| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
10,534 |
9,188 |
$1.14M |
| 99284 |
|
8,366 |
6,985 |
$1.03M |
| 99285 |
|
10,415 |
8,556 |
$1.01M |
| 96361 |
|
3,562 |
2,721 |
$645K |
| 74177 |
|
2,615 |
2,301 |
$569K |
| 70450 |
|
2,351 |
2,031 |
$355K |
| 74176 |
|
1,882 |
1,609 |
$340K |
| 93306 |
|
1,143 |
981 |
$241K |
| 36415 |
|
25,598 |
18,476 |
$208K |
| 97110 |
|
3,991 |
903 |
$199K |
| 99282 |
|
1,629 |
1,471 |
$184K |
| 96360 |
|
1,201 |
1,045 |
$146K |
| 80307 |
|
4,539 |
3,858 |
$126K |
| 78452 |
|
271 |
245 |
$126K |
| 94640 |
|
2,258 |
1,406 |
$119K |
| 80053 |
|
20,603 |
16,108 |
$115K |
| S0028 |
Injection, famotidine, 20 mg |
239 |
198 |
$109K |
| 96365 |
|
1,281 |
962 |
$92K |
| 43239 |
|
220 |
182 |
$75K |
| 71275 |
|
368 |
323 |
$65K |
| 72148 |
|
307 |
283 |
$50K |
| 76705 |
|
507 |
451 |
$48K |
| 77067 |
|
1,062 |
993 |
$48K |
| 71046 |
|
4,506 |
3,985 |
$43K |
| G0378 |
Hospital observation per hr |
1,516 |
1,183 |
$42K |
| 87040 |
|
4,117 |
2,200 |
$39K |
| 72125 |
|
842 |
742 |
$39K |
| 99213 |
|
280 |
263 |
$35K |
| 93971 |
|
357 |
307 |
$33K |
| 93017 |
|
305 |
275 |
$32K |
| 87077 |
|
5,557 |
5,050 |
$31K |
| J3490 |
Drugs unclassified injection |
2,511 |
1,891 |
$31K |
| 83880 |
|
2,590 |
2,102 |
$30K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,161 |
3,568 |
$30K |
| 71250 |
|
455 |
392 |
$27K |
| 96366 |
|
274 |
186 |
$26K |
| 74018 |
|
1,540 |
1,285 |
$26K |
| 93005 |
|
9,850 |
7,432 |
$24K |
| 80048 |
|
4,493 |
3,530 |
$23K |
| 84443 |
|
5,877 |
5,230 |
$23K |
| 73721 |
|
110 |
100 |
$20K |
| J7030 |
Normal saline solution infus |
983 |
803 |
$19K |
| 85025 |
|
21,661 |
16,233 |
$19K |
| 59025 |
|
135 |
98 |
$19K |
| 84484 |
|
9,448 |
5,746 |
$17K |
| 76536 |
|
200 |
180 |
$17K |
| 73562 |
|
1,106 |
868 |
$16K |
| G0463 |
Hospital outpt clinic visit |
767 |
521 |
$16K |
| 71045 |
|
5,590 |
4,383 |
$15K |
| 82306 |
|
1,018 |
915 |
$14K |
| 76815 |
|
213 |
187 |
$14K |
| 83036 |
|
2,674 |
2,478 |
$13K |
| 72100 |
|
965 |
851 |
$13K |
| 96374 |
|
8,895 |
7,161 |
$13K |
| 81001 |
|
7,477 |
6,159 |
$13K |
| 99291 |
|
63 |
55 |
$12K |
| 80329 |
|
1,262 |
624 |
$12K |
| 71260 |
|
357 |
329 |
$12K |
| 87804 |
|
8,400 |
3,759 |
$11K |
| 84439 |
|
2,859 |
2,535 |
$11K |
| 87591 |
|
741 |
681 |
$9K |
| 87389 |
|
1,045 |
992 |
$9K |
| 84702 |
|
1,552 |
1,158 |
$9K |
| 0241U |
|
420 |
366 |
$9K |
| 96375 |
|
5,634 |
4,322 |
$9K |
| 85027 |
|
3,278 |
2,898 |
$9K |
| 83605 |
|
4,281 |
3,248 |
$9K |
| 87088 |
|
3,574 |
3,070 |
$9K |
| 80061 |
|
2,329 |
2,150 |
$8K |
| 73610 |
|
750 |
646 |
$8K |
| 81025 |
|
2,604 |
2,334 |
$8K |
| 97162 |
|
229 |
200 |
$8K |
| 73030 |
|
786 |
660 |
$8K |
| 73630 |
|
1,060 |
892 |
$8K |
| 80074 |
|
317 |
305 |
$7K |
| 76805 |
|
89 |
85 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
608 |
546 |
$7K |
| S0020 |
Injection, bupivicaine hydro |
273 |
254 |
$6K |
| J7620 |
Albuterol ipratrop non-comp |
589 |
465 |
$6K |
| 96372 |
|
2,678 |
2,100 |
$6K |
| 81003 |
|
5,538 |
4,737 |
$6K |
| J7613 |
Albuterol non-comp unit |
307 |
269 |
$6K |
| 73130 |
|
662 |
564 |
$6K |
| 76700 |
|
58 |
55 |
$5K |
| 76856 |
|
76 |
67 |
$5K |
| 88305 |
|
825 |
706 |
$5K |
| 76641 |
|
68 |
42 |
$5K |
| J2405 |
Ondansetron hcl injection |
5,834 |
4,649 |
$4K |
| 45378 |
|
13 |
13 |
$4K |
| 80320 |
|
987 |
872 |
$4K |
| 85379 |
|
534 |
471 |
$4K |
| 87491 |
|
738 |
678 |
$3K |
| 97014 |
|
133 |
39 |
$3K |
| 83735 |
|
6,002 |
4,577 |
$3K |
| 77002 |
|
13 |
12 |
$3K |
| 82607 |
|
701 |
614 |
$3K |
| 87070 |
|
875 |
710 |
$3K |
| 87186 |
|
1,846 |
1,600 |
$3K |
| 72131 |
|
136 |
123 |
$3K |
| 99212 |
|
34 |
28 |
$3K |
| 86850 |
|
378 |
336 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
157 |
150 |
$3K |
| 84480 |
|
129 |
121 |
$3K |
| 12001 |
|
12 |
12 |
$3K |
| 85610 |
|
7,757 |
6,044 |
$3K |
| 90715 |
|
185 |
169 |
$3K |
| 73110 |
|
268 |
240 |
$2K |
| 87880 |
|
3,184 |
2,890 |
$2K |
| G0480 |
Drug test def 1-7 classes |
414 |
316 |
$2K |
| 87635 |
|
186 |
152 |
$2K |
| 85730 |
|
5,647 |
4,584 |
$2K |
| 84146 |
|
143 |
131 |
$2K |
| 86901 |
|
1,191 |
872 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 80076 |
|
611 |
530 |
$2K |
| 82565 |
|
364 |
272 |
$2K |
| 99281 |
|
12 |
12 |
$2K |
| 86900 |
|
1,307 |
875 |
$2K |
| 72040 |
|
58 |
52 |
$2K |
| 83001 |
|
110 |
102 |
$2K |
| 84481 |
|
113 |
108 |
$2K |
| 73502 |
|
169 |
152 |
$2K |
| 87086 |
|
412 |
369 |
$2K |
| 83690 |
|
4,945 |
4,089 |
$2K |
| 96376 |
|
1,551 |
1,093 |
$2K |
| J7120 |
Ringers lactate infusion |
20 |
16 |
$2K |
| 76830 |
|
33 |
31 |
$1K |
| 93225 |
|
41 |
38 |
$1K |
| 82728 |
|
519 |
410 |
$1K |
| 86140 |
|
976 |
819 |
$1K |
| 93226 |
|
41 |
38 |
$1K |
| 83655 |
|
106 |
103 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,512 |
2,010 |
$1K |
| G0283 |
Elec stim other than wound |
68 |
16 |
$1K |
| 86592 |
|
303 |
290 |
$1K |
| J2930 |
Methylprednisolone injection |
1,499 |
1,172 |
$1K |
| 85018 |
|
353 |
326 |
$1K |
| 76801 |
|
14 |
13 |
$1K |
| 83002 |
|
118 |
109 |
$1K |
| 86803 |
|
259 |
248 |
$1K |
| 84703 |
|
1,980 |
1,738 |
$1K |
| 74022 |
|
214 |
200 |
$988.11 |
| J2543 |
Piperacillin/tazobactam |
95 |
65 |
$975.66 |
| 83540 |
|
686 |
559 |
$950.03 |
| J1885 |
Ketorolac tromethamine inj |
3,193 |
2,671 |
$942.82 |
| 84466 |
|
554 |
441 |
$921.66 |
| 82570 |
|
319 |
299 |
$921.55 |
| A9585 |
Gadobutrol injection |
86 |
64 |
$896.41 |
| J7040 |
Normal saline solution infus |
190 |
167 |
$887.21 |
| 70486 |
|
25 |
24 |
$857.83 |
| 85652 |
|
1,060 |
880 |
$820.26 |
| 87807 |
|
820 |
756 |
$803.00 |
| J3010 |
Fentanyl citrate injection |
2,921 |
2,218 |
$791.30 |
| 76770 |
|
21 |
14 |
$766.38 |
| J2765 |
Metoclopramide hcl injection |
158 |
125 |
$762.17 |
| J1650 |
Inj enoxaparin sodium |
250 |
165 |
$711.93 |
| 94729 |
|
32 |
30 |
$689.02 |
| 36600 |
|
484 |
382 |
$684.29 |
| 82950 |
|
104 |
100 |
$647.14 |
| 73080 |
|
116 |
105 |
$645.09 |
| 84100 |
|
962 |
613 |
$625.44 |
| 94664 |
|
65 |
46 |
$615.96 |
| 82150 |
|
925 |
768 |
$560.82 |
| J1642 |
Inj heparin sodium per 10 u |
485 |
264 |
$558.16 |
| 87147 |
|
437 |
372 |
$556.20 |
| 84144 |
|
44 |
44 |
$556.12 |
| 0296T |
|
32 |
26 |
$554.88 |
| 80050 |
|
13 |
13 |
$531.18 |
| 84403 |
|
43 |
40 |
$523.54 |
| J0780 |
Prochlorperazine injection |
557 |
467 |
$503.23 |
| J7050 |
Normal saline solution infus |
103 |
56 |
$501.74 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$498.65 |
| 83615 |
|
784 |
527 |
$491.87 |
| 73590 |
|
91 |
70 |
$490.26 |
| 94726 |
|
31 |
28 |
$488.28 |
| J2270 |
Morphine sulfate injection |
1,891 |
1,408 |
$456.47 |
| 86762 |
|
94 |
90 |
$451.59 |
| 82140 |
|
586 |
486 |
$436.07 |
| Q0162 |
Ondansetron oral |
1,340 |
1,196 |
$407.56 |
| 90471 |
|
346 |
301 |
$407.19 |
| 87081 |
|
339 |
270 |
$394.31 |
| 0011A |
|
51 |
40 |
$376.19 |
| 82803 |
|
782 |
575 |
$361.47 |
| 82330 |
|
266 |
165 |
$351.24 |
| 84550 |
|
260 |
207 |
$312.58 |
| 80055 |
|
119 |
115 |
$291.64 |
| 87653 |
|
12 |
12 |
$281.02 |
| 82043 |
|
125 |
121 |
$273.54 |
| 87210 |
|
327 |
294 |
$225.57 |
| J1100 |
Dexamethasone sodium phos |
1,831 |
1,544 |
$221.26 |
| 87205 |
|
259 |
209 |
$177.72 |
| A9500 |
Tc99m sestamibi |
259 |
233 |
$175.72 |
| J2250 |
Inj midazolam hydrochloride |
1,829 |
1,571 |
$163.75 |
| 83550 |
|
41 |
38 |
$159.81 |
| J3370 |
Vancomycin hcl injection |
119 |
83 |
$154.82 |
| J1200 |
Diphenhydramine hcl injectio |
1,187 |
927 |
$130.07 |
| 82550 |
|
169 |
134 |
$126.93 |
| J2360 |
Orphenadrine injection |
253 |
225 |
$120.55 |
| J1170 |
Hydromorphone injection |
401 |
292 |
$119.64 |
| 86308 |
|
175 |
166 |
$112.72 |
| G0481 |
Drug test def 8-14 classes |
19 |
15 |
$107.59 |
| J0690 |
Cefazolin sodium injection |
925 |
785 |
$101.22 |
| 84156 |
|
33 |
28 |
$92.13 |
| 82784 |
|
12 |
12 |
$86.31 |
| J7512 |
Prednisone ir or dr oral 1mg |
273 |
229 |
$85.89 |
| 84153 |
|
28 |
26 |
$70.39 |
| S0164 |
Injection pantroprazole |
63 |
53 |
$70.34 |
| 94761 |
|
94 |
52 |
$60.13 |
| J0171 |
Adrenalin epinephrine inject |
40 |
24 |
$57.21 |
| 87075 |
|
17 |
13 |
$49.66 |
| 88312 |
|
109 |
95 |
$43.49 |
| J2060 |
Lorazepam injection |
305 |
232 |
$38.46 |
| J2704 |
Inj, propofol, 10 mg |
2,061 |
1,743 |
$36.10 |
| 87076 |
|
31 |
27 |
$23.92 |
| J3480 |
Inj potassium chloride |
154 |
107 |
$19.89 |
| J2550 |
Promethazine hcl injection |
260 |
205 |
$19.01 |
| C9113 |
Inj pantoprazole sodium, via |
106 |
78 |
$10.52 |
| J3475 |
Inj magnesium sulfate |
169 |
102 |
$7.39 |
| 82009 |
|
31 |
24 |
$4.94 |
| 73552 |
|
24 |
17 |
$4.63 |
| J7510 |
Prednisolone oral per 5 mg |
55 |
55 |
$3.72 |
| J1644 |
Inj heparin sodium per 1000u |
21 |
12 |
$2.16 |
| J2710 |
Neostigmine methylslfte inj |
51 |
39 |
$1.97 |
| J0692 |
Cefepime hcl for injection |
14 |
14 |
$1.52 |
| J1940 |
Furosemide injection |
17 |
13 |
$1.47 |
| A9270 |
Non-covered item or service |
537 |
406 |
$1.40 |
| J1580 |
Garamycin gentamicin inj |
16 |
13 |
$1.17 |
| J2785 |
Regadenoson injection |
158 |
140 |
$0.00 |
| 72170 |
|
32 |
26 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| 73090 |
|
13 |
12 |
$0.00 |
| 94760 |
|
29 |
13 |
$0.00 |
| 93975 |
|
25 |
25 |
$0.00 |