| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
63,798 |
58,271 |
$5.49M |
| 99284 |
|
33,203 |
29,929 |
$3.56M |
| 41899 |
|
3,347 |
2,999 |
$1.91M |
| 99285 |
|
13,943 |
12,254 |
$1.78M |
| 87633 |
|
3,823 |
3,414 |
$1.47M |
| 99282 |
|
22,838 |
21,386 |
$1.39M |
| 70450 |
|
8,248 |
7,376 |
$998K |
| 0241U |
|
10,165 |
9,040 |
$920K |
| 71045 |
|
34,405 |
30,660 |
$889K |
| 80053 |
|
86,562 |
75,185 |
$590K |
| 0202U |
|
1,564 |
1,445 |
$550K |
| 74177 |
|
2,043 |
1,818 |
$525K |
| 93005 |
|
36,075 |
29,154 |
$468K |
| 80307 |
|
10,414 |
9,043 |
$450K |
| 99291 |
|
876 |
772 |
$447K |
| 96374 |
|
29,833 |
24,374 |
$386K |
| 96375 |
|
18,390 |
14,522 |
$384K |
| 85025 |
|
77,772 |
67,070 |
$381K |
| M0243 |
Casirivi and imdevi inj |
1,316 |
831 |
$317K |
| 96372 |
|
18,554 |
14,589 |
$311K |
| 83880 |
|
16,815 |
14,951 |
$307K |
| 59025 |
|
4,388 |
2,851 |
$251K |
| 87426 |
|
6,075 |
5,640 |
$220K |
| 84484 |
|
30,154 |
22,799 |
$188K |
| 36415 |
|
91,942 |
75,254 |
$159K |
| 93458 |
|
185 |
162 |
$143K |
| 87798 |
|
3,529 |
3,242 |
$130K |
| 80050 |
|
2,911 |
2,782 |
$117K |
| 96361 |
|
8,184 |
5,563 |
$114K |
| G0330 |
Facility svs dental rehab |
258 |
227 |
$112K |
| 87804 |
|
8,665 |
3,990 |
$107K |
| 87581 |
|
3,514 |
3,246 |
$100K |
| 87486 |
|
3,520 |
3,253 |
$100K |
| 87651 |
|
3,246 |
2,926 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,064 |
881 |
$86K |
| 81001 |
|
45,363 |
37,844 |
$84K |
| 74176 |
|
349 |
328 |
$83K |
| 87880 |
|
5,787 |
5,377 |
$82K |
| 87637 |
|
554 |
537 |
$76K |
| 96365 |
|
1,471 |
1,202 |
$68K |
| 87086 |
|
11,269 |
10,063 |
$63K |
| 72125 |
|
264 |
236 |
$61K |
| 83690 |
|
11,772 |
10,533 |
$55K |
| 80061 |
|
4,577 |
4,308 |
$54K |
| 82077 |
|
6,140 |
5,000 |
$53K |
| 82306 |
|
1,793 |
1,664 |
$51K |
| 87591 |
|
1,003 |
945 |
$41K |
| 87491 |
|
1,005 |
945 |
$41K |
| 82550 |
|
10,817 |
8,864 |
$35K |
| 85730 |
|
12,684 |
11,130 |
$34K |
| 83605 |
|
5,993 |
4,467 |
$34K |
| 87040 |
|
5,824 |
3,042 |
$32K |
| 76805 |
|
505 |
468 |
$31K |
| 85610 |
|
15,189 |
13,307 |
$31K |
| 84703 |
|
4,808 |
4,376 |
$29K |
| 87635 |
|
635 |
593 |
$29K |
| 87661 |
|
700 |
660 |
$27K |
| 85027 |
|
5,520 |
4,705 |
$27K |
| 83735 |
|
7,794 |
6,561 |
$27K |
| 74022 |
|
595 |
543 |
$26K |
| 71046 |
|
973 |
861 |
$25K |
| 43239 |
|
73 |
65 |
$24K |
| 87081 |
|
3,833 |
3,457 |
$24K |
| 82553 |
|
4,538 |
3,540 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
10,538 |
8,946 |
$18K |
| 93303 |
|
73 |
70 |
$18K |
| 76819 |
|
480 |
360 |
$16K |
| 93306 |
|
93 |
85 |
$16K |
| 81025 |
|
2,426 |
2,159 |
$15K |
| 84443 |
|
938 |
892 |
$15K |
| 83036 |
|
1,665 |
1,578 |
$15K |
| 76801 |
|
212 |
191 |
$13K |
| G0378 |
Hospital observation per hr |
52 |
36 |
$12K |
| C1760 |
Closure dev, vasc |
469 |
405 |
$11K |
| J2405 |
Ondansetron hcl injection |
16,088 |
11,952 |
$10K |
| 76816 |
|
213 |
183 |
$10K |
| 80143 |
|
853 |
744 |
$9K |
| 80179 |
|
784 |
701 |
$9K |
| 95951 |
|
26 |
26 |
$8K |
| 69436 |
|
28 |
26 |
$8K |
| C1769 |
Guide wire |
734 |
644 |
$8K |
| 96360 |
|
331 |
233 |
$8K |
| 82607 |
|
520 |
499 |
$7K |
| 80074 |
|
141 |
138 |
$7K |
| 97110 |
|
462 |
92 |
$7K |
| 84702 |
|
525 |
464 |
$7K |
| 72148 |
|
31 |
26 |
$7K |
| 82785 |
|
387 |
360 |
$6K |
| 36600 |
|
668 |
521 |
$6K |
| 96376 |
|
541 |
317 |
$6K |
| 84439 |
|
579 |
549 |
$6K |
| 82805 |
|
1,177 |
988 |
$5K |
| 80177 |
|
399 |
358 |
$5K |
| 70553 |
|
13 |
13 |
$5K |
| 78815 |
|
19 |
13 |
$4K |
| 95713 |
|
27 |
27 |
$4K |
| 87389 |
|
155 |
148 |
$4K |
| C1894 |
Intro/sheath, non-laser |
826 |
722 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
2,447 |
2,102 |
$4K |
| 82043 |
|
642 |
616 |
$4K |
| 86850 |
|
1,246 |
897 |
$4K |
| 64483 |
|
46 |
39 |
$3K |
| 84100 |
|
1,674 |
1,421 |
$3K |
| 45385 |
|
16 |
12 |
$3K |
| J1170 |
Hydromorphone injection |
2,088 |
1,647 |
$3K |
| 82570 |
|
666 |
630 |
$3K |
| 82375 |
|
552 |
482 |
$3K |
| 86140 |
|
828 |
742 |
$3K |
| 80048 |
|
520 |
389 |
$3K |
| C1887 |
Catheter, guiding |
320 |
282 |
$3K |
| 76811 |
|
40 |
28 |
$2K |
| 80183 |
|
179 |
170 |
$2K |
| 86900 |
|
1,601 |
1,202 |
$2K |
| 73630 |
|
109 |
97 |
$2K |
| J3010 |
Fentanyl citrate injection |
4,986 |
4,242 |
$2K |
| 86901 |
|
1,588 |
1,190 |
$2K |
| 76000 |
|
159 |
145 |
$2K |
| 86003 |
|
47 |
38 |
$2K |
| 87070 |
|
232 |
213 |
$2K |
| J2270 |
Morphine sulfate injection |
1,190 |
1,031 |
$2K |
| 83050 |
|
542 |
476 |
$2K |
| 87807 |
|
131 |
130 |
$2K |
| 86696 |
|
72 |
66 |
$2K |
| 99281 |
|
30 |
26 |
$2K |
| 93017 |
|
12 |
12 |
$1K |
| 82150 |
|
380 |
335 |
$1K |
| 87186 |
|
193 |
160 |
$1K |
| 84145 |
|
98 |
81 |
$1K |
| 80164 |
|
100 |
93 |
$1K |
| 85379 |
|
198 |
175 |
$1K |
| 86694 |
|
73 |
66 |
$1K |
| 72100 |
|
27 |
24 |
$1K |
| 86695 |
|
72 |
66 |
$1K |
| 94640 |
|
92 |
74 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
241 |
219 |
$940.08 |
| 74018 |
|
32 |
26 |
$889.11 |
| J2250 |
Inj midazolam hydrochloride |
1,267 |
1,011 |
$873.19 |
| 86780 |
|
56 |
54 |
$818.60 |
| 83615 |
|
796 |
688 |
$734.57 |
| 76815 |
|
15 |
15 |
$726.60 |
| J1100 |
Dexamethasone sodium phos |
4,540 |
3,257 |
$725.62 |
| 85045 |
|
164 |
151 |
$701.12 |
| C9803 |
Hopd covid-19 spec collect |
10,588 |
8,625 |
$664.04 |
| U0002 |
Covid-19 lab test non-cdc |
53 |
52 |
$649.33 |
| J1040 |
Methylprednisolone 80 mg inj |
111 |
108 |
$614.14 |
| 81003 |
|
312 |
203 |
$602.96 |
| J2550 |
Promethazine hcl injection |
715 |
620 |
$583.99 |
| 82728 |
|
74 |
66 |
$534.26 |
| J1200 |
Diphenhydramine hcl injectio |
630 |
564 |
$491.67 |
| 74019 |
|
15 |
15 |
$485.43 |
| J2704 |
Inj, propofol, 10 mg |
3,960 |
2,046 |
$473.55 |
| 73562 |
|
17 |
14 |
$370.17 |
| 82962 |
|
238 |
138 |
$366.29 |
| 86592 |
|
72 |
66 |
$337.39 |
| A9552 |
F18 fdg |
20 |
13 |
$319.09 |
| J2360 |
Orphenadrine injection |
67 |
63 |
$318.56 |
| J0500 |
Dicyclomine injection |
16 |
14 |
$284.03 |
| 72170 |
|
15 |
12 |
$260.89 |
| 85652 |
|
97 |
96 |
$231.97 |
| J2060 |
Lorazepam injection |
122 |
105 |
$202.28 |
| 85018 |
|
1,142 |
723 |
$198.34 |
| 82746 |
|
16 |
13 |
$191.94 |
| 87077 |
|
12 |
12 |
$145.74 |
| 84550 |
|
30 |
29 |
$135.38 |
| 87205 |
|
25 |
25 |
$118.32 |
| 85651 |
|
27 |
26 |
$98.64 |
| J2001 |
Lidocaine injection |
381 |
287 |
$89.03 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$46.43 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$31.74 |
| J7620 |
Albuterol ipratrop non-comp |
25 |
24 |
$18.73 |
| J2765 |
Metoclopramide hcl injection |
17 |
13 |
$14.51 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$5.91 |
| J1642 |
Inj heparin sodium per 10 u |
20 |
12 |
$4.02 |
| G1004 |
Cdsm ndsc |
1,145 |
898 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
1,281 |
890 |
$0.00 |
| 02414 |
|
180 |
166 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
90 |
69 |
$0.00 |
| 96413 |
|
30 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
53 |
25 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
672 |
556 |
$0.00 |
| A9270 |
Non-covered item or service |
257 |
241 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
21 |
13 |
$0.00 |
| 66984 |
|
21 |
13 |
$0.00 |
| 97010 |
|
30 |
13 |
$0.00 |