| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
24,444 |
22,632 |
$3.59M |
| 99284 |
|
18,666 |
16,390 |
$2.63M |
| 96361 |
|
4,105 |
2,947 |
$909K |
| 74177 |
|
2,305 |
2,033 |
$763K |
| 99285 |
|
4,685 |
4,039 |
$724K |
| 0241U |
|
5,465 |
5,078 |
$659K |
| 70450 |
|
2,145 |
1,940 |
$488K |
| 11042 |
|
3,250 |
2,177 |
$436K |
| 99282 |
|
3,460 |
3,295 |
$295K |
| 96365 |
|
2,575 |
1,746 |
$259K |
| 74176 |
|
794 |
736 |
$243K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,946 |
2,841 |
$239K |
| 59050 |
|
1,069 |
776 |
$234K |
| G0378 |
Hospital observation per hr |
1,921 |
1,476 |
$193K |
| 96366 |
|
956 |
470 |
$177K |
| 94640 |
|
2,259 |
1,581 |
$172K |
| 96374 |
|
10,756 |
8,845 |
$113K |
| 76856 |
|
552 |
524 |
$101K |
| 96360 |
|
1,014 |
869 |
$100K |
| 80053 |
|
16,605 |
14,566 |
$93K |
| 71046 |
|
1,925 |
1,847 |
$92K |
| 43239 |
|
124 |
109 |
$86K |
| 96375 |
|
6,684 |
5,144 |
$86K |
| 76700 |
|
442 |
428 |
$83K |
| 76705 |
|
658 |
601 |
$80K |
| J7030 |
Normal saline solution infus |
9,598 |
7,488 |
$80K |
| 99213 |
|
970 |
697 |
$80K |
| 84443 |
|
6,675 |
6,437 |
$75K |
| 71275 |
|
311 |
249 |
$73K |
| 93005 |
|
7,335 |
6,114 |
$71K |
| 85025 |
|
23,716 |
19,953 |
$70K |
| 87801 |
|
2,328 |
2,143 |
$69K |
| J3490 |
Drugs unclassified injection |
28,870 |
12,301 |
$67K |
| 80050 |
|
6,714 |
5,924 |
$59K |
| 82306 |
|
1,826 |
1,761 |
$58K |
| U0005 |
Infec agen detec ampli probe |
2,338 |
2,251 |
$52K |
| 99203 |
|
383 |
377 |
$48K |
| 84439 |
|
3,278 |
3,175 |
$44K |
| 80048 |
|
9,774 |
8,044 |
$42K |
| 87633 |
|
320 |
300 |
$40K |
| 71045 |
|
5,416 |
4,671 |
$38K |
| 96372 |
|
4,726 |
3,293 |
$35K |
| 77063 |
|
622 |
610 |
$34K |
| 87086 |
|
5,631 |
5,095 |
$34K |
| 83036 |
|
3,785 |
3,625 |
$33K |
| 16020 |
|
473 |
345 |
$32K |
| 87804 |
|
1,704 |
1,251 |
$31K |
| 96376 |
|
2,461 |
1,377 |
$30K |
| 80061 |
|
5,181 |
5,007 |
$29K |
| 93971 |
|
181 |
171 |
$26K |
| J2405 |
Ondansetron hcl injection |
7,580 |
5,929 |
$25K |
| 36415 |
|
12,066 |
9,301 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
582 |
547 |
$23K |
| J7120 |
Ringers lactate infusion |
4,353 |
2,948 |
$23K |
| 87624 |
|
634 |
542 |
$23K |
| 85027 |
|
4,247 |
3,720 |
$21K |
| 93306 |
|
92 |
82 |
$21K |
| 77067 |
|
1,039 |
1,028 |
$21K |
| 88175 |
|
1,019 |
956 |
$21K |
| J7050 |
Normal saline solution infus |
1,992 |
1,007 |
$19K |
| 70553 |
|
42 |
39 |
$17K |
| 86140 |
|
2,967 |
2,611 |
$17K |
| 74018 |
|
709 |
645 |
$16K |
| 87081 |
|
2,290 |
2,229 |
$16K |
| 76830 |
|
277 |
266 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
4,677 |
4,051 |
$15K |
| G0422 |
Intens cardiac rehab w/exerc |
238 |
36 |
$14K |
| J2270 |
Morphine sulfate injection |
2,850 |
2,037 |
$14K |
| 84484 |
|
6,155 |
4,171 |
$14K |
| 97116 |
|
540 |
191 |
$13K |
| 84702 |
|
1,154 |
921 |
$12K |
| 87480 |
|
1,593 |
1,462 |
$11K |
| G0463 |
Hospital outpt clinic visit |
1,011 |
739 |
$11K |
| M0243 |
Casirivi and imdevi inj |
47 |
45 |
$11K |
| 84703 |
|
3,747 |
3,414 |
$11K |
| 87880 |
|
1,310 |
1,276 |
$11K |
| 81001 |
|
9,979 |
8,862 |
$10K |
| 97165 |
|
368 |
293 |
$10K |
| 84145 |
|
531 |
457 |
$10K |
| 83690 |
|
5,707 |
4,879 |
$10K |
| J3010 |
Fentanyl citrate injection |
3,561 |
2,497 |
$10K |
| J8499 |
Oral prescrip drug non chemo |
13,845 |
5,866 |
$9K |
| 88305 |
|
1,003 |
903 |
$9K |
| 83880 |
|
980 |
818 |
$9K |
| 82607 |
|
668 |
634 |
$9K |
| M0245 |
Bamlan and etesev infusion |
25 |
24 |
$9K |
| 82728 |
|
744 |
708 |
$8K |
| 87660 |
|
1,593 |
1,462 |
$8K |
| J1170 |
Hydromorphone injection |
1,702 |
1,130 |
$7K |
| 73610 |
|
257 |
241 |
$7K |
| G0480 |
Drug test def 1-7 classes |
112 |
98 |
$7K |
| 87077 |
|
1,468 |
1,361 |
$7K |
| 59025 |
|
29 |
26 |
$7K |
| 81514 |
|
66 |
61 |
$7K |
| J1100 |
Dexamethasone sodium phos |
2,490 |
2,084 |
$7K |
| 81003 |
|
4,216 |
3,868 |
$7K |
| 87510 |
|
1,593 |
1,462 |
$7K |
| 80307 |
|
836 |
706 |
$6K |
| J7040 |
Normal saline solution infus |
1,406 |
1,147 |
$6K |
| 86803 |
|
568 |
547 |
$6K |
| 83735 |
|
2,137 |
1,486 |
$6K |
| 85652 |
|
1,625 |
1,511 |
$6K |
| 82962 |
|
4,893 |
1,751 |
$6K |
| 72125 |
|
326 |
286 |
$6K |
| 87798 |
|
115 |
114 |
$6K |
| 86850 |
|
501 |
406 |
$5K |
| 76801 |
|
145 |
124 |
$5K |
| 87186 |
|
1,389 |
1,297 |
$5K |
| 87491 |
|
114 |
113 |
$4K |
| 87591 |
|
114 |
113 |
$4K |
| 76536 |
|
27 |
25 |
$4K |
| 96413 |
|
30 |
12 |
$4K |
| 11045 |
|
22 |
12 |
$4K |
| 73630 |
|
131 |
128 |
$4K |
| 80081 |
|
377 |
342 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
41 |
41 |
$4K |
| 12001 |
|
12 |
12 |
$4K |
| 87040 |
|
873 |
668 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
2,638 |
2,070 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
1,138 |
942 |
$4K |
| 86900 |
|
635 |
524 |
$4K |
| 86480 |
|
99 |
90 |
$4K |
| 97535 |
|
305 |
130 |
$4K |
| 87651 |
|
688 |
657 |
$4K |
| 97161 |
|
336 |
273 |
$4K |
| 85610 |
|
2,027 |
1,652 |
$4K |
| 83540 |
|
712 |
677 |
$4K |
| 83605 |
|
1,262 |
1,019 |
$4K |
| 70486 |
|
41 |
40 |
$3K |
| J0690 |
Cefazolin sodium injection |
971 |
715 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,863 |
1,557 |
$3K |
| 85379 |
|
1,368 |
1,205 |
$3K |
| 87070 |
|
627 |
501 |
$3K |
| 76642 |
|
17 |
13 |
$3K |
| A9270 |
Non-covered item or service |
6,716 |
1,220 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
163 |
134 |
$2K |
| 82950 |
|
421 |
413 |
$2K |
| 80076 |
|
437 |
400 |
$2K |
| 83550 |
|
371 |
346 |
$2K |
| 99212 |
|
49 |
44 |
$2K |
| 87807 |
|
121 |
119 |
$2K |
| 81025 |
|
1,503 |
1,378 |
$2K |
| 72100 |
|
44 |
40 |
$2K |
| 87210 |
|
844 |
787 |
$2K |
| 73110 |
|
81 |
69 |
$2K |
| 85730 |
|
628 |
549 |
$2K |
| 90471 |
|
96 |
84 |
$1K |
| 82043 |
|
493 |
484 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
784 |
519 |
$1K |
| 84481 |
|
163 |
160 |
$1K |
| 94760 |
|
1,163 |
724 |
$1K |
| 87420 |
|
159 |
159 |
$1K |
| 87389 |
|
151 |
145 |
$1K |
| 87147 |
|
399 |
372 |
$1K |
| 86780 |
|
139 |
127 |
$1K |
| 86901 |
|
784 |
652 |
$1K |
| 84153 |
|
124 |
122 |
$1K |
| A4649 |
Surgical supplies |
392 |
350 |
$1K |
| 73030 |
|
212 |
192 |
$1K |
| 80306 |
|
66 |
64 |
$1K |
| 83516 |
|
83 |
76 |
$972.12 |
| 86038 |
|
98 |
94 |
$929.99 |
| 87205 |
|
593 |
464 |
$892.95 |
| 97530 |
|
125 |
63 |
$887.37 |
| 84112 |
|
28 |
26 |
$834.75 |
| J7620 |
Albuterol ipratrop non-comp |
281 |
190 |
$831.97 |
| 90715 |
|
31 |
31 |
$812.77 |
| 84100 |
|
554 |
367 |
$806.38 |
| 96367 |
|
60 |
41 |
$787.58 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,915 |
1,635 |
$728.66 |
| 97110 |
|
128 |
37 |
$702.30 |
| 94761 |
|
461 |
210 |
$652.40 |
| J2765 |
Metoclopramide hcl injection |
55 |
52 |
$652.21 |
| 51701 |
|
27 |
27 |
$646.07 |
| 99152 |
|
13 |
12 |
$611.55 |
| 71250 |
|
15 |
13 |
$569.14 |
| 87635 |
|
82 |
81 |
$463.32 |
| J8597 |
Antiemetic drug oral nos |
274 |
260 |
$419.41 |
| 73130 |
|
109 |
98 |
$360.37 |
| 84403 |
|
27 |
27 |
$342.76 |
| 83001 |
|
27 |
25 |
$256.22 |
| 86376 |
|
28 |
26 |
$254.27 |
| 73560 |
|
186 |
150 |
$244.63 |
| 82570 |
|
94 |
83 |
$230.31 |
| 36600 |
|
16 |
16 |
$230.11 |
| J2360 |
Orphenadrine injection |
388 |
355 |
$224.30 |
| 82670 |
|
13 |
13 |
$205.43 |
| 94762 |
|
17 |
13 |
$174.34 |
| 86431 |
|
27 |
27 |
$172.41 |
| J2060 |
Lorazepam injection |
443 |
307 |
$164.25 |
| 84270 |
|
12 |
12 |
$153.47 |
| 82746 |
|
14 |
14 |
$147.78 |
| 88342 |
|
16 |
14 |
$122.41 |
| 84146 |
|
12 |
12 |
$122.32 |
| A9577 |
Inj multihance |
15 |
14 |
$110.00 |
| 87075 |
|
38 |
24 |
$108.93 |
| 84156 |
|
64 |
54 |
$85.34 |
| 73502 |
|
39 |
37 |
$62.97 |
| 88304 |
|
17 |
15 |
$47.73 |
| J2543 |
Piperacillin/tazobactam |
33 |
24 |
$47.56 |
| J1815 |
Insulin injection |
32 |
12 |
$46.04 |
| J3480 |
Inj potassium chloride |
48 |
27 |
$45.11 |
| 82550 |
|
18 |
15 |
$32.07 |
| 82270 |
|
14 |
12 |
$24.92 |
| J0780 |
Prochlorperazine injection |
222 |
181 |
$22.89 |
| J1650 |
Inj enoxaparin sodium |
661 |
210 |
$21.68 |
| 85018 |
|
17 |
13 |
$17.23 |
| J7611 |
Albuterol non-comp con |
21 |
19 |
$16.37 |
| 82803 |
|
17 |
12 |
$14.71 |
| 82077 |
|
691 |
579 |
$14.57 |
| J2272 |
Inj, morphine (fresenius) |
12 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
19 |
15 |
$0.00 |
| G8979 |
Mobility goal status |
18 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
105 |
81 |
$0.00 |
| 80179 |
|
15 |
13 |
$0.00 |
| G8978 |
Mobility current status |
12 |
12 |
$0.00 |
| 85007 |
|
14 |
12 |
$0.00 |
| 80143 |
|
15 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
178 |
158 |
$0.00 |
| J1790 |
Droperidol injection |
63 |
52 |
$0.00 |