| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,604 |
7,099 |
$1.47M |
| 99284 |
|
5,627 |
5,248 |
$976K |
| 99213 |
|
6,285 |
5,062 |
$733K |
| 97110 |
|
7,225 |
1,813 |
$559K |
| 99285 |
|
2,708 |
2,511 |
$488K |
| 96361 |
|
1,656 |
1,586 |
$332K |
| 99282 |
|
1,669 |
1,637 |
$322K |
| 36415 |
|
18,069 |
8,964 |
$287K |
| 97140 |
|
5,198 |
1,323 |
$261K |
| 74177 |
|
1,151 |
1,128 |
$260K |
| 99214 |
|
1,577 |
1,560 |
$211K |
| 77067 |
|
1,753 |
1,728 |
$198K |
| 70450 |
|
1,053 |
1,015 |
$198K |
| 80053 |
|
7,582 |
6,962 |
$135K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,540 |
1,511 |
$130K |
| 96365 |
|
804 |
776 |
$118K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,802 |
1,687 |
$117K |
| 76641 |
|
1,317 |
1,148 |
$117K |
| 76830 |
|
666 |
661 |
$71K |
| 96360 |
|
287 |
282 |
$49K |
| 77063 |
|
1,751 |
1,726 |
$46K |
| 76700 |
|
341 |
336 |
$39K |
| A9579 |
Gad-base mr contrast nos,1ml |
146 |
146 |
$38K |
| 71046 |
|
1,346 |
1,316 |
$33K |
| 74176 |
|
180 |
179 |
$32K |
| 96374 |
|
2,563 |
2,418 |
$32K |
| 80307 |
|
756 |
663 |
$26K |
| 87635 |
|
1,069 |
948 |
$23K |
| 80048 |
|
1,279 |
1,225 |
$23K |
| J3490 |
Drugs unclassified injection |
2,178 |
2,057 |
$22K |
| 96375 |
|
1,804 |
1,667 |
$22K |
| U0005 |
Infec agen detec ampli probe |
1,524 |
1,436 |
$20K |
| 97530 |
|
323 |
91 |
$18K |
| C1889 |
Implant/insert device, noc |
75 |
75 |
$18K |
| 76856 |
|
179 |
178 |
$17K |
| 99212 |
|
172 |
154 |
$16K |
| 43239 |
|
52 |
52 |
$16K |
| 0225U |
|
1,358 |
1,227 |
$15K |
| 97161 |
|
131 |
131 |
$15K |
| J7030 |
Normal saline solution infus |
3,816 |
3,520 |
$14K |
| 86850 |
|
480 |
467 |
$13K |
| 0241U |
|
900 |
708 |
$12K |
| 93005 |
|
3,627 |
3,382 |
$11K |
| 45385 |
|
15 |
15 |
$10K |
| 86900 |
|
486 |
473 |
$10K |
| 96372 |
|
1,085 |
996 |
$9K |
| 71250 |
|
71 |
71 |
$9K |
| 80061 |
|
848 |
845 |
$9K |
| 88305 |
|
661 |
652 |
$8K |
| 99396 |
|
63 |
63 |
$7K |
| 71045 |
|
2,136 |
2,052 |
$7K |
| 86901 |
|
454 |
442 |
$7K |
| 76536 |
|
78 |
78 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
857 |
844 |
$6K |
| 77080 |
|
77 |
77 |
$5K |
| 85025 |
|
5,697 |
5,243 |
$4K |
| C9399 |
Unclassified drugs or biolog |
100 |
99 |
$4K |
| 73562 |
|
196 |
190 |
$4K |
| J0690 |
Cefazolin sodium injection |
401 |
380 |
$3K |
| 87631 |
|
65 |
65 |
$3K |
| 94640 |
|
480 |
430 |
$3K |
| 73610 |
|
157 |
154 |
$3K |
| 85027 |
|
2,151 |
2,021 |
$3K |
| 73630 |
|
121 |
115 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,084 |
1,080 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,625 |
1,552 |
$2K |
| 85610 |
|
767 |
740 |
$2K |
| 83880 |
|
90 |
88 |
$2K |
| 87086 |
|
1,786 |
1,687 |
$2K |
| 86769 |
|
53 |
52 |
$2K |
| 84443 |
|
598 |
590 |
$1K |
| G0463 |
Hospital outpt clinic visit |
49 |
38 |
$1K |
| 73130 |
|
25 |
24 |
$1K |
| 81025 |
|
586 |
564 |
$1K |
| 83036 |
|
626 |
623 |
$1K |
| 97112 |
|
40 |
12 |
$1K |
| 72100 |
|
38 |
38 |
$1K |
| J7040 |
Normal saline solution infus |
595 |
591 |
$1K |
| 73110 |
|
38 |
37 |
$1K |
| 73030 |
|
52 |
50 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,232 |
2,070 |
$976.15 |
| 84702 |
|
826 |
788 |
$946.53 |
| J7120 |
Ringers lactate infusion |
439 |
438 |
$928.73 |
| J3010 |
Fentanyl citrate injection |
627 |
625 |
$911.16 |
| 81001 |
|
1,950 |
1,866 |
$894.91 |
| J1100 |
Dexamethasone sodium phos |
792 |
787 |
$864.02 |
| J2001 |
Lidocaine injection |
590 |
587 |
$859.37 |
| J7170 |
Inj., emicizumab-kxwh 0.5 mg |
13 |
13 |
$800.24 |
| 87633 |
|
19 |
19 |
$789.24 |
| 88307 |
|
12 |
12 |
$782.47 |
| J1170 |
Hydromorphone injection |
267 |
248 |
$775.14 |
| G0008 |
Admin influenza virus vac |
128 |
128 |
$736.80 |
| 36000 |
|
30 |
30 |
$624.92 |
| 84484 |
|
1,445 |
1,349 |
$611.80 |
| J2270 |
Morphine sulfate injection |
307 |
284 |
$590.03 |
| 83690 |
|
2,032 |
1,891 |
$559.85 |
| J2250 |
Inj midazolam hydrochloride |
623 |
621 |
$542.16 |
| 87798 |
|
20 |
20 |
$478.81 |
| 72040 |
|
15 |
14 |
$473.98 |
| J2765 |
Metoclopramide hcl injection |
587 |
572 |
$451.49 |
| 85730 |
|
507 |
496 |
$332.08 |
| 82962 |
|
610 |
540 |
$268.45 |
| 87581 |
|
20 |
20 |
$249.02 |
| 87486 |
|
20 |
20 |
$249.02 |
| 90471 |
|
77 |
69 |
$192.90 |
| 83735 |
|
370 |
349 |
$171.56 |
| 87389 |
|
27 |
26 |
$129.43 |
| 86803 |
|
15 |
15 |
$110.30 |
| 81002 |
|
141 |
91 |
$96.28 |
| 85379 |
|
69 |
69 |
$60.72 |
| J2060 |
Lorazepam injection |
33 |
30 |
$53.10 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$30.72 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
18 |
18 |
$27.02 |
| 81003 |
|
46 |
43 |
$23.30 |
| 88312 |
|
49 |
49 |
$13.18 |
| 87081 |
|
14 |
14 |
$0.00 |
| 87040 |
|
15 |
14 |
$0.00 |
| 83605 |
|
13 |
12 |
$0.00 |