| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
94,850 |
94,199 |
$15.20M |
| 99284 |
|
45,956 |
45,671 |
$11.14M |
| 99282 |
|
45,516 |
45,255 |
$4.20M |
| 96374 |
|
23,829 |
23,535 |
$3.29M |
| 99285 |
|
8,880 |
8,839 |
$3.17M |
| J3490 |
Drugs unclassified injection |
25,417 |
19,464 |
$1.09M |
| 87637 |
|
7,908 |
7,890 |
$1.05M |
| H0035 |
Mh partial hosp tx under 24h |
4,993 |
356 |
$799K |
| 96375 |
|
11,712 |
11,462 |
$558K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,412 |
5,286 |
$412K |
| 96372 |
|
5,810 |
5,740 |
$390K |
| 96413 |
|
2,477 |
2,152 |
$381K |
| 85025 |
|
57,719 |
56,112 |
$373K |
| 80053 |
|
32,590 |
31,870 |
$357K |
| J0490 |
Belimumab injection |
283 |
118 |
$343K |
| 36415 |
|
28,922 |
26,780 |
$294K |
| 11042 |
|
1,695 |
804 |
$287K |
| 71045 |
|
17,099 |
17,012 |
$230K |
| 96361 |
|
5,779 |
5,714 |
$225K |
| J1745 |
Infliximab not biosimil 10mg |
65 |
62 |
$191K |
| 64493 |
|
434 |
189 |
$179K |
| 87804 |
|
8,680 |
4,360 |
$119K |
| 87491 |
|
3,456 |
3,426 |
$105K |
| 43239 |
|
314 |
314 |
$102K |
| U0005 |
Infec agen detec ampli probe |
4,320 |
4,210 |
$101K |
| 87591 |
|
3,468 |
3,438 |
$101K |
| 80048 |
|
8,963 |
8,873 |
$92K |
| 87635 |
|
1,648 |
1,645 |
$87K |
| 86235 |
|
1,324 |
1,180 |
$86K |
| 64483 |
|
208 |
124 |
$85K |
| 93005 |
|
14,342 |
14,173 |
$78K |
| 81025 |
|
10,341 |
10,291 |
$78K |
| G0480 |
Drug test def 1-7 classes |
789 |
789 |
$78K |
| 80307 |
|
1,353 |
1,314 |
$76K |
| 64635 |
|
90 |
64 |
$76K |
| 84484 |
|
4,218 |
3,987 |
$72K |
| 93306 |
|
952 |
952 |
$71K |
| 80050 |
|
2,046 |
2,045 |
$60K |
| 88305 |
|
799 |
759 |
$60K |
| 42820 |
|
15 |
15 |
$57K |
| 74177 |
|
316 |
315 |
$55K |
| 96365 |
|
528 |
448 |
$53K |
| 87480 |
|
2,476 |
2,440 |
$47K |
| 87660 |
|
2,453 |
2,417 |
$46K |
| 87510 |
|
2,448 |
2,412 |
$46K |
| G0463 |
Hospital outpt clinic visit |
5,584 |
5,214 |
$45K |
| 81001 |
|
15,476 |
15,393 |
$44K |
| 80061 |
|
3,785 |
3,780 |
$42K |
| 78452 |
|
185 |
185 |
$41K |
| 87880 |
|
2,884 |
2,878 |
$40K |
| 45385 |
|
50 |
50 |
$38K |
| 95816 |
|
152 |
152 |
$36K |
| 83690 |
|
5,959 |
5,900 |
$34K |
| 45380 |
|
52 |
52 |
$33K |
| 80074 |
|
758 |
756 |
$32K |
| 69436 |
|
66 |
39 |
$31K |
| 70450 |
|
621 |
620 |
$29K |
| 87426 |
|
626 |
624 |
$28K |
| 87086 |
|
3,912 |
3,875 |
$28K |
| 86140 |
|
5,599 |
5,546 |
$22K |
| 87070 |
|
2,728 |
2,720 |
$21K |
| 87389 |
|
1,010 |
1,010 |
$21K |
| 86160 |
|
1,060 |
993 |
$16K |
| 83735 |
|
3,026 |
3,004 |
$16K |
| 96415 |
|
283 |
250 |
$15K |
| 83036 |
|
1,774 |
1,770 |
$14K |
| 80055 |
|
346 |
346 |
$14K |
| 71046 |
|
862 |
861 |
$13K |
| 64490 |
|
26 |
13 |
$12K |
| 70551 |
|
113 |
113 |
$11K |
| 85652 |
|
5,037 |
4,926 |
$10K |
| 84443 |
|
788 |
781 |
$10K |
| J2785 |
Regadenoson injection |
38 |
38 |
$9K |
| 86803 |
|
710 |
710 |
$8K |
| 86480 |
|
166 |
166 |
$8K |
| 86225 |
|
710 |
708 |
$7K |
| 62323 |
|
19 |
14 |
$7K |
| 86200 |
|
701 |
701 |
$7K |
| 96360 |
|
40 |
39 |
$7K |
| 83605 |
|
537 |
527 |
$6K |
| 95811 |
|
15 |
15 |
$6K |
| 73130 |
|
195 |
195 |
$5K |
| 74176 |
|
68 |
68 |
$5K |
| 88313 |
|
43 |
43 |
$4K |
| G0260 |
Inj for sacroiliac jt anesth |
13 |
12 |
$4K |
| J3010 |
Fentanyl citrate injection |
4,445 |
3,725 |
$4K |
| 86039 |
|
476 |
476 |
$4K |
| 85651 |
|
993 |
975 |
$4K |
| 86850 |
|
330 |
297 |
$4K |
| 87150 |
|
118 |
118 |
$4K |
| 81003 |
|
1,533 |
1,515 |
$4K |
| 84703 |
|
427 |
425 |
$3K |
| 83880 |
|
93 |
91 |
$3K |
| 84481 |
|
190 |
190 |
$3K |
| 84439 |
|
373 |
372 |
$3K |
| 72100 |
|
114 |
114 |
$2K |
| 85027 |
|
455 |
452 |
$2K |
| 73630 |
|
132 |
127 |
$2K |
| 86430 |
|
530 |
530 |
$2K |
| 87807 |
|
199 |
198 |
$2K |
| J2405 |
Ondansetron hcl injection |
5,692 |
5,577 |
$2K |
| 88142 |
|
145 |
145 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 0001A |
|
48 |
48 |
$2K |
| 82728 |
|
162 |
161 |
$2K |
| 82306 |
|
68 |
68 |
$2K |
| 86780 |
|
270 |
269 |
$2K |
| 82950 |
|
362 |
361 |
$2K |
| 87624 |
|
43 |
43 |
$1K |
| 72202 |
|
54 |
54 |
$1K |
| 84466 |
|
125 |
124 |
$1K |
| 93880 |
|
12 |
12 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| 96367 |
|
23 |
12 |
$1K |
| 94640 |
|
112 |
105 |
$1K |
| 71250 |
|
24 |
24 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| 86592 |
|
266 |
266 |
$969.00 |
| 86900 |
|
343 |
306 |
$892.25 |
| 87081 |
|
150 |
150 |
$873.39 |
| 88304 |
|
26 |
26 |
$871.95 |
| 87653 |
|
28 |
28 |
$850.32 |
| 83970 |
|
40 |
37 |
$812.04 |
| 86762 |
|
87 |
87 |
$768.00 |
| 73523 |
|
25 |
25 |
$761.00 |
| 80047 |
|
67 |
67 |
$743.47 |
| 85610 |
|
195 |
194 |
$699.06 |
| 80306 |
|
53 |
52 |
$698.04 |
| 82570 |
|
170 |
169 |
$697.06 |
| 86901 |
|
320 |
287 |
$689.85 |
| 83540 |
|
136 |
135 |
$684.75 |
| 86787 |
|
53 |
53 |
$561.54 |
| 87340 |
|
86 |
86 |
$560.59 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
413 |
339 |
$557.77 |
| J1010 |
Inj, methylpred acetate 1 mg |
217 |
172 |
$556.53 |
| 96366 |
|
20 |
12 |
$520.74 |
| 82043 |
|
110 |
110 |
$487.33 |
| 84550 |
|
132 |
128 |
$457.26 |
| J1040 |
Methylprednisolone 80 mg inj |
1,295 |
1,057 |
$455.46 |
| 82550 |
|
91 |
89 |
$452.28 |
| J0136 |
Inj, acetaminophen (b braun) |
152 |
152 |
$440.85 |
| 82274 |
|
31 |
31 |
$386.96 |
| 73110 |
|
24 |
24 |
$359.64 |
| 83516 |
|
12 |
12 |
$338.58 |
| 80076 |
|
47 |
47 |
$323.60 |
| 76000 |
|
15 |
15 |
$322.26 |
| 73562 |
|
13 |
13 |
$295.40 |
| 86812 |
|
12 |
12 |
$275.52 |
| 84156 |
|
64 |
63 |
$275.08 |
| J7030 |
Normal saline solution infus |
10,065 |
9,759 |
$273.96 |
| J1100 |
Dexamethasone sodium phos |
2,402 |
2,170 |
$260.31 |
| 83655 |
|
24 |
24 |
$258.48 |
| 82962 |
|
77 |
66 |
$233.60 |
| 81002 |
|
64 |
55 |
$192.20 |
| 82785 |
|
13 |
13 |
$190.32 |
| 86800 |
|
13 |
13 |
$183.95 |
| 86376 |
|
13 |
13 |
$168.22 |
| 84702 |
|
12 |
12 |
$160.68 |
| 85018 |
|
52 |
52 |
$110.60 |
| J7120 |
Ringers lactate infusion |
949 |
935 |
$100.00 |
| 84100 |
|
41 |
38 |
$93.56 |
| 85014 |
|
40 |
40 |
$87.39 |
| J2250 |
Inj midazolam hydrochloride |
3,670 |
3,056 |
$85.27 |
| J0134 |
Inj acetaminophen -fresenius |
12 |
12 |
$75.95 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
88 |
78 |
$46.10 |
| J2270 |
Morphine sulfate injection |
687 |
666 |
$42.87 |
| J1885 |
Ketorolac tromethamine inj |
93 |
93 |
$33.46 |
| J7050 |
Normal saline solution infus |
1,578 |
1,362 |
$20.44 |
| C9803 |
Hopd covid-19 spec collect |
12 |
12 |
$11.95 |
| J7512 |
Prednisone ir or dr oral 1mg |
30 |
28 |
$9.70 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
817 |
693 |
$1.64 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,113 |
1,109 |
$1.35 |
| 91300 |
|
180 |
166 |
$0.00 |
| J2930 |
Methylprednisolone injection |
37 |
37 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
183 |
168 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
302 |
276 |
$0.00 |
| A4300 |
Cath impl vasc access portal |
120 |
102 |
$0.00 |
| A9500 |
Tc99m sestamibi |
53 |
53 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
13 |
$0.00 |
| J2360 |
Orphenadrine injection |
13 |
13 |
$0.00 |