| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
7,572 |
6,969 |
$1.13M |
| 99283 |
|
6,203 |
5,795 |
$869K |
| 99282 |
|
5,449 |
5,098 |
$590K |
| 96361 |
|
2,022 |
1,758 |
$576K |
| G0378 |
Hospital observation per hr |
1,910 |
1,601 |
$521K |
| 97110 |
|
6,895 |
1,825 |
$491K |
| 96365 |
|
1,672 |
841 |
$383K |
| 11042 |
|
1,964 |
874 |
$353K |
| 74177 |
|
889 |
824 |
$326K |
| 70450 |
|
1,188 |
1,096 |
$260K |
| 99285 |
|
2,265 |
2,041 |
$253K |
| 93306 |
|
676 |
651 |
$199K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,074 |
1,027 |
$80K |
| 80053 |
|
14,176 |
12,062 |
$74K |
| G0463 |
Hospital outpt clinic visit |
986 |
625 |
$66K |
| 85025 |
|
19,820 |
15,891 |
$66K |
| 96360 |
|
316 |
284 |
$58K |
| 71046 |
|
1,276 |
1,206 |
$55K |
| 87631 |
|
360 |
353 |
$54K |
| 92507 |
|
918 |
234 |
$50K |
| 93005 |
|
2,899 |
2,518 |
$39K |
| 0241U |
|
407 |
378 |
$37K |
| J3490 |
Drugs unclassified injection |
13,281 |
5,884 |
$36K |
| G0379 |
Direct refer hospital observ |
272 |
239 |
$33K |
| 43239 |
|
92 |
86 |
$33K |
| 84443 |
|
3,440 |
3,362 |
$32K |
| 94640 |
|
643 |
395 |
$29K |
| 96374 |
|
2,991 |
2,618 |
$28K |
| 87491 |
|
726 |
691 |
$27K |
| 96375 |
|
1,955 |
1,637 |
$24K |
| 71045 |
|
2,525 |
2,295 |
$23K |
| 36415 |
|
15,600 |
12,378 |
$23K |
| 80050 |
|
999 |
973 |
$21K |
| 97530 |
|
655 |
206 |
$21K |
| J7030 |
Normal saline solution infus |
3,231 |
2,304 |
$21K |
| 87633 |
|
165 |
130 |
$19K |
| 80061 |
|
3,070 |
3,018 |
$17K |
| 96372 |
|
2,778 |
2,342 |
$16K |
| J7120 |
Ringers lactate infusion |
1,438 |
1,200 |
$16K |
| 97112 |
|
587 |
198 |
$16K |
| 87591 |
|
724 |
691 |
$16K |
| 87086 |
|
2,538 |
2,306 |
$16K |
| 83036 |
|
2,477 |
2,411 |
$15K |
| 84439 |
|
1,837 |
1,789 |
$15K |
| 80048 |
|
3,947 |
3,250 |
$15K |
| 86850 |
|
962 |
860 |
$12K |
| 87502 |
|
132 |
131 |
$10K |
| M0243 |
Casirivi and imdevi inj |
38 |
36 |
$9K |
| 36591 |
|
314 |
191 |
$9K |
| 97165 |
|
84 |
82 |
$8K |
| 78452 |
|
15 |
15 |
$8K |
| 82306 |
|
305 |
300 |
$8K |
| J8499 |
Oral prescrip drug non chemo |
7,057 |
2,961 |
$7K |
| 74176 |
|
27 |
26 |
$7K |
| 87070 |
|
1,136 |
1,008 |
$7K |
| 87806 |
|
272 |
260 |
$7K |
| 87077 |
|
1,732 |
1,449 |
$7K |
| 97161 |
|
180 |
162 |
$6K |
| 86900 |
|
1,053 |
923 |
$6K |
| 93971 |
|
63 |
61 |
$6K |
| 81001 |
|
3,378 |
3,069 |
$6K |
| 43249 |
|
18 |
17 |
$6K |
| 82728 |
|
493 |
477 |
$5K |
| 87186 |
|
1,441 |
1,215 |
$5K |
| J2405 |
Ondansetron hcl injection |
2,878 |
2,422 |
$5K |
| 83690 |
|
1,791 |
1,618 |
$4K |
| 86140 |
|
806 |
667 |
$4K |
| 87635 |
|
122 |
114 |
$4K |
| J7050 |
Normal saline solution infus |
2,146 |
1,423 |
$4K |
| 84484 |
|
2,306 |
1,587 |
$4K |
| 93970 |
|
31 |
26 |
$4K |
| 84703 |
|
1,103 |
1,050 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,875 |
1,535 |
$4K |
| 80047 |
|
348 |
320 |
$3K |
| 94060 |
|
44 |
42 |
$3K |
| 77067 |
|
86 |
85 |
$3K |
| 83735 |
|
1,307 |
941 |
$3K |
| 83550 |
|
479 |
466 |
$3K |
| 85610 |
|
2,139 |
1,783 |
$3K |
| 0099U |
|
15 |
15 |
$3K |
| 83540 |
|
560 |
543 |
$3K |
| 82962 |
|
1,831 |
791 |
$2K |
| 87651 |
|
73 |
73 |
$2K |
| 76700 |
|
13 |
12 |
$2K |
| 86901 |
|
1,091 |
945 |
$2K |
| 82570 |
|
621 |
579 |
$2K |
| A9270 |
Non-covered item or service |
2,866 |
575 |
$2K |
| 80306 |
|
389 |
354 |
$2K |
| 87636 |
|
24 |
24 |
$2K |
| 81003 |
|
1,679 |
1,556 |
$2K |
| 87040 |
|
497 |
292 |
$2K |
| 94726 |
|
28 |
26 |
$2K |
| 87506 |
|
13 |
12 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,123 |
1,029 |
$2K |
| 86592 |
|
196 |
189 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
24 |
23 |
$2K |
| 85730 |
|
1,024 |
876 |
$2K |
| 80076 |
|
282 |
265 |
$2K |
| 82607 |
|
118 |
113 |
$1K |
| 85652 |
|
576 |
491 |
$1K |
| J7040 |
Normal saline solution infus |
215 |
201 |
$1K |
| 83880 |
|
140 |
129 |
$1K |
| 71250 |
|
16 |
16 |
$1K |
| 88305 |
|
409 |
287 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,101 |
920 |
$1K |
| 93017 |
|
12 |
12 |
$1K |
| 77063 |
|
16 |
15 |
$1K |
| 94729 |
|
28 |
26 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
2,027 |
1,739 |
$1K |
| J2270 |
Morphine sulfate injection |
493 |
402 |
$952.22 |
| 84145 |
|
303 |
238 |
$907.04 |
| 72100 |
|
31 |
27 |
$865.73 |
| 43251 |
|
26 |
25 |
$862.06 |
| J2704 |
Inj, propofol, 10 mg |
1,351 |
1,131 |
$708.96 |
| 87075 |
|
203 |
171 |
$690.58 |
| 72125 |
|
43 |
38 |
$665.43 |
| 74019 |
|
13 |
13 |
$653.02 |
| 87653 |
|
13 |
13 |
$627.13 |
| 87205 |
|
287 |
243 |
$574.74 |
| 83605 |
|
288 |
216 |
$511.23 |
| 86787 |
|
36 |
36 |
$437.09 |
| 97116 |
|
25 |
12 |
$432.56 |
| 80164 |
|
47 |
43 |
$376.23 |
| 85379 |
|
285 |
253 |
$324.53 |
| 87188 |
|
252 |
227 |
$324.36 |
| 87426 |
|
15 |
14 |
$321.90 |
| 85004 |
|
79 |
52 |
$276.37 |
| 82043 |
|
104 |
99 |
$259.68 |
| 87340 |
|
43 |
42 |
$253.73 |
| 97162 |
|
14 |
14 |
$250.10 |
| 85027 |
|
79 |
67 |
$239.46 |
| 84100 |
|
218 |
143 |
$187.23 |
| 82947 |
|
29 |
28 |
$169.89 |
| G0480 |
Drug test def 1-7 classes |
149 |
125 |
$161.16 |
| 86762 |
|
15 |
14 |
$142.02 |
| 84156 |
|
41 |
38 |
$141.59 |
| 36416 |
|
112 |
95 |
$131.76 |
| G1010 |
Cdsm stanson |
1,036 |
905 |
$104.08 |
| 81025 |
|
97 |
93 |
$99.52 |
| 87147 |
|
14 |
14 |
$71.94 |
| 84481 |
|
12 |
12 |
$68.76 |
| Q0162 |
Ondansetron oral |
544 |
504 |
$62.34 |
| A4216 |
Sterile water/saline, 10 ml |
169 |
111 |
$56.61 |
| 82272 |
|
12 |
12 |
$38.07 |
| 99152 |
|
16 |
13 |
$21.54 |
| J0131 |
Inj, acetaminophen (nos) |
391 |
350 |
$13.72 |
| J0330 |
Succinycholine chloride inj |
77 |
66 |
$13.64 |
| J7613 |
Albuterol non-comp unit |
50 |
43 |
$8.61 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,005 |
925 |
$4.40 |
| C1769 |
Guide wire |
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
18 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
15 |
14 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
19 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
71 |
46 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
14 |
12 |
$0.00 |
| 80320 |
|
16 |
13 |
$0.00 |
| A9578 |
Inj multihance multipack |
13 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
169 |
132 |
$0.00 |
| A9577 |
Inj multihance |
38 |
37 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
186 |
88 |
$0.00 |
| 76942 |
|
40 |
38 |
$0.00 |
| J2550 |
Promethazine hcl injection |
18 |
14 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
29 |
12 |
$0.00 |
| 87641 |
|
12 |
12 |
$0.00 |