| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
27,944 |
25,999 |
$5.93M |
| 99283 |
|
34,641 |
33,159 |
$1.70M |
| 99285 |
|
5,222 |
4,820 |
$1.12M |
| 11042 |
|
961 |
473 |
$527K |
| 93005 |
|
9,465 |
8,499 |
$392K |
| 87502 |
|
3,660 |
3,572 |
$355K |
| 85025 |
|
37,963 |
33,147 |
$282K |
| 80053 |
|
22,702 |
20,433 |
$271K |
| 74177 |
|
1,629 |
1,554 |
$249K |
| 71045 |
|
9,620 |
8,861 |
$231K |
| 87635 |
|
3,330 |
3,263 |
$176K |
| C9803 |
Hopd covid-19 spec collect |
10,037 |
9,724 |
$173K |
| 70450 |
|
2,783 |
2,631 |
$168K |
| 87637 |
|
1,324 |
1,279 |
$167K |
| 99282 |
|
2,861 |
2,729 |
$124K |
| 87631 |
|
1,077 |
1,049 |
$112K |
| 74176 |
|
1,013 |
966 |
$93K |
| 87651 |
|
2,474 |
2,424 |
$90K |
| 76801 |
|
1,225 |
1,004 |
$88K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,850 |
1,769 |
$83K |
| CP007 |
|
1,798 |
1,430 |
$80K |
| G0480 |
Drug test def 1-7 classes |
1,144 |
995 |
$78K |
| 93976 |
|
1,110 |
967 |
$69K |
| 80307 |
|
1,563 |
1,401 |
$68K |
| 76856 |
|
719 |
675 |
$65K |
| U0002 |
Covid-19 lab test non-cdc |
1,347 |
1,295 |
$64K |
| 81001 |
|
18,477 |
17,053 |
$61K |
| 72125 |
|
1,175 |
1,123 |
$57K |
| 80048 |
|
6,956 |
6,038 |
$53K |
| 96374 |
|
5,653 |
5,174 |
$50K |
| 43239 |
|
52 |
50 |
$44K |
| J7030 |
Normal saline solution infus |
9,189 |
7,602 |
$44K |
| 96375 |
|
3,799 |
3,332 |
$44K |
| 87491 |
|
1,800 |
1,711 |
$44K |
| 87591 |
|
1,801 |
1,712 |
$44K |
| 84703 |
|
6,270 |
5,863 |
$42K |
| 94640 |
|
1,335 |
684 |
$37K |
| 95819 |
|
138 |
132 |
$36K |
| 84484 |
|
4,932 |
3,873 |
$35K |
| 83880 |
|
1,490 |
1,375 |
$29K |
| 84702 |
|
2,912 |
2,476 |
$27K |
| U0005 |
Infec agen detec ampli probe |
1,722 |
1,668 |
$26K |
| 87800 |
|
865 |
820 |
$24K |
| 87634 |
|
205 |
202 |
$22K |
| 71046 |
|
757 |
732 |
$20K |
| 97110 |
|
489 |
133 |
$20K |
| 93975 |
|
181 |
162 |
$20K |
| 71275 |
|
182 |
180 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,275 |
1,896 |
$19K |
| 99281 |
|
469 |
445 |
$18K |
| 83605 |
|
2,729 |
2,272 |
$18K |
| 83690 |
|
3,855 |
3,535 |
$14K |
| 71260 |
|
96 |
96 |
$13K |
| 76705 |
|
174 |
173 |
$13K |
| 96365 |
|
925 |
829 |
$11K |
| 96361 |
|
2,054 |
1,882 |
$10K |
| 76817 |
|
172 |
136 |
$10K |
| 96376 |
|
924 |
700 |
$10K |
| 87040 |
|
1,942 |
960 |
$9K |
| 83735 |
|
2,345 |
1,658 |
$8K |
| 96360 |
|
344 |
326 |
$8K |
| 81025 |
|
1,217 |
1,169 |
$8K |
| 96372 |
|
1,777 |
1,497 |
$7K |
| 88305 |
|
121 |
118 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
1,447 |
1,313 |
$6K |
| J2405 |
Ondansetron hcl injection |
6,177 |
5,419 |
$6K |
| J2270 |
Morphine sulfate injection |
4,026 |
3,161 |
$6K |
| 73562 |
|
285 |
238 |
$6K |
| 87086 |
|
1,236 |
1,154 |
$5K |
| 84443 |
|
419 |
408 |
$5K |
| 84145 |
|
374 |
357 |
$4K |
| 95816 |
|
14 |
14 |
$4K |
| 93971 |
|
40 |
36 |
$4K |
| 85379 |
|
925 |
890 |
$4K |
| 86850 |
|
345 |
328 |
$4K |
| 87430 |
|
358 |
346 |
$3K |
| 85610 |
|
1,487 |
1,371 |
$3K |
| 73630 |
|
102 |
93 |
$2K |
| 71250 |
|
32 |
32 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,447 |
2,229 |
$2K |
| J7120 |
Ringers lactate infusion |
931 |
799 |
$2K |
| 72170 |
|
195 |
190 |
$2K |
| 73030 |
|
95 |
82 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
449 |
396 |
$2K |
| 70498 |
|
28 |
26 |
$2K |
| 76830 |
|
14 |
13 |
$2K |
| 86901 |
|
1,171 |
1,099 |
$2K |
| 85730 |
|
625 |
596 |
$2K |
| 83036 |
|
342 |
331 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,240 |
1,055 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,270 |
1,220 |
$989.47 |
| Q0162 |
Ondansetron oral |
1,585 |
1,516 |
$922.34 |
| 84100 |
|
333 |
286 |
$887.08 |
| 70486 |
|
12 |
12 |
$884.82 |
| 90471 |
|
122 |
121 |
$869.96 |
| 81003 |
|
567 |
538 |
$811.90 |
| 86900 |
|
402 |
300 |
$554.68 |
| 90715 |
|
109 |
108 |
$546.26 |
| J1200 |
Diphenhydramine hcl injectio |
780 |
641 |
$500.70 |
| M0243 |
Casirivi and imdevi inj |
16 |
16 |
$450.00 |
| J2550 |
Promethazine hcl injection |
462 |
411 |
$413.70 |
| J2704 |
Inj, propofol, 10 mg |
787 |
722 |
$381.74 |
| 84132 |
|
194 |
167 |
$378.54 |
| 73610 |
|
16 |
14 |
$318.39 |
| J3490 |
Drugs unclassified injection |
91 |
70 |
$317.78 |
| 86140 |
|
177 |
159 |
$300.73 |
| 82550 |
|
89 |
84 |
$287.85 |
| 85027 |
|
86 |
67 |
$284.00 |
| 73502 |
|
16 |
14 |
$273.46 |
| J2060 |
Lorazepam injection |
188 |
159 |
$265.15 |
| 74018 |
|
15 |
13 |
$262.76 |
| 70496 |
|
14 |
13 |
$238.79 |
| 87186 |
|
108 |
106 |
$229.18 |
| J2930 |
Methylprednisolone injection |
28 |
28 |
$207.21 |
| 36415 |
|
6,539 |
5,393 |
$165.98 |
| 80069 |
|
58 |
25 |
$147.13 |
| J0692 |
Cefepime hcl for injection |
208 |
181 |
$136.72 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
49 |
46 |
$132.56 |
| 73590 |
|
14 |
13 |
$121.52 |
| 80076 |
|
13 |
13 |
$110.73 |
| J2250 |
Inj midazolam hydrochloride |
229 |
223 |
$85.60 |
| J2765 |
Metoclopramide hcl injection |
98 |
91 |
$78.44 |
| 80061 |
|
14 |
14 |
$73.97 |
| J0780 |
Prochlorperazine injection |
26 |
25 |
$57.13 |
| 90686 |
|
12 |
12 |
$43.16 |
| J0690 |
Cefazolin sodium injection |
101 |
83 |
$35.34 |
| 73130 |
|
14 |
13 |
$30.08 |
| 87077 |
|
25 |
24 |
$20.20 |
| 87205 |
|
13 |
12 |
$14.28 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$7.00 |
| J0360 |
Hydralazine hcl injection |
15 |
15 |
$6.45 |
| J1170 |
Hydromorphone injection |
15 |
13 |
$3.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
175 |
145 |
$1.88 |
| A9270 |
Non-covered item or service |
10,549 |
9,359 |
$0.84 |
| J1644 |
Inj heparin sodium per 1000u |
19 |
12 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
14 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
51 |
46 |
$0.00 |
| G0008 |
Admin influenza virus vac |
62 |
62 |
$0.00 |
| 96366 |
|
19 |
13 |
$0.00 |