| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,872 |
10,431 |
$1.35M |
| 99283 |
|
5,981 |
5,844 |
$499K |
| 99285 |
|
2,313 |
2,209 |
$374K |
| 0241U |
|
1,478 |
1,460 |
$113K |
| 80050 |
|
2,422 |
2,396 |
$113K |
| 96374 |
|
4,604 |
4,357 |
$107K |
| 74177 |
|
659 |
635 |
$97K |
| 80053 |
|
9,291 |
8,565 |
$91K |
| T1015 |
Clinic service |
2,902 |
2,690 |
$86K |
| 85025 |
|
13,747 |
12,058 |
$66K |
| 80061 |
|
4,973 |
4,927 |
$59K |
| 96375 |
|
2,921 |
2,695 |
$50K |
| G0378 |
Hospital observation per hr |
176 |
78 |
$34K |
| 77067 |
|
399 |
397 |
$31K |
| 82306 |
|
1,141 |
1,125 |
$28K |
| 88175 |
|
859 |
859 |
$26K |
| 87491 |
|
1,111 |
1,099 |
$25K |
| 74176 |
|
335 |
319 |
$24K |
| 87591 |
|
1,068 |
1,056 |
$23K |
| 76830 |
|
517 |
511 |
$23K |
| 71046 |
|
1,653 |
1,595 |
$22K |
| 84443 |
|
952 |
935 |
$21K |
| 80307 |
|
490 |
457 |
$21K |
| 87624 |
|
538 |
538 |
$20K |
| 93005 |
|
2,687 |
2,522 |
$20K |
| 70450 |
|
437 |
414 |
$20K |
| 71275 |
|
128 |
127 |
$19K |
| 20610 |
|
641 |
388 |
$17K |
| 87086 |
|
2,321 |
2,182 |
$16K |
| 80048 |
|
2,343 |
1,930 |
$16K |
| 87070 |
|
1,897 |
1,868 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
198 |
195 |
$14K |
| 83036 |
|
2,186 |
2,160 |
$13K |
| 84484 |
|
1,775 |
1,560 |
$13K |
| 76816 |
|
258 |
245 |
$12K |
| 71045 |
|
1,946 |
1,851 |
$11K |
| 96365 |
|
420 |
370 |
$9K |
| 84702 |
|
541 |
472 |
$9K |
| 83880 |
|
452 |
398 |
$9K |
| 76705 |
|
266 |
263 |
$9K |
| 82607 |
|
828 |
804 |
$8K |
| 77063 |
|
399 |
397 |
$8K |
| 96372 |
|
634 |
577 |
$8K |
| J3490 |
Drugs unclassified injection |
1,512 |
1,039 |
$8K |
| 93306 |
|
115 |
112 |
$7K |
| 81001 |
|
2,857 |
2,701 |
$7K |
| 99282 |
|
182 |
180 |
$6K |
| 84439 |
|
859 |
850 |
$6K |
| 93971 |
|
113 |
112 |
$6K |
| 72110 |
|
312 |
308 |
$6K |
| 83735 |
|
1,245 |
907 |
$6K |
| 82728 |
|
532 |
515 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,957 |
2,830 |
$6K |
| 87077 |
|
823 |
774 |
$6K |
| 99281 |
|
225 |
219 |
$5K |
| 83605 |
|
851 |
751 |
$5K |
| 83690 |
|
1,315 |
1,186 |
$5K |
| 73610 |
|
293 |
288 |
$5K |
| 87661 |
|
143 |
142 |
$5K |
| 76801 |
|
118 |
112 |
$5K |
| 86618 |
|
180 |
179 |
$4K |
| 83540 |
|
585 |
567 |
$4K |
| 73630 |
|
405 |
389 |
$4K |
| 80076 |
|
536 |
447 |
$4K |
| 70553 |
|
28 |
25 |
$4K |
| 87040 |
|
339 |
220 |
$4K |
| 86803 |
|
207 |
203 |
$4K |
| 96361 |
|
283 |
236 |
$4K |
| 73562 |
|
261 |
255 |
$4K |
| 87186 |
|
478 |
447 |
$3K |
| 96366 |
|
151 |
119 |
$3K |
| 88305 |
|
338 |
325 |
$3K |
| 87502 |
|
32 |
32 |
$3K |
| 85610 |
|
1,138 |
892 |
$3K |
| 73130 |
|
253 |
244 |
$3K |
| 82043 |
|
371 |
366 |
$3K |
| 76770 |
|
74 |
73 |
$3K |
| 71250 |
|
47 |
47 |
$3K |
| 93017 |
|
63 |
63 |
$3K |
| 73030 |
|
192 |
182 |
$3K |
| 82803 |
|
99 |
88 |
$3K |
| 87389 |
|
90 |
89 |
$3K |
| 85379 |
|
306 |
297 |
$2K |
| 72125 |
|
57 |
55 |
$2K |
| 73110 |
|
212 |
201 |
$2K |
| 80081 |
|
29 |
28 |
$2K |
| 85730 |
|
410 |
380 |
$2K |
| 82746 |
|
238 |
222 |
$2K |
| 76536 |
|
41 |
40 |
$2K |
| 80329 |
|
151 |
146 |
$2K |
| 93976 |
|
26 |
24 |
$2K |
| 87635 |
|
56 |
56 |
$2K |
| 84100 |
|
316 |
196 |
$2K |
| 36415 |
|
2,076 |
1,505 |
$2K |
| 73564 |
|
100 |
95 |
$2K |
| 73502 |
|
121 |
115 |
$2K |
| J7030 |
Normal saline solution infus |
5,042 |
3,953 |
$2K |
| 43239 |
|
17 |
16 |
$1K |
| 83550 |
|
342 |
327 |
$1K |
| 81003 |
|
500 |
490 |
$1K |
| 82784 |
|
75 |
70 |
$1K |
| 83615 |
|
216 |
160 |
$1K |
| 84153 |
|
54 |
54 |
$1K |
| 86038 |
|
77 |
77 |
$1K |
| 87804 |
|
71 |
69 |
$1K |
| 87880 |
|
182 |
180 |
$1K |
| 84550 |
|
194 |
161 |
$1K |
| 83970 |
|
27 |
27 |
$1K |
| 85652 |
|
414 |
384 |
$1K |
| 86140 |
|
464 |
405 |
$1K |
| 86850 |
|
161 |
153 |
$977.76 |
| 84703 |
|
106 |
103 |
$969.89 |
| J1170 |
Hydromorphone injection |
1,912 |
1,263 |
$966.13 |
| J3535 |
Metered dose inhaler drug |
55 |
55 |
$950.65 |
| 71260 |
|
15 |
15 |
$949.39 |
| 72050 |
|
36 |
35 |
$824.22 |
| 76642 |
|
25 |
25 |
$803.57 |
| 76817 |
|
13 |
12 |
$787.48 |
| 80074 |
|
15 |
15 |
$727.88 |
| J7040 |
Normal saline solution infus |
1,040 |
944 |
$722.47 |
| 86592 |
|
170 |
166 |
$669.38 |
| 82962 |
|
424 |
322 |
$667.45 |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$636.80 |
| 86376 |
|
77 |
77 |
$597.27 |
| 82950 |
|
95 |
94 |
$584.86 |
| J1885 |
Ketorolac tromethamine inj |
4,127 |
3,593 |
$582.37 |
| 87088 |
|
87 |
86 |
$581.90 |
| 86901 |
|
179 |
171 |
$552.24 |
| 86900 |
|
179 |
171 |
$551.59 |
| 86617 |
|
13 |
12 |
$533.35 |
| 74018 |
|
57 |
53 |
$504.59 |
| G0279 |
Tomosynthesis, mammo |
26 |
26 |
$439.30 |
| 81025 |
|
151 |
149 |
$425.29 |
| 82550 |
|
66 |
61 |
$391.28 |
| 84403 |
|
13 |
12 |
$388.80 |
| 86800 |
|
24 |
24 |
$383.85 |
| 84146 |
|
15 |
15 |
$331.37 |
| 90715 |
|
27 |
26 |
$330.04 |
| J1100 |
Dexamethasone sodium phos |
2,334 |
2,216 |
$327.68 |
| A9577 |
Inj multihance |
45 |
41 |
$299.09 |
| 82565 |
|
65 |
64 |
$288.55 |
| 72072 |
|
14 |
14 |
$286.61 |
| 94664 |
|
25 |
25 |
$249.28 |
| J2405 |
Ondansetron hcl injection |
4,304 |
3,558 |
$237.48 |
| 82570 |
|
41 |
41 |
$199.89 |
| 87205 |
|
54 |
54 |
$195.81 |
| J3010 |
Fentanyl citrate injection |
2,072 |
1,673 |
$189.01 |
| J0696 |
Ceftriaxone sodium injection |
695 |
619 |
$188.64 |
| 73140 |
|
27 |
24 |
$188.55 |
| J2270 |
Morphine sulfate injection |
371 |
322 |
$183.23 |
| J1030 |
Methylprednisolone 40 mg inj |
53 |
52 |
$146.62 |
| 82248 |
|
19 |
15 |
$144.79 |
| J7999 |
Compounded drug, noc |
176 |
144 |
$119.20 |
| J1200 |
Diphenhydramine hcl injectio |
848 |
770 |
$112.57 |
| 82977 |
|
21 |
12 |
$111.89 |
| 80069 |
|
15 |
13 |
$107.19 |
| J2930 |
Methylprednisolone injection |
124 |
110 |
$105.73 |
| 87081 |
|
87 |
83 |
$104.70 |
| J7120 |
Ringers lactate infusion |
528 |
403 |
$78.38 |
| 84520 |
|
13 |
13 |
$58.72 |
| 82150 |
|
16 |
13 |
$54.50 |
| 84156 |
|
15 |
12 |
$53.72 |
| J2765 |
Metoclopramide hcl injection |
282 |
265 |
$43.68 |
| J2250 |
Inj midazolam hydrochloride |
1,257 |
1,184 |
$39.93 |
| J2060 |
Lorazepam injection |
156 |
135 |
$34.90 |
| J0131 |
Inj, acetaminophen (nos) |
512 |
494 |
$23.25 |
| J0690 |
Cefazolin sodium injection |
15 |
12 |
$23.03 |
| J1630 |
Haloperidol injection |
37 |
36 |
$13.85 |
| S0020 |
Injection, bupivicaine hydro |
26 |
24 |
$9.63 |
| J7512 |
Prednisone ir or dr oral 1mg |
323 |
313 |
$9.56 |
| J2704 |
Inj, propofol, 10 mg |
264 |
220 |
$9.30 |
| J7613 |
Albuterol non-comp unit |
403 |
362 |
$7.84 |
| J7620 |
Albuterol ipratrop non-comp |
366 |
286 |
$5.00 |
| J7050 |
Normal saline solution infus |
344 |
269 |
$4.59 |
| 83986 |
|
13 |
13 |
$2.88 |
| J0134 |
Inj acetaminophen -fresenius |
73 |
69 |
$0.00 |
| J0780 |
Prochlorperazine injection |
140 |
134 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
17 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
54 |
41 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
13 |
13 |
$0.00 |
| J3360 |
Diazepam injection |
41 |
39 |
$0.00 |
| 84311 |
|
13 |
13 |
$0.00 |