| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
26,530 |
22,873 |
$4.41M |
| 99284 |
|
21,655 |
17,920 |
$3.40M |
| 99282 |
|
6,770 |
6,179 |
$1.10M |
| 99285 |
|
5,651 |
4,795 |
$879K |
| 74177 |
|
4,476 |
3,941 |
$785K |
| 96361 |
|
3,271 |
2,855 |
$746K |
| 70450 |
|
3,519 |
3,029 |
$576K |
| 43239 |
|
1,234 |
1,078 |
$501K |
| 42820 |
|
223 |
208 |
$421K |
| 93306 |
|
1,429 |
1,295 |
$412K |
| G0378 |
Hospital observation per hr |
5,042 |
2,622 |
$408K |
| 99281 |
|
1,940 |
1,781 |
$331K |
| 69436 |
|
278 |
253 |
$294K |
| 80307 |
|
4,791 |
4,072 |
$182K |
| 71275 |
|
785 |
711 |
$178K |
| 74176 |
|
925 |
831 |
$170K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
283 |
243 |
$135K |
| 76705 |
|
1,418 |
1,290 |
$127K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,129 |
4,612 |
$126K |
| 87635 |
|
1,775 |
1,622 |
$113K |
| 80053 |
|
31,755 |
25,013 |
$110K |
| 96360 |
|
733 |
675 |
$99K |
| C9803 |
Hopd covid-19 spec collect |
4,751 |
4,297 |
$95K |
| G0383 |
Lev 4 hosp type b ed visit |
336 |
270 |
$63K |
| J2405 |
Ondansetron hcl injection |
10,197 |
7,965 |
$61K |
| 96374 |
|
16,439 |
13,289 |
$59K |
| J1170 |
Hydromorphone injection |
2,647 |
1,861 |
$59K |
| J1100 |
Dexamethasone sodium phos |
2,612 |
1,968 |
$59K |
| J3010 |
Fentanyl citrate injection |
2,549 |
2,052 |
$59K |
| J2704 |
Inj, propofol, 10 mg |
1,807 |
1,427 |
$59K |
| J2250 |
Inj midazolam hydrochloride |
603 |
489 |
$59K |
| 94640 |
|
1,775 |
1,330 |
$55K |
| 71046 |
|
5,632 |
4,780 |
$50K |
| 77063 |
|
1,069 |
1,019 |
$46K |
| 85027 |
|
37,963 |
28,226 |
$44K |
| 45380 |
|
77 |
71 |
$41K |
| 73721 |
|
196 |
185 |
$41K |
| 72125 |
|
1,037 |
897 |
$39K |
| 93005 |
|
12,617 |
9,919 |
$34K |
| 93971 |
|
374 |
336 |
$29K |
| 72148 |
|
168 |
152 |
$28K |
| 87400 |
|
8,362 |
7,198 |
$28K |
| 76830 |
|
323 |
303 |
$26K |
| 74018 |
|
1,307 |
1,161 |
$26K |
| 80048 |
|
5,214 |
3,842 |
$23K |
| 96375 |
|
7,514 |
6,141 |
$22K |
| 42830 |
|
12 |
12 |
$22K |
| 45385 |
|
28 |
26 |
$20K |
| 12001 |
|
108 |
105 |
$20K |
| G0480 |
Drug test def 1-7 classes |
1,469 |
1,156 |
$19K |
| 93246 |
|
331 |
319 |
$18K |
| 97110 |
|
479 |
181 |
$18K |
| 71045 |
|
8,158 |
6,872 |
$17K |
| 87040 |
|
3,632 |
2,773 |
$17K |
| 77067 |
|
1,106 |
1,052 |
$17K |
| 96372 |
|
3,742 |
3,208 |
$16K |
| 96365 |
|
222 |
198 |
$16K |
| 76641 |
|
129 |
117 |
$14K |
| 36415 |
|
7,954 |
6,544 |
$14K |
| 84443 |
|
4,284 |
3,729 |
$13K |
| G0382 |
Lev 3 hosp type b ed visit |
76 |
64 |
$13K |
| 81025 |
|
5,328 |
4,793 |
$12K |
| 72110 |
|
1,316 |
1,150 |
$12K |
| 76536 |
|
111 |
106 |
$11K |
| 97163 |
|
163 |
134 |
$11K |
| 97535 |
|
498 |
194 |
$11K |
| 90715 |
|
542 |
492 |
$9K |
| 87420 |
|
1,766 |
1,650 |
$9K |
| 73030 |
|
822 |
752 |
$9K |
| 10060 |
|
64 |
52 |
$8K |
| 93017 |
|
82 |
79 |
$8K |
| 73564 |
|
1,140 |
1,030 |
$8K |
| 84484 |
|
7,669 |
5,532 |
$8K |
| 73610 |
|
1,115 |
1,035 |
$8K |
| 73630 |
|
1,038 |
949 |
$7K |
| 87591 |
|
876 |
800 |
$7K |
| 76857 |
|
241 |
227 |
$6K |
| 87086 |
|
3,428 |
2,958 |
$6K |
| 85610 |
|
5,296 |
4,274 |
$6K |
| J7030 |
Normal saline solution infus |
12,731 |
9,936 |
$5K |
| 78452 |
|
14 |
14 |
$5K |
| 83036 |
|
1,644 |
1,459 |
$5K |
| 85379 |
|
1,431 |
1,271 |
$5K |
| 83735 |
|
6,416 |
4,537 |
$5K |
| 81001 |
|
12,138 |
10,225 |
$4K |
| 73130 |
|
600 |
547 |
$4K |
| 80061 |
|
1,122 |
998 |
$4K |
| 83690 |
|
8,271 |
6,875 |
$4K |
| 83605 |
|
3,887 |
3,082 |
$4K |
| 87426 |
|
4,772 |
4,393 |
$4K |
| 83880 |
|
972 |
747 |
$4K |
| 80143 |
|
1,122 |
993 |
$4K |
| 84703 |
|
6,747 |
5,838 |
$4K |
| 76000 |
|
140 |
130 |
$4K |
| 12011 |
|
12 |
12 |
$3K |
| 96376 |
|
1,117 |
958 |
$3K |
| 86140 |
|
947 |
781 |
$3K |
| 87070 |
|
4,398 |
3,993 |
$3K |
| 73110 |
|
534 |
503 |
$3K |
| 87186 |
|
1,918 |
1,667 |
$3K |
| 70491 |
|
12 |
12 |
$2K |
| 82947 |
|
2,857 |
1,892 |
$2K |
| 84439 |
|
296 |
269 |
$2K |
| 71260 |
|
40 |
29 |
$2K |
| 80179 |
|
1,069 |
947 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
8,985 |
6,926 |
$2K |
| 80047 |
|
899 |
696 |
$2K |
| 88305 |
|
457 |
365 |
$2K |
| 90471 |
|
781 |
690 |
$2K |
| 87077 |
|
1,600 |
1,384 |
$2K |
| 85651 |
|
1,225 |
1,013 |
$2K |
| 97140 |
|
69 |
26 |
$1K |
| 71271 |
|
17 |
14 |
$1K |
| 85730 |
|
2,778 |
2,223 |
$1K |
| 82565 |
|
773 |
711 |
$1K |
| 81003 |
|
6,923 |
5,930 |
$1K |
| 82077 |
|
2,018 |
1,753 |
$1K |
| 87491 |
|
862 |
787 |
$1K |
| 70486 |
|
14 |
13 |
$1K |
| 97167 |
|
16 |
12 |
$1K |
| 84702 |
|
1,011 |
835 |
$1K |
| 86850 |
|
679 |
588 |
$993.62 |
| 86900 |
|
1,303 |
1,106 |
$950.56 |
| 82803 |
|
697 |
563 |
$822.28 |
| 87205 |
|
698 |
595 |
$674.39 |
| J1650 |
Inj enoxaparin sodium |
757 |
418 |
$664.14 |
| 86901 |
|
1,306 |
1,106 |
$536.78 |
| 87880 |
|
3,750 |
3,473 |
$513.06 |
| 82728 |
|
46 |
45 |
$417.06 |
| J2270 |
Morphine sulfate injection |
2,679 |
1,906 |
$389.84 |
| 72100 |
|
12 |
12 |
$379.22 |
| S0020 |
Injection, bupivicaine hydro |
148 |
130 |
$358.30 |
| 82607 |
|
54 |
51 |
$357.25 |
| 87147 |
|
598 |
549 |
$319.08 |
| 97530 |
|
28 |
13 |
$316.95 |
| 86617 |
|
35 |
29 |
$296.35 |
| 73502 |
|
26 |
25 |
$286.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,322 |
5,915 |
$278.85 |
| 72050 |
|
14 |
13 |
$277.70 |
| 82306 |
|
44 |
41 |
$272.96 |
| 83540 |
|
71 |
70 |
$239.92 |
| 80076 |
|
61 |
54 |
$209.42 |
| J0696 |
Ceftriaxone sodium injection |
3,933 |
3,221 |
$202.73 |
| 83520 |
|
25 |
25 |
$184.71 |
| 87210 |
|
603 |
539 |
$171.13 |
| 87899 |
|
82 |
57 |
$169.51 |
| 85018 |
|
56 |
49 |
$165.07 |
| U0002 |
Covid-19 lab test non-cdc |
22 |
19 |
$152.95 |
| 83550 |
|
28 |
27 |
$131.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,121 |
940 |
$114.57 |
| 86618 |
|
41 |
38 |
$104.71 |
| S0119 |
Ondansetron 4 mg |
1,180 |
1,081 |
$99.93 |
| J1200 |
Diphenhydramine hcl injectio |
1,360 |
1,144 |
$99.18 |
| J1815 |
Insulin injection |
408 |
217 |
$98.17 |
| 86038 |
|
14 |
13 |
$86.02 |
| 82962 |
|
252 |
129 |
$85.64 |
| 73090 |
|
12 |
12 |
$74.33 |
| 82570 |
|
30 |
25 |
$66.19 |
| C1769 |
Guide wire |
73 |
61 |
$53.61 |
| J2930 |
Methylprednisolone injection |
745 |
576 |
$52.39 |
| A9270 |
Non-covered item or service |
3,626 |
1,091 |
$51.00 |
| 82784 |
|
13 |
12 |
$50.54 |
| 86308 |
|
88 |
88 |
$45.68 |
| J2550 |
Promethazine hcl injection |
625 |
385 |
$38.14 |
| J2060 |
Lorazepam injection |
463 |
387 |
$33.17 |
| 73080 |
|
13 |
13 |
$28.84 |
| 82274 |
|
44 |
38 |
$27.31 |
| 82248 |
|
18 |
12 |
$20.40 |
| 83498 |
|
12 |
12 |
$13.84 |
| J2765 |
Metoclopramide hcl injection |
237 |
211 |
$12.49 |
| A6257 |
Transparent film <= 16 sq in |
218 |
190 |
$10.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$7.17 |
| J3475 |
Inj magnesium sulfate |
127 |
112 |
$5.47 |
| 82330 |
|
226 |
157 |
$4.91 |
| J3490 |
Drugs unclassified injection |
1,882 |
1,545 |
$4.50 |
| J0780 |
Prochlorperazine injection |
95 |
91 |
$3.96 |
| J7620 |
Albuterol ipratrop non-comp |
255 |
218 |
$3.42 |
| J0690 |
Cefazolin sodium injection |
226 |
167 |
$3.41 |
| J1644 |
Inj heparin sodium per 1000u |
20 |
13 |
$2.30 |
| J3535 |
Metered dose inhaler drug |
40 |
37 |
$2.00 |
| C9113 |
Inj pantoprazole sodium, via |
15 |
13 |
$1.38 |
| J7611 |
Albuterol non-comp con |
12 |
12 |
$0.69 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
59 |
54 |
$0.00 |
| J7040 |
Normal saline solution infus |
56 |
53 |
$0.00 |
| J7120 |
Ringers lactate infusion |
101 |
89 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
36 |
$0.00 |
| S4991 |
Nicotine patch nonlegend |
19 |
12 |
$0.00 |
| 73140 |
|
12 |
12 |
$0.00 |
| A9577 |
Inj multihance |
43 |
26 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
21 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
39 |
37 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
59 |
47 |
$0.00 |
| 87804 |
|
109 |
98 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,681 |
1,450 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
273 |
248 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
78 |
62 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
27 |
27 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
14 |
$0.00 |
| 87807 |
|
25 |
21 |
$0.00 |