| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,517 |
10,522 |
$4.15M |
| 99283 |
|
21,455 |
20,480 |
$2.42M |
| 87428 |
|
11,038 |
10,383 |
$746K |
| 99285 |
|
2,122 |
1,946 |
$712K |
| 99282 |
|
7,460 |
7,245 |
$601K |
| 80053 |
|
36,637 |
29,971 |
$593K |
| 74177 |
|
3,745 |
3,416 |
$542K |
| 97110 |
|
6,811 |
1,523 |
$437K |
| 93005 |
|
16,011 |
12,886 |
$411K |
| 70450 |
|
4,268 |
3,855 |
$353K |
| 85025 |
|
42,368 |
33,576 |
$312K |
| 87633 |
|
1,291 |
1,186 |
$309K |
| 96365 |
|
2,173 |
1,288 |
$305K |
| 59025 |
|
1,559 |
997 |
$208K |
| 71045 |
|
13,652 |
12,075 |
$207K |
| 72148 |
|
762 |
677 |
$157K |
| G0463 |
Hospital outpt clinic visit |
9,193 |
7,983 |
$145K |
| 87804 |
|
7,931 |
3,833 |
$120K |
| 99212 |
|
885 |
785 |
$111K |
| 77067 |
|
1,692 |
1,540 |
$110K |
| 96413 |
|
794 |
434 |
$108K |
| 71046 |
|
5,682 |
5,177 |
$93K |
| 72125 |
|
821 |
744 |
$90K |
| 81001 |
|
24,003 |
21,052 |
$82K |
| 87798 |
|
2,554 |
1,209 |
$80K |
| 99214 |
|
1,505 |
1,385 |
$80K |
| 87880 |
|
5,281 |
4,854 |
$77K |
| 99213 |
|
1,334 |
1,233 |
$75K |
| 84484 |
|
10,011 |
6,728 |
$74K |
| 41899 |
|
95 |
83 |
$70K |
| 83880 |
|
3,547 |
3,126 |
$70K |
| 93306 |
|
626 |
583 |
$66K |
| 80048 |
|
6,449 |
5,076 |
$63K |
| 76805 |
|
948 |
899 |
$61K |
| 71260 |
|
499 |
452 |
$60K |
| 96366 |
|
716 |
373 |
$54K |
| 86901 |
|
2,419 |
2,035 |
$50K |
| J1100 |
Dexamethasone sodium phos |
4,225 |
2,927 |
$47K |
| 87486 |
|
1,290 |
1,186 |
$46K |
| 87581 |
|
1,290 |
1,186 |
$46K |
| 36415 |
|
12,955 |
10,216 |
$44K |
| 80307 |
|
870 |
676 |
$42K |
| 83605 |
|
4,772 |
3,926 |
$39K |
| 74176 |
|
641 |
558 |
$39K |
| J2405 |
Ondansetron hcl injection |
11,319 |
7,546 |
$39K |
| 96361 |
|
1,052 |
893 |
$39K |
| 87420 |
|
2,890 |
2,728 |
$38K |
| 87086 |
|
5,453 |
4,951 |
$38K |
| 83690 |
|
5,591 |
4,857 |
$34K |
| 81025 |
|
4,528 |
3,997 |
$33K |
| 20610 |
|
368 |
300 |
$32K |
| J1642 |
Inj heparin sodium per 10 u |
2,815 |
1,320 |
$31K |
| 87081 |
|
3,912 |
3,593 |
$31K |
| 94640 |
|
3,031 |
2,380 |
$29K |
| 87040 |
|
3,394 |
1,850 |
$28K |
| 97530 |
|
1,366 |
436 |
$27K |
| 87426 |
|
781 |
743 |
$26K |
| 80305 |
|
2,168 |
1,960 |
$26K |
| 77063 |
|
1,336 |
1,191 |
$24K |
| 82565 |
|
1,947 |
1,660 |
$23K |
| 84702 |
|
2,353 |
1,971 |
$22K |
| 83735 |
|
4,997 |
3,768 |
$22K |
| 96374 |
|
4,393 |
3,688 |
$20K |
| 70553 |
|
64 |
53 |
$18K |
| 82962 |
|
7,693 |
3,884 |
$18K |
| 86850 |
|
1,312 |
1,082 |
$18K |
| 97161 |
|
345 |
314 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
4,620 |
3,895 |
$16K |
| 80050 |
|
359 |
345 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,020 |
3,539 |
$15K |
| 76705 |
|
1,000 |
874 |
$15K |
| 96372 |
|
3,010 |
2,359 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
1,971 |
1,565 |
$14K |
| 73562 |
|
568 |
492 |
$14K |
| 97162 |
|
322 |
285 |
$13K |
| 85610 |
|
5,572 |
4,817 |
$13K |
| 87635 |
|
351 |
342 |
$12K |
| J7030 |
Normal saline solution infus |
3,764 |
2,564 |
$12K |
| 73030 |
|
738 |
652 |
$12K |
| 84443 |
|
2,452 |
2,184 |
$11K |
| 82077 |
|
929 |
748 |
$11K |
| 72141 |
|
49 |
48 |
$11K |
| 87186 |
|
2,370 |
1,813 |
$10K |
| 76801 |
|
294 |
250 |
$10K |
| 73110 |
|
601 |
494 |
$9K |
| 78452 |
|
51 |
49 |
$9K |
| 85730 |
|
2,504 |
2,219 |
$8K |
| 86900 |
|
2,422 |
2,035 |
$8K |
| 73610 |
|
604 |
505 |
$8K |
| 73630 |
|
408 |
359 |
$8K |
| 85027 |
|
1,839 |
1,603 |
$8K |
| 96375 |
|
3,763 |
2,615 |
$7K |
| A9579 |
Gad-base mr contrast nos,1ml |
413 |
353 |
$7K |
| J1650 |
Inj enoxaparin sodium |
156 |
101 |
$7K |
| 76856 |
|
255 |
236 |
$7K |
| 72100 |
|
356 |
337 |
$7K |
| 84703 |
|
925 |
795 |
$7K |
| 80320 |
|
462 |
408 |
$7K |
| 96360 |
|
31 |
26 |
$7K |
| 73721 |
|
30 |
27 |
$7K |
| J3490 |
Drugs unclassified injection |
2,079 |
781 |
$7K |
| 87077 |
|
1,041 |
814 |
$6K |
| 83036 |
|
1,238 |
1,154 |
$6K |
| 87210 |
|
1,114 |
931 |
$6K |
| 71275 |
|
32 |
30 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
58 |
56 |
$5K |
| G0378 |
Hospital observation per hr |
1,555 |
700 |
$5K |
| 93975 |
|
84 |
75 |
$5K |
| 73502 |
|
290 |
250 |
$4K |
| 93971 |
|
128 |
117 |
$4K |
| 85379 |
|
533 |
495 |
$4K |
| 76818 |
|
483 |
199 |
$4K |
| 86328 |
|
326 |
281 |
$4K |
| 76819 |
|
268 |
132 |
$4K |
| 73130 |
|
225 |
190 |
$4K |
| 74018 |
|
266 |
226 |
$3K |
| J1170 |
Hydromorphone injection |
3,319 |
1,929 |
$3K |
| 82728 |
|
338 |
306 |
$3K |
| 80061 |
|
483 |
454 |
$3K |
| 93017 |
|
80 |
77 |
$3K |
| 71020 |
|
330 |
309 |
$3K |
| 80143 |
|
208 |
152 |
$3K |
| 86140 |
|
612 |
536 |
$3K |
| 95811 |
|
16 |
14 |
$3K |
| J2270 |
Morphine sulfate injection |
3,480 |
2,396 |
$2K |
| 87088 |
|
324 |
288 |
$2K |
| 80179 |
|
188 |
139 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
1,458 |
1,247 |
$2K |
| 76830 |
|
44 |
41 |
$2K |
| 82553 |
|
248 |
216 |
$2K |
| 76815 |
|
216 |
146 |
$2K |
| A9500 |
Tc99m sestamibi |
53 |
51 |
$2K |
| 73560 |
|
113 |
104 |
$2K |
| 80329 |
|
159 |
81 |
$2K |
| 94760 |
|
249 |
157 |
$2K |
| 87491 |
|
46 |
42 |
$1K |
| 87591 |
|
46 |
42 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
2,170 |
1,342 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
91 |
79 |
$1K |
| 84466 |
|
174 |
161 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,026 |
2,333 |
$1K |
| 97140 |
|
681 |
204 |
$1K |
| M0243 |
Casirivi and imdevi inj |
34 |
34 |
$1K |
| 83615 |
|
211 |
183 |
$1K |
| 82607 |
|
214 |
205 |
$1K |
| U0005 |
Infec agen detec ampli probe |
80 |
79 |
$1K |
| 81003 |
|
622 |
575 |
$1K |
| 76376 |
|
79 |
66 |
$954.30 |
| 76642 |
|
33 |
26 |
$948.46 |
| 71010 |
|
208 |
190 |
$909.00 |
| 71271 |
|
12 |
12 |
$755.12 |
| 0202U |
|
701 |
650 |
$743.16 |
| 73565 |
|
55 |
54 |
$725.91 |
| 83540 |
|
181 |
168 |
$695.97 |
| 87070 |
|
97 |
87 |
$669.38 |
| J7050 |
Normal saline solution infus |
2,107 |
880 |
$627.89 |
| J0330 |
Succinycholine chloride inj |
248 |
195 |
$593.83 |
| 87807 |
|
81 |
68 |
$585.45 |
| 82947 |
|
92 |
89 |
$582.51 |
| A6453 |
Self-adher band w <3"/yd |
283 |
248 |
$566.20 |
| J2704 |
Inj, propofol, 10 mg |
1,730 |
1,397 |
$555.51 |
| J2250 |
Inj midazolam hydrochloride |
1,743 |
1,335 |
$536.53 |
| 84132 |
|
245 |
222 |
$503.54 |
| 97116 |
|
96 |
38 |
$445.36 |
| 85045 |
|
176 |
146 |
$435.05 |
| 71250 |
|
13 |
13 |
$430.00 |
| A9270 |
Non-covered item or service |
5,359 |
3,305 |
$417.74 |
| J2930 |
Methylprednisolone injection |
379 |
319 |
$381.28 |
| J2274 |
Inj morphine pf epid ithc |
90 |
71 |
$371.20 |
| J0690 |
Cefazolin sodium injection |
1,156 |
620 |
$359.29 |
| 85652 |
|
179 |
159 |
$347.29 |
| 97166 |
|
15 |
12 |
$343.73 |
| 85014 |
|
320 |
287 |
$343.27 |
| 86920 |
|
19 |
12 |
$340.00 |
| 84100 |
|
98 |
70 |
$306.93 |
| 76770 |
|
14 |
12 |
$284.27 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
270 |
142 |
$270.43 |
| J1815 |
Insulin injection |
134 |
76 |
$245.48 |
| 87205 |
|
83 |
74 |
$233.45 |
| 93356 |
|
98 |
85 |
$213.09 |
| 82805 |
|
19 |
13 |
$202.60 |
| 85007 |
|
68 |
61 |
$197.30 |
| 84295 |
|
82 |
79 |
$188.70 |
| 97016 |
|
35 |
12 |
$168.61 |
| C9803 |
Hopd covid-19 spec collect |
41 |
41 |
$162.87 |
| 73090 |
|
13 |
12 |
$152.00 |
| 94729 |
|
12 |
12 |
$144.60 |
| 82378 |
|
12 |
12 |
$135.45 |
| 94726 |
|
12 |
12 |
$132.66 |
| 99281 |
|
46 |
45 |
$115.77 |
| 93296 |
|
14 |
12 |
$112.82 |
| 82150 |
|
20 |
17 |
$111.12 |
| 82746 |
|
13 |
12 |
$110.67 |
| 80076 |
|
14 |
13 |
$101.88 |
| 84439 |
|
12 |
12 |
$77.28 |
| 83037 |
|
40 |
39 |
$62.85 |
| 99211 |
|
355 |
315 |
$59.66 |
| A6402 |
Sterile gauze <= 16 sq in |
70 |
66 |
$55.62 |
| J2360 |
Orphenadrine injection |
30 |
29 |
$49.59 |
| A6257 |
Transparent film <= 16 sq in |
48 |
45 |
$48.89 |
| J2765 |
Metoclopramide hcl injection |
147 |
121 |
$47.65 |
| A6258 |
Transparent film >16<=48 in |
12 |
12 |
$43.81 |
| 96376 |
|
431 |
258 |
$40.87 |
| J0780 |
Prochlorperazine injection |
38 |
30 |
$40.32 |
| J2785 |
Regadenoson injection |
32 |
30 |
$37.07 |
| J2550 |
Promethazine hcl injection |
149 |
112 |
$36.37 |
| J1644 |
Inj heparin sodium per 1000u |
189 |
101 |
$35.03 |
| J2060 |
Lorazepam injection |
64 |
44 |
$32.48 |
| 99291 |
|
17 |
13 |
$24.48 |
| J2175 |
Meperidine hydrochl /100 mg |
17 |
13 |
$15.33 |
| J3475 |
Inj magnesium sulfate |
15 |
12 |
$15.28 |
| J2919 |
Inj, methylpred sod succ 5mg |
45 |
37 |
$5.34 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
223 |
189 |
$3.71 |
| G1010 |
Cdsm stanson |
216 |
197 |
$0.26 |
| G1004 |
Cdsm ndsc |
283 |
271 |
$0.00 |
| J7120 |
Ringers lactate infusion |
229 |
177 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
30 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
36 |
30 |
$0.00 |
| 99152 |
|
13 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
13 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
12 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
103 |
64 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
63 |
62 |
$0.00 |
| C1769 |
Guide wire |
111 |
105 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
39 |
38 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
19 |
18 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
68 |
63 |
$0.00 |
| 86769 |
|
39 |
20 |
$0.00 |
| G0008 |
Admin influenza virus vac |
50 |
50 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
17 |
16 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
22 |
14 |
$0.00 |
| A6450 |
Lt compres band >=5"/yd |
14 |
12 |
$0.00 |
| 97014 |
|
47 |
13 |
$0.00 |
| J1940 |
Furosemide injection |
15 |
12 |
$0.00 |