| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,492 |
5,004 |
$1.66M |
| 99284 |
|
7,709 |
7,065 |
$1.55M |
| 99283 |
|
8,586 |
8,029 |
$1.34M |
| 96361 |
|
1,957 |
1,580 |
$337K |
| G0463 |
Hospital outpt clinic visit |
4,502 |
3,803 |
$205K |
| 97110 |
|
4,778 |
2,286 |
$164K |
| 96375 |
|
2,395 |
1,861 |
$155K |
| 85025 |
|
17,215 |
14,401 |
$147K |
| 93005 |
|
3,653 |
3,078 |
$137K |
| 74177 |
|
182 |
174 |
$131K |
| 96374 |
|
2,800 |
2,491 |
$129K |
| 92507 |
|
2,036 |
842 |
$95K |
| 97530 |
|
2,231 |
1,324 |
$93K |
| 80053 |
|
8,087 |
6,879 |
$85K |
| 95810 |
|
109 |
107 |
$84K |
| 36415 |
|
15,330 |
13,060 |
$60K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,519 |
1,421 |
$58K |
| G0378 |
Hospital observation per hr |
178 |
85 |
$43K |
| 71046 |
|
777 |
716 |
$39K |
| 99281 |
|
487 |
462 |
$37K |
| 80048 |
|
5,441 |
4,267 |
$33K |
| 96365 |
|
286 |
243 |
$32K |
| 70450 |
|
89 |
86 |
$30K |
| 88305 |
|
822 |
751 |
$29K |
| 97140 |
|
1,164 |
611 |
$27K |
| 87635 |
|
1,074 |
1,020 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,088 |
884 |
$25K |
| 94760 |
|
4,809 |
4,457 |
$23K |
| 87804 |
|
395 |
381 |
$22K |
| 84443 |
|
1,350 |
1,297 |
$21K |
| 0241U |
|
321 |
313 |
$21K |
| 76856 |
|
158 |
152 |
$20K |
| 96360 |
|
147 |
118 |
$19K |
| 59025 |
|
132 |
91 |
$18K |
| 93306 |
|
49 |
47 |
$18K |
| 87591 |
|
643 |
625 |
$18K |
| 94761 |
|
7,920 |
7,229 |
$17K |
| 77067 |
|
202 |
198 |
$16K |
| 76830 |
|
139 |
134 |
$14K |
| 87491 |
|
642 |
624 |
$14K |
| 97161 |
|
281 |
274 |
$14K |
| 81001 |
|
2,290 |
2,104 |
$14K |
| 84484 |
|
701 |
563 |
$13K |
| 76705 |
|
119 |
115 |
$13K |
| 99282 |
|
137 |
133 |
$12K |
| 97162 |
|
264 |
253 |
$12K |
| 96376 |
|
134 |
104 |
$12K |
| 93975 |
|
68 |
63 |
$12K |
| 80061 |
|
738 |
717 |
$11K |
| 87081 |
|
590 |
573 |
$11K |
| 83036 |
|
1,038 |
972 |
$11K |
| 87086 |
|
1,226 |
1,143 |
$11K |
| 96366 |
|
46 |
27 |
$11K |
| J2405 |
Ondansetron hcl injection |
2,179 |
1,753 |
$10K |
| J3010 |
Fentanyl citrate injection |
1,292 |
1,093 |
$10K |
| 80307 |
|
233 |
209 |
$9K |
| 84703 |
|
570 |
540 |
$9K |
| 83690 |
|
409 |
367 |
$9K |
| 85027 |
|
1,256 |
1,186 |
$9K |
| 87186 |
|
224 |
214 |
$8K |
| 82728 |
|
364 |
354 |
$7K |
| 71045 |
|
147 |
126 |
$7K |
| 85610 |
|
420 |
269 |
$6K |
| 94640 |
|
110 |
97 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,165 |
894 |
$6K |
| 0012A |
|
239 |
217 |
$5K |
| G0500 |
Mod sedat endo service >5yrs |
111 |
106 |
$5K |
| 87389 |
|
182 |
180 |
$5K |
| 96413 |
|
48 |
25 |
$5K |
| 88175 |
|
226 |
222 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,111 |
1,436 |
$5K |
| 86803 |
|
128 |
124 |
$5K |
| 96372 |
|
154 |
132 |
$5K |
| 73721 |
|
12 |
12 |
$5K |
| 82306 |
|
120 |
114 |
$5K |
| 0240U |
|
100 |
95 |
$4K |
| 73630 |
|
80 |
73 |
$4K |
| 73610 |
|
75 |
68 |
$4K |
| 83605 |
|
96 |
85 |
$4K |
| 0450 |
|
96 |
84 |
$4K |
| 0011A |
|
209 |
191 |
$3K |
| 81003 |
|
610 |
564 |
$3K |
| 73562 |
|
55 |
53 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,185 |
981 |
$3K |
| 87624 |
|
90 |
89 |
$3K |
| 87880 |
|
251 |
247 |
$3K |
| Q9957 |
Inj perflutren lip micros,ml |
60 |
54 |
$2K |
| J7120 |
Ringers lactate infusion |
1,399 |
1,146 |
$2K |
| 73130 |
|
32 |
28 |
$2K |
| 87070 |
|
80 |
77 |
$2K |
| 87077 |
|
101 |
98 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
544 |
510 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| J2270 |
Morphine sulfate injection |
221 |
159 |
$2K |
| 86850 |
|
116 |
111 |
$2K |
| 80329 |
|
14 |
13 |
$2K |
| 94060 |
|
12 |
12 |
$2K |
| 86592 |
|
102 |
102 |
$2K |
| A9585 |
Gadobutrol injection |
54 |
29 |
$2K |
| 80320 |
|
31 |
30 |
$2K |
| 82948 |
|
347 |
226 |
$2K |
| 85379 |
|
38 |
36 |
$1K |
| Q0162 |
Ondansetron oral |
350 |
328 |
$1K |
| J1626 |
Granisetron hcl injection |
84 |
79 |
$1K |
| 73030 |
|
28 |
26 |
$1K |
| 87088 |
|
117 |
111 |
$1K |
| 74018 |
|
16 |
14 |
$1K |
| 84153 |
|
47 |
42 |
$1K |
| 73110 |
|
17 |
13 |
$1K |
| 81025 |
|
234 |
217 |
$1K |
| 80076 |
|
100 |
93 |
$835.86 |
| 87040 |
|
20 |
12 |
$798.75 |
| 87807 |
|
15 |
15 |
$796.80 |
| 83735 |
|
109 |
66 |
$746.29 |
| J3535 |
Metered dose inhaler drug |
15 |
15 |
$653.37 |
| 88342 |
|
12 |
12 |
$592.36 |
| J1170 |
Hydromorphone injection |
170 |
134 |
$567.82 |
| J2765 |
Metoclopramide hcl injection |
163 |
139 |
$517.09 |
| 87340 |
|
33 |
33 |
$516.88 |
| 86900 |
|
45 |
41 |
$487.52 |
| J0690 |
Cefazolin sodium injection |
181 |
151 |
$484.30 |
| 97803 |
|
15 |
15 |
$413.82 |
| 85651 |
|
27 |
27 |
$397.46 |
| J7999 |
Compounded drug, noc |
29 |
29 |
$365.30 |
| 82947 |
|
34 |
34 |
$354.38 |
| 86901 |
|
43 |
40 |
$349.19 |
| J1642 |
Inj heparin sodium per 10 u |
371 |
175 |
$329.55 |
| J2060 |
Lorazepam injection |
53 |
46 |
$295.93 |
| 83540 |
|
17 |
16 |
$279.20 |
| 83550 |
|
17 |
16 |
$277.98 |
| 86787 |
|
14 |
14 |
$271.08 |
| 84439 |
|
16 |
16 |
$269.24 |
| 87210 |
|
17 |
17 |
$221.01 |
| 0353U |
|
26 |
25 |
$207.92 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$202.53 |
| 82043 |
|
14 |
14 |
$199.68 |
| 86762 |
|
12 |
12 |
$140.17 |
| 81015 |
|
12 |
12 |
$117.00 |
| A9270 |
Non-covered item or service |
15 |
15 |
$67.11 |
| J1200 |
Diphenhydramine hcl injectio |
100 |
67 |
$35.55 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$26.11 |
| A9150 |
Misc/exper non-prescript dru |
17 |
17 |
$4.44 |
| 82962 |
|
38 |
25 |
$3.22 |
| G1004 |
Cdsm ndsc |
1,554 |
1,210 |
$0.10 |
| A7038 |
Pos airway pressure filter |
54 |
54 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
12 |
12 |
$0.00 |