| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,273 |
12,646 |
$2.21M |
| 99283 |
|
8,938 |
8,519 |
$1.55M |
| 99285 |
|
7,539 |
7,085 |
$1.32M |
| 70450 |
|
3,521 |
3,459 |
$568K |
| 74177 |
|
2,908 |
2,854 |
$484K |
| 96361 |
|
1,983 |
1,951 |
$285K |
| 99282 |
|
1,406 |
1,374 |
$237K |
| 80053 |
|
17,068 |
16,086 |
$225K |
| 99214 |
|
1,747 |
1,676 |
$210K |
| 36415 |
|
25,734 |
18,673 |
$189K |
| 96374 |
|
7,529 |
7,159 |
$120K |
| 71275 |
|
565 |
558 |
$95K |
| 0241U |
|
3,462 |
3,332 |
$94K |
| 76856 |
|
277 |
270 |
$74K |
| 96375 |
|
4,345 |
4,083 |
$66K |
| 74176 |
|
363 |
359 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,168 |
1,123 |
$54K |
| 86901 |
|
1,943 |
1,898 |
$48K |
| 80307 |
|
2,288 |
2,068 |
$48K |
| 0225U |
|
2,213 |
2,013 |
$39K |
| 96365 |
|
449 |
447 |
$36K |
| 80048 |
|
2,104 |
1,942 |
$30K |
| G0378 |
Hospital observation per hr |
32 |
12 |
$29K |
| 86850 |
|
1,968 |
1,923 |
$29K |
| 86900 |
|
2,018 |
1,971 |
$25K |
| 83880 |
|
1,414 |
1,386 |
$23K |
| 96360 |
|
279 |
278 |
$22K |
| 93005 |
|
7,959 |
7,596 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
318 |
302 |
$19K |
| 76700 |
|
63 |
62 |
$19K |
| 71045 |
|
4,690 |
4,542 |
$16K |
| 96372 |
|
2,123 |
1,985 |
$15K |
| J7030 |
Normal saline solution infus |
4,625 |
4,365 |
$10K |
| 72125 |
|
581 |
574 |
$9K |
| 96376 |
|
622 |
580 |
$9K |
| 85025 |
|
13,253 |
12,484 |
$7K |
| J7120 |
Ringers lactate infusion |
831 |
823 |
$7K |
| 87635 |
|
168 |
164 |
$6K |
| 93970 |
|
13 |
13 |
$6K |
| 90715 |
|
315 |
315 |
$5K |
| 94640 |
|
892 |
754 |
$5K |
| 99212 |
|
188 |
95 |
$5K |
| 87591 |
|
241 |
237 |
$5K |
| 71046 |
|
1,049 |
1,042 |
$5K |
| 85610 |
|
4,497 |
4,414 |
$5K |
| 76830 |
|
95 |
90 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
836 |
819 |
$3K |
| 84484 |
|
4,349 |
4,113 |
$3K |
| 81025 |
|
1,598 |
1,489 |
$3K |
| J3490 |
Drugs unclassified injection |
2,150 |
1,991 |
$3K |
| 70498 |
|
26 |
26 |
$3K |
| 85730 |
|
3,849 |
3,780 |
$3K |
| 87491 |
|
207 |
204 |
$3K |
| 86769 |
|
227 |
219 |
$2K |
| 36000 |
|
134 |
133 |
$2K |
| 85027 |
|
1,602 |
1,550 |
$2K |
| 99281 |
|
12 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,051 |
1,974 |
$2K |
| 87086 |
|
4,052 |
3,933 |
$2K |
| 84703 |
|
5,313 |
5,080 |
$2K |
| 82962 |
|
3,245 |
2,583 |
$2K |
| 83690 |
|
4,045 |
3,838 |
$2K |
| 83605 |
|
2,130 |
2,022 |
$2K |
| 87636 |
|
256 |
254 |
$2K |
| 87633 |
|
43 |
43 |
$2K |
| 93971 |
|
15 |
15 |
$2K |
| 81003 |
|
5,813 |
5,596 |
$1K |
| 88305 |
|
30 |
30 |
$1K |
| 83735 |
|
2,229 |
2,139 |
$1K |
| 85379 |
|
1,408 |
1,382 |
$1K |
| U0005 |
Infec agen detec ampli probe |
91 |
91 |
$1K |
| 86703 |
|
134 |
134 |
$1K |
| J2270 |
Morphine sulfate injection |
705 |
643 |
$912.06 |
| 70486 |
|
26 |
26 |
$851.42 |
| 87798 |
|
37 |
37 |
$735.92 |
| 82803 |
|
37 |
36 |
$644.78 |
| J2765 |
Metoclopramide hcl injection |
715 |
692 |
$548.10 |
| 84443 |
|
602 |
594 |
$459.55 |
| 87040 |
|
176 |
174 |
$401.71 |
| 87486 |
|
44 |
44 |
$397.98 |
| 87581 |
|
44 |
44 |
$397.98 |
| J2405 |
Ondansetron hcl injection |
1,480 |
1,390 |
$389.09 |
| 73630 |
|
39 |
39 |
$286.01 |
| 90471 |
|
246 |
240 |
$267.19 |
| 82553 |
|
267 |
259 |
$232.96 |
| J0696 |
Ceftriaxone sodium injection |
107 |
107 |
$227.14 |
| 82550 |
|
390 |
376 |
$211.78 |
| 73562 |
|
69 |
65 |
$209.92 |
| 73130 |
|
82 |
80 |
$152.09 |
| 73610 |
|
81 |
79 |
$143.66 |
| 87186 |
|
142 |
141 |
$131.50 |
| J1170 |
Hydromorphone injection |
47 |
45 |
$124.96 |
| 87077 |
|
67 |
64 |
$85.79 |
| 73030 |
|
40 |
38 |
$65.35 |
| C9113 |
Inj pantoprazole sodium, via |
42 |
41 |
$48.80 |
| 70496 |
|
12 |
12 |
$46.98 |
| 81001 |
|
93 |
91 |
$41.21 |
| J2704 |
Inj, propofol, 10 mg |
13 |
12 |
$31.50 |
| 87449 |
|
20 |
20 |
$29.90 |
| 83036 |
|
30 |
29 |
$23.97 |
| J1200 |
Diphenhydramine hcl injectio |
68 |
65 |
$13.37 |
| 84132 |
|
42 |
41 |
$10.47 |
| 86803 |
|
15 |
15 |
$10.10 |
| J3010 |
Fentanyl citrate injection |
15 |
14 |
$8.47 |
| 82150 |
|
44 |
44 |
$6.54 |
| J1630 |
Haloperidol injection |
14 |
12 |
$2.25 |
| 85018 |
|
26 |
25 |
$0.00 |
| 82435 |
|
27 |
26 |
$0.00 |
| 99080 |
|
532 |
97 |
$0.00 |
| 84295 |
|
27 |
26 |
$0.00 |
| 87400 |
|
20 |
20 |
$0.00 |
| 73110 |
|
13 |
12 |
$0.00 |
| 85014 |
|
26 |
25 |
$0.00 |
| 82947 |
|
15 |
14 |
$0.00 |
| 84100 |
|
14 |
12 |
$0.00 |