| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,696 |
9,010 |
$729K |
| 99284 |
|
7,418 |
6,494 |
$686K |
| J7030 |
Normal saline solution infus |
3,020 |
2,321 |
$589K |
| 0202U |
|
2,400 |
2,276 |
$551K |
| J3490 |
Drugs unclassified injection |
2,952 |
1,816 |
$426K |
| 99285 |
|
2,399 |
2,041 |
$268K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,546 |
1,269 |
$200K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,155 |
1,886 |
$104K |
| 96361 |
|
2,378 |
1,976 |
$100K |
| 99282 |
|
1,301 |
1,214 |
$95K |
| J7120 |
Ringers lactate infusion |
338 |
295 |
$91K |
| 80053 |
|
10,075 |
7,627 |
$71K |
| J7050 |
Normal saline solution infus |
222 |
177 |
$70K |
| 96365 |
|
2,535 |
1,932 |
$69K |
| J7040 |
Normal saline solution infus |
240 |
194 |
$50K |
| 87070 |
|
810 |
750 |
$46K |
| 87486 |
|
888 |
837 |
$39K |
| 96374 |
|
3,057 |
2,551 |
$37K |
| 70450 |
|
1,303 |
1,070 |
$37K |
| 88305 |
|
725 |
579 |
$33K |
| 96360 |
|
1,036 |
933 |
$30K |
| G0463 |
Hospital outpt clinic visit |
770 |
604 |
$28K |
| 74176 |
|
731 |
614 |
$26K |
| G0378 |
Hospital observation per hr |
2,074 |
1,192 |
$24K |
| 96372 |
|
812 |
669 |
$24K |
| 87086 |
|
2,984 |
2,552 |
$19K |
| 36415 |
|
3,823 |
2,338 |
$15K |
| 81001 |
|
5,881 |
5,039 |
$14K |
| 84703 |
|
1,039 |
956 |
$14K |
| 59025 |
|
311 |
269 |
$14K |
| 74177 |
|
502 |
449 |
$13K |
| J2001 |
Lidocaine injection |
1,426 |
1,188 |
$12K |
| 97530 |
|
822 |
264 |
$12K |
| 87633 |
|
1,346 |
1,278 |
$12K |
| 94640 |
|
1,182 |
921 |
$10K |
| 43239 |
|
72 |
65 |
$9K |
| 80048 |
|
1,757 |
1,166 |
$9K |
| 85025 |
|
10,442 |
7,753 |
$8K |
| 86900 |
|
599 |
526 |
$8K |
| 87081 |
|
793 |
762 |
$7K |
| 97110 |
|
265 |
84 |
$7K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
60 |
52 |
$7K |
| 76705 |
|
300 |
272 |
$6K |
| 71046 |
|
1,144 |
1,033 |
$6K |
| 87804 |
|
1,507 |
865 |
$6K |
| 74018 |
|
355 |
312 |
$5K |
| 87077 |
|
733 |
538 |
$5K |
| 96375 |
|
2,939 |
2,220 |
$4K |
| 71045 |
|
2,360 |
1,953 |
$4K |
| 93005 |
|
3,497 |
2,773 |
$3K |
| 87651 |
|
474 |
460 |
$3K |
| 85610 |
|
2,554 |
1,991 |
$3K |
| Q9951 |
Locm >= 400 mg/ml iodine,1ml |
40 |
37 |
$3K |
| 77067 |
|
181 |
160 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
12 |
$2K |
| 76641 |
|
52 |
44 |
$2K |
| 85730 |
|
1,875 |
1,550 |
$2K |
| 86140 |
|
2,135 |
1,904 |
$2K |
| 84484 |
|
2,281 |
1,483 |
$2K |
| 87040 |
|
1,775 |
1,264 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,852 |
3,059 |
$2K |
| 96366 |
|
150 |
105 |
$2K |
| U0005 |
Infec agen detec ampli probe |
274 |
144 |
$2K |
| 85027 |
|
1,737 |
1,173 |
$2K |
| 80307 |
|
183 |
171 |
$2K |
| 76856 |
|
69 |
65 |
$1K |
| 94760 |
|
1,126 |
824 |
$1K |
| 77063 |
|
147 |
129 |
$1K |
| 82150 |
|
922 |
832 |
$1K |
| 94664 |
|
602 |
495 |
$984.53 |
| 83735 |
|
1,632 |
1,250 |
$970.29 |
| J0690 |
Cefazolin sodium injection |
731 |
610 |
$841.73 |
| J0696 |
Ceftriaxone sodium injection |
818 |
586 |
$759.64 |
| A9270 |
Non-covered item or service |
2,526 |
1,741 |
$746.66 |
| 76700 |
|
44 |
42 |
$736.07 |
| 83690 |
|
2,299 |
2,007 |
$695.58 |
| 87581 |
|
888 |
837 |
$603.93 |
| 87186 |
|
536 |
403 |
$586.44 |
| J2704 |
Inj, propofol, 10 mg |
1,649 |
1,338 |
$529.43 |
| J3010 |
Fentanyl citrate injection |
1,717 |
1,359 |
$489.01 |
| 97112 |
|
45 |
14 |
$470.19 |
| 87635 |
|
39 |
34 |
$404.64 |
| 84702 |
|
132 |
105 |
$377.25 |
| J2270 |
Morphine sulfate injection |
585 |
436 |
$352.62 |
| 87798 |
|
900 |
838 |
$300.02 |
| 84443 |
|
1,210 |
967 |
$299.27 |
| J1885 |
Ketorolac tromethamine inj |
1,587 |
1,357 |
$262.21 |
| 83036 |
|
664 |
557 |
$205.18 |
| J2250 |
Inj midazolam hydrochloride |
749 |
657 |
$178.12 |
| 80061 |
|
597 |
473 |
$171.87 |
| 84439 |
|
680 |
556 |
$113.19 |
| J1100 |
Dexamethasone sodium phos |
1,847 |
1,647 |
$102.51 |
| 82306 |
|
48 |
39 |
$80.48 |
| J1170 |
Hydromorphone injection |
646 |
394 |
$78.46 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
20 |
15 |
$74.04 |
| 85380 |
|
333 |
306 |
$63.87 |
| 85652 |
|
706 |
627 |
$63.24 |
| J0131 |
Inj, acetaminophen (nos) |
2,256 |
1,990 |
$55.46 |
| 86901 |
|
402 |
353 |
$53.94 |
| G0480 |
Drug test def 1-7 classes |
61 |
50 |
$42.10 |
| G0279 |
Tomosynthesis, mammo |
16 |
13 |
$39.96 |
| 87491 |
|
26 |
25 |
$28.83 |
| 84466 |
|
22 |
13 |
$22.23 |
| J2930 |
Methylprednisolone injection |
32 |
27 |
$16.10 |
| 83880 |
|
174 |
146 |
$13.64 |
| 86886 |
|
329 |
288 |
$8.58 |
| 87205 |
|
45 |
38 |
$2.36 |
| 84550 |
|
14 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
224 |
146 |
$0.00 |
| 83540 |
|
87 |
52 |
$0.00 |
| 96367 |
|
23 |
13 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
13 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$0.00 |
| 84100 |
|
13 |
12 |
$0.00 |
| 72125 |
|
30 |
25 |
$0.00 |
| Q0162 |
Ondansetron oral |
291 |
280 |
$0.00 |
| J3480 |
Inj potassium chloride |
131 |
94 |
$0.00 |
| 0240U |
|
32 |
28 |
$0.00 |
| 74019 |
|
41 |
39 |
$0.00 |
| 96376 |
|
30 |
25 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
14 |
12 |
$0.00 |
| 88342 |
|
59 |
52 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 82607 |
|
16 |
12 |
$0.00 |
| 87807 |
|
60 |
60 |
$0.00 |
| 83605 |
|
71 |
57 |
$0.00 |
| 82077 |
|
33 |
30 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| 87591 |
|
26 |
25 |
$0.00 |
| J2060 |
Lorazepam injection |
15 |
14 |
$0.00 |
| 83615 |
|
13 |
12 |
$0.00 |
| 82550 |
|
18 |
13 |
$0.00 |
| 71275 |
|
16 |
13 |
$0.00 |