| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
76,253 |
71,240 |
$15.71M |
| 99284 |
|
67,162 |
61,959 |
$13.14M |
| 99285 |
|
21,595 |
19,867 |
$4.22M |
| 87636 |
|
20,289 |
18,968 |
$3.36M |
| 41899 |
|
719 |
688 |
$1.17M |
| 93005 |
|
20,517 |
18,693 |
$636K |
| 71046 |
|
21,431 |
20,113 |
$629K |
| 80053 |
|
39,198 |
35,705 |
$404K |
| 85025 |
|
45,213 |
41,210 |
$367K |
| 96374 |
|
23,568 |
21,747 |
$363K |
| 99282 |
|
6,604 |
6,160 |
$306K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,862 |
3,495 |
$304K |
| J3490 |
Drugs unclassified injection |
64,241 |
33,893 |
$248K |
| G0463 |
Hospital outpt clinic visit |
7,325 |
6,432 |
$211K |
| 74177 |
|
514 |
472 |
$199K |
| 81025 |
|
25,895 |
23,788 |
$197K |
| G0330 |
Facility svs dental rehab |
39 |
39 |
$79K |
| 87637 |
|
412 |
410 |
$78K |
| U0005 |
Infec agen detec ampli probe |
2,924 |
2,616 |
$75K |
| 96375 |
|
13,795 |
12,366 |
$72K |
| C9803 |
Hopd covid-19 spec collect |
4,543 |
4,093 |
$69K |
| 84484 |
|
7,656 |
6,855 |
$67K |
| 70450 |
|
429 |
402 |
$67K |
| J8499 |
Oral prescrip drug non chemo |
36,071 |
18,378 |
$66K |
| 87491 |
|
2,403 |
2,230 |
$62K |
| 87591 |
|
2,403 |
2,230 |
$61K |
| 80048 |
|
6,292 |
5,756 |
$58K |
| 83690 |
|
7,424 |
6,862 |
$54K |
| 81001 |
|
12,718 |
11,701 |
$51K |
| 0002A |
|
804 |
786 |
$45K |
| 0001A |
|
745 |
732 |
$41K |
| G0378 |
Hospital observation per hr |
223 |
200 |
$40K |
| 87430 |
|
2,048 |
1,962 |
$34K |
| J2405 |
Ondansetron hcl injection |
8,928 |
8,089 |
$29K |
| 87070 |
|
1,820 |
1,739 |
$25K |
| 85027 |
|
3,500 |
3,174 |
$22K |
| 87086 |
|
1,966 |
1,833 |
$18K |
| 11042 |
|
547 |
282 |
$17K |
| 96361 |
|
3,256 |
2,916 |
$17K |
| 71045 |
|
798 |
748 |
$17K |
| 81003 |
|
5,533 |
5,023 |
$17K |
| 81002 |
|
5,235 |
4,902 |
$16K |
| 81000 |
|
5,204 |
4,965 |
$15K |
| 94640 |
|
890 |
818 |
$14K |
| 96372 |
|
2,410 |
2,052 |
$13K |
| 42820 |
|
29 |
29 |
$13K |
| 80307 |
|
390 |
340 |
$13K |
| 74176 |
|
28 |
27 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,625 |
2,370 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
6,037 |
5,495 |
$8K |
| G0480 |
Drug test def 1-7 classes |
352 |
297 |
$8K |
| 87210 |
|
1,625 |
1,513 |
$6K |
| 77336 |
|
91 |
39 |
$5K |
| 83735 |
|
553 |
515 |
$4K |
| J2270 |
Morphine sulfate injection |
1,073 |
964 |
$3K |
| 87880 |
|
241 |
233 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,176 |
1,125 |
$3K |
| 84702 |
|
295 |
273 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,027 |
960 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
1,165 |
1,068 |
$2K |
| 88304 |
|
31 |
31 |
$2K |
| 83880 |
|
70 |
64 |
$2K |
| J8597 |
Antiemetic drug oral nos |
1,547 |
1,418 |
$2K |
| 77334 |
|
14 |
12 |
$1K |
| 83605 |
|
127 |
116 |
$1K |
| 99281 |
|
46 |
42 |
$1K |
| 87081 |
|
162 |
156 |
$1K |
| 20610 |
|
13 |
12 |
$1K |
| S0020 |
Injection, bupivicaine hydro |
703 |
610 |
$894.01 |
| J2272 |
Inj, morphine (fresenius) |
379 |
317 |
$862.31 |
| 96365 |
|
43 |
38 |
$636.37 |
| Q0162 |
Ondansetron oral |
1,155 |
1,093 |
$578.19 |
| 80143 |
|
14 |
12 |
$484.68 |
| J0696 |
Ceftriaxone sodium injection |
154 |
142 |
$470.41 |
| 96376 |
|
113 |
99 |
$461.67 |
| 95800 |
|
12 |
12 |
$447.08 |
| 97597 |
|
20 |
12 |
$426.92 |
| J8540 |
Oral dexamethasone |
681 |
642 |
$319.65 |
| 80179 |
|
13 |
12 |
$303.91 |
| 85379 |
|
26 |
24 |
$298.65 |
| 87147 |
|
32 |
24 |
$296.37 |
| 99199 |
|
52 |
52 |
$270.00 |
| 82803 |
|
14 |
13 |
$265.52 |
| J3010 |
Fentanyl citrate injection |
117 |
115 |
$251.44 |
| 97802 |
|
14 |
14 |
$212.34 |
| 87635 |
|
15 |
14 |
$176.50 |
| 96360 |
|
12 |
12 |
$167.55 |
| 82962 |
|
65 |
61 |
$144.86 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
78 |
56 |
$100.91 |
| J1010 |
Inj, methylpred acetate 1 mg |
38 |
29 |
$81.64 |
| 94760 |
|
16 |
16 |
$72.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
31 |
$55.23 |
| 81015 |
|
15 |
15 |
$51.38 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
25 |
$37.13 |
| Q0144 |
Azithromycin dihydrate, oral |
46 |
41 |
$34.74 |
| J2765 |
Metoclopramide hcl injection |
27 |
24 |
$30.54 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
12 |
$26.89 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
12 |
$23.64 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
12 |
12 |
$20.77 |
| A9270 |
Non-covered item or service |
1,255 |
523 |
$0.17 |
| 91300 |
|
1,531 |
1,314 |
$0.00 |