 72125 |
|
181 |
152 |
$19K |
| C1725 |
Cath, translumin non-laser |
410 |
314 |
$18K |
| C1714 |
Cath, trans atherectomy, dir |
18 |
12 |
$18K |
| 86780 |
|
1,839 |
1,432 |
$18K |
| 87081 |
|
2,751 |
2,608 |
$17K |
| 82105 |
|
1,103 |
1,049 |
$16K |
| 82306 |
|
858 |
759 |
$16K |
| 86336 |
|
1,055 |
1,000 |
$15K |
| 96360 |
|
353 |
272 |
$15K |
| 74176 |
|
77 |
73 |
$15K |
| 0004A |
|
516 |
368 |
$14K |
| 87449 |
|
1,154 |
1,048 |
$14K |
| 86850 |
|
2,546 |
2,012 |
$14K |
| 85660 |
|
2,670 |
2,244 |
$12K |
| 84439 |
|
1,513 |
1,408 |
$12K |
| 97597 |
|
560 |
309 |
$11K |
| 87340 |
|
1,615 |
1,234 |
$11K |
| 87798 |
|
245 |
214 |
$11K |
| 99211 |
|
513 |
406 |
$10K |
| 86762 |
|
1,086 |
759 |
$10K |
| J8499 |
Oral prescrip drug non chemo |
5,754 |
3,336 |
$9K |
| A9552 |
F18 fdg |
156 |
82 |
$9K |
| M0239 |
Bamlanivimab-xxxx infusion |
130 |
80 |
$8K |
| 86480 |
|
197 |
174 |
$8K |
| 59025 |
|
142 |
99 |
$7K |
| 85027 |
|
1,412 |
1,238 |
$7K |
| 82077 |
|
823 |
726 |
$7K |
| 77300 |
|
40 |
32 |
$7K |
| 83735 |
|
1,786 |
1,589 |
$7K |
| 86141 |
|
672 |
613 |
$6K |
| 80061 |
|
588 |
558 |
$6K |
| 80320 |
|
815 |
617 |
$6K |
| 82947 |
|
1,505 |
1,389 |
$6K |
| J1100 |
Dexamethasone sodium phos |
2,071 |
1,898 |
$6K |
| 86900 |
|
2,675 |
2,138 |
$6K |
| 93306 |
|
37 |
37 |
$6K |
| 86901 |
|
2,667 |
2,137 |
$6K |
| 76819 |
|
83 |
64 |
$6K |
| 86039 |
|
772 |
579 |
$5K |
| 37252 |
|
14 |
12 |
$5K |
| 87086 |
|
810 |
689 |
$5K |
| 85610 |
|
2,351 |
2,022 |
$5K |
| 75710 |
|
22 |
17 |
$5K |
| J0702 |
Betamethasone acet&sod phosp |
326 |
309 |
$5K |
| 81003 |
|
2,896 |
2,627 |
$4K |
| C1769 |
Guide wire |
484 |
384 |
$4K |
| 99215 |
Prolong outpt/office vis |
78 |
77 |
$4K |
| 87581 |
|
144 |
128 |
$4K |
| 88174 |
|
235 |
221 |
$4K |
| 82950 |
|
994 |
875 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
93 |
86 |
$4K |
| 85018 |
|
1,870 |
1,737 |
$4K |
| 85014 |
|
1,873 |
1,737 |
$4K |
| 83036 |
|
464 |
451 |
$4K |
| 76805 |
|
83 |
65 |
$3K |
| 77387 |
|
217 |
25 |
$3K |
| 87486 |
|
117 |
104 |
$3K |
| 86235 |
|
100 |
95 |
$3K |
| 99281 |
|
82 |
74 |
$3K |
| C1753 |
Cath, intravas ultrasound |
14 |
14 |
$3K |
| C1760 |
Closure dev, vasc |
34 |
27 |
$3K |
| 87420 |
|
202 |
191 |
$3K |
| 96413 |
|
49 |
26 |
$2K |
| 86200 |
|
254 |
240 |
$2K |
| J8597 |
Antiemetic drug oral nos |
183 |
174 |
$2K |
| 72100 |
|
127 |
112 |
$2K |
| 96365 |
|
49 |
36 |
$2K |
| 81511 |
|
1,464 |
583 |
$2K |
| 0003A |
|
143 |
62 |
$2K |
| 76856 |
|
29 |
28 |
$2K |
| T2101 |
Breast milk proc/store/dist |
115 |
15 |
$2K |
| 86431 |
|
535 |
482 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,527 |
1,228 |
$2K |
| 85730 |
|
745 |
625 |
$2K |
| 0071A |
|
90 |
41 |
$2K |
| 83655 |
|
137 |
133 |
$2K |
| 77280 |
|
36 |
25 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,976 |
1,495 |
$2K |
| J2270 |
Morphine sulfate injection |
509 |
461 |
$2K |
| J2930 |
Methylprednisolone injection |
226 |
204 |
$2K |
| 86738 |
|
107 |
105 |
$2K |
| 86225 |
|
127 |
119 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
38 |
36 |
$1K |
| 36902 |
|
27 |
25 |
$1K |
| 87070 |
|
159 |
145 |
$1K |
| 0031A |
|
303 |
134 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
221 |
194 |
$1K |
| J2360 |
Orphenadrine injection |
62 |
59 |
$1K |
| J7050 |
Normal saline solution infus |
41 |
39 |
$1K |
| 80048 |
|
1,172 |
707 |
$982.11 |
| 0072A |
|
36 |
21 |
$926.79 |
| 87521 |
Neg quan hep c or qual rna |
27 |
27 |
$877.25 |
| A9150 |
Misc/exper non-prescript dru |
639 |
495 |
$845.44 |
| 17250 |
|
24 |
13 |
$844.83 |
| C1894 |
Intro/sheath, non-laser |
369 |
294 |
$832.95 |
| 83605 |
|
134 |
96 |
$806.92 |
| 80143 |
|
95 |
77 |
$765.45 |
| 86769 |
|
34 |
25 |
$758.47 |
| 84112 |
|
12 |
12 |
$753.57 |
| 99244 |
|
170 |
159 |
$698.88 |
| 80179 |
|
74 |
65 |
$672.12 |
| J1170 |
Hydromorphone injection |
221 |
192 |
$619.42 |
| 0034A |
|
16 |
13 |
$589.96 |
| 77067 |
|
12 |
12 |
$564.63 |
| 72040 |
|
28 |
24 |
$549.58 |
| 86140 |
|
150 |
130 |
$507.64 |
| 83970 |
|
14 |
14 |
$495.36 |
| 82550 |
|
128 |
101 |
$481.28 |
| 64483 |
|
84 |
67 |
$446.28 |
| 94640 |
|
26 |
25 |
$425.56 |
| 90715 |
|
12 |
12 |
$403.92 |
| 99204 |
|
13 |
12 |
$340.62 |
| 82553 |
|
48 |
42 |
$335.98 |
| 87077 |
|
51 |
48 |
$310.53 |
| 77063 |
|
12 |
12 |
$306.46 |
| 85651 |
|
77 |
75 |
$286.09 |
| 81222 |
|
605 |
476 |
$285.89 |
| 73564 |
|
15 |
12 |
$272.58 |
| 74019 |
|
12 |
12 |
$249.44 |
| J2704 |
Inj, propofol, 10 mg |
1,475 |
1,127 |
$229.10 |
| J1642 |
Inj heparin sodium per 10 u |
174 |
115 |
$218.07 |
| J2001 |
Lidocaine injection |
994 |
592 |
$216.31 |
| 87184 |
|
28 |
25 |
$168.52 |
| J0780 |
Prochlorperazine injection |
38 |
32 |
$161.18 |
| 84481 |
|
15 |
14 |
$145.92 |
| 83090 |
|
17 |
17 |
$143.36 |
| 87040 |
|
19 |
12 |
$123.84 |
| 86787 |
|
15 |
12 |
$115.92 |
| 85379 |
|
14 |
14 |
$111.98 |
| 86003 |
|
43 |
40 |
$102.73 |
| 85007 |
|
39 |
37 |
$101.61 |
| 84156 |
|
45 |
36 |
$99.09 |
| 82248 |
|
18 |
14 |
$82.28 |
| 82150 |
|
13 |
12 |
$80.08 |
| 82247 |
|
17 |
14 |
$77.44 |
| J1200 |
Diphenhydramine hcl injectio |
32 |
24 |
$74.91 |
| J2060 |
Lorazepam injection |
28 |
27 |
$63.80 |
| J1790 |
Droperidol injection |
15 |
13 |
$61.84 |
| 80047 |
|
23 |
13 |
$58.46 |
| 82570 |
|
21 |
12 |
$56.98 |
| 84100 |
|
13 |
13 |
$56.88 |
| 88305 |
|
27 |
24 |
$49.42 |
| 80076 |
|
22 |
12 |
$48.14 |
| 89240 |
|
73 |
37 |
$42.59 |
| 91300 |
|
5,517 |
4,381 |
$31.67 |
| J2272 |
Inj, morphine (fresenius) |
18 |
13 |
$27.93 |
| G0463 |
Hospital outpt clinic visit |
3,245 |
2,765 |
$25.28 |
| 36416 |
|
14 |
13 |
$23.85 |
| 85652 |
|
12 |
12 |
$21.60 |
| J0689 |
Inj cefazolin sodium, baxter |
23 |
13 |
$14.21 |
| 90471 |
|
15 |
14 |
$9.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
92 |
86 |
$4.76 |
| Q0244 |
Casirivi and imdevi 1200 mg |
610 |
458 |
$2.75 |
| J2795 |
Ropivacaine hcl injection |
35 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
572 |
297 |
$0.00 |
| 11045 |
|
41 |
25 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
247 |
185 |
$0.00 |
| A9270 |
Non-covered item or service |
226 |
128 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
57 |
44 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
17 |
12 |
$0.00 |
| 91305 |
|
12 |
12 |
$0.00 |
| 80329 |
|
54 |
26 |
$0.00 |
| 91303 |
|
43 |
39 |
$0.00 |
| 99152 |
|
423 |
327 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
713 |
273 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
386 |
342 |
$0.00 |
| 76937 |
|
150 |
120 |
$0.00 |
| J2800 |
Methocarbamol injection |
32 |
25 |
$0.00 |