| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
42,617 |
37,597 |
$4.54M |
| 99285 |
|
27,414 |
23,809 |
$4.50M |
| 99283 |
|
56,105 |
50,168 |
$4.10M |
| 80050 |
|
16,157 |
14,488 |
$582K |
| 87426 |
|
19,257 |
16,825 |
$567K |
| 96372 |
|
34,077 |
27,805 |
$494K |
| 99282 |
|
12,009 |
10,739 |
$481K |
| 96374 |
|
22,529 |
18,125 |
$449K |
| 80307 |
|
8,715 |
5,719 |
$366K |
| 71046 |
|
20,521 |
18,175 |
$364K |
| 80053 |
|
53,932 |
45,273 |
$331K |
| 93005 |
|
20,443 |
17,557 |
$312K |
| 96375 |
|
15,626 |
11,036 |
$301K |
| 85025 |
|
56,095 |
47,199 |
$261K |
| 87430 |
|
15,677 |
14,152 |
$210K |
| 87400 |
|
33,847 |
18,190 |
$173K |
| 36415 |
|
87,019 |
70,106 |
$171K |
| 69436 |
|
604 |
424 |
$132K |
| 96413 |
|
3,778 |
2,088 |
$125K |
| 87635 |
|
2,801 |
2,596 |
$118K |
| 81025 |
|
17,646 |
15,597 |
$113K |
| 87070 |
|
13,996 |
12,569 |
$101K |
| 11042 |
|
870 |
336 |
$98K |
| 81001 |
|
48,305 |
40,983 |
$93K |
| J1885 |
Ketorolac tromethamine inj |
19,159 |
16,768 |
$78K |
| 70450 |
|
652 |
572 |
$77K |
| 80061 |
|
7,096 |
6,379 |
$76K |
| M0243 |
Casirivi and imdevi inj |
333 |
197 |
$73K |
| 41899 |
|
162 |
151 |
$62K |
| 82306 |
|
3,011 |
2,665 |
$60K |
| U0003 |
Cov-19 amp prb hgh thruput |
954 |
837 |
$60K |
| 87088 |
|
9,662 |
8,533 |
$58K |
| 84484 |
|
8,950 |
7,424 |
$57K |
| 87389 |
|
2,568 |
2,296 |
$53K |
| G0378 |
Hospital observation per hr |
969 |
811 |
$49K |
| 84443 |
|
3,316 |
2,903 |
$41K |
| 87491 |
|
1,361 |
1,215 |
$40K |
| 87591 |
|
1,358 |
1,215 |
$40K |
| 87661 |
|
1,121 |
993 |
$33K |
| J7030 |
Normal saline solution infus |
13,603 |
11,300 |
$32K |
| 83690 |
|
6,751 |
5,968 |
$32K |
| 77067 |
|
932 |
805 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
995 |
899 |
$29K |
| J2469 |
Palonosetron hcl |
1,105 |
619 |
$26K |
| 86780 |
|
1,914 |
1,724 |
$22K |
| 83721 |
|
4,263 |
3,638 |
$22K |
| 96417 |
|
1,045 |
644 |
$21K |
| 99281 |
|
1,173 |
1,121 |
$20K |
| 71045 |
|
1,040 |
916 |
$19K |
| 83036 |
|
2,415 |
2,191 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
897 |
680 |
$16K |
| 76805 |
|
114 |
68 |
$16K |
| 96523 |
|
963 |
788 |
$16K |
| J7050 |
Normal saline solution infus |
4,615 |
2,118 |
$13K |
| G0480 |
Drug test def 1-7 classes |
196 |
171 |
$13K |
| 96365 |
|
352 |
104 |
$12K |
| 87420 |
|
895 |
819 |
$11K |
| 74019 |
|
361 |
329 |
$10K |
| 83970 |
|
420 |
378 |
$10K |
| 94640 |
|
746 |
613 |
$10K |
| 74177 |
|
29 |
26 |
$9K |
| 83735 |
|
2,398 |
1,627 |
$9K |
| 84439 |
|
1,076 |
970 |
$8K |
| 83880 |
|
374 |
339 |
$8K |
| J1100 |
Dexamethasone sodium phos |
3,534 |
2,640 |
$7K |
| 42820 |
|
15 |
14 |
$7K |
| 82550 |
|
1,713 |
1,495 |
$6K |
| J2405 |
Ondansetron hcl injection |
8,563 |
7,313 |
$6K |
| 96361 |
|
362 |
271 |
$6K |
| 85027 |
|
1,465 |
1,290 |
$6K |
| 82553 |
|
950 |
824 |
$5K |
| 82728 |
|
540 |
477 |
$5K |
| 80069 |
|
1,029 |
839 |
$5K |
| 82533 |
|
324 |
265 |
$4K |
| C1769 |
Guide wire |
76 |
64 |
$4K |
| 74176 |
|
17 |
13 |
$4K |
| 77063 |
|
716 |
597 |
$4K |
| 96415 |
|
189 |
125 |
$4K |
| 80320 |
|
1,271 |
928 |
$3K |
| 82570 |
|
1,117 |
972 |
$3K |
| 84100 |
|
1,116 |
631 |
$3K |
| J2360 |
Orphenadrine injection |
516 |
451 |
$3K |
| 86850 |
|
652 |
561 |
$3K |
| 95811 |
|
30 |
26 |
$3K |
| 82746 |
|
253 |
227 |
$2K |
| 82378 |
|
238 |
156 |
$2K |
| 83615 |
|
694 |
531 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,108 |
1,336 |
$2K |
| 84156 |
|
1,136 |
985 |
$2K |
| 80048 |
|
491 |
421 |
$2K |
| 87077 |
|
398 |
333 |
$2K |
| 71250 |
|
12 |
12 |
$2K |
| 87186 |
|
394 |
329 |
$2K |
| 71260 |
|
25 |
25 |
$2K |
| 81220 |
|
14 |
12 |
$2K |
| 86803 |
|
130 |
117 |
$2K |
| 86900 |
|
648 |
565 |
$2K |
| 85045 |
|
567 |
480 |
$2K |
| 83550 |
|
260 |
232 |
$1K |
| 72100 |
|
92 |
68 |
$1K |
| 82607 |
|
128 |
115 |
$1K |
| 83540 |
|
287 |
257 |
$1K |
| 86901 |
|
655 |
565 |
$1K |
| 86592 |
|
309 |
271 |
$1K |
| 87340 |
|
126 |
117 |
$1K |
| 86762 |
|
73 |
67 |
$892.18 |
| 99211 |
|
335 |
299 |
$810.36 |
| 73562 |
|
41 |
39 |
$738.24 |
| 81003 |
|
212 |
190 |
$716.21 |
| 86787 |
|
63 |
54 |
$660.59 |
| 73610 |
|
25 |
25 |
$648.10 |
| J2930 |
Methylprednisolone injection |
211 |
194 |
$624.42 |
| 73630 |
|
38 |
37 |
$601.55 |
| 86140 |
|
148 |
128 |
$559.44 |
| J2250 |
Inj midazolam hydrochloride |
1,739 |
1,338 |
$530.22 |
| 90715 |
|
27 |
24 |
$492.55 |
| 85660 |
|
102 |
91 |
$479.37 |
| 82043 |
|
138 |
134 |
$445.06 |
| 73130 |
|
14 |
12 |
$437.03 |
| 85651 |
|
142 |
132 |
$435.18 |
| 85730 |
|
142 |
128 |
$414.27 |
| 82962 |
|
171 |
149 |
$393.89 |
| 85610 |
|
193 |
171 |
$390.34 |
| J3010 |
Fentanyl citrate injection |
1,736 |
1,351 |
$320.06 |
| 82040 |
|
149 |
136 |
$311.87 |
| J2765 |
Metoclopramide hcl injection |
223 |
187 |
$305.36 |
| 87449 |
|
33 |
26 |
$287.52 |
| 73030 |
|
36 |
25 |
$275.10 |
| 80055 |
|
12 |
12 |
$255.14 |
| 85379 |
|
45 |
38 |
$244.32 |
| J2270 |
Morphine sulfate injection |
1,593 |
1,326 |
$243.15 |
| J1790 |
Droperidol injection |
58 |
31 |
$224.33 |
| 82950 |
|
56 |
49 |
$215.83 |
| 84704 |
|
18 |
14 |
$183.48 |
| 74018 |
|
12 |
12 |
$156.48 |
| 87631 |
|
832 |
679 |
$142.63 |
| 87040 |
|
14 |
12 |
$134.16 |
| 96376 |
|
17 |
14 |
$131.84 |
| J2550 |
Promethazine hcl injection |
58 |
52 |
$128.98 |
| 90686 |
|
15 |
14 |
$126.42 |
| 90471 |
|
70 |
51 |
$67.93 |
| J2919 |
Inj, methylpred sod succ 5mg |
47 |
27 |
$60.16 |
| 84550 |
|
19 |
13 |
$54.24 |
| J7040 |
Normal saline solution infus |
255 |
222 |
$50.40 |
| 99214 |
|
101 |
94 |
$50.12 |
| 87075 |
|
16 |
15 |
$37.88 |
| J0330 |
Succinycholine chloride inj |
130 |
95 |
$32.10 |
| J2060 |
Lorazepam injection |
13 |
12 |
$26.52 |
| 85347 |
|
14 |
12 |
$21.00 |
| 90853 |
|
1,623 |
150 |
$0.00 |
| T1015 |
Clinic service |
281 |
230 |
$0.00 |
| 00170 |
|
469 |
413 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
868 |
66 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
247 |
184 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
73 |
58 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 00126 |
|
148 |
118 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
752 |
54 |
$0.00 |
| 99213 |
|
172 |
154 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
14 |
14 |
$0.00 |