| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
30,380 |
27,071 |
$9.58M |
| 99284 |
|
32,440 |
30,003 |
$7.49M |
| 99283 |
|
30,244 |
28,377 |
$5.03M |
| 41899 |
|
1,720 |
1,615 |
$1.63M |
| 99213 |
|
19,784 |
16,247 |
$912K |
| 87637 |
|
5,387 |
4,873 |
$904K |
| 99203 |
|
9,073 |
7,636 |
$655K |
| 99214 |
|
9,843 |
7,004 |
$461K |
| 71046 |
|
10,128 |
9,327 |
$439K |
| 93005 |
|
19,038 |
16,474 |
$396K |
| 80053 |
|
35,213 |
30,305 |
$360K |
| 87636 |
|
1,928 |
1,728 |
$238K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,968 |
2,569 |
$226K |
| 85027 |
|
31,656 |
28,557 |
$215K |
| 96374 |
|
5,462 |
4,974 |
$166K |
| G0463 |
Hospital outpt clinic visit |
9,423 |
7,341 |
$153K |
| 70450 |
|
789 |
708 |
$145K |
| 96361 |
|
4,038 |
3,523 |
$124K |
| 85025 |
|
19,566 |
15,201 |
$123K |
| 87651 |
|
3,015 |
2,764 |
$113K |
| 87502 |
|
1,790 |
1,742 |
$107K |
| 99281 |
|
4,949 |
4,647 |
$101K |
| 80048 |
|
11,543 |
10,460 |
$86K |
| J3490 |
Drugs unclassified injection |
28,645 |
13,353 |
$80K |
| 96375 |
|
1,921 |
1,732 |
$80K |
| G0378 |
Hospital observation per hr |
547 |
415 |
$64K |
| 84484 |
|
8,629 |
5,764 |
$63K |
| 99231 |
|
2,377 |
439 |
$59K |
| 81001 |
|
17,782 |
16,498 |
$58K |
| U0005 |
Infec agen detec ampli probe |
2,220 |
1,897 |
$58K |
| 99282 |
|
1,133 |
759 |
$54K |
| 93303 |
|
222 |
200 |
$49K |
| 83690 |
|
6,421 |
5,896 |
$49K |
| A9270 |
Non-covered item or service |
92,891 |
32,967 |
$46K |
| 74177 |
|
110 |
90 |
$45K |
| 87635 |
|
819 |
765 |
$44K |
| G0480 |
Drug test def 1-7 classes |
858 |
710 |
$41K |
| 81025 |
|
4,672 |
4,208 |
$36K |
| J7030 |
Normal saline solution infus |
4,313 |
3,896 |
$31K |
| 80307 |
|
517 |
445 |
$30K |
| 87880 |
|
2,015 |
1,863 |
$26K |
| 96372 |
|
1,151 |
968 |
$23K |
| J2704 |
Inj, propofol, 10 mg |
1,455 |
1,089 |
$20K |
| 99222 |
|
226 |
143 |
$20K |
| 99239 |
|
263 |
165 |
$19K |
| J7050 |
Normal saline solution infus |
2,600 |
940 |
$14K |
| 93320 |
|
221 |
199 |
$14K |
| 11042 |
|
179 |
93 |
$12K |
| 71045 |
|
363 |
328 |
$12K |
| 99204 |
|
93 |
85 |
$11K |
| 70300 |
|
598 |
584 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
788 |
708 |
$10K |
| 82306 |
|
274 |
274 |
$10K |
| 87400 |
|
383 |
345 |
$10K |
| 93325 |
|
221 |
199 |
$9K |
| 69436 |
|
15 |
15 |
$9K |
| 76816 |
|
57 |
53 |
$8K |
| J7120 |
Ringers lactate infusion |
854 |
727 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,301 |
2,130 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,298 |
1,995 |
$7K |
| 87804 |
|
478 |
201 |
$6K |
| 87081 |
|
905 |
872 |
$6K |
| 96365 |
|
108 |
91 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,926 |
1,796 |
$6K |
| 99211 |
|
448 |
359 |
$6K |
| 88305 |
|
35 |
26 |
$5K |
| 99202 |
|
91 |
79 |
$5K |
| J7042 |
5% dextrose/normal saline |
423 |
411 |
$5K |
| 80061 |
|
265 |
265 |
$4K |
| 77412 |
|
153 |
12 |
$4K |
| 83036 |
|
290 |
290 |
$3K |
| 76000 |
|
124 |
117 |
$3K |
| 83525 |
|
207 |
207 |
$3K |
| 84443 |
|
143 |
143 |
$3K |
| 99232 |
|
51 |
27 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,008 |
920 |
$3K |
| 82728 |
|
252 |
233 |
$2K |
| 77336 |
|
60 |
27 |
$2K |
| 87086 |
|
231 |
214 |
$2K |
| 87591 |
|
71 |
64 |
$2K |
| 87491 |
|
58 |
52 |
$2K |
| 90791 |
|
28 |
25 |
$2K |
| J2795 |
Ropivacaine hcl injection |
1,053 |
912 |
$2K |
| 99152 |
|
42 |
38 |
$2K |
| 87661 |
|
57 |
51 |
$1K |
| J0461 |
Atropine sulfate injection |
298 |
290 |
$1K |
| 83550 |
|
205 |
195 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 83540 |
|
207 |
197 |
$1K |
| 29581 |
|
43 |
12 |
$903.57 |
| 87210 |
|
173 |
154 |
$871.06 |
| 81003 |
|
373 |
320 |
$867.36 |
| 36410 |
|
34 |
28 |
$769.36 |
| 99244 |
|
18 |
15 |
$693.39 |
| 94640 |
|
54 |
53 |
$632.66 |
| 99212 |
|
46 |
25 |
$618.60 |
| 36591 |
|
61 |
24 |
$552.73 |
| 84702 |
|
52 |
51 |
$552.30 |
| 70310 |
|
13 |
13 |
$523.35 |
| 87503 |
|
56 |
55 |
$520.65 |
| 86756 |
|
22 |
20 |
$495.13 |
| J2250 |
Inj midazolam hydrochloride |
399 |
339 |
$473.28 |
| J2001 |
Lidocaine injection |
154 |
146 |
$453.01 |
| 87798 |
|
12 |
12 |
$449.55 |
| 87481 |
|
12 |
12 |
$449.55 |
| 87511 |
|
12 |
12 |
$437.19 |
| 83880 |
|
14 |
13 |
$375.24 |
| 87486 |
|
14 |
13 |
$336.16 |
| J3301 |
Triamcinolone acet inj nos |
72 |
65 |
$301.47 |
| 99201 |
|
19 |
18 |
$215.55 |
| 84439 |
|
14 |
14 |
$157.36 |
| J1642 |
Inj heparin sodium per 10 u |
861 |
357 |
$104.86 |
| 85379 |
|
12 |
12 |
$102.98 |
| 84436 |
|
14 |
14 |
$100.52 |
| 80076 |
|
15 |
12 |
$71.12 |
| J2270 |
Morphine sulfate injection |
25 |
25 |
$64.69 |
| 36415 |
|
35 |
31 |
$60.96 |
| 85045 |
|
12 |
12 |
$59.88 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$33.61 |
| G0379 |
Direct refer hospital observ |
186 |
168 |
$31.57 |
| J2550 |
Promethazine hcl injection |
12 |
12 |
$30.50 |
| A4216 |
Sterile water/saline, 10 ml |
20 |
13 |
$19.18 |
| J0689 |
Inj cefazolin sodium, baxter |
17 |
15 |
$5.08 |
| J0137 |
Inj, acetaminophen (hikma) |
13 |
13 |
$0.00 |
| 1159F |
|
14 |
13 |
$0.00 |
| J7999 |
Compounded drug, noc |
216 |
193 |
$0.00 |