| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
34,412 |
29,975 |
$3.30M |
| 99283 |
|
30,105 |
27,650 |
$2.90M |
| 99285 |
|
17,080 |
14,645 |
$1.64M |
| 99282 |
|
5,184 |
4,833 |
$456K |
| 36415 |
|
29,476 |
20,849 |
$419K |
| 80053 |
|
36,486 |
29,213 |
$305K |
| 74177 |
|
3,397 |
3,062 |
$214K |
| 70450 |
|
5,825 |
4,883 |
$194K |
| 87400 |
|
4,223 |
3,829 |
$166K |
| 74176 |
|
2,071 |
1,858 |
$151K |
| 87430 |
|
2,754 |
2,649 |
$123K |
| 97110 |
|
2,418 |
804 |
$122K |
| 80307 |
|
3,766 |
3,172 |
$113K |
| 87486 |
|
8,765 |
8,340 |
$110K |
| 87633 |
|
9,540 |
9,072 |
$102K |
| 99218 |
|
4,712 |
2,471 |
$84K |
| 99281 |
|
920 |
851 |
$84K |
| 87088 |
|
8,601 |
7,409 |
$83K |
| 96361 |
|
3,610 |
2,810 |
$82K |
| 81001 |
|
18,712 |
16,411 |
$80K |
| 71045 |
|
15,153 |
12,973 |
$68K |
| 84484 |
|
10,062 |
7,355 |
$65K |
| 80048 |
|
5,778 |
4,575 |
$60K |
| 94640 |
|
4,128 |
2,858 |
$57K |
| 71275 |
|
1,372 |
1,242 |
$47K |
| 71046 |
|
2,820 |
2,654 |
$44K |
| 86850 |
|
2,192 |
1,800 |
$43K |
| A9270 |
Non-covered item or service |
45,544 |
22,252 |
$43K |
| 99291 |
|
379 |
334 |
$39K |
| 86900 |
|
3,688 |
3,176 |
$38K |
| 73610 |
|
1,052 |
902 |
$35K |
| 76815 |
|
1,662 |
1,469 |
$35K |
| 78452 |
|
258 |
230 |
$31K |
| 85025 |
|
26,369 |
20,925 |
$30K |
| 87210 |
|
3,553 |
3,333 |
$30K |
| 81003 |
|
4,359 |
3,916 |
$30K |
| 73562 |
|
1,070 |
888 |
$29K |
| 82947 |
|
1,818 |
1,102 |
$28K |
| 93005 |
|
13,477 |
10,916 |
$27K |
| 76801 |
|
2,149 |
1,764 |
$25K |
| 73630 |
|
1,008 |
912 |
$24K |
| 84112 |
|
400 |
360 |
$23K |
| U0002 |
Covid-19 lab test non-cdc |
773 |
694 |
$23K |
| 73030 |
|
796 |
658 |
$22K |
| J2250 |
Inj midazolam hydrochloride |
2,143 |
1,782 |
$22K |
| J3010 |
Fentanyl citrate injection |
3,516 |
2,845 |
$21K |
| 87426 |
|
698 |
646 |
$21K |
| 73130 |
|
610 |
539 |
$20K |
| 76705 |
|
1,113 |
1,037 |
$20K |
| 84702 |
|
3,038 |
2,332 |
$19K |
| 85027 |
|
12,480 |
10,457 |
$17K |
| J2405 |
Ondansetron hcl injection |
10,277 |
8,435 |
$17K |
| 76700 |
|
598 |
557 |
$17K |
| 93975 |
|
1,145 |
1,088 |
$17K |
| 87040 |
|
4,683 |
3,429 |
$15K |
| J1644 |
Inj heparin sodium per 1000u |
2,260 |
1,134 |
$15K |
| 85610 |
|
7,306 |
5,380 |
$15K |
| 73110 |
|
519 |
435 |
$14K |
| 72125 |
|
1,955 |
1,577 |
$14K |
| 96374 |
|
5,596 |
4,424 |
$14K |
| G0463 |
Hospital outpt clinic visit |
1,548 |
885 |
$14K |
| 85730 |
|
5,738 |
4,742 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,254 |
1,840 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
612 |
555 |
$13K |
| 94664 |
|
3,857 |
2,789 |
$13K |
| 94760 |
|
4,168 |
3,027 |
$13K |
| 87420 |
|
1,566 |
1,500 |
$11K |
| 87491 |
|
3,574 |
3,332 |
$11K |
| 96375 |
|
3,915 |
2,884 |
$11K |
| J1100 |
Dexamethasone sodium phos |
3,734 |
3,288 |
$10K |
| 87591 |
|
3,617 |
3,377 |
$10K |
| 87071 |
|
1,186 |
986 |
$10K |
| 76817 |
|
2,337 |
1,961 |
$10K |
| 76856 |
|
928 |
881 |
$9K |
| J2270 |
Morphine sulfate injection |
6,523 |
4,616 |
$9K |
| 93017 |
|
270 |
239 |
$9K |
| 83605 |
|
4,310 |
3,645 |
$9K |
| 80061 |
|
2,471 |
2,095 |
$9K |
| 81025 |
|
2,549 |
2,380 |
$9K |
| 93041 |
|
10,115 |
8,620 |
$8K |
| G0378 |
Hospital observation per hr |
1,052 |
809 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,465 |
4,889 |
$8K |
| 73502 |
|
540 |
429 |
$8K |
| 72100 |
|
263 |
215 |
$8K |
| 87636 |
|
1,220 |
1,136 |
$8K |
| 83880 |
|
2,615 |
2,133 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,836 |
1,516 |
$7K |
| 88305 |
|
1,591 |
1,314 |
$7K |
| 76830 |
|
703 |
663 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,441 |
1,066 |
$6K |
| 93971 |
|
752 |
664 |
$6K |
| J0131 |
Inj, acetaminophen (nos) |
250 |
202 |
$6K |
| 96376 |
|
2,531 |
1,511 |
$6K |
| 83735 |
|
3,431 |
2,770 |
$6K |
| 87077 |
|
917 |
684 |
$6K |
| 86901 |
|
3,642 |
3,133 |
$6K |
| 83690 |
|
5,836 |
5,093 |
$5K |
| 87186 |
|
3,319 |
2,702 |
$5K |
| 84703 |
|
6,693 |
6,035 |
$5K |
| 96360 |
|
992 |
813 |
$5K |
| 82962 |
|
402 |
357 |
$5K |
| 93306 |
|
127 |
109 |
$5K |
| 74018 |
|
248 |
219 |
$4K |
| 84443 |
|
3,455 |
2,971 |
$4K |
| 87081 |
|
3,045 |
2,904 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
5,330 |
4,476 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,118 |
2,598 |
$3K |
| 73080 |
|
85 |
78 |
$3K |
| 87205 |
|
1,047 |
857 |
$3K |
| 85379 |
|
2,278 |
2,047 |
$3K |
| C1769 |
Guide wire |
151 |
109 |
$3K |
| 72131 |
|
99 |
80 |
$2K |
| 82731 |
|
26 |
26 |
$2K |
| J2060 |
Lorazepam injection |
1,428 |
1,145 |
$2K |
| 83036 |
|
1,492 |
1,226 |
$2K |
| 96372 |
|
1,661 |
1,221 |
$2K |
| 76819 |
|
122 |
102 |
$2K |
| 93970 |
|
58 |
49 |
$1K |
| J2550 |
Promethazine hcl injection |
1,115 |
875 |
$1K |
| J3370 |
Vancomycin hcl injection |
48 |
26 |
$1K |
| 73590 |
|
74 |
62 |
$1K |
| 85014 |
|
86 |
62 |
$1K |
| 82247 |
|
318 |
217 |
$984.69 |
| 87631 |
|
37 |
33 |
$949.83 |
| 73090 |
|
28 |
26 |
$829.30 |
| G0480 |
Drug test def 1-7 classes |
475 |
363 |
$822.97 |
| 82306 |
|
446 |
416 |
$757.78 |
| 97162 |
|
12 |
12 |
$739.63 |
| 87798 |
|
8,768 |
8,322 |
$736.36 |
| 86140 |
|
1,059 |
889 |
$727.09 |
| 87581 |
|
8,778 |
8,352 |
$678.17 |
| J7512 |
Prednisone ir or dr oral 1mg |
533 |
450 |
$665.19 |
| J2930 |
Methylprednisolone injection |
786 |
673 |
$574.54 |
| 97161 |
|
32 |
26 |
$544.92 |
| J1170 |
Hydromorphone injection |
127 |
86 |
$527.50 |
| 85055 |
|
198 |
156 |
$498.14 |
| 85007 |
|
2,360 |
2,200 |
$453.33 |
| 82077 |
|
622 |
545 |
$363.51 |
| J2765 |
Metoclopramide hcl injection |
858 |
705 |
$347.31 |
| 82550 |
|
671 |
547 |
$286.10 |
| J2710 |
Neostigmine methylslfte inj |
148 |
119 |
$281.67 |
| 84439 |
|
341 |
291 |
$276.30 |
| 71250 |
|
42 |
29 |
$270.69 |
| 88142 |
|
107 |
93 |
$262.23 |
| Q0163 |
Diphenhydramine hcl 50mg |
264 |
240 |
$240.00 |
| 74022 |
|
13 |
12 |
$239.89 |
| J2175 |
Meperidine hydrochl /100 mg |
102 |
76 |
$231.20 |
| 11042 |
|
26 |
12 |
$202.86 |
| 96365 |
|
56 |
54 |
$194.60 |
| 87045 |
|
14 |
13 |
$175.21 |
| 90715 |
|
130 |
111 |
$171.44 |
| J0780 |
Prochlorperazine injection |
309 |
271 |
$168.49 |
| 84481 |
|
98 |
78 |
$155.70 |
| Q0162 |
Ondansetron oral |
3,235 |
3,043 |
$153.06 |
| J7620 |
Albuterol ipratrop non-comp |
236 |
206 |
$144.68 |
| 86308 |
|
432 |
408 |
$136.73 |
| 85018 |
|
86 |
64 |
$122.05 |
| 82784 |
|
22 |
13 |
$106.08 |
| 85652 |
|
570 |
474 |
$105.17 |
| 80179 |
|
336 |
304 |
$89.47 |
| 82607 |
|
286 |
239 |
$81.59 |
| 82728 |
|
167 |
145 |
$75.83 |
| 76937 |
|
66 |
50 |
$70.49 |
| 29515 |
|
29 |
28 |
$58.60 |
| 84436 |
|
121 |
111 |
$51.82 |
| 82248 |
|
219 |
163 |
$44.98 |
| 85520 |
|
81 |
67 |
$34.40 |
| 87651 |
|
24 |
24 |
$23.88 |
| J1650 |
Inj enoxaparin sodium |
405 |
202 |
$23.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$20.61 |
| 84145 |
|
177 |
163 |
$17.24 |
| 87340 |
|
39 |
36 |
$16.65 |
| 83540 |
|
242 |
203 |
$14.42 |
| 84479 |
|
75 |
69 |
$13.65 |
| 83550 |
|
199 |
165 |
$11.59 |
| 82803 |
|
109 |
94 |
$10.11 |
| 84550 |
|
43 |
37 |
$7.78 |
| 82570 |
|
42 |
36 |
$6.26 |
| C9113 |
Inj pantoprazole sodium, via |
531 |
350 |
$5.39 |
| U0005 |
Infec agen detec ampli probe |
564 |
519 |
$4.64 |
| 82746 |
|
64 |
54 |
$3.90 |
| 84156 |
|
46 |
37 |
$3.12 |
| 86803 |
|
14 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
29 |
25 |
$0.00 |
| A9540 |
Tc99m maa |
29 |
27 |
$0.00 |
| J2785 |
Regadenoson injection |
55 |
52 |
$0.00 |
| 78580 |
|
32 |
30 |
$0.00 |
| J2360 |
Orphenadrine injection |
66 |
43 |
$0.00 |
| J2920 |
Methylprednisolone injection |
43 |
28 |
$0.00 |
| J1790 |
Droperidol injection |
27 |
26 |
$0.00 |
| 87046 |
|
15 |
13 |
$0.00 |
| 70486 |
|
16 |
14 |
$0.00 |
| 86704 |
|
15 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
13 |
12 |
$0.00 |
| 86706 |
|
16 |
14 |
$0.00 |
| 82553 |
|
13 |
12 |
$0.00 |
| 99156 |
|
22 |
14 |
$0.00 |
| 88342 |
|
22 |
16 |
$0.00 |
| J1940 |
Furosemide injection |
22 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
438 |
409 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
243 |
218 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
39 |
27 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
92 |
84 |
$0.00 |
| 31720 |
|
15 |
12 |
$0.00 |
| 29125 |
|
14 |
13 |
$0.00 |
| 85384 |
|
15 |
13 |
$0.00 |