| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
27,744 |
25,292 |
$2.12M |
| 99284 |
|
21,391 |
18,496 |
$1.29M |
| 70450 |
|
4,307 |
3,704 |
$423K |
| 74177 |
|
2,555 |
2,345 |
$366K |
| 80053 |
|
17,723 |
13,638 |
$328K |
| 99285 |
|
4,750 |
4,000 |
$323K |
| 99282 |
|
4,367 |
4,032 |
$318K |
| 80048 |
|
7,275 |
6,138 |
$268K |
| 74176 |
|
1,748 |
1,532 |
$217K |
| U0002 |
Covid-19 lab test non-cdc |
6,193 |
5,622 |
$145K |
| 96361 |
|
1,331 |
1,180 |
$137K |
| 71275 |
|
1,035 |
912 |
$130K |
| C1751 |
Cath, inf, per/cent/midline |
7,155 |
6,193 |
$117K |
| 99281 |
|
1,131 |
1,066 |
$106K |
| 87070 |
|
5,492 |
5,104 |
$77K |
| G0382 |
Lev 3 hosp type b ed visit |
785 |
739 |
$64K |
| 84702 |
|
7,462 |
6,352 |
$51K |
| 80307 |
|
3,071 |
2,666 |
$50K |
| 96360 |
|
550 |
503 |
$40K |
| 96365 |
|
729 |
624 |
$36K |
| G0378 |
Hospital observation per hr |
4,347 |
2,291 |
$36K |
| 93306 |
|
868 |
721 |
$34K |
| 86850 |
|
887 |
741 |
$34K |
| A9270 |
Non-covered item or service |
7,230 |
1,520 |
$32K |
| 72125 |
|
1,522 |
1,323 |
$32K |
| 72131 |
|
899 |
801 |
$31K |
| 94640 |
|
2,004 |
1,475 |
$31K |
| 85027 |
|
26,662 |
20,035 |
$30K |
| 93005 |
|
9,687 |
6,807 |
$30K |
| 81003 |
|
11,126 |
9,782 |
$28K |
| 87086 |
|
3,241 |
2,872 |
$22K |
| 87804 |
|
10,959 |
10,133 |
$22K |
| 87280 |
|
2,101 |
1,974 |
$21K |
| 76856 |
|
1,109 |
1,017 |
$19K |
| J7050 |
Normal saline solution infus |
977 |
661 |
$18K |
| 71046 |
|
4,809 |
4,376 |
$18K |
| 96372 |
|
4,007 |
3,623 |
$16K |
| 76705 |
|
742 |
687 |
$15K |
| 87430 |
|
6,346 |
5,943 |
$15K |
| 81025 |
|
3,638 |
3,328 |
$13K |
| 73610 |
|
779 |
724 |
$12K |
| 96374 |
|
10,347 |
8,663 |
$11K |
| 76801 |
|
1,109 |
924 |
$11K |
| 73630 |
|
945 |
873 |
$11K |
| 76805 |
|
621 |
573 |
$10K |
| 71045 |
|
8,472 |
7,066 |
$10K |
| 73030 |
|
605 |
536 |
$9K |
| 86900 |
|
2,013 |
1,727 |
$9K |
| 81001 |
|
4,407 |
3,901 |
$9K |
| 87426 |
|
3,918 |
3,615 |
$9K |
| 73562 |
|
567 |
510 |
$9K |
| Q0111 |
Wet mounts/ w preparations |
1,070 |
992 |
$8K |
| 76830 |
|
733 |
653 |
$8K |
| 73130 |
|
522 |
481 |
$8K |
| 93971 |
|
494 |
444 |
$7K |
| 90471 |
|
571 |
509 |
$5K |
| 85610 |
|
7,825 |
6,283 |
$5K |
| 85730 |
|
6,510 |
5,373 |
$5K |
| 87491 |
|
1,343 |
1,241 |
$4K |
| 87040 |
|
2,046 |
1,548 |
$4K |
| 86901 |
|
1,965 |
1,686 |
$3K |
| J7030 |
Normal saline solution infus |
9,433 |
7,434 |
$3K |
| 72128 |
|
205 |
174 |
$3K |
| 70486 |
|
125 |
116 |
$3K |
| 73590 |
|
156 |
140 |
$2K |
| 83735 |
|
7,341 |
5,044 |
$2K |
| 76817 |
|
716 |
606 |
$2K |
| J1815 |
Insulin injection |
553 |
234 |
$2K |
| 36415 |
|
105 |
79 |
$2K |
| 84484 |
|
7,119 |
4,455 |
$2K |
| 83880 |
|
2,419 |
2,016 |
$2K |
| 74022 |
|
217 |
204 |
$2K |
| 80076 |
|
3,191 |
2,799 |
$2K |
| J2405 |
Ondansetron hcl injection |
4,044 |
3,299 |
$2K |
| 72100 |
|
214 |
193 |
$2K |
| 87591 |
|
1,354 |
1,252 |
$1K |
| J3010 |
Fentanyl citrate injection |
793 |
661 |
$1K |
| 84100 |
|
2,512 |
1,537 |
$1K |
| 29125 |
|
57 |
50 |
$1K |
| 96375 |
|
3,902 |
3,296 |
$1K |
| 73110 |
|
154 |
131 |
$1K |
| 88305 |
|
29 |
25 |
$980.52 |
| 72170 |
|
87 |
78 |
$964.93 |
| 83036 |
|
1,003 |
848 |
$745.46 |
| 83690 |
|
5,734 |
5,002 |
$734.70 |
| 93017 |
|
12 |
12 |
$693.42 |
| J1200 |
Diphenhydramine hcl injectio |
705 |
543 |
$679.84 |
| 74018 |
|
13 |
13 |
$664.58 |
| J1885 |
Ketorolac tromethamine inj |
4,600 |
3,657 |
$646.54 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,481 |
1,936 |
$626.82 |
| 12001 |
|
15 |
14 |
$587.40 |
| J0696 |
Ceftriaxone sodium injection |
3,530 |
2,969 |
$584.37 |
| 93970 |
|
90 |
84 |
$583.20 |
| 74019 |
|
66 |
47 |
$551.59 |
| J1170 |
Hydromorphone injection |
470 |
302 |
$540.34 |
| 80061 |
|
719 |
563 |
$420.85 |
| 73090 |
|
66 |
62 |
$375.93 |
| 82550 |
|
1,388 |
1,063 |
$374.26 |
| 73502 |
|
27 |
24 |
$346.45 |
| 85378 |
|
1,179 |
1,042 |
$300.61 |
| J1100 |
Dexamethasone sodium phos |
1,312 |
1,087 |
$286.47 |
| 71250 |
|
65 |
54 |
$280.23 |
| Q0162 |
Ondansetron oral |
1,790 |
1,664 |
$278.71 |
| J2270 |
Morphine sulfate injection |
1,825 |
1,299 |
$272.41 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,057 |
940 |
$239.49 |
| J2704 |
Inj, propofol, 10 mg |
18 |
15 |
$233.56 |
| 83605 |
|
1,067 |
822 |
$220.95 |
| G0480 |
Drug test def 1-7 classes |
82 |
65 |
$217.89 |
| 82077 |
|
610 |
518 |
$209.79 |
| 82248 |
|
530 |
369 |
$209.58 |
| 84443 |
|
1,296 |
1,132 |
$183.19 |
| 85652 |
|
29 |
25 |
$182.77 |
| 73552 |
|
13 |
13 |
$174.38 |
| 87186 |
|
1,123 |
1,007 |
$156.33 |
| 73564 |
|
15 |
12 |
$102.36 |
| 87081 |
|
77 |
64 |
$52.31 |
| 80320 |
|
363 |
337 |
$33.36 |
| J2930 |
Methylprednisolone injection |
795 |
662 |
$32.03 |
| 82553 |
|
341 |
204 |
$30.57 |
| J2765 |
Metoclopramide hcl injection |
205 |
186 |
$21.72 |
| 80329 |
|
33 |
28 |
$16.84 |
| 87400 |
|
122 |
114 |
$9.89 |
| 87147 |
|
86 |
81 |
$1.64 |
| J7040 |
Normal saline solution infus |
207 |
188 |
$0.00 |
| 80143 |
|
103 |
92 |
$0.00 |
| 80179 |
|
109 |
99 |
$0.00 |
| J0780 |
Prochlorperazine injection |
58 |
51 |
$0.00 |
| J2550 |
Promethazine hcl injection |
134 |
107 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
15 |
13 |
$0.00 |
| G1003 |
Cdsm medicalis |
46 |
31 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
45 |
25 |
$0.00 |
| 73080 |
|
41 |
37 |
$0.00 |
| J7999 |
Compounded drug, noc |
103 |
63 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
133 |
104 |
$0.00 |
| J2060 |
Lorazepam injection |
77 |
57 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
68 |
48 |
$0.00 |
| C1769 |
Guide wire |
21 |
16 |
$0.00 |
| 82803 |
|
51 |
43 |
$0.00 |
| J2360 |
Orphenadrine injection |
53 |
45 |
$0.00 |
| 87205 |
|
51 |
43 |
$0.00 |
| 96376 |
|
30 |
25 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
33 |
30 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
23 |
14 |
$0.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$0.00 |
| 94644 |
|
15 |
13 |
$0.00 |
| 86140 |
|
19 |
12 |
$0.00 |