| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,106 |
14,542 |
$1.38M |
| 99284 |
|
10,490 |
8,164 |
$1.35M |
| 99285 |
|
4,079 |
2,960 |
$859K |
| 74177 |
|
479 |
458 |
$858K |
| 80053 |
|
11,978 |
10,418 |
$570K |
| 97110 |
|
6,879 |
2,878 |
$533K |
| 70450 |
|
730 |
694 |
$457K |
| 93005 |
|
4,181 |
3,655 |
$439K |
| 85025 |
|
11,389 |
9,620 |
$405K |
| 74176 |
|
232 |
219 |
$340K |
| 96374 |
|
3,383 |
2,888 |
$301K |
| 96375 |
|
3,191 |
2,684 |
$287K |
| 71045 |
|
2,685 |
2,384 |
$258K |
| 96365 |
|
1,791 |
1,450 |
$234K |
| 80061 |
|
3,279 |
3,236 |
$198K |
| 99282 |
|
3,040 |
2,686 |
$176K |
| 84443 |
|
2,598 |
2,487 |
$160K |
| 84484 |
|
3,445 |
2,574 |
$153K |
| 96361 |
|
2,058 |
1,821 |
$152K |
| 80307 |
|
1,391 |
1,206 |
$137K |
| 36415 |
|
15,250 |
12,872 |
$134K |
| 71046 |
|
1,178 |
1,123 |
$123K |
| 83036 |
|
2,711 |
2,680 |
$115K |
| 97140 |
|
2,575 |
1,279 |
$109K |
| 81001 |
|
5,037 |
4,535 |
$104K |
| 96372 |
|
1,748 |
1,414 |
$92K |
| 83690 |
|
2,010 |
1,758 |
$91K |
| 80306 |
|
839 |
804 |
$84K |
| 83735 |
|
3,471 |
2,956 |
$80K |
| 77067 |
|
305 |
305 |
$66K |
| 97530 |
|
944 |
562 |
$62K |
| 97112 |
|
1,028 |
542 |
$60K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,598 |
1,527 |
$59K |
| 83605 |
|
1,718 |
1,421 |
$59K |
| 83880 |
|
1,255 |
1,112 |
$51K |
| 80048 |
|
1,117 |
1,044 |
$47K |
| J7030 |
Normal saline solution infus |
3,131 |
2,616 |
$47K |
| 80050 |
|
231 |
226 |
$43K |
| 96376 |
|
574 |
502 |
$37K |
| 87086 |
|
693 |
627 |
$37K |
| 97162 |
|
331 |
320 |
$33K |
| 0202U |
|
294 |
280 |
$32K |
| 81025 |
|
913 |
866 |
$31K |
| 94640 |
|
365 |
277 |
$31K |
| 85610 |
|
1,728 |
1,377 |
$27K |
| 87040 |
|
536 |
294 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
494 |
472 |
$22K |
| J2405 |
Ondansetron hcl injection |
2,061 |
1,750 |
$20K |
| 43239 |
|
14 |
12 |
$19K |
| J7120 |
Ringers lactate infusion |
873 |
783 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
1,444 |
1,316 |
$17K |
| 85379 |
|
341 |
326 |
$16K |
| 82306 |
|
421 |
415 |
$15K |
| 85027 |
|
529 |
522 |
$15K |
| 84439 |
|
284 |
277 |
$13K |
| 87186 |
|
269 |
249 |
$13K |
| 77063 |
|
221 |
221 |
$13K |
| 72125 |
|
13 |
13 |
$13K |
| J7050 |
Normal saline solution infus |
1,400 |
893 |
$12K |
| 97161 |
|
173 |
168 |
$12K |
| 96366 |
|
106 |
94 |
$11K |
| 87804 |
|
385 |
371 |
$11K |
| 0241U |
|
1,171 |
1,088 |
$11K |
| A4649 |
Surgical supplies |
60 |
59 |
$10K |
| 99281 |
|
237 |
229 |
$8K |
| 86803 |
|
172 |
171 |
$7K |
| 73030 |
|
56 |
53 |
$7K |
| 87651 |
|
66 |
60 |
$7K |
| J1170 |
Hydromorphone injection |
366 |
259 |
$6K |
| 72100 |
|
40 |
38 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
480 |
351 |
$6K |
| 73562 |
|
42 |
42 |
$6K |
| 87880 |
|
244 |
239 |
$5K |
| 96360 |
|
48 |
43 |
$5K |
| 73610 |
|
29 |
27 |
$4K |
| J2270 |
Morphine sulfate injection |
349 |
271 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
181 |
180 |
$4K |
| 87389 |
|
39 |
39 |
$3K |
| 93010 |
|
1,595 |
1,391 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
517 |
434 |
$3K |
| 73630 |
|
24 |
24 |
$2K |
| J0780 |
Prochlorperazine injection |
88 |
79 |
$2K |
| J1100 |
Dexamethasone sodium phos |
159 |
135 |
$2K |
| 73502 |
|
15 |
13 |
$2K |
| 76641 |
|
14 |
13 |
$2K |
| 84481 |
|
26 |
26 |
$2K |
| J2060 |
Lorazepam injection |
120 |
88 |
$2K |
| J2001 |
Lidocaine injection |
119 |
110 |
$1K |
| 82077 |
|
27 |
22 |
$1K |
| J3010 |
Fentanyl citrate injection |
97 |
79 |
$1K |
| 82728 |
|
12 |
12 |
$709.81 |
| 87070 |
|
12 |
12 |
$695.84 |
| J2930 |
Methylprednisolone injection |
47 |
31 |
$664.76 |
| 88305 |
|
12 |
12 |
$543.82 |
| 86141 |
|
16 |
15 |
$473.97 |
| J2765 |
Metoclopramide hcl injection |
45 |
39 |
$389.23 |
| J7040 |
Normal saline solution infus |
34 |
24 |
$368.17 |
| 82570 |
|
12 |
12 |
$363.61 |
| 82043 |
|
13 |
13 |
$321.20 |
| 87205 |
|
15 |
14 |
$314.36 |
| J1630 |
Haloperidol injection |
16 |
12 |
$293.30 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$128.96 |
| G8978 |
Mobility current status |
71 |
67 |
$0.00 |
| G8979 |
Mobility goal status |
87 |
76 |
$0.00 |
| A9270 |
Non-covered item or service |
2,797 |
1,347 |
$0.00 |
| 87426 |
|
22 |
22 |
$0.00 |