| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
20,918 |
18,590 |
$1.92M |
| 99283 |
|
20,565 |
19,046 |
$1.79M |
| 99285 |
|
11,762 |
10,026 |
$1.19M |
| 99282 |
|
3,644 |
3,402 |
$300K |
| 80053 |
|
23,670 |
19,642 |
$200K |
| 74177 |
|
2,915 |
2,632 |
$174K |
| 70450 |
|
4,515 |
3,793 |
$149K |
| 36415 |
|
16,806 |
12,234 |
$139K |
| 74176 |
|
1,742 |
1,540 |
$129K |
| 87430 |
|
2,410 |
2,320 |
$107K |
| 87400 |
|
2,839 |
2,575 |
$90K |
| 96361 |
|
2,495 |
1,923 |
$53K |
| 84484 |
|
7,006 |
5,211 |
$49K |
| 99281 |
|
535 |
504 |
$47K |
| 71045 |
|
10,443 |
9,060 |
$46K |
| 87088 |
|
4,895 |
4,328 |
$43K |
| 94640 |
|
2,059 |
1,562 |
$41K |
| 80307 |
|
1,567 |
1,381 |
$36K |
| 99218 |
|
1,874 |
977 |
$34K |
| 93306 |
|
464 |
400 |
$34K |
| 81001 |
|
10,764 |
9,531 |
$32K |
| 71046 |
|
1,565 |
1,464 |
$31K |
| 73610 |
|
749 |
680 |
$30K |
| 87486 |
|
2,850 |
2,712 |
$28K |
| 87633 |
|
3,321 |
3,147 |
$27K |
| 73630 |
|
937 |
857 |
$25K |
| 73562 |
|
781 |
679 |
$25K |
| 80048 |
|
2,975 |
2,384 |
$23K |
| 87426 |
|
642 |
601 |
$23K |
| 73030 |
|
504 |
439 |
$17K |
| 71275 |
|
782 |
700 |
$17K |
| 85025 |
|
18,669 |
15,430 |
$16K |
| A9270 |
Non-covered item or service |
25,660 |
14,790 |
$16K |
| 73130 |
|
600 |
531 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
499 |
448 |
$13K |
| 87210 |
|
1,725 |
1,636 |
$12K |
| 93005 |
|
8,654 |
7,260 |
$11K |
| 72125 |
|
1,521 |
1,256 |
$11K |
| 81003 |
|
2,385 |
2,122 |
$11K |
| 81025 |
|
2,314 |
2,181 |
$11K |
| 73110 |
|
371 |
329 |
$11K |
| 96374 |
|
3,546 |
2,759 |
$11K |
| 97110 |
|
263 |
60 |
$10K |
| 87636 |
|
1,383 |
1,280 |
$10K |
| 86900 |
|
1,293 |
1,129 |
$10K |
| 93975 |
|
800 |
767 |
$10K |
| 76700 |
|
298 |
268 |
$10K |
| 94760 |
|
2,881 |
2,050 |
$8K |
| 93041 |
|
6,893 |
5,886 |
$8K |
| 87040 |
|
3,137 |
2,167 |
$8K |
| 99291 |
|
49 |
41 |
$8K |
| J2270 |
Morphine sulfate injection |
4,353 |
3,289 |
$8K |
| 85610 |
|
4,246 |
3,086 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
394 |
356 |
$7K |
| 96375 |
|
2,793 |
1,988 |
$7K |
| 94664 |
|
1,870 |
1,450 |
$7K |
| 76856 |
|
425 |
407 |
$6K |
| 85027 |
|
6,192 |
5,193 |
$6K |
| J2405 |
Ondansetron hcl injection |
6,843 |
5,800 |
$6K |
| 83690 |
|
4,966 |
4,321 |
$6K |
| 84443 |
|
2,620 |
2,317 |
$5K |
| 87491 |
|
2,017 |
1,898 |
$5K |
| 85730 |
|
3,306 |
2,768 |
$5K |
| 72100 |
|
254 |
212 |
$5K |
| 76830 |
|
450 |
434 |
$4K |
| 87591 |
|
2,037 |
1,919 |
$4K |
| 80061 |
|
2,191 |
1,924 |
$4K |
| 73080 |
|
72 |
66 |
$4K |
| 73140 |
|
58 |
50 |
$4K |
| 83605 |
|
3,192 |
2,638 |
$4K |
| 86850 |
|
383 |
318 |
$3K |
| 93971 |
|
268 |
244 |
$3K |
| 87077 |
|
360 |
296 |
$3K |
| 84702 |
|
1,054 |
874 |
$3K |
| 82947 |
|
247 |
160 |
$3K |
| 82962 |
|
292 |
248 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
664 |
582 |
$3K |
| 78452 |
|
28 |
25 |
$3K |
| 87420 |
|
476 |
456 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,115 |
3,721 |
$3K |
| 85379 |
|
1,595 |
1,466 |
$3K |
| 84703 |
|
5,188 |
4,783 |
$3K |
| 83880 |
|
1,727 |
1,420 |
$2K |
| 96360 |
|
165 |
147 |
$2K |
| 76705 |
|
178 |
169 |
$2K |
| 83036 |
|
1,321 |
1,149 |
$2K |
| 76801 |
|
566 |
484 |
$2K |
| G0378 |
Hospital observation per hr |
439 |
288 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
4,184 |
3,754 |
$2K |
| 87631 |
|
44 |
35 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,156 |
985 |
$2K |
| 96376 |
|
1,290 |
777 |
$1K |
| 78580 |
|
17 |
16 |
$1K |
| 83735 |
|
2,223 |
1,794 |
$1K |
| 86308 |
|
238 |
222 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,098 |
1,877 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,812 |
1,511 |
$1K |
| 73502 |
|
63 |
52 |
$973.73 |
| 76817 |
|
513 |
443 |
$913.09 |
| J2930 |
Methylprednisolone injection |
461 |
378 |
$898.54 |
| 87186 |
|
1,684 |
1,435 |
$857.40 |
| 87798 |
|
2,852 |
2,710 |
$850.11 |
| 86901 |
|
1,287 |
1,120 |
$823.50 |
| 87581 |
|
2,848 |
2,710 |
$715.87 |
| 87081 |
|
2,255 |
2,169 |
$706.16 |
| 71250 |
|
15 |
12 |
$651.01 |
| 93017 |
|
28 |
25 |
$638.22 |
| 82550 |
|
368 |
299 |
$549.08 |
| 82306 |
|
189 |
167 |
$509.33 |
| 87205 |
|
47 |
40 |
$426.91 |
| 73090 |
|
40 |
37 |
$423.11 |
| 96372 |
|
901 |
617 |
$389.71 |
| 82607 |
|
280 |
225 |
$383.64 |
| J1200 |
Diphenhydramine hcl injectio |
995 |
880 |
$378.60 |
| J1644 |
Inj heparin sodium per 1000u |
360 |
178 |
$349.49 |
| J7512 |
Prednisone ir or dr oral 1mg |
549 |
477 |
$327.64 |
| J2060 |
Lorazepam injection |
859 |
707 |
$299.72 |
| Q0162 |
Ondansetron oral |
1,833 |
1,729 |
$289.19 |
| 90715 |
|
144 |
133 |
$279.22 |
| 86140 |
|
279 |
218 |
$277.75 |
| 77067 |
|
13 |
13 |
$238.48 |
| 87071 |
|
47 |
40 |
$218.74 |
| 85007 |
|
657 |
633 |
$166.36 |
| G0480 |
Drug test def 1-7 classes |
116 |
94 |
$135.55 |
| 97161 |
|
16 |
12 |
$128.58 |
| 85055 |
|
51 |
45 |
$99.41 |
| J2550 |
Promethazine hcl injection |
273 |
246 |
$99.38 |
| G8978 |
Mobility current status |
22 |
12 |
$96.91 |
| C9113 |
Inj pantoprazole sodium, via |
274 |
197 |
$92.93 |
| 74018 |
|
12 |
12 |
$77.22 |
| 72131 |
|
34 |
25 |
$74.40 |
| 82746 |
|
62 |
52 |
$72.49 |
| 84439 |
|
51 |
49 |
$57.77 |
| 85652 |
|
239 |
202 |
$54.08 |
| 82077 |
|
381 |
330 |
$53.11 |
| A9502 |
Tc99m tetrofosmin |
29 |
25 |
$49.44 |
| J0780 |
Prochlorperazine injection |
219 |
208 |
$23.30 |
| 82043 |
|
15 |
13 |
$6.81 |
| J2765 |
Metoclopramide hcl injection |
242 |
205 |
$1.08 |
| J7510 |
Prednisolone oral per 5 mg |
140 |
136 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
57 |
55 |
$0.00 |
| 80143 |
|
98 |
89 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
105 |
53 |
$0.00 |
| 80179 |
|
98 |
87 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
12 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
361 |
330 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
16 |
16 |
$0.00 |
| J2360 |
Orphenadrine injection |
58 |
53 |
$0.00 |
| 88305 |
|
26 |
24 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
12 |
$0.00 |
| 82553 |
|
12 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
15 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
12 |
12 |
$0.00 |
| 96365 |
|
14 |
13 |
$0.00 |
| A9540 |
Tc99m maa |
17 |
16 |
$0.00 |