| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,248 |
16,661 |
$3.23M |
| 99284 |
|
12,935 |
10,956 |
$2.19M |
| 96361 |
|
7,272 |
5,312 |
$1.98M |
| 97110 |
|
13,402 |
4,197 |
$642K |
| 99282 |
|
3,462 |
3,152 |
$484K |
| 74177 |
|
2,251 |
2,011 |
$426K |
| 99285 |
|
2,823 |
2,296 |
$366K |
| 70450 |
|
1,970 |
1,741 |
$362K |
| 93306 |
|
662 |
631 |
$249K |
| 96360 |
|
1,931 |
1,593 |
$234K |
| 96365 |
|
2,241 |
1,590 |
$179K |
| 97162 |
|
1,116 |
1,036 |
$156K |
| 74176 |
|
824 |
762 |
$146K |
| 87635 |
|
1,686 |
1,523 |
$146K |
| 80307 |
|
3,232 |
2,671 |
$141K |
| G0463 |
Hospital outpt clinic visit |
871 |
813 |
$140K |
| G0378 |
Hospital observation per hr |
597 |
499 |
$80K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
374 |
341 |
$77K |
| 97140 |
|
3,778 |
1,675 |
$74K |
| 97161 |
|
395 |
378 |
$63K |
| 94640 |
|
1,657 |
1,296 |
$61K |
| C9803 |
Hopd covid-19 spec collect |
3,058 |
2,722 |
$61K |
| 97530 |
|
1,391 |
751 |
$46K |
| 70553 |
|
107 |
100 |
$42K |
| 80053 |
|
11,841 |
9,610 |
$38K |
| 43239 |
|
99 |
91 |
$32K |
| 99281 |
|
140 |
127 |
$24K |
| 71275 |
|
88 |
76 |
$23K |
| 96366 |
|
214 |
128 |
$23K |
| 71260 |
|
101 |
95 |
$21K |
| 71046 |
|
3,734 |
3,332 |
$17K |
| 72148 |
|
83 |
78 |
$17K |
| 45385 |
|
27 |
26 |
$16K |
| 93005 |
|
8,189 |
6,772 |
$13K |
| 80048 |
|
3,291 |
2,757 |
$13K |
| 72125 |
|
236 |
222 |
$11K |
| 45380 |
|
25 |
24 |
$9K |
| 72141 |
|
34 |
33 |
$8K |
| 80047 |
|
2,442 |
2,098 |
$8K |
| 73721 |
|
27 |
25 |
$8K |
| 76942 |
|
352 |
283 |
$8K |
| 85025 |
|
16,164 |
12,467 |
$7K |
| 71045 |
|
4,840 |
4,174 |
$6K |
| J3010 |
Fentanyl citrate injection |
3,373 |
2,580 |
$6K |
| 76705 |
|
54 |
52 |
$5K |
| 84484 |
|
5,584 |
3,660 |
$5K |
| 96374 |
|
7,037 |
5,745 |
$4K |
| 64450 |
|
30 |
24 |
$4K |
| 20610 |
|
21 |
17 |
$4K |
| 73630 |
|
289 |
263 |
$4K |
| 36415 |
|
5,875 |
4,814 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
2,230 |
1,982 |
$4K |
| J2405 |
Ondansetron hcl injection |
6,292 |
4,853 |
$3K |
| 87591 |
|
780 |
706 |
$3K |
| J3490 |
Drugs unclassified injection |
7,687 |
4,023 |
$3K |
| 97750 |
|
128 |
116 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
214 |
198 |
$3K |
| 96372 |
|
3,897 |
2,737 |
$3K |
| 83880 |
|
476 |
397 |
$3K |
| 97112 |
|
95 |
54 |
$3K |
| 97163 |
|
14 |
12 |
$2K |
| 84443 |
|
723 |
644 |
$2K |
| 87510 |
|
400 |
373 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
7,025 |
3,459 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
4,211 |
3,473 |
$2K |
| J1170 |
Hydromorphone injection |
898 |
596 |
$2K |
| 85379 |
|
638 |
605 |
$2K |
| 96375 |
|
5,229 |
4,019 |
$2K |
| 73610 |
|
177 |
151 |
$1K |
| J2060 |
Lorazepam injection |
489 |
385 |
$1K |
| 73030 |
|
127 |
122 |
$1K |
| G0108 |
Diab manage trn per indiv |
26 |
25 |
$1K |
| 73562 |
|
73 |
58 |
$1K |
| 83605 |
|
2,328 |
1,569 |
$1K |
| 87086 |
|
4,235 |
3,591 |
$1K |
| 87040 |
|
218 |
191 |
$1K |
| 87660 |
|
400 |
373 |
$1K |
| 85652 |
|
329 |
311 |
$967.86 |
| 90715 |
|
42 |
41 |
$925.67 |
| 93971 |
|
16 |
14 |
$886.33 |
| 81001 |
|
8,643 |
7,298 |
$867.03 |
| J1200 |
Diphenhydramine hcl injectio |
1,451 |
1,235 |
$851.58 |
| 94726 |
|
32 |
25 |
$767.34 |
| 81025 |
|
5,257 |
4,607 |
$760.82 |
| 82947 |
|
4,167 |
2,345 |
$633.07 |
| 80076 |
|
212 |
187 |
$611.21 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,167 |
3,382 |
$551.10 |
| 86885 |
|
214 |
189 |
$542.13 |
| 88305 |
|
1,673 |
1,052 |
$538.59 |
| 73130 |
|
82 |
63 |
$530.38 |
| 97116 |
|
23 |
12 |
$492.17 |
| 86900 |
|
392 |
356 |
$474.11 |
| 83735 |
|
2,654 |
1,968 |
$452.17 |
| A9150 |
Misc/exper non-prescript dru |
24,343 |
9,913 |
$416.53 |
| 87804 |
|
6,412 |
2,967 |
$367.90 |
| 94729 |
|
32 |
25 |
$329.73 |
| 87491 |
|
754 |
682 |
$314.26 |
| 86901 |
|
392 |
356 |
$306.36 |
| 86140 |
|
191 |
155 |
$298.29 |
| 73502 |
|
27 |
24 |
$289.13 |
| 97802 |
|
12 |
12 |
$272.88 |
| Q0162 |
Ondansetron oral |
1,088 |
978 |
$271.92 |
| 85610 |
|
766 |
670 |
$270.94 |
| 82077 |
|
1,823 |
1,534 |
$270.00 |
| 85014 |
|
2,614 |
2,231 |
$264.27 |
| 83036 |
|
219 |
184 |
$260.01 |
| 83690 |
|
4,090 |
3,402 |
$257.04 |
| J1100 |
Dexamethasone sodium phos |
2,745 |
2,166 |
$207.01 |
| 87077 |
|
1,052 |
834 |
$185.11 |
| J2250 |
Inj midazolam hydrochloride |
2,268 |
1,965 |
$177.19 |
| J0690 |
Cefazolin sodium injection |
1,883 |
1,407 |
$152.01 |
| 81003 |
|
688 |
562 |
$150.33 |
| 86756 |
|
199 |
183 |
$148.48 |
| 90471 |
|
57 |
54 |
$146.28 |
| 87081 |
|
991 |
937 |
$144.69 |
| 73560 |
|
124 |
117 |
$124.20 |
| 73110 |
|
13 |
12 |
$122.06 |
| 74018 |
|
12 |
12 |
$118.54 |
| 87186 |
|
740 |
581 |
$112.31 |
| 84703 |
|
1,168 |
1,083 |
$109.17 |
| 87430 |
|
1,190 |
1,122 |
$73.00 |
| J2270 |
Morphine sulfate injection |
959 |
705 |
$71.60 |
| 36592 |
|
175 |
138 |
$64.42 |
| 80061 |
|
16 |
13 |
$60.28 |
| J0696 |
Ceftriaxone sodium injection |
790 |
596 |
$55.44 |
| J1650 |
Inj enoxaparin sodium |
579 |
280 |
$47.14 |
| 87480 |
|
400 |
373 |
$46.71 |
| 81002 |
|
1,231 |
1,075 |
$33.49 |
| J2550 |
Promethazine hcl injection |
299 |
223 |
$29.67 |
| 00813 |
|
98 |
88 |
$24.86 |
| 96376 |
|
1,151 |
787 |
$18.46 |
| G1004 |
Cdsm ndsc |
1,983 |
1,595 |
$15.16 |
| J2370 |
Phenylephrine hcl injection |
107 |
100 |
$12.20 |
| 84100 |
|
68 |
51 |
$10.88 |
| J2795 |
Ropivacaine hcl injection |
73 |
38 |
$8.55 |
| J7512 |
Prednisone ir or dr oral 1mg |
558 |
439 |
$8.41 |
| J3475 |
Inj magnesium sulfate |
144 |
112 |
$6.25 |
| J7620 |
Albuterol ipratrop non-comp |
462 |
361 |
$3.35 |
| J2765 |
Metoclopramide hcl injection |
42 |
37 |
$2.99 |
| J0171 |
Adrenalin epinephrine inject |
17 |
12 |
$2.64 |
| J0780 |
Prochlorperazine injection |
70 |
63 |
$1.44 |
| J0330 |
Succinycholine chloride inj |
39 |
28 |
$0.92 |
| J7613 |
Albuterol non-comp unit |
57 |
52 |
$0.72 |
| 85730 |
|
14 |
12 |
$0.40 |
| J3301 |
Triamcinolone acet inj nos |
54 |
51 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
190 |
119 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
199 |
171 |
$0.00 |
| 80179 |
|
16 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
206 |
178 |
$0.00 |
| 80143 |
|
16 |
13 |
$0.00 |
| 84702 |
|
14 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
14 |
14 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
89 |
83 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
25 |
19 |
$0.00 |
| 84295 |
|
22 |
15 |
$0.00 |
| A9585 |
Gadobutrol injection |
772 |
689 |
$0.00 |
| A9270 |
Non-covered item or service |
1,242 |
414 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
107 |
94 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
12 |
12 |
$0.00 |
| 88342 |
|
20 |
14 |
$0.00 |
| 82330 |
|
22 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
144 |
118 |
$0.00 |
| 82803 |
|
14 |
12 |
$0.00 |
| 84132 |
|
22 |
15 |
$0.00 |