| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,666 |
15,736 |
$2.82M |
| 99284 |
|
17,147 |
14,533 |
$2.78M |
| 96361 |
|
8,905 |
6,988 |
$2.65M |
| 99285 |
|
13,833 |
11,858 |
$2.27M |
| 74177 |
|
3,442 |
3,107 |
$809K |
| 0241U |
|
7,936 |
7,299 |
$469K |
| 70450 |
|
2,667 |
2,343 |
$402K |
| 99282 |
|
2,682 |
2,465 |
$399K |
| 74176 |
|
1,232 |
1,117 |
$266K |
| 96360 |
|
2,130 |
1,890 |
$247K |
| G0378 |
Hospital observation per hr |
967 |
829 |
$160K |
| 96365 |
|
2,539 |
1,947 |
$153K |
| 80053 |
|
18,261 |
14,883 |
$147K |
| 93306 |
|
433 |
376 |
$114K |
| 80307 |
|
2,524 |
2,212 |
$98K |
| 71275 |
|
339 |
315 |
$91K |
| 94640 |
|
1,623 |
1,196 |
$89K |
| 76705 |
|
802 |
747 |
$76K |
| 76856 |
|
731 |
687 |
$63K |
| 99281 |
|
463 |
419 |
$53K |
| 77063 |
|
688 |
676 |
$35K |
| 71046 |
|
6,526 |
5,636 |
$35K |
| 96366 |
|
314 |
195 |
$32K |
| Q9957 |
Inj perflutren lip micros,ml |
604 |
438 |
$25K |
| 76830 |
|
281 |
263 |
$24K |
| 80048 |
|
3,562 |
2,815 |
$24K |
| 93010 |
|
4,844 |
4,132 |
$23K |
| 87635 |
|
1,037 |
922 |
$21K |
| 71250 |
|
352 |
322 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
663 |
590 |
$19K |
| 93971 |
|
170 |
157 |
$16K |
| 72125 |
|
622 |
545 |
$16K |
| 83880 |
|
1,906 |
1,677 |
$14K |
| 36415 |
|
6,199 |
4,760 |
$13K |
| 77067 |
|
803 |
786 |
$13K |
| 71260 |
|
190 |
179 |
$12K |
| 87591 |
|
1,180 |
1,069 |
$12K |
| 80320 |
|
1,233 |
1,064 |
$9K |
| 87040 |
|
1,632 |
1,189 |
$9K |
| 87491 |
|
1,194 |
1,070 |
$8K |
| 81001 |
|
15,011 |
12,707 |
$7K |
| 90715 |
|
452 |
416 |
$7K |
| 84484 |
|
7,169 |
5,608 |
$7K |
| 93246 |
|
158 |
146 |
$6K |
| G0480 |
Drug test def 1-7 classes |
926 |
787 |
$6K |
| 71045 |
|
2,388 |
2,079 |
$6K |
| 80329 |
|
543 |
372 |
$5K |
| 93005 |
|
7,378 |
6,188 |
$5K |
| 82962 |
|
4,787 |
2,394 |
$5K |
| 96374 |
|
10,218 |
8,402 |
$5K |
| 85380 |
|
1,206 |
1,090 |
$5K |
| 93000 |
|
2,839 |
2,315 |
$5K |
| 70496 |
|
14 |
14 |
$5K |
| 85025 |
|
16,141 |
12,962 |
$4K |
| J3490 |
Drugs unclassified injection |
3,053 |
1,741 |
$4K |
| 85027 |
|
5,667 |
4,810 |
$4K |
| 86900 |
|
170 |
155 |
$3K |
| 87081 |
|
3,616 |
3,334 |
$3K |
| 73630 |
|
476 |
434 |
$3K |
| 80047 |
|
687 |
572 |
$3K |
| 72100 |
|
218 |
197 |
$3K |
| 73610 |
|
366 |
328 |
$2K |
| 87086 |
|
3,975 |
3,465 |
$2K |
| 83605 |
|
2,949 |
2,415 |
$2K |
| 94060 |
|
28 |
25 |
$2K |
| 87880 |
|
4,887 |
4,496 |
$2K |
| 81025 |
|
1,076 |
997 |
$2K |
| 93976 |
|
40 |
39 |
$2K |
| J7040 |
Normal saline solution infus |
7,392 |
5,403 |
$2K |
| 96375 |
|
7,860 |
6,254 |
$2K |
| 76801 |
|
80 |
75 |
$2K |
| 74018 |
|
113 |
105 |
$2K |
| 82565 |
|
682 |
618 |
$1K |
| 94729 |
|
40 |
37 |
$1K |
| 94726 |
|
40 |
37 |
$1K |
| 96376 |
|
2,466 |
1,764 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| 84702 |
|
816 |
712 |
$1K |
| 73030 |
|
133 |
114 |
$1K |
| 84443 |
|
2,553 |
2,230 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,033 |
901 |
$895.90 |
| Q3014 |
Telehealth facility fee |
212 |
181 |
$891.02 |
| J2405 |
Ondansetron hcl injection |
7,340 |
5,712 |
$747.43 |
| J7030 |
Normal saline solution infus |
3,375 |
2,621 |
$681.94 |
| 94664 |
|
385 |
294 |
$660.07 |
| 96372 |
|
4,680 |
3,500 |
$611.57 |
| 85610 |
|
2,890 |
2,490 |
$597.47 |
| 83690 |
|
6,788 |
5,728 |
$585.49 |
| 85014 |
|
798 |
661 |
$583.92 |
| 73564 |
|
117 |
91 |
$502.24 |
| J2550 |
Promethazine hcl injection |
952 |
739 |
$467.78 |
| 73130 |
|
178 |
158 |
$419.25 |
| 87804 |
|
1,608 |
1,382 |
$407.52 |
| 87210 |
|
979 |
888 |
$382.45 |
| 90471 |
|
597 |
498 |
$371.49 |
| 87811 |
|
28 |
25 |
$356.04 |
| 73110 |
|
60 |
52 |
$354.26 |
| 81003 |
|
407 |
314 |
$348.38 |
| J1885 |
Ketorolac tromethamine inj |
6,433 |
5,354 |
$325.83 |
| 29125 |
|
16 |
14 |
$314.56 |
| 70498 |
|
15 |
15 |
$253.17 |
| 83735 |
|
2,600 |
2,193 |
$250.39 |
| Q0162 |
Ondansetron oral |
1,105 |
908 |
$214.53 |
| U0005 |
Infec agen detec ampli probe |
137 |
122 |
$197.66 |
| J2270 |
Morphine sulfate injection |
3,081 |
2,328 |
$192.66 |
| 0296T |
|
12 |
12 |
$188.43 |
| 82803 |
|
577 |
479 |
$175.25 |
| J1170 |
Hydromorphone injection |
2,360 |
1,509 |
$157.87 |
| J7120 |
Ringers lactate infusion |
2,274 |
1,950 |
$154.06 |
| J1100 |
Dexamethasone sodium phos |
1,859 |
1,690 |
$136.80 |
| 76817 |
|
28 |
26 |
$123.25 |
| 73562 |
|
17 |
15 |
$94.76 |
| 87186 |
|
1,218 |
1,093 |
$89.16 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,203 |
4,274 |
$86.56 |
| 73140 |
|
12 |
12 |
$69.76 |
| J2001 |
Lidocaine injection |
861 |
761 |
$67.93 |
| 87147 |
|
642 |
599 |
$66.91 |
| J1200 |
Diphenhydramine hcl injectio |
1,243 |
1,075 |
$61.26 |
| J0696 |
Ceftriaxone sodium injection |
1,160 |
913 |
$59.73 |
| 87807 |
|
140 |
131 |
$52.20 |
| 80061 |
|
16 |
12 |
$49.45 |
| 87077 |
|
241 |
219 |
$31.48 |
| 84703 |
|
182 |
173 |
$23.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
672 |
547 |
$19.77 |
| J2765 |
Metoclopramide hcl injection |
365 |
313 |
$16.27 |
| 84145 |
|
28 |
25 |
$15.36 |
| 86140 |
|
154 |
143 |
$12.62 |
| 87088 |
|
364 |
317 |
$12.24 |
| 83036 |
|
62 |
60 |
$11.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
158 |
116 |
$10.65 |
| 84100 |
|
138 |
118 |
$10.64 |
| J7620 |
Albuterol ipratrop non-comp |
60 |
47 |
$10.64 |
| J2930 |
Methylprednisolone injection |
134 |
118 |
$7.91 |
| J2704 |
Inj, propofol, 10 mg |
1,063 |
963 |
$7.67 |
| J2060 |
Lorazepam injection |
51 |
37 |
$5.83 |
| 82947 |
|
13 |
12 |
$5.32 |
| J1790 |
Droperidol injection |
13 |
13 |
$4.77 |
| J1815 |
Insulin injection |
92 |
30 |
$4.72 |
| J7050 |
Normal saline solution infus |
49 |
26 |
$4.41 |
| 80143 |
|
32 |
31 |
$3.79 |
| 86901 |
|
170 |
155 |
$3.34 |
| J7613 |
Albuterol non-comp unit |
56 |
48 |
$2.31 |
| 80179 |
|
31 |
30 |
$1.90 |
| J2250 |
Inj midazolam hydrochloride |
38 |
37 |
$0.98 |
| Q0163 |
Diphenhydramine hcl 50mg |
17 |
12 |
$0.92 |
| J1650 |
Inj enoxaparin sodium |
189 |
110 |
$0.72 |
| J3475 |
Inj magnesium sulfate |
140 |
128 |
$0.24 |
| Q0144 |
Azithromycin dihydrate, oral |
36 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
29 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
15 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
1,188 |
462 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
34 |
12 |
$0.00 |
| 87798 |
|
13 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
13 |
$0.00 |
| 85730 |
|
53 |
53 |
$0.00 |
| 94760 |
|
254 |
179 |
$0.00 |
| 99070 |
|
582 |
438 |
$0.00 |
| 85652 |
|
17 |
17 |
$0.00 |
| 86850 |
|
31 |
27 |
$0.00 |
| 82550 |
|
50 |
46 |
$0.00 |
| 87184 |
|
53 |
47 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
16 |
$0.00 |
| J3480 |
Inj potassium chloride |
22 |
12 |
$0.00 |
| 94761 |
|
34 |
16 |
$0.00 |
| G1011 |
Cdsm qualified nos |
46 |
38 |
$0.00 |