| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
7,593 |
5,359 |
$2.11M |
| 99284 |
|
6,604 |
5,308 |
$1.46M |
| 99283 |
|
5,147 |
4,380 |
$840K |
| 80053 |
|
11,907 |
9,836 |
$607K |
| 74176 |
|
1,407 |
1,253 |
$576K |
| 70450 |
|
1,381 |
1,210 |
$402K |
| 87637 |
|
2,751 |
2,487 |
$392K |
| 87631 |
|
5,119 |
3,858 |
$373K |
| 85025 |
|
12,661 |
9,231 |
$358K |
| 97110 |
|
6,420 |
1,685 |
$325K |
| 36415 |
|
21,202 |
15,953 |
$311K |
| 96374 |
|
2,394 |
1,972 |
$289K |
| 0202U |
|
1,337 |
1,256 |
$283K |
| 71045 |
|
4,335 |
3,186 |
$272K |
| J3490 |
Drugs unclassified injection |
6,011 |
2,472 |
$258K |
| 93306 |
|
630 |
479 |
$257K |
| 93005 |
|
6,443 |
4,632 |
$248K |
| 83605 |
|
4,976 |
3,931 |
$207K |
| 96365 |
|
1,657 |
1,186 |
$196K |
| 87633 |
|
907 |
813 |
$188K |
| 84484 |
|
5,120 |
2,836 |
$186K |
| 80048 |
|
5,167 |
3,324 |
$185K |
| 71046 |
|
2,040 |
1,877 |
$177K |
| 96372 |
|
2,346 |
1,416 |
$161K |
| 84443 |
|
3,236 |
2,951 |
$138K |
| 96361 |
|
1,802 |
1,279 |
$137K |
| 81001 |
|
5,441 |
4,230 |
$137K |
| U0002 |
Covid-19 lab test non-cdc |
1,423 |
1,233 |
$127K |
| 85027 |
|
3,560 |
2,985 |
$126K |
| 96375 |
|
2,763 |
1,661 |
$125K |
| 80061 |
|
2,270 |
2,097 |
$122K |
| 64483 |
|
162 |
99 |
$103K |
| 78452 |
|
127 |
100 |
$98K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,470 |
1,105 |
$95K |
| J7030 |
Normal saline solution infus |
2,820 |
1,795 |
$93K |
| 83036 |
|
2,281 |
2,137 |
$84K |
| G0378 |
Hospital observation per hr |
419 |
305 |
$84K |
| J3301 |
Triamcinolone acet inj nos |
1,067 |
843 |
$81K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,674 |
1,533 |
$75K |
| 87086 |
|
1,844 |
1,617 |
$73K |
| A9270 |
Non-covered item or service |
26,926 |
6,258 |
$72K |
| 96376 |
|
748 |
403 |
$71K |
| 83735 |
|
2,002 |
1,562 |
$68K |
| 72148 |
|
105 |
99 |
$67K |
| 82306 |
|
859 |
791 |
$65K |
| 83690 |
|
1,809 |
1,465 |
$65K |
| 93017 |
|
197 |
173 |
$61K |
| 99282 |
|
518 |
470 |
$59K |
| 74177 |
|
105 |
87 |
$58K |
| J7050 |
Normal saline solution infus |
1,822 |
875 |
$55K |
| 87040 |
|
821 |
682 |
$55K |
| 71250 |
|
172 |
159 |
$53K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
468 |
343 |
$50K |
| 80305 |
|
730 |
609 |
$49K |
| 84703 |
|
951 |
787 |
$49K |
| 77067 |
|
216 |
212 |
$44K |
| 73030 |
|
427 |
371 |
$42K |
| 87081 |
|
1,318 |
1,204 |
$41K |
| 74178 |
|
99 |
85 |
$41K |
| 73630 |
|
361 |
299 |
$38K |
| 73610 |
|
382 |
338 |
$38K |
| 74019 |
|
232 |
222 |
$37K |
| J7120 |
Ringers lactate infusion |
1,581 |
1,074 |
$37K |
| 87186 |
|
975 |
863 |
$36K |
| 82948 |
|
835 |
382 |
$36K |
| G0480 |
Drug test def 1-7 classes |
539 |
400 |
$35K |
| 87077 |
|
1,201 |
1,059 |
$35K |
| J3010 |
Fentanyl citrate injection |
1,696 |
1,062 |
$35K |
| 88305 |
|
227 |
160 |
$34K |
| 97530 |
|
806 |
202 |
$34K |
| 97140 |
|
742 |
258 |
$33K |
| 85610 |
|
1,248 |
812 |
$33K |
| 76705 |
|
149 |
138 |
$32K |
| J1885 |
Ketorolac tromethamine inj |
1,425 |
1,102 |
$31K |
| 84439 |
|
678 |
635 |
$31K |
| J2405 |
Ondansetron hcl injection |
1,945 |
1,333 |
$30K |
| 97162 |
|
466 |
409 |
$29K |
| 72100 |
|
226 |
219 |
$29K |
| J2400 |
Chloroprocaine hcl injection |
127 |
99 |
$27K |
| 87426 |
|
610 |
555 |
$27K |
| 94640 |
|
1,045 |
436 |
$22K |
| 82607 |
|
325 |
293 |
$22K |
| J2001 |
Lidocaine injection |
937 |
683 |
$22K |
| 83880 |
|
416 |
348 |
$21K |
| 73560 |
|
194 |
162 |
$21K |
| 87804 |
|
313 |
286 |
$20K |
| M0243 |
Casirivi and imdevi inj |
83 |
81 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
912 |
582 |
$20K |
| G0283 |
Elec stim other than wound |
395 |
151 |
$19K |
| 85379 |
|
485 |
395 |
$18K |
| 87070 |
|
376 |
323 |
$17K |
| J2930 |
Methylprednisolone injection |
427 |
267 |
$17K |
| 73110 |
|
129 |
102 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
276 |
182 |
$14K |
| A9500 |
Tc99m sestamibi |
72 |
67 |
$11K |
| 93010 |
|
996 |
873 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
576 |
435 |
$9K |
| 82805 |
|
158 |
120 |
$7K |
| 82150 |
|
91 |
75 |
$7K |
| 80050 |
|
48 |
46 |
$7K |
| 73130 |
|
69 |
63 |
$7K |
| 36600 |
|
164 |
120 |
$6K |
| 96360 |
|
67 |
59 |
$6K |
| T1015 |
Clinic service |
60 |
51 |
$6K |
| 94060 |
|
80 |
71 |
$6K |
| 87205 |
|
133 |
119 |
$5K |
| 87807 |
|
58 |
52 |
$5K |
| J1100 |
Dexamethasone sodium phos |
187 |
128 |
$5K |
| 99213 |
|
53 |
46 |
$5K |
| 0012A |
|
200 |
167 |
$4K |
| 73502 |
|
28 |
27 |
$4K |
| 0011A |
|
264 |
239 |
$3K |
| 72125 |
|
13 |
12 |
$3K |
| 87430 |
|
33 |
30 |
$3K |
| 76856 |
|
15 |
15 |
$3K |
| 94727 |
|
51 |
46 |
$3K |
| 82043 |
|
60 |
53 |
$3K |
| 86769 |
|
49 |
25 |
$2K |
| 73521 |
|
13 |
13 |
$2K |
| 94729 |
|
52 |
47 |
$2K |
| 86318 |
|
25 |
24 |
$2K |
| 83540 |
|
51 |
50 |
$2K |
| J0780 |
Prochlorperazine injection |
18 |
13 |
$2K |
| 94664 |
|
24 |
14 |
$2K |
| J2270 |
Morphine sulfate injection |
15 |
12 |
$2K |
| 82728 |
|
42 |
39 |
$2K |
| 0013A |
|
62 |
62 |
$2K |
| 97112 |
|
33 |
14 |
$1K |
| 85652 |
|
32 |
26 |
$1K |
| Q3014 |
Telehealth facility fee |
61 |
46 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
15 |
13 |
$1K |
| 74022 |
|
15 |
15 |
$1K |
| 94200 |
|
53 |
48 |
$956.74 |
| 94150 |
|
53 |
48 |
$753.03 |
| 84145 |
|
14 |
12 |
$698.43 |
| 82800 |
|
15 |
12 |
$698.31 |
| 0001A |
|
35 |
35 |
$591.55 |
| 0072A |
|
20 |
20 |
$490.40 |
| 82550 |
|
22 |
14 |
$369.34 |
| 0071A |
|
14 |
13 |
$325.60 |
| 86901 |
|
15 |
13 |
$122.18 |
| J7040 |
Normal saline solution infus |
83 |
54 |
$94.39 |
| 91301 |
|
662 |
513 |
$16.60 |
| Q0244 |
Casirivi and imdevi 1200 mg |
44 |
41 |
$4.68 |
| 91300 |
|
96 |
94 |
$0.43 |
| 91307 |
|
56 |
51 |
$0.00 |