| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
57,428 |
52,507 |
$5.78M |
| 99284 |
|
38,538 |
32,852 |
$3.71M |
| 99285 |
|
9,296 |
7,971 |
$827K |
| 96361 |
|
11,060 |
9,200 |
$772K |
| 74177 |
|
3,948 |
3,485 |
$702K |
| 80053 |
|
28,852 |
23,887 |
$605K |
| 74176 |
|
2,352 |
2,085 |
$484K |
| 99282 |
|
4,311 |
4,000 |
$361K |
| 71275 |
|
1,607 |
1,417 |
$230K |
| 70450 |
|
4,329 |
3,756 |
$199K |
| 96360 |
|
2,854 |
2,590 |
$198K |
| 36415 |
|
28,554 |
22,604 |
$181K |
| 0202U |
|
1,902 |
1,809 |
$170K |
| 96365 |
|
3,150 |
2,163 |
$153K |
| 87631 |
|
5,084 |
4,798 |
$146K |
| 99281 |
|
1,650 |
1,523 |
$144K |
| 87081 |
|
2,720 |
2,486 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,813 |
3,494 |
$132K |
| 80048 |
|
5,563 |
4,181 |
$108K |
| 43239 |
|
440 |
389 |
$95K |
| 94640 |
|
3,382 |
2,473 |
$84K |
| 59025 |
|
1,352 |
1,002 |
$79K |
| 84703 |
|
7,033 |
6,211 |
$77K |
| 87804 |
|
3,946 |
3,597 |
$67K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
218 |
190 |
$64K |
| 71046 |
|
5,167 |
4,689 |
$59K |
| 76830 |
|
1,454 |
1,346 |
$58K |
| 96374 |
|
14,526 |
12,050 |
$58K |
| G0378 |
Hospital observation per hr |
7,117 |
2,298 |
$57K |
| 87086 |
|
5,284 |
4,639 |
$56K |
| 93306 |
|
739 |
640 |
$55K |
| 81003 |
|
8,663 |
7,697 |
$54K |
| 87420 |
|
860 |
813 |
$52K |
| 82962 |
|
4,468 |
2,744 |
$49K |
| 81001 |
|
16,568 |
14,326 |
$47K |
| 71045 |
|
11,177 |
9,710 |
$42K |
| 96372 |
|
6,509 |
5,056 |
$40K |
| 76805 |
|
564 |
534 |
$32K |
| 80307 |
|
2,779 |
2,353 |
$31K |
| 76705 |
|
1,536 |
1,399 |
$31K |
| 87637 |
|
10,607 |
10,017 |
$30K |
| 84702 |
|
2,137 |
1,562 |
$28K |
| 76856 |
|
1,682 |
1,555 |
$27K |
| 73610 |
|
1,099 |
984 |
$24K |
| 73562 |
|
1,306 |
1,096 |
$23K |
| 97110 |
|
1,096 |
256 |
$22K |
| 87633 |
|
849 |
781 |
$22K |
| 93005 |
|
11,621 |
9,645 |
$21K |
| 85025 |
|
22,371 |
18,816 |
$20K |
| 85027 |
|
11,814 |
9,156 |
$20K |
| 86850 |
|
1,237 |
1,079 |
$19K |
| 73630 |
|
1,218 |
1,098 |
$18K |
| 45380 |
|
82 |
81 |
$18K |
| 96375 |
|
9,989 |
7,811 |
$16K |
| 84484 |
|
9,538 |
7,099 |
$16K |
| 83735 |
|
17,081 |
13,630 |
$15K |
| 87635 |
|
545 |
466 |
$14K |
| 73130 |
|
757 |
672 |
$13K |
| 87480 |
|
2,003 |
1,817 |
$12K |
| 73110 |
|
627 |
565 |
$12K |
| 73030 |
|
744 |
650 |
$12K |
| 12001 |
|
217 |
196 |
$12K |
| 12011 |
|
170 |
166 |
$11K |
| 11042 |
|
155 |
73 |
$9K |
| 74018 |
|
761 |
713 |
$9K |
| 76801 |
|
1,196 |
961 |
$8K |
| 72125 |
|
1,220 |
1,039 |
$8K |
| 87880 |
|
3,103 |
2,840 |
$8K |
| 93971 |
|
650 |
575 |
$8K |
| 86900 |
|
2,153 |
1,841 |
$8K |
| 85610 |
|
2,305 |
1,899 |
$8K |
| 87486 |
|
746 |
679 |
$7K |
| 87077 |
|
769 |
659 |
$7K |
| 70491 |
|
14 |
12 |
$7K |
| 96376 |
|
2,775 |
1,841 |
$6K |
| 83880 |
|
2,545 |
2,160 |
$6K |
| 87651 |
|
4,748 |
4,502 |
$5K |
| 76815 |
|
254 |
229 |
$5K |
| 76817 |
|
1,355 |
1,076 |
$5K |
| 73140 |
|
237 |
221 |
$5K |
| 96366 |
|
206 |
130 |
$5K |
| 84443 |
|
3,620 |
3,108 |
$5K |
| 81025 |
|
5,727 |
5,099 |
$5K |
| G0463 |
Hospital outpt clinic visit |
79 |
41 |
$4K |
| 72131 |
|
572 |
506 |
$4K |
| 73080 |
|
139 |
129 |
$4K |
| 83690 |
|
8,734 |
7,455 |
$4K |
| 87491 |
|
2,395 |
2,151 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,717 |
1,555 |
$3K |
| G0475 |
Hiv combination assay |
288 |
276 |
$3K |
| 87591 |
|
2,332 |
2,090 |
$3K |
| 01999 |
|
547 |
500 |
$3K |
| 80061 |
|
2,523 |
2,110 |
$2K |
| 78452 |
|
32 |
26 |
$2K |
| 77067 |
|
91 |
81 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,175 |
959 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
723 |
630 |
$2K |
| 87507 |
|
29 |
27 |
$2K |
| 73590 |
|
112 |
96 |
$2K |
| 93017 |
|
100 |
78 |
$2K |
| J2001 |
Lidocaine injection |
1,785 |
1,578 |
$2K |
| 82550 |
|
803 |
675 |
$2K |
| 85730 |
|
1,645 |
1,381 |
$2K |
| 86901 |
|
2,156 |
1,842 |
$2K |
| 87040 |
|
1,041 |
869 |
$2K |
| 97162 |
|
29 |
26 |
$2K |
| 76816 |
|
28 |
24 |
$2K |
| 72100 |
|
227 |
204 |
$1K |
| 83605 |
|
1,471 |
1,171 |
$1K |
| 90471 |
|
464 |
382 |
$1K |
| 87186 |
|
1,859 |
1,599 |
$1K |
| 29125 |
|
108 |
95 |
$1K |
| 85379 |
|
1,504 |
1,355 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,415 |
3,802 |
$1K |
| 73090 |
|
50 |
50 |
$965.52 |
| 87510 |
|
1,983 |
1,797 |
$929.88 |
| 73660 |
|
13 |
12 |
$888.78 |
| 00730 |
|
15 |
15 |
$842.14 |
| 83036 |
|
1,986 |
1,642 |
$816.90 |
| 72040 |
|
12 |
12 |
$814.89 |
| 76811 |
|
12 |
12 |
$808.92 |
| 76641 |
|
59 |
28 |
$801.58 |
| 76770 |
|
28 |
25 |
$756.69 |
| 87801 |
|
109 |
109 |
$714.52 |
| J2405 |
Ondansetron hcl injection |
4,802 |
4,029 |
$643.73 |
| 77066 |
Tomosynthesis, mammo |
17 |
14 |
$641.10 |
| 87798 |
|
868 |
784 |
$638.32 |
| 87581 |
|
744 |
677 |
$595.92 |
| 87660 |
|
1,986 |
1,799 |
$517.36 |
| 71260 |
|
27 |
25 |
$514.47 |
| 90715 |
|
540 |
470 |
$472.32 |
| J2704 |
Inj, propofol, 10 mg |
913 |
812 |
$417.94 |
| J1200 |
Diphenhydramine hcl injectio |
1,227 |
954 |
$414.39 |
| 82306 |
|
429 |
364 |
$372.12 |
| 77063 |
|
91 |
82 |
$357.90 |
| 85652 |
|
811 |
666 |
$347.50 |
| 86140 |
|
686 |
568 |
$298.55 |
| 97530 |
|
103 |
41 |
$264.42 |
| 87340 |
|
302 |
288 |
$260.13 |
| J2765 |
Metoclopramide hcl injection |
517 |
421 |
$259.13 |
| 0241U |
|
405 |
395 |
$243.40 |
| J2270 |
Morphine sulfate injection |
2,649 |
1,917 |
$239.96 |
| G1004 |
Cdsm ndsc |
404 |
277 |
$228.73 |
| J0561 |
Penicillin g benzathine inj |
87 |
82 |
$222.11 |
| J2930 |
Methylprednisolone injection |
171 |
148 |
$199.81 |
| 84439 |
|
709 |
605 |
$195.07 |
| 88305 |
|
28 |
25 |
$193.00 |
| J8540 |
Oral dexamethasone |
775 |
689 |
$185.94 |
| 71250 |
|
14 |
13 |
$171.69 |
| J0690 |
Cefazolin sodium injection |
459 |
384 |
$165.25 |
| 86780 |
|
44 |
44 |
$149.78 |
| J0696 |
Ceftriaxone sodium injection |
1,315 |
1,073 |
$148.60 |
| 72128 |
|
114 |
97 |
$141.76 |
| 86803 |
|
137 |
132 |
$118.89 |
| 82565 |
|
29 |
25 |
$106.44 |
| 77062 |
|
14 |
13 |
$94.11 |
| 86592 |
|
293 |
277 |
$89.38 |
| 84156 |
|
111 |
92 |
$53.70 |
| 82607 |
|
258 |
227 |
$53.62 |
| J2790 |
Rho d immune globulin inj |
15 |
13 |
$45.22 |
| 82746 |
|
64 |
55 |
$19.38 |
| J2060 |
Lorazepam injection |
323 |
252 |
$17.21 |
| 87205 |
|
74 |
70 |
$12.92 |
| 82728 |
|
29 |
26 |
$6.75 |
| 87210 |
|
101 |
88 |
$5.18 |
| 82570 |
|
137 |
112 |
$4.93 |
| 86308 |
|
97 |
93 |
$3.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
809 |
692 |
$0.60 |
| Q0162 |
Ondansetron oral |
282 |
261 |
$0.04 |
| J3475 |
Inj magnesium sulfate |
234 |
186 |
$0.00 |
| 83540 |
|
20 |
16 |
$0.00 |
| J2550 |
Promethazine hcl injection |
660 |
513 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
493 |
300 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
131 |
64 |
$0.00 |
| J0780 |
Prochlorperazine injection |
120 |
107 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
153 |
148 |
$0.00 |
| 96367 |
|
13 |
12 |
$0.00 |
| 99219 |
|
49 |
30 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
14 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
34 |
28 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
380 |
339 |
$0.00 |
| 73502 |
|
55 |
50 |
$0.00 |
| J1815 |
Insulin injection |
15 |
12 |
$0.00 |
| 86762 |
|
24 |
24 |
$0.00 |
| 82043 |
|
44 |
37 |
$0.00 |
| 83550 |
|
19 |
15 |
$0.00 |
| 87147 |
|
39 |
38 |
$0.00 |