| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
50,199 |
47,969 |
$25.65M |
| 99285 |
|
16,679 |
15,769 |
$11.27M |
| 99283 |
|
37,986 |
36,892 |
$2.47M |
| 87426 |
|
29,142 |
28,270 |
$1.45M |
| 74177 |
|
3,596 |
3,430 |
$1.37M |
| 87804 |
|
55,691 |
34,995 |
$1.31M |
| 87430 |
|
32,264 |
31,292 |
$776K |
| C9803 |
Hopd covid-19 spec collect |
27,494 |
26,456 |
$575K |
| 71046 |
|
9,261 |
8,981 |
$451K |
| 87420 |
|
19,521 |
18,995 |
$416K |
| 85025 |
|
48,670 |
45,083 |
$391K |
| 80053 |
|
37,388 |
34,723 |
$383K |
| 71045 |
|
11,772 |
11,272 |
$373K |
| 93005 |
|
5,358 |
4,959 |
$354K |
| J0696 |
Ceftriaxone sodium injection |
8,261 |
7,680 |
$340K |
| 87070 |
|
27,955 |
27,102 |
$340K |
| 70450 |
|
2,644 |
2,531 |
$312K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,984 |
3,703 |
$270K |
| 59025 |
|
2,041 |
1,704 |
$233K |
| 74176 |
|
1,123 |
1,071 |
$179K |
| 80061 |
|
12,301 |
12,142 |
$167K |
| 84443 |
|
10,643 |
10,459 |
$166K |
| 81001 |
|
45,897 |
43,317 |
$166K |
| 74018 |
|
3,328 |
3,233 |
$148K |
| 99282 |
|
1,917 |
1,861 |
$123K |
| 76801 |
|
1,051 |
943 |
$121K |
| 80048 |
|
11,659 |
11,323 |
$120K |
| 83525 |
|
7,395 |
7,285 |
$116K |
| 82306 |
|
4,853 |
4,804 |
$103K |
| G0463 |
Hospital outpt clinic visit |
3,599 |
2,562 |
$93K |
| 87086 |
|
11,674 |
11,048 |
$92K |
| 81025 |
|
7,858 |
7,475 |
$83K |
| 83036 |
|
9,215 |
9,062 |
$79K |
| 83690 |
|
10,498 |
9,906 |
$74K |
| J1885 |
Ketorolac tromethamine inj |
6,168 |
5,620 |
$74K |
| U0005 |
Infec agen detec ampli probe |
3,639 |
3,382 |
$68K |
| 80050 |
|
804 |
779 |
$59K |
| 96361 |
|
940 |
870 |
$52K |
| 82977 |
|
5,202 |
5,125 |
$52K |
| 99281 |
|
1,010 |
990 |
$49K |
| G0378 |
Hospital observation per hr |
119 |
104 |
$48K |
| 84436 |
|
5,081 |
4,985 |
$45K |
| 80076 |
|
4,345 |
4,261 |
$44K |
| 80307 |
|
674 |
614 |
$36K |
| 87633 |
|
142 |
141 |
$36K |
| 72125 |
|
555 |
531 |
$34K |
| 96365 |
|
1,562 |
1,279 |
$33K |
| 99212 |
|
1,266 |
723 |
$33K |
| J2405 |
Ondansetron hcl injection |
9,213 |
8,434 |
$31K |
| 87186 |
|
4,772 |
4,294 |
$30K |
| 74019 |
|
519 |
506 |
$30K |
| 73610 |
|
565 |
542 |
$28K |
| 86703 |
|
1,707 |
1,629 |
$27K |
| 84484 |
|
5,239 |
3,530 |
$27K |
| 83880 |
|
2,126 |
2,023 |
$26K |
| 77067 |
|
768 |
766 |
$25K |
| 84481 |
|
1,088 |
1,079 |
$25K |
| 72082 |
|
214 |
212 |
$24K |
| 84702 |
|
1,646 |
1,430 |
$24K |
| S0164 |
Injection pantroprazole |
338 |
300 |
$23K |
| 97110 |
|
906 |
197 |
$23K |
| 84460 |
|
3,043 |
3,000 |
$22K |
| 86850 |
|
897 |
805 |
$22K |
| 84450 |
|
3,042 |
2,999 |
$22K |
| 86003 |
|
624 |
257 |
$20K |
| 87491 |
|
575 |
531 |
$20K |
| 87591 |
|
578 |
533 |
$20K |
| U0001 |
2019-ncov diagnostic p |
379 |
362 |
$19K |
| 77063 |
|
767 |
765 |
$19K |
| 83655 |
|
1,122 |
1,114 |
$19K |
| 87077 |
|
3,159 |
2,761 |
$18K |
| 73630 |
|
503 |
488 |
$18K |
| 84439 |
|
2,811 |
2,754 |
$18K |
| 74022 |
|
208 |
202 |
$18K |
| 43239 |
|
84 |
69 |
$17K |
| 83605 |
|
2,267 |
2,000 |
$17K |
| 85027 |
|
4,160 |
3,917 |
$17K |
| 81002 |
|
4,467 |
2,542 |
$16K |
| 85610 |
|
5,445 |
5,069 |
$15K |
| 82550 |
|
2,970 |
2,805 |
$15K |
| 70260 |
|
190 |
187 |
$14K |
| 73130 |
|
313 |
302 |
$14K |
| 76705 |
|
109 |
106 |
$12K |
| 88305 |
|
210 |
201 |
$12K |
| J1100 |
Dexamethasone sodium phos |
2,490 |
2,284 |
$11K |
| 71250 |
|
152 |
150 |
$11K |
| 87040 |
|
1,882 |
1,148 |
$11K |
| 73564 |
|
291 |
277 |
$11K |
| 0353U |
|
284 |
267 |
$10K |
| 72100 |
|
259 |
257 |
$9K |
| 85730 |
|
3,114 |
2,906 |
$9K |
| 97140 |
|
301 |
73 |
$9K |
| 87209 |
|
378 |
357 |
$9K |
| 0202U |
|
6,302 |
6,091 |
$9K |
| 96360 |
|
156 |
152 |
$7K |
| 73030 |
|
325 |
305 |
$7K |
| 66984 |
|
175 |
162 |
$7K |
| J2270 |
Morphine sulfate injection |
1,821 |
1,540 |
$7K |
| 83735 |
|
2,210 |
1,938 |
$6K |
| 82248 |
|
1,186 |
900 |
$6K |
| 87899 |
|
476 |
278 |
$6K |
| 84703 |
|
765 |
724 |
$6K |
| 76805 |
|
43 |
41 |
$5K |
| 97163 |
|
76 |
72 |
$5K |
| 87425 |
|
320 |
308 |
$5K |
| 93306 |
|
14 |
12 |
$5K |
| 87635 |
|
115 |
110 |
$5K |
| 82247 |
|
846 |
670 |
$5K |
| 36415 |
|
69,854 |
62,359 |
$5K |
| 82150 |
|
799 |
775 |
$5K |
| 90471 |
|
193 |
188 |
$5K |
| 82728 |
|
1,025 |
1,012 |
$5K |
| 87798 |
|
145 |
129 |
$5K |
| 87177 |
|
378 |
357 |
$5K |
| 87045 |
|
360 |
345 |
$5K |
| 83630 |
|
156 |
152 |
$4K |
| 86592 |
|
1,036 |
964 |
$4K |
| 94640 |
|
78 |
76 |
$4K |
| 87581 |
|
142 |
141 |
$4K |
| 87486 |
|
142 |
141 |
$4K |
| 86901 |
|
1,730 |
1,572 |
$4K |
| 76700 |
|
61 |
59 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
781 |
658 |
$4K |
| 82607 |
|
1,311 |
1,298 |
$4K |
| 90715 |
|
128 |
126 |
$4K |
| 86900 |
|
1,559 |
1,422 |
$4K |
| 70360 |
|
60 |
58 |
$4K |
| 87260 |
|
170 |
165 |
$3K |
| 73110 |
|
68 |
63 |
$3K |
| 87279 |
|
129 |
122 |
$3K |
| 96374 |
|
1,810 |
1,663 |
$3K |
| 83550 |
|
806 |
796 |
$3K |
| 70486 |
|
16 |
16 |
$2K |
| 11042 |
|
105 |
53 |
$2K |
| 83540 |
|
1,027 |
1,014 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,356 |
1,232 |
$2K |
| J2765 |
Metoclopramide hcl injection |
487 |
428 |
$2K |
| J2543 |
Piperacillin/tazobactam |
56 |
40 |
$2K |
| 85379 |
|
291 |
280 |
$2K |
| 82270 |
|
632 |
601 |
$2K |
| 86677 |
|
151 |
95 |
$2K |
| 86140 |
|
506 |
484 |
$2K |
| J0690 |
Cefazolin sodium injection |
422 |
368 |
$2K |
| 71260 |
|
12 |
12 |
$2K |
| 87340 |
|
154 |
147 |
$1K |
| 83970 |
|
175 |
175 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
113 |
100 |
$1K |
| 96375 |
|
1,870 |
1,641 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| 85245 |
|
39 |
37 |
$1K |
| 85246 |
|
39 |
37 |
$1K |
| 85247 |
|
39 |
37 |
$1K |
| 82553 |
|
273 |
258 |
$1K |
| 76856 |
|
13 |
12 |
$1K |
| 82570 |
|
1,076 |
995 |
$1K |
| 86762 |
|
81 |
77 |
$1K |
| 80069 |
|
906 |
829 |
$1K |
| 85652 |
|
791 |
756 |
$1K |
| 82043 |
|
993 |
985 |
$977.91 |
| 72131 |
|
12 |
12 |
$886.10 |
| 82951 |
|
67 |
58 |
$882.83 |
| 87338 |
|
37 |
34 |
$750.43 |
| 73090 |
|
15 |
13 |
$717.77 |
| J3475 |
Inj magnesium sulfate |
133 |
119 |
$704.52 |
| 96372 |
|
1,274 |
1,010 |
$699.01 |
| 83986 |
|
134 |
131 |
$686.74 |
| 72040 |
|
12 |
12 |
$625.66 |
| 82947 |
|
111 |
111 |
$594.45 |
| 73502 |
|
27 |
27 |
$550.24 |
| 87653 |
|
17 |
15 |
$543.30 |
| 84145 |
|
43 |
41 |
$481.38 |
| J2001 |
Lidocaine injection |
1,400 |
1,298 |
$453.32 |
| 82542 |
|
13 |
13 |
$365.65 |
| 82746 |
|
134 |
134 |
$355.63 |
| 84156 |
|
351 |
343 |
$349.75 |
| 73700 |
|
13 |
12 |
$339.93 |
| 73562 |
|
13 |
13 |
$329.56 |
| 80074 |
|
13 |
13 |
$327.69 |
| 87210 |
|
57 |
54 |
$321.57 |
| 82378 |
|
28 |
24 |
$307.03 |
| 82785 |
|
12 |
12 |
$289.93 |
| 73080 |
|
12 |
12 |
$270.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,737 |
4,509 |
$270.25 |
| J0360 |
Hydralazine hcl injection |
28 |
24 |
$262.43 |
| 87324 |
|
19 |
18 |
$228.44 |
| 77080 |
|
51 |
51 |
$209.43 |
| 84550 |
|
147 |
144 |
$134.35 |
| 82272 |
|
32 |
29 |
$122.37 |
| 86803 |
|
14 |
14 |
$108.47 |
| 84479 |
|
25 |
25 |
$107.63 |
| 84153 |
|
84 |
83 |
$87.22 |
| 82565 |
|
36 |
36 |
$60.36 |
| J3010 |
Fentanyl citrate injection |
47 |
41 |
$50.90 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
82 |
77 |
$48.62 |
| 85018 |
|
13 |
13 |
$43.31 |
| 84100 |
|
28 |
24 |
$41.30 |
| J0171 |
Adrenalin epinephrine inject |
118 |
110 |
$35.20 |
| J7510 |
Prednisolone oral per 5 mg |
181 |
171 |
$23.35 |
| J2470 |
Inj pantoprazole sodium 40mg |
87 |
79 |
$20.12 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
47 |
38 |
$19.38 |
| 84520 |
|
12 |
12 |
$11.25 |
| 87081 |
|
85 |
70 |
$9.70 |
| 82962 |
|
2,952 |
1,772 |
$6.60 |
| J2704 |
Inj, propofol, 10 mg |
854 |
782 |
$2.88 |
| A9270 |
Non-covered item or service |
3,733 |
2,354 |
$0.00 |
| 88342 |
|
29 |
25 |
$0.00 |
| 0241U |
|
13 |
13 |
$0.00 |
| L3650 |
So 8 abd restraint pre ots |
41 |
40 |
$0.00 |
| 88313 |
|
14 |
13 |
$0.00 |
| 99152 |
|
15 |
12 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
40 |
37 |
$0.00 |