| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,368 |
13,991 |
$5.87M |
| 99285 |
|
15,638 |
13,053 |
$4.35M |
| 0450 |
|
17,187 |
15,530 |
$1.38M |
| 99284 |
|
1,155 |
1,061 |
$1.10M |
| 97110 |
|
9,207 |
2,692 |
$371K |
| 74177 |
|
2,837 |
2,592 |
$314K |
| 96374 |
|
9,172 |
8,002 |
$223K |
| 70450 |
|
3,594 |
3,282 |
$177K |
| 77067 |
|
2,208 |
2,156 |
$168K |
| 80053 |
|
25,544 |
22,814 |
$156K |
| 74176 |
|
2,357 |
2,090 |
$151K |
| 87635 |
|
7,539 |
7,290 |
$138K |
| 85025 |
|
29,818 |
26,323 |
$131K |
| 96361 |
|
5,286 |
4,703 |
$128K |
| 97112 |
|
4,709 |
1,310 |
$122K |
| 96375 |
|
8,238 |
6,796 |
$119K |
| 84443 |
|
8,476 |
8,280 |
$113K |
| 96365 |
|
3,195 |
2,791 |
$108K |
| 80307 |
|
4,197 |
3,903 |
$106K |
| 97530 |
|
4,489 |
1,212 |
$105K |
| 99213 |
|
3,705 |
3,453 |
$101K |
| 96372 |
|
6,413 |
5,721 |
$96K |
| 71045 |
|
17,595 |
15,984 |
$95K |
| 93005 |
|
10,214 |
8,598 |
$88K |
| 76700 |
|
1,226 |
1,193 |
$88K |
| 93010 |
|
6,578 |
5,922 |
$87K |
| 99282 |
|
285 |
277 |
$82K |
| 80061 |
|
7,316 |
7,215 |
$81K |
| 43239 |
|
83 |
83 |
$73K |
| Z7502 |
|
1,759 |
1,707 |
$65K |
| 71046 |
|
4,751 |
4,459 |
$64K |
| 71260 |
|
694 |
674 |
$63K |
| 87637 |
|
1,988 |
1,952 |
$57K |
| 82306 |
|
2,267 |
2,252 |
$53K |
| 83036 |
|
6,518 |
6,411 |
$52K |
| 87502 |
|
2,278 |
2,206 |
$51K |
| 76856 |
|
1,175 |
1,094 |
$50K |
| 76830 |
|
1,066 |
1,018 |
$47K |
| 76805 |
|
647 |
604 |
$41K |
| 81001 |
|
18,889 |
17,218 |
$40K |
| 97150 |
|
1,244 |
514 |
$40K |
| 99214 |
|
931 |
897 |
$40K |
| 80074 |
|
1,059 |
1,046 |
$36K |
| 83880 |
|
3,019 |
2,710 |
$33K |
| 96360 |
|
1,009 |
970 |
$33K |
| G0480 |
Drug test def 1-7 classes |
1,618 |
1,493 |
$32K |
| 72125 |
|
344 |
328 |
$32K |
| 87389 |
|
1,838 |
1,820 |
$32K |
| 84484 |
|
8,164 |
6,209 |
$29K |
| 87798 |
|
2,391 |
2,317 |
$28K |
| 87491 |
|
1,174 |
1,149 |
$26K |
| 87591 |
|
1,176 |
1,151 |
$26K |
| J7030 |
Normal saline solution infus |
8,227 |
6,906 |
$26K |
| J3490 |
Drugs unclassified injection |
6,300 |
4,066 |
$26K |
| 77063 |
|
1,028 |
1,023 |
$25K |
| 0270 |
|
5,411 |
3,342 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
7,619 |
6,709 |
$22K |
| 73030 |
|
1,149 |
1,091 |
$22K |
| 87086 |
|
5,765 |
5,363 |
$22K |
| 83735 |
|
5,993 |
5,398 |
$21K |
| 80048 |
|
4,983 |
4,577 |
$21K |
| 76801 |
|
748 |
646 |
$21K |
| 83690 |
|
7,272 |
6,402 |
$20K |
| 84439 |
|
2,427 |
2,391 |
$20K |
| 97116 |
|
1,323 |
418 |
$19K |
| 97162 |
|
200 |
199 |
$18K |
| J2405 |
Ondansetron hcl injection |
6,077 |
4,957 |
$18K |
| 97140 |
|
1,278 |
485 |
$17K |
| 71250 |
|
130 |
126 |
$16K |
| 87651 |
|
1,889 |
1,855 |
$16K |
| 73630 |
|
1,134 |
1,062 |
$15K |
| 73562 |
|
1,091 |
1,028 |
$15K |
| 94640 |
|
2,516 |
1,858 |
$15K |
| 73564 |
|
332 |
317 |
$14K |
| 0762 |
|
34 |
12 |
$14K |
| 76705 |
|
520 |
496 |
$14K |
| 87040 |
|
3,788 |
2,090 |
$13K |
| 81025 |
|
4,996 |
4,650 |
$13K |
| 83605 |
|
3,886 |
2,933 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
3,488 |
3,141 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,086 |
1,941 |
$12K |
| 99199 |
|
234 |
207 |
$11K |
| J2270 |
Morphine sulfate injection |
3,268 |
2,608 |
$11K |
| 87186 |
|
2,468 |
2,202 |
$10K |
| 0360 |
|
223 |
208 |
$10K |
| 73130 |
|
747 |
720 |
$10K |
| 73610 |
|
710 |
665 |
$10K |
| 85730 |
|
3,283 |
2,940 |
$10K |
| 99212 |
|
426 |
407 |
$9K |
| 85610 |
|
4,694 |
4,178 |
$9K |
| 87400 |
|
3,482 |
2,432 |
$9K |
| 76536 |
|
141 |
141 |
$8K |
| 99204 |
|
119 |
119 |
$8K |
| 93306 |
|
25 |
25 |
$7K |
| 85379 |
|
1,430 |
1,320 |
$7K |
| 86038 |
|
618 |
609 |
$7K |
| 87880 |
|
2,545 |
2,440 |
$7K |
| 82043 |
|
1,286 |
1,278 |
$7K |
| 87077 |
|
1,954 |
1,765 |
$6K |
| 72100 |
|
380 |
357 |
$6K |
| 99070 |
|
19,243 |
10,617 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
189 |
186 |
$6K |
| 93971 |
|
120 |
114 |
$6K |
| 70551 |
|
38 |
37 |
$5K |
| 86592 |
|
1,265 |
1,242 |
$5K |
| J1170 |
Hydromorphone injection |
1,288 |
958 |
$5K |
| 96366 |
|
456 |
386 |
$5K |
| 80076 |
|
1,414 |
1,381 |
$5K |
| 82728 |
|
352 |
340 |
$5K |
| 94664 |
|
1,318 |
1,179 |
$5K |
| 73110 |
|
245 |
231 |
$5K |
| 84703 |
|
1,127 |
1,026 |
$5K |
| 84100 |
|
991 |
973 |
$4K |
| 87081 |
|
2,169 |
2,082 |
$4K |
| 99442 |
|
52 |
51 |
$4K |
| 82150 |
|
1,370 |
1,192 |
$4K |
| 84702 |
|
679 |
582 |
$4K |
| 73502 |
|
94 |
87 |
$4K |
| 77066 |
Tomosynthesis, mammo |
27 |
27 |
$4K |
| 82607 |
|
248 |
246 |
$4K |
| 74018 |
|
503 |
479 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,294 |
1,174 |
$3K |
| 86140 |
|
809 |
756 |
$3K |
| 99203 |
|
51 |
50 |
$3K |
| 72110 |
|
118 |
102 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,266 |
1,138 |
$3K |
| 76817 |
|
100 |
91 |
$3K |
| 83540 |
|
473 |
464 |
$3K |
| 76641 |
|
40 |
40 |
$3K |
| 84481 |
|
196 |
193 |
$3K |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$3K |
| 85652 |
|
957 |
899 |
$3K |
| 73721 |
|
14 |
13 |
$3K |
| 74022 |
|
194 |
160 |
$2K |
| J2060 |
Lorazepam injection |
728 |
648 |
$2K |
| G0279 |
Tomosynthesis, mammo |
69 |
69 |
$2K |
| J2765 |
Metoclopramide hcl injection |
919 |
853 |
$2K |
| 86780 |
|
230 |
222 |
$2K |
| J2930 |
Methylprednisolone injection |
544 |
457 |
$2K |
| 90686 |
|
167 |
165 |
$2K |
| 90715 |
|
158 |
155 |
$2K |
| 82550 |
|
834 |
643 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| 82553 |
|
508 |
355 |
$2K |
| J7040 |
Normal saline solution infus |
788 |
772 |
$2K |
| 96367 |
|
134 |
128 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
64 |
64 |
$1K |
| 82570 |
|
262 |
259 |
$1K |
| 82962 |
|
1,136 |
813 |
$1K |
| 0259 |
|
108 |
55 |
$1K |
| 82948 |
|
854 |
650 |
$1K |
| 87807 |
|
584 |
555 |
$1K |
| 94760 |
|
150 |
127 |
$1K |
| 82248 |
|
550 |
485 |
$1K |
| 84550 |
|
239 |
237 |
$1K |
| 76642 |
|
12 |
12 |
$1K |
| 96376 |
|
71 |
57 |
$1K |
| 82746 |
|
76 |
76 |
$1K |
| 72040 |
|
68 |
66 |
$974.95 |
| 86431 |
|
204 |
192 |
$920.14 |
| 70498 |
|
12 |
12 |
$840.82 |
| 84153 |
|
49 |
49 |
$838.21 |
| 90471 |
|
450 |
446 |
$832.27 |
| 83615 |
|
507 |
358 |
$826.23 |
| 90658 |
|
77 |
77 |
$821.46 |
| J0780 |
Prochlorperazine injection |
263 |
257 |
$817.46 |
| 87430 |
|
358 |
335 |
$756.45 |
| 85651 |
|
443 |
404 |
$756.29 |
| 84436 |
|
140 |
134 |
$697.24 |
| Z7610 |
|
291 |
177 |
$668.65 |
| 71010 |
|
39 |
14 |
$640.31 |
| 85027 |
|
267 |
252 |
$629.92 |
| 83970 |
|
13 |
13 |
$624.64 |
| 86901 |
|
289 |
278 |
$614.79 |
| J0561 |
Penicillin g benzathine inj |
16 |
16 |
$590.00 |
| A4217 |
Sterile water/saline, 500 ml |
440 |
360 |
$549.82 |
| S0119 |
Ondansetron 4 mg |
760 |
747 |
$547.23 |
| 86900 |
|
290 |
279 |
$522.53 |
| 84479 |
|
114 |
111 |
$503.54 |
| S0164 |
Injection pantroprazole |
177 |
156 |
$490.89 |
| J7120 |
Ringers lactate infusion |
117 |
108 |
$485.48 |
| J7050 |
Normal saline solution infus |
312 |
274 |
$481.14 |
| J2001 |
Lidocaine injection |
262 |
231 |
$458.06 |
| 36415 |
|
2,028 |
1,670 |
$420.96 |
| 97161 |
|
35 |
34 |
$420.12 |
| 0250 |
|
84 |
57 |
$407.49 |
| 84403 |
|
14 |
13 |
$385.20 |
| 86694 |
|
25 |
25 |
$373.19 |
| 74019 |
|
26 |
26 |
$373.17 |
| 73080 |
|
26 |
26 |
$342.82 |
| 82140 |
|
49 |
48 |
$334.53 |
| 92552 |
|
14 |
14 |
$305.20 |
| 99202 |
|
14 |
14 |
$301.84 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$296.02 |
| S1016 |
Non-pvc intravenous administ |
628 |
482 |
$294.54 |
| 80143 |
|
38 |
37 |
$284.64 |
| 86376 |
|
12 |
12 |
$213.80 |
| 87070 |
|
45 |
45 |
$173.26 |
| 86701 |
|
26 |
25 |
$164.03 |
| 86430 |
|
38 |
38 |
$157.62 |
| 85007 |
|
116 |
110 |
$156.52 |
| 70486 |
|
13 |
13 |
$151.96 |
| 80305 |
|
27 |
27 |
$151.44 |
| J0131 |
Inj, acetaminophen (nos) |
39 |
39 |
$143.84 |
| 84154 |
|
12 |
12 |
$138.87 |
| 84480 |
|
12 |
12 |
$138.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$131.93 |
| 73590 |
|
13 |
12 |
$127.75 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$115.00 |
| 99001 |
|
446 |
421 |
$111.15 |
| J3475 |
Inj magnesium sulfate |
29 |
27 |
$93.09 |
| 73140 |
|
12 |
12 |
$85.10 |
| J2704 |
Inj, propofol, 10 mg |
253 |
253 |
$77.40 |
| 86756 |
|
28 |
26 |
$64.89 |
| 0710 |
|
55 |
55 |
$53.82 |
| 87205 |
|
26 |
24 |
$42.50 |
| 82805 |
|
13 |
12 |
$30.58 |
| 90630 |
|
12 |
12 |
$29.26 |
| 84145 |
|
16 |
16 |
$22.21 |
| 81003 |
|
82 |
57 |
$16.09 |
| J2250 |
Inj midazolam hydrochloride |
12 |
12 |
$9.72 |
| J3370 |
Vancomycin hcl injection |
18 |
13 |
$5.16 |
| S0028 |
Injection, famotidine, 20 mg |
32 |
31 |
$0.94 |
| 1159F |
|
1,224 |
1,141 |
$0.00 |
| 90472 |
|
62 |
62 |
$0.00 |
| 1160F |
|
1,016 |
956 |
$0.00 |
| 3078F |
|
95 |
91 |
$0.00 |
| 3077F |
|
48 |
46 |
$0.00 |
| 3008F |
|
877 |
839 |
$0.00 |
| 80320 |
|
31 |
27 |
$0.00 |
| 3074F |
|
68 |
68 |
$0.00 |
| 3079F |
|
38 |
37 |
$0.00 |
| 3075F |
|
29 |
29 |
$0.00 |