| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
10,080 |
8,041 |
$2.37M |
| 99284 |
|
8,475 |
7,293 |
$1.63M |
| 90853 |
|
35,914 |
2,078 |
$1.28M |
| 87633 |
|
4,570 |
4,143 |
$1.24M |
| 99283 |
|
7,397 |
6,336 |
$741K |
| G0378 |
Hospital observation per hr |
1,545 |
1,167 |
$631K |
| 94640 |
|
6,641 |
1,312 |
$384K |
| 96374 |
|
3,901 |
3,294 |
$329K |
| 96361 |
|
2,293 |
1,237 |
$266K |
| 87507 |
|
685 |
624 |
$244K |
| 96372 |
|
5,737 |
4,200 |
$187K |
| 74177 |
|
933 |
695 |
$166K |
| 99282 |
|
3,123 |
2,615 |
$159K |
| 80053 |
|
17,481 |
14,470 |
$159K |
| 85025 |
|
21,172 |
16,243 |
$156K |
| 70450 |
|
2,543 |
1,771 |
$152K |
| 87486 |
|
5,302 |
4,774 |
$149K |
| 87581 |
|
5,300 |
4,773 |
$149K |
| 71046 |
|
4,730 |
3,660 |
$144K |
| 87798 |
|
6,979 |
4,934 |
$142K |
| 71045 |
|
4,439 |
2,923 |
$116K |
| 93005 |
|
5,287 |
4,305 |
$110K |
| U0002 |
Covid-19 lab test non-cdc |
3,160 |
2,732 |
$103K |
| 84443 |
|
5,952 |
5,259 |
$83K |
| 96365 |
|
887 |
721 |
$82K |
| D2930 |
|
1,111 |
305 |
$78K |
| 96375 |
|
2,581 |
2,011 |
$68K |
| 80061 |
|
5,645 |
4,985 |
$64K |
| 87880 |
|
3,745 |
3,330 |
$55K |
| G0177 |
Opps/php/iop; train & educ |
5,748 |
827 |
$51K |
| 87591 |
|
1,661 |
1,454 |
$45K |
| 87491 |
|
1,659 |
1,453 |
$45K |
| 87804 |
|
3,368 |
2,980 |
$44K |
| 36415 |
|
19,143 |
13,747 |
$43K |
| 83036 |
|
4,844 |
4,275 |
$41K |
| 83880 |
|
1,731 |
1,459 |
$40K |
| 74176 |
|
334 |
222 |
$34K |
| 82306 |
|
1,520 |
1,317 |
$34K |
| 80048 |
|
5,141 |
3,882 |
$32K |
| D2392 |
|
279 |
124 |
$26K |
| 87635 |
|
606 |
579 |
$25K |
| 84484 |
|
3,399 |
2,513 |
$24K |
| 96360 |
|
242 |
200 |
$23K |
| 87086 |
|
3,441 |
2,940 |
$22K |
| 83735 |
|
4,544 |
3,403 |
$21K |
| 81001 |
|
7,453 |
6,263 |
$20K |
| 73562 |
|
467 |
350 |
$19K |
| D7140 |
|
44 |
13 |
$19K |
| 84703 |
|
2,791 |
2,400 |
$19K |
| 00170 |
|
238 |
213 |
$17K |
| J2001 |
Lidocaine injection |
64 |
61 |
$17K |
| 80305 |
|
1,889 |
1,648 |
$16K |
| J2175 |
Meperidine hydrochl /100 mg |
257 |
222 |
$15K |
| 73630 |
|
369 |
286 |
$15K |
| 82607 |
|
1,248 |
1,072 |
$13K |
| 0202U |
|
610 |
539 |
$13K |
| 93306 |
|
47 |
38 |
$12K |
| 73030 |
|
324 |
253 |
$12K |
| 87661 |
|
512 |
433 |
$11K |
| 83690 |
|
2,089 |
1,762 |
$10K |
| 11042 |
|
89 |
38 |
$9K |
| 73610 |
|
183 |
142 |
$9K |
| 82746 |
|
778 |
683 |
$9K |
| 83874 |
|
955 |
697 |
$8K |
| M0243 |
Casirivi and imdevi inj |
57 |
45 |
$8K |
| 90832 |
|
180 |
42 |
$8K |
| 82553 |
|
1,008 |
744 |
$8K |
| 83605 |
|
1,404 |
1,094 |
$8K |
| D3220 |
|
195 |
43 |
$7K |
| 82728 |
|
662 |
586 |
$6K |
| 73130 |
|
116 |
86 |
$6K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
471 |
423 |
$6K |
| 77067 |
|
75 |
66 |
$4K |
| A9270 |
Non-covered item or service |
1,346 |
920 |
$4K |
| 72110 |
|
79 |
59 |
$4K |
| 87040 |
|
620 |
436 |
$4K |
| 80307 |
|
96 |
85 |
$3K |
| 86140 |
|
898 |
735 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,288 |
1,098 |
$3K |
| 83550 |
|
518 |
466 |
$3K |
| 43239 |
|
15 |
13 |
$3K |
| 83540 |
|
533 |
480 |
$3K |
| 99291 |
|
14 |
12 |
$3K |
| 96376 |
|
1,136 |
605 |
$2K |
| 87481 |
|
126 |
30 |
$2K |
| 87070 |
|
171 |
162 |
$2K |
| 82150 |
|
325 |
294 |
$2K |
| G0379 |
Direct refer hospital observ |
44 |
42 |
$2K |
| 87625 |
|
99 |
46 |
$2K |
| 73110 |
|
45 |
25 |
$2K |
| 76700 |
|
25 |
24 |
$2K |
| 87389 |
|
86 |
84 |
$2K |
| 87561 |
|
91 |
53 |
$2K |
| 86756 |
|
115 |
107 |
$2K |
| 99232 |
|
188 |
70 |
$2K |
| 80076 |
|
299 |
260 |
$1K |
| 82043 |
|
213 |
205 |
$1K |
| 85610 |
|
495 |
419 |
$1K |
| 73502 |
|
40 |
38 |
$1K |
| 74019 |
|
15 |
13 |
$1K |
| D2391 |
|
22 |
12 |
$1K |
| 85379 |
|
190 |
170 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
456 |
412 |
$1K |
| J1100 |
Dexamethasone sodium phos |
667 |
576 |
$1K |
| 87529 |
|
50 |
46 |
$1K |
| 87496 |
|
50 |
46 |
$1K |
| 87532 |
|
50 |
46 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
883 |
625 |
$1K |
| 72100 |
|
17 |
13 |
$815.99 |
| 94664 |
|
237 |
202 |
$770.03 |
| 87653 |
|
33 |
30 |
$704.37 |
| 87511 |
|
35 |
29 |
$600.02 |
| 82565 |
|
168 |
148 |
$548.28 |
| 85651 |
|
176 |
151 |
$512.59 |
| 82570 |
|
123 |
120 |
$436.57 |
| 85730 |
|
162 |
144 |
$428.51 |
| 87640 |
|
20 |
18 |
$420.15 |
| 84439 |
|
31 |
26 |
$255.21 |
| J2704 |
Inj, propofol, 10 mg |
882 |
781 |
$254.03 |
| 87807 |
|
14 |
14 |
$202.76 |
| 82550 |
|
17 |
12 |
$118.56 |
| 82962 |
|
67 |
47 |
$103.98 |
| G2012 |
Brief check in by md/qhp |
48 |
16 |
$30.00 |
| J2405 |
Ondansetron hcl injection |
279 |
260 |
$8.32 |
| J7613 |
Albuterol non-comp unit |
85 |
41 |
$3.60 |
| J7620 |
Albuterol ipratrop non-comp |
22 |
13 |
$3.60 |
| 77063 |
|
30 |
25 |
$0.00 |
| 94761 |
|
58 |
24 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
21 |
12 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
14 |
14 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
12 |
12 |
$0.00 |