| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,714 |
20,548 |
$943K |
| 87636 |
|
5,866 |
5,343 |
$623K |
| 96374 |
|
8,841 |
7,836 |
$547K |
| 99282 |
|
4,103 |
3,816 |
$489K |
| 80048 |
|
10,483 |
9,125 |
$455K |
| 80053 |
|
10,938 |
9,621 |
$436K |
| 81003 |
|
9,460 |
8,598 |
$299K |
| 96360 |
|
1,624 |
1,495 |
$234K |
| 0241U |
|
1,912 |
1,772 |
$227K |
| 36415 |
|
3,490 |
3,020 |
$205K |
| 81025 |
|
8,380 |
7,606 |
$185K |
| 96372 |
|
4,051 |
3,469 |
$179K |
| 81001 |
|
6,446 |
5,838 |
$174K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,517 |
1,452 |
$155K |
| 99284 |
|
16,573 |
14,866 |
$140K |
| 87086 |
|
3,955 |
3,630 |
$117K |
| 87210 |
|
1,652 |
1,332 |
$116K |
| 74177 |
|
3,564 |
3,293 |
$100K |
| 97110 |
|
2,850 |
522 |
$86K |
| 86901 |
|
1,692 |
1,518 |
$84K |
| 84132 |
|
707 |
643 |
$75K |
| 87430 |
|
1,788 |
1,655 |
$72K |
| 87635 |
|
2,078 |
1,980 |
$70K |
| J3490 |
Drugs unclassified injection |
640 |
474 |
$68K |
| 70450 |
|
2,675 |
2,464 |
$63K |
| J7050 |
Normal saline solution infus |
392 |
339 |
$61K |
| 80307 |
|
1,536 |
1,370 |
$60K |
| 93306 |
|
482 |
476 |
$55K |
| 71046 |
|
2,649 |
2,420 |
$53K |
| 84702 |
|
1,752 |
1,416 |
$50K |
| 87426 |
|
1,268 |
1,212 |
$50K |
| 73630 |
|
705 |
652 |
$48K |
| 96361 |
|
4,727 |
4,047 |
$47K |
| 99285 |
|
9,122 |
8,272 |
$43K |
| 71045 |
|
6,075 |
5,539 |
$40K |
| 96365 |
|
2,434 |
2,223 |
$40K |
| 87040 |
|
2,630 |
1,944 |
$38K |
| 73130 |
|
385 |
345 |
$36K |
| 73562 |
|
658 |
592 |
$31K |
| 84484 |
|
5,803 |
4,497 |
$30K |
| 73610 |
|
387 |
356 |
$27K |
| 93971 |
|
393 |
377 |
$26K |
| 71275 |
|
1,188 |
1,110 |
$25K |
| 74176 |
|
1,195 |
1,123 |
$23K |
| J7120 |
Ringers lactate infusion |
517 |
485 |
$20K |
| 77063 |
|
463 |
455 |
$20K |
| 73030 |
|
354 |
321 |
$19K |
| 85027 |
|
3,451 |
2,960 |
$17K |
| 76817 |
|
1,381 |
1,153 |
$17K |
| 87428 |
|
117 |
115 |
$14K |
| 99281 |
|
239 |
231 |
$14K |
| 73721 |
|
24 |
24 |
$14K |
| 71250 |
|
127 |
120 |
$14K |
| 87804 |
|
1,015 |
417 |
$14K |
| 72148 |
|
67 |
64 |
$13K |
| 76705 |
|
562 |
537 |
$13K |
| 59025 |
|
295 |
263 |
$12K |
| 85025 |
|
18,685 |
16,094 |
$12K |
| 77067 |
|
526 |
515 |
$11K |
| 87633 |
|
97 |
91 |
$11K |
| 88305 |
|
315 |
275 |
$11K |
| 73110 |
|
169 |
158 |
$11K |
| 80076 |
|
2,170 |
2,001 |
$11K |
| 76830 |
|
482 |
446 |
$10K |
| J7040 |
Normal saline solution infus |
57 |
43 |
$9K |
| G0378 |
Hospital observation per hr |
1,632 |
1,051 |
$9K |
| 93005 |
|
9,022 |
7,861 |
$8K |
| 87591 |
|
1,801 |
1,660 |
$7K |
| 72141 |
|
27 |
25 |
$7K |
| 96375 |
|
6,052 |
5,196 |
$7K |
| 97530 |
|
318 |
70 |
$6K |
| 96366 |
|
328 |
252 |
$6K |
| 84443 |
|
1,778 |
1,680 |
$6K |
| 86900 |
|
1,689 |
1,516 |
$6K |
| 96376 |
|
1,501 |
1,173 |
$5K |
| 72100 |
|
180 |
172 |
$4K |
| 72125 |
|
320 |
290 |
$4K |
| 87491 |
|
1,923 |
1,710 |
$4K |
| 85379 |
|
1,814 |
1,694 |
$4K |
| 93976 |
|
482 |
438 |
$3K |
| 87077 |
|
1,176 |
1,044 |
$3K |
| 74018 |
|
80 |
72 |
$3K |
| 83605 |
|
3,445 |
2,898 |
$3K |
| 76536 |
|
41 |
40 |
$2K |
| 85610 |
|
1,740 |
1,558 |
$2K |
| 84439 |
|
249 |
239 |
$2K |
| 76642 |
|
42 |
36 |
$1K |
| 71260 |
|
26 |
26 |
$1K |
| 73560 |
|
39 |
39 |
$995.18 |
| 12011 |
|
14 |
13 |
$968.16 |
| 99211 |
|
14 |
13 |
$938.15 |
| 73502 |
|
72 |
70 |
$884.64 |
| 97140 |
|
57 |
14 |
$732.85 |
| G0463 |
Hospital outpt clinic visit |
23 |
20 |
$732.31 |
| 83880 |
|
1,984 |
1,790 |
$669.31 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,296 |
2,985 |
$665.05 |
| 83690 |
|
5,946 |
5,286 |
$655.82 |
| 82550 |
|
510 |
483 |
$601.56 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$578.26 |
| 12001 |
|
26 |
26 |
$577.43 |
| U0005 |
Infec agen detec ampli probe |
548 |
528 |
$550.00 |
| 86140 |
|
236 |
192 |
$449.01 |
| 83735 |
|
3,088 |
2,656 |
$366.24 |
| 80061 |
|
837 |
808 |
$363.06 |
| G0379 |
Direct refer hospital observ |
28 |
27 |
$288.16 |
| 99291 |
|
61 |
52 |
$256.27 |
| 97161 |
|
60 |
56 |
$248.63 |
| 84703 |
|
36 |
35 |
$202.75 |
| 82805 |
|
15 |
13 |
$187.31 |
| 83036 |
|
918 |
879 |
$149.04 |
| J1170 |
Hydromorphone injection |
649 |
501 |
$40.56 |
| J1885 |
Ketorolac tromethamine inj |
2,813 |
2,473 |
$39.33 |
| J3010 |
Fentanyl citrate injection |
1,070 |
772 |
$31.10 |
| 84145 |
|
566 |
514 |
$21.28 |
| J2704 |
Inj, propofol, 10 mg |
1,146 |
691 |
$19.69 |
| J2405 |
Ondansetron hcl injection |
3,319 |
2,746 |
$11.50 |
| J2250 |
Inj midazolam hydrochloride |
712 |
669 |
$9.72 |
| 85730 |
|
429 |
398 |
$8.03 |
| J2270 |
Morphine sulfate injection |
1,178 |
978 |
$7.77 |
| J1100 |
Dexamethasone sodium phos |
1,258 |
1,169 |
$5.46 |
| J0690 |
Cefazolin sodium injection |
519 |
430 |
$4.62 |
| A9585 |
Gadobutrol injection |
67 |
63 |
$1.96 |
| J0696 |
Ceftriaxone sodium injection |
818 |
698 |
$1.70 |
| J2710 |
Neostigmine methylslfte inj |
68 |
66 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
28 |
25 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
389 |
340 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
47 |
$0.00 |
| J0780 |
Prochlorperazine injection |
62 |
58 |
$0.00 |
| 87186 |
|
195 |
189 |
$0.00 |
| 90715 |
|
72 |
67 |
$0.00 |
| 82570 |
|
37 |
37 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
82 |
68 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
21 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
47 |
42 |
$0.00 |
| J2550 |
Promethazine hcl injection |
114 |
95 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
14 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
19 |
14 |
$0.00 |
| 84100 |
|
17 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
16 |
14 |
$0.00 |
| 29125 |
|
24 |
24 |
$0.00 |
| 82009 |
|
14 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
45 |
38 |
$0.00 |
| 86850 |
|
398 |
363 |
$0.00 |
| 85652 |
|
87 |
77 |
$0.00 |
| 90471 |
|
143 |
127 |
$0.00 |
| A9270 |
Non-covered item or service |
1,221 |
982 |
$0.00 |
| 88304 |
|
123 |
114 |
$0.00 |
| J1940 |
Furosemide injection |
52 |
47 |
$0.00 |
| J7999 |
Compounded drug, noc |
20 |
19 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
193 |
183 |
$0.00 |
| 87661 |
|
29 |
26 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
131 |
115 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
32 |
27 |
$0.00 |
| 82306 |
|
56 |
53 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |