| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,802 |
13,272 |
$3.92M |
| 99283 |
|
16,462 |
15,283 |
$3.66M |
| 74177 |
|
3,193 |
2,907 |
$2.07M |
| A0427 |
Als1-emergency |
7,058 |
5,616 |
$1.80M |
| 99285 |
|
3,462 |
3,171 |
$1.36M |
| 99282 |
|
7,765 |
7,282 |
$1.24M |
| 70450 |
|
3,392 |
3,027 |
$1.12M |
| A0425 |
Ground mileage |
12,314 |
8,950 |
$1.10M |
| A0429 |
Bls-emergency |
3,626 |
2,880 |
$975K |
| 80053 |
|
30,371 |
25,524 |
$895K |
| 87637 |
|
3,412 |
3,300 |
$890K |
| 93005 |
|
10,222 |
8,614 |
$822K |
| G0378 |
Hospital observation per hr |
1,261 |
1,077 |
$778K |
| 96365 |
|
6,189 |
4,646 |
$703K |
| 96375 |
|
10,272 |
8,148 |
$694K |
| 71045 |
|
7,906 |
6,881 |
$585K |
| 96361 |
|
9,091 |
7,626 |
$575K |
| 97110 |
|
6,227 |
1,979 |
$510K |
| 96374 |
|
9,137 |
8,205 |
$497K |
| 93306 |
|
909 |
828 |
$478K |
| G0463 |
Hospital outpt clinic visit |
3,768 |
2,719 |
$441K |
| 74176 |
|
925 |
855 |
$423K |
| 85025 |
|
31,436 |
25,924 |
$422K |
| 94640 |
|
2,069 |
1,469 |
$329K |
| 77067 |
|
1,306 |
1,297 |
$302K |
| 71275 |
|
458 |
434 |
$291K |
| 43239 |
|
560 |
524 |
$273K |
| 72125 |
|
654 |
590 |
$262K |
| 96372 |
|
5,778 |
4,815 |
$261K |
| 99281 |
|
2,579 |
2,425 |
$246K |
| 99291 |
|
372 |
357 |
$246K |
| 71046 |
|
2,868 |
2,650 |
$211K |
| 97140 |
|
2,629 |
865 |
$209K |
| 76705 |
|
1,352 |
1,259 |
$201K |
| 36415 |
|
42,698 |
32,581 |
$193K |
| 80306 |
|
4,997 |
4,035 |
$166K |
| 84484 |
|
6,779 |
5,239 |
$159K |
| A0428 |
Bls |
1,280 |
1,075 |
$153K |
| J8499 |
Oral prescrip drug non chemo |
25,285 |
12,578 |
$153K |
| 80307 |
|
3,461 |
2,986 |
$153K |
| 96366 |
|
2,238 |
1,281 |
$140K |
| 71260 |
|
293 |
279 |
$127K |
| J3490 |
Drugs unclassified injection |
15,026 |
7,092 |
$122K |
| 88313 |
|
2,331 |
2,215 |
$118K |
| 96360 |
|
1,484 |
1,381 |
$110K |
| 88305 |
|
1,726 |
1,637 |
$102K |
| 87633 |
|
254 |
248 |
$93K |
| 73630 |
|
750 |
695 |
$85K |
| 83690 |
|
5,262 |
4,584 |
$85K |
| 73610 |
|
585 |
530 |
$83K |
| 97530 |
|
1,245 |
643 |
$76K |
| 87086 |
|
4,917 |
4,370 |
$71K |
| 73130 |
|
520 |
460 |
$70K |
| 86900 |
|
1,571 |
1,422 |
$69K |
| 96413 |
|
213 |
151 |
$67K |
| 83605 |
|
4,931 |
4,019 |
$65K |
| 81001 |
|
7,202 |
6,403 |
$64K |
| C8929 |
Tte w or wo fol wcon,doppler |
185 |
164 |
$61K |
| 80048 |
|
2,756 |
2,236 |
$58K |
| 77063 |
|
457 |
417 |
$57K |
| J7050 |
Normal saline solution infus |
2,313 |
1,417 |
$56K |
| 84443 |
|
2,659 |
2,511 |
$55K |
| 84703 |
|
3,220 |
3,015 |
$55K |
| 83880 |
|
1,922 |
1,732 |
$54K |
| A4649 |
Surgical supplies |
1,800 |
1,586 |
$51K |
| 87880 |
|
2,144 |
2,088 |
$50K |
| J0131 |
Inj, acetaminophen (nos) |
3,090 |
2,751 |
$46K |
| 73030 |
|
326 |
291 |
$44K |
| 87804 |
|
3,129 |
1,598 |
$44K |
| 71250 |
|
122 |
100 |
$43K |
| 87040 |
|
1,987 |
1,186 |
$43K |
| 85379 |
|
1,378 |
1,292 |
$42K |
| 96376 |
|
2,131 |
1,564 |
$38K |
| 85027 |
|
3,444 |
2,922 |
$37K |
| J7030 |
Normal saline solution infus |
9,104 |
6,208 |
$37K |
| J2704 |
Inj, propofol, 10 mg |
5,019 |
3,562 |
$35K |
| 84702 |
|
1,686 |
1,441 |
$35K |
| 83735 |
|
2,692 |
2,183 |
$35K |
| 36591 |
|
430 |
233 |
$31K |
| 97113 |
|
298 |
112 |
$30K |
| 70553 |
|
25 |
24 |
$29K |
| 92507 |
|
206 |
77 |
$29K |
| J7120 |
Ringers lactate infusion |
6,901 |
5,217 |
$29K |
| 96367 |
|
651 |
576 |
$29K |
| 73560 |
|
333 |
314 |
$28K |
| 59025 |
|
327 |
229 |
$28K |
| 85610 |
|
3,819 |
3,312 |
$28K |
| 87426 |
|
610 |
588 |
$27K |
| 87081 |
|
1,856 |
1,814 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,393 |
3,185 |
$25K |
| J2405 |
Ondansetron hcl injection |
7,735 |
5,841 |
$23K |
| 76700 |
|
122 |
113 |
$23K |
| J3010 |
Fentanyl citrate injection |
5,472 |
3,182 |
$23K |
| 82948 |
|
3,659 |
2,085 |
$22K |
| 73110 |
|
199 |
185 |
$22K |
| 86850 |
|
1,390 |
1,269 |
$21K |
| 76642 |
|
137 |
135 |
$21K |
| 81003 |
|
3,999 |
3,611 |
$21K |
| 76856 |
|
141 |
136 |
$20K |
| 76536 |
|
119 |
98 |
$20K |
| J1100 |
Dexamethasone sodium phos |
3,623 |
3,060 |
$19K |
| 88342 |
|
448 |
420 |
$18K |
| 87798 |
|
283 |
275 |
$17K |
| 90471 |
|
488 |
479 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
5,471 |
4,666 |
$17K |
| 88312 |
|
205 |
203 |
$16K |
| 81025 |
|
1,230 |
1,182 |
$16K |
| 97162 |
|
212 |
207 |
$15K |
| 80143 |
|
370 |
346 |
$15K |
| 93971 |
|
122 |
118 |
$12K |
| 80061 |
|
698 |
685 |
$12K |
| 86901 |
|
1,576 |
1,422 |
$12K |
| 72148 |
|
25 |
25 |
$11K |
| 87486 |
|
254 |
248 |
$10K |
| J0690 |
Cefazolin sodium injection |
1,598 |
1,349 |
$10K |
| 90715 |
|
374 |
369 |
$10K |
| 72100 |
|
101 |
101 |
$9K |
| 85730 |
|
989 |
915 |
$9K |
| 83036 |
|
949 |
931 |
$9K |
| 80179 |
|
338 |
316 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
2,143 |
1,799 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,720 |
1,507 |
$8K |
| J2270 |
Morphine sulfate injection |
2,804 |
1,741 |
$8K |
| 87581 |
|
254 |
248 |
$8K |
| 87186 |
|
440 |
403 |
$8K |
| 82805 |
|
140 |
117 |
$7K |
| 12001 |
|
37 |
36 |
$7K |
| 62323 |
|
33 |
27 |
$7K |
| 70486 |
|
14 |
13 |
$7K |
| 84439 |
|
458 |
439 |
$6K |
| 76770 |
|
31 |
30 |
$6K |
| 80299 |
|
250 |
109 |
$6K |
| 87635 |
|
137 |
133 |
$6K |
| J7040 |
Normal saline solution infus |
1,357 |
1,087 |
$6K |
| 94760 |
|
788 |
471 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
1,871 |
937 |
$5K |
| 76641 |
|
25 |
24 |
$5K |
| J2060 |
Lorazepam injection |
1,746 |
1,199 |
$5K |
| 80081 |
|
68 |
67 |
$5K |
| 85652 |
|
686 |
632 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
1,959 |
1,378 |
$5K |
| 86141 |
|
249 |
231 |
$5K |
| 76830 |
|
27 |
26 |
$5K |
| 94799 |
|
28 |
28 |
$4K |
| 74022 |
|
65 |
60 |
$4K |
| 87070 |
|
312 |
264 |
$4K |
| 82550 |
|
302 |
254 |
$4K |
| 87491 |
|
122 |
114 |
$4K |
| 87591 |
|
122 |
114 |
$4K |
| 73562 |
|
28 |
12 |
$4K |
| 36600 |
|
116 |
101 |
$4K |
| J1170 |
Hydromorphone injection |
1,115 |
637 |
$3K |
| 51702 |
|
45 |
38 |
$3K |
| 74019 |
|
12 |
12 |
$3K |
| G0480 |
Drug test def 1-7 classes |
33 |
30 |
$3K |
| 87807 |
|
166 |
164 |
$2K |
| 73090 |
|
14 |
12 |
$2K |
| J0780 |
Prochlorperazine injection |
482 |
450 |
$2K |
| 96523 |
|
64 |
52 |
$2K |
| J3480 |
Inj potassium chloride |
286 |
152 |
$2K |
| 93010 |
|
3,424 |
2,957 |
$2K |
| J2930 |
Methylprednisolone injection |
426 |
361 |
$2K |
| 97112 |
|
60 |
24 |
$2K |
| J2360 |
Orphenadrine injection |
176 |
171 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
67 |
63 |
$2K |
| 74018 |
|
36 |
33 |
$2K |
| 73502 |
|
26 |
25 |
$1K |
| 83540 |
|
122 |
118 |
$1K |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$1K |
| J2001 |
Lidocaine injection |
208 |
173 |
$1K |
| 83550 |
|
70 |
68 |
$1K |
| 82728 |
|
42 |
42 |
$1K |
| 87389 |
|
39 |
39 |
$1K |
| G0283 |
Elec stim other than wound |
28 |
12 |
$1K |
| J2765 |
Metoclopramide hcl injection |
193 |
167 |
$905.92 |
| 87481 |
|
20 |
18 |
$787.24 |
| J0171 |
Adrenalin epinephrine inject |
29 |
25 |
$735.55 |
| J9303 |
Panitumumab injection |
19 |
14 |
$679.52 |
| 86592 |
|
99 |
96 |
$651.53 |
| 87077 |
|
68 |
63 |
$647.88 |
| 88302 |
|
31 |
29 |
$638.75 |
| 82306 |
|
42 |
42 |
$612.40 |
| U0003 |
Cov-19 amp prb hgh thruput |
102 |
95 |
$525.76 |
| J0561 |
Penicillin g benzathine inj |
15 |
15 |
$522.19 |
| 84550 |
|
39 |
28 |
$510.55 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
50 |
44 |
$506.60 |
| J3475 |
Inj magnesium sulfate |
135 |
88 |
$478.55 |
| 82565 |
|
98 |
91 |
$439.06 |
| 84100 |
|
38 |
25 |
$417.79 |
| 87661 |
|
18 |
18 |
$393.58 |
| 86140 |
|
39 |
38 |
$345.28 |
| 97161 |
|
12 |
12 |
$335.26 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
28 |
28 |
$295.09 |
| 87660 |
|
16 |
16 |
$276.36 |
| 87510 |
|
16 |
16 |
$276.36 |
| 87480 |
|
16 |
16 |
$274.91 |
| 82947 |
|
43 |
43 |
$245.73 |
| J2919 |
Inj, methylpred sod succ 5mg |
42 |
30 |
$243.64 |
| J2550 |
Promethazine hcl injection |
233 |
181 |
$219.40 |
| A9270 |
Non-covered item or service |
47 |
31 |
$155.86 |
| 83615 |
|
12 |
12 |
$155.58 |
| J1815 |
Insulin injection |
88 |
43 |
$152.05 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
89 |
42 |
$129.44 |
| C1758 |
Catheter, ureteral |
15 |
14 |
$103.03 |
| J1630 |
Haloperidol injection |
18 |
12 |
$98.73 |
| Q0162 |
Ondansetron oral |
172 |
148 |
$84.16 |
| 85008 |
|
14 |
12 |
$71.83 |
| 87147 |
|
14 |
13 |
$68.88 |
| J2795 |
Ropivacaine hcl injection |
16 |
13 |
$55.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
40 |
$38.96 |
| J8540 |
Oral dexamethasone |
12 |
12 |
$32.31 |
| S5001 |
Prescription drug,brand name |
18 |
12 |
$17.03 |
| 99214 |
|
13 |
12 |
$0.00 |