| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
14,443 |
11,562 |
$1.58M |
| 99284 |
|
17,007 |
13,966 |
$1.19M |
| 99283 |
|
17,635 |
15,224 |
$1.09M |
| 80053 |
|
31,202 |
22,918 |
$594K |
| 99282 |
|
6,581 |
5,891 |
$352K |
| G0463 |
Hospital outpt clinic visit |
25,854 |
15,815 |
$334K |
| 96361 |
|
6,990 |
5,316 |
$311K |
| 99281 |
|
3,562 |
3,261 |
$262K |
| 59025 |
|
2,852 |
1,808 |
$248K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,941 |
3,304 |
$240K |
| 96365 |
|
4,994 |
2,670 |
$231K |
| G0378 |
Hospital observation per hr |
4,342 |
3,277 |
$165K |
| 96360 |
|
3,308 |
2,405 |
$154K |
| 80307 |
|
2,460 |
2,094 |
$112K |
| 80048 |
|
5,340 |
3,979 |
$95K |
| 70450 |
|
4,012 |
3,109 |
$92K |
| 87635 |
|
7,025 |
5,547 |
$86K |
| 97110 |
|
862 |
230 |
$82K |
| 87086 |
|
7,949 |
6,359 |
$75K |
| 74176 |
|
2,530 |
2,131 |
$74K |
| 82948 |
|
5,664 |
3,028 |
$71K |
| 84702 |
|
3,691 |
2,880 |
$70K |
| 96372 |
|
6,142 |
3,655 |
$68K |
| 96366 |
|
1,619 |
982 |
$64K |
| 85025 |
|
31,046 |
22,377 |
$63K |
| 96413 |
|
1,813 |
906 |
$58K |
| 85610 |
|
10,891 |
7,606 |
$57K |
| G0480 |
Drug test def 1-7 classes |
1,715 |
1,349 |
$56K |
| 81025 |
|
7,389 |
6,369 |
$52K |
| 11042 |
|
1,702 |
696 |
$52K |
| 84484 |
|
7,850 |
5,526 |
$48K |
| 36415 |
|
7,750 |
5,297 |
$47K |
| 87420 |
|
864 |
831 |
$46K |
| 94640 |
|
2,364 |
1,389 |
$46K |
| 93005 |
|
15,601 |
11,934 |
$45K |
| 96367 |
|
742 |
307 |
$45K |
| 74177 |
|
1,307 |
1,145 |
$44K |
| 71045 |
|
10,012 |
7,931 |
$36K |
| 71046 |
|
2,955 |
2,599 |
$33K |
| 87880 |
|
1,653 |
1,424 |
$31K |
| 96374 |
|
10,401 |
8,204 |
$30K |
| 81001 |
|
16,393 |
13,313 |
$28K |
| 81003 |
|
4,923 |
4,048 |
$27K |
| 85730 |
|
6,467 |
4,909 |
$27K |
| 76815 |
|
1,126 |
919 |
$26K |
| 87400 |
|
2,816 |
2,577 |
$26K |
| J3010 |
Fentanyl citrate injection |
3,351 |
2,609 |
$26K |
| J1756 |
Iron sucrose injection |
547 |
277 |
$24K |
| 85027 |
|
5,569 |
4,290 |
$24K |
| 96375 |
|
7,336 |
4,602 |
$23K |
| 88305 |
|
1,737 |
1,430 |
$21K |
| J1100 |
Dexamethasone sodium phos |
3,508 |
2,417 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
2,245 |
1,741 |
$20K |
| 93306 |
|
476 |
379 |
$20K |
| 83735 |
|
7,665 |
5,510 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
3,533 |
2,840 |
$20K |
| 83880 |
|
2,467 |
1,854 |
$19K |
| J1642 |
Inj heparin sodium per 10 u |
319 |
142 |
$19K |
| 76819 |
|
327 |
220 |
$19K |
| J2405 |
Ondansetron hcl injection |
8,518 |
6,462 |
$18K |
| 87070 |
|
2,867 |
2,571 |
$16K |
| 83605 |
|
1,829 |
1,452 |
$15K |
| J0690 |
Cefazolin sodium injection |
1,301 |
894 |
$14K |
| 74178 |
|
166 |
147 |
$14K |
| 0241U |
|
1,888 |
1,715 |
$14K |
| 87081 |
|
641 |
518 |
$13K |
| 83690 |
|
4,482 |
3,703 |
$13K |
| 73630 |
|
368 |
319 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
3,286 |
2,064 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
642 |
414 |
$11K |
| 76805 |
|
224 |
204 |
$11K |
| 86850 |
|
2,963 |
2,050 |
$11K |
| J7050 |
Normal saline solution infus |
1,473 |
721 |
$11K |
| 73610 |
|
261 |
232 |
$10K |
| 76801 |
|
958 |
753 |
$10K |
| 86900 |
|
3,012 |
2,085 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,077 |
825 |
$9K |
| 73110 |
|
138 |
121 |
$9K |
| 76705 |
|
374 |
322 |
$9K |
| 86901 |
|
3,013 |
2,085 |
$8K |
| 43239 |
|
131 |
117 |
$8K |
| 99213 |
|
440 |
320 |
$7K |
| 73130 |
|
158 |
136 |
$7K |
| 84443 |
|
3,272 |
2,646 |
$7K |
| 86140 |
|
1,262 |
966 |
$7K |
| 76856 |
|
243 |
219 |
$6K |
| 73030 |
|
269 |
205 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,552 |
3,688 |
$6K |
| 93971 |
|
294 |
249 |
$6K |
| 74018 |
|
362 |
316 |
$5K |
| 73562 |
|
218 |
167 |
$5K |
| J1170 |
Hydromorphone injection |
2,476 |
1,772 |
$5K |
| 94760 |
|
1,023 |
689 |
$5K |
| J2765 |
Metoclopramide hcl injection |
905 |
735 |
$4K |
| 82150 |
|
144 |
122 |
$4K |
| 87077 |
|
2,162 |
1,737 |
$4K |
| 87186 |
|
2,956 |
2,365 |
$4K |
| J2270 |
Morphine sulfate injection |
2,122 |
1,616 |
$4K |
| 83036 |
|
1,653 |
1,334 |
$4K |
| 80061 |
|
946 |
770 |
$3K |
| 85652 |
|
218 |
187 |
$3K |
| 96376 |
|
1,675 |
1,112 |
$3K |
| J3490 |
Drugs unclassified injection |
383 |
117 |
$3K |
| 72125 |
|
936 |
728 |
$3K |
| 71275 |
|
89 |
78 |
$2K |
| C1769 |
Guide wire |
58 |
37 |
$2K |
| 97161 |
|
59 |
55 |
$2K |
| J2930 |
Methylprednisolone injection |
1,408 |
1,010 |
$2K |
| 96368 |
|
14 |
12 |
$2K |
| 87501 |
|
233 |
188 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,631 |
1,130 |
$2K |
| 74019 |
|
83 |
75 |
$2K |
| 87040 |
|
753 |
628 |
$2K |
| 12011 |
|
13 |
12 |
$2K |
| 82553 |
|
588 |
479 |
$2K |
| 94726 |
|
61 |
51 |
$2K |
| 73080 |
|
26 |
24 |
$1K |
| 73502 |
|
229 |
163 |
$1K |
| 36591 |
|
100 |
60 |
$1K |
| 87591 |
|
87 |
73 |
$1K |
| 82570 |
|
75 |
56 |
$1K |
| 99291 |
|
63 |
58 |
$1K |
| J2370 |
Phenylephrine hcl injection |
79 |
65 |
$1K |
| 95816 |
|
13 |
12 |
$1K |
| 72100 |
|
88 |
72 |
$1K |
| 87480 |
|
202 |
170 |
$1K |
| 85014 |
|
228 |
166 |
$1K |
| 71250 |
|
52 |
41 |
$1K |
| 78452 |
|
21 |
13 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
558 |
432 |
$991.96 |
| 84439 |
|
599 |
488 |
$884.33 |
| 41899 |
|
91 |
88 |
$874.31 |
| 88300 |
|
15 |
14 |
$874.31 |
| G8978 |
Mobility current status |
48 |
40 |
$874.04 |
| G8979 |
Mobility goal status |
51 |
40 |
$874.04 |
| 85379 |
|
308 |
255 |
$809.08 |
| J3370 |
Vancomycin hcl injection |
119 |
66 |
$727.34 |
| 90471 |
|
231 |
195 |
$510.25 |
| 29125 |
|
14 |
13 |
$458.00 |
| 82550 |
|
86 |
62 |
$438.24 |
| 84156 |
|
21 |
16 |
$394.86 |
| 93017 |
|
42 |
26 |
$346.71 |
| 82728 |
|
203 |
153 |
$317.29 |
| 85018 |
|
24 |
16 |
$302.12 |
| 84112 |
|
16 |
14 |
$299.02 |
| 94060 |
|
13 |
12 |
$286.71 |
| J2060 |
Lorazepam injection |
990 |
736 |
$259.52 |
| 87088 |
|
510 |
393 |
$251.09 |
| J1815 |
Insulin injection |
761 |
397 |
$234.26 |
| A9270 |
Non-covered item or service |
400 |
195 |
$227.71 |
| 97162 |
|
15 |
12 |
$156.17 |
| 94729 |
|
66 |
54 |
$134.87 |
| 87502 |
|
12 |
12 |
$95.71 |
| 72131 |
|
15 |
12 |
$94.85 |
| 87660 |
|
207 |
175 |
$75.07 |
| Q0222 |
Bebtelovimab 175 mg |
14 |
12 |
$73.33 |
| G1004 |
Cdsm ndsc |
17 |
12 |
$64.69 |
| 0002A |
|
160 |
142 |
$60.72 |
| 87205 |
|
186 |
150 |
$50.96 |
| J2550 |
Promethazine hcl injection |
135 |
101 |
$42.23 |
| 83540 |
|
106 |
83 |
$33.30 |
| 88342 |
|
19 |
15 |
$32.50 |
| 83550 |
|
103 |
81 |
$31.16 |
| 84436 |
|
91 |
81 |
$24.83 |
| U0002 |
Covid-19 lab test non-cdc |
26 |
26 |
$20.88 |
| 87491 |
|
87 |
73 |
$18.85 |
| 82962 |
|
423 |
142 |
$16.97 |
| 93799 |
|
231 |
156 |
$16.86 |
| 0001A |
|
193 |
174 |
$14.37 |
| 84132 |
|
84 |
63 |
$10.71 |
| 87510 |
|
202 |
170 |
$9.65 |
| U0005 |
Infec agen detec ampli probe |
72 |
66 |
$4.55 |
| C9803 |
Hopd covid-19 spec collect |
34 |
33 |
$2.94 |
| 87430 |
|
152 |
146 |
$2.28 |
| 87798 |
|
197 |
183 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
244 |
226 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
15 |
$0.00 |
| 00170 |
|
100 |
86 |
$0.00 |
| 87804 |
|
16 |
15 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
18 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
24 |
12 |
$0.00 |
| 96417 |
|
19 |
13 |
$0.00 |
| 97116 |
|
23 |
12 |
$0.00 |
| 73560 |
|
20 |
13 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
82 |
54 |
$0.00 |
| J1940 |
Furosemide injection |
65 |
37 |
$0.00 |
| 82077 |
|
59 |
46 |
$0.00 |
| 88304 |
|
14 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
59 |
52 |
$0.00 |
| 82533 |
|
14 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
45 |
36 |
$0.00 |
| 45380 |
|
17 |
13 |
$0.00 |
| 95012 |
|
16 |
12 |
$0.00 |
| 82607 |
|
18 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
33 |
28 |
$0.00 |
| A9500 |
Tc99m sestamibi |
20 |
12 |
$0.00 |
| 83615 |
|
12 |
12 |
$0.00 |