| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
60,153 |
56,556 |
$12.56M |
| 99284 |
|
53,651 |
49,517 |
$10.42M |
| 99285 |
|
20,007 |
18,364 |
$3.53M |
| 87636 |
|
12,754 |
11,998 |
$1.85M |
| J3490 |
Drugs unclassified injection |
45,557 |
23,615 |
$1.75M |
| 80053 |
|
14,621 |
12,741 |
$909K |
| J8499 |
Oral prescrip drug non chemo |
25,792 |
10,701 |
$696K |
| 80048 |
|
19,672 |
17,667 |
$637K |
| 99282 |
|
7,533 |
7,206 |
$603K |
| 93005 |
|
15,988 |
14,499 |
$401K |
| G0463 |
Hospital outpt clinic visit |
18,766 |
15,537 |
$394K |
| 96361 |
|
4,832 |
4,133 |
$358K |
| 96374 |
|
21,771 |
19,996 |
$309K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,079 |
2,718 |
$245K |
| J2270 |
Morphine sulfate injection |
1,531 |
1,271 |
$229K |
| 80047 |
|
8,950 |
8,191 |
$226K |
| 71045 |
|
11,396 |
10,490 |
$217K |
| J1100 |
Dexamethasone sodium phos |
1,518 |
1,195 |
$200K |
| 85025 |
|
27,872 |
24,495 |
$186K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,291 |
2,133 |
$183K |
| 87070 |
|
1,013 |
982 |
$146K |
| J8597 |
Antiemetic drug oral nos |
1,054 |
988 |
$141K |
| J8540 |
Oral dexamethasone |
1,770 |
1,700 |
$135K |
| 87086 |
|
5,690 |
5,283 |
$127K |
| 96360 |
|
587 |
542 |
$113K |
| 96365 |
|
1,270 |
1,098 |
$104K |
| 71046 |
|
3,242 |
3,097 |
$101K |
| 82962 |
|
1,755 |
978 |
$94K |
| 85027 |
|
17,115 |
15,550 |
$90K |
| 70450 |
|
1,933 |
1,753 |
$86K |
| Q0162 |
Ondansetron oral |
1,191 |
1,117 |
$85K |
| G0378 |
Hospital observation per hr |
1,576 |
1,321 |
$64K |
| 81001 |
|
13,034 |
12,082 |
$57K |
| 80307 |
|
1,564 |
1,404 |
$55K |
| 81025 |
|
5,447 |
5,047 |
$53K |
| J1170 |
Hydromorphone injection |
251 |
209 |
$50K |
| 74177 |
|
2,154 |
2,001 |
$49K |
| 87081 |
|
568 |
548 |
$43K |
| 96413 |
|
688 |
394 |
$41K |
| 96375 |
|
11,082 |
9,729 |
$39K |
| 84484 |
|
7,511 |
6,591 |
$35K |
| 81003 |
|
2,364 |
2,204 |
$31K |
| 87210 |
|
925 |
870 |
$28K |
| 64483 |
|
105 |
103 |
$27K |
| 84702 |
|
545 |
463 |
$25K |
| 81002 |
|
2,266 |
2,096 |
$21K |
| U0005 |
Infec agen detec ampli probe |
893 |
797 |
$21K |
| 0002A |
|
366 |
361 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
782 |
657 |
$19K |
| 97597 |
|
769 |
432 |
$18K |
| 0001A |
|
346 |
338 |
$18K |
| 83690 |
|
5,514 |
5,025 |
$17K |
| 87430 |
|
1,149 |
1,109 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
12,539 |
11,526 |
$15K |
| 87637 |
|
77 |
76 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
2,025 |
1,878 |
$14K |
| 87486 |
|
56 |
55 |
$14K |
| 73130 |
|
105 |
101 |
$13K |
| 96372 |
|
5,366 |
4,522 |
$13K |
| J2405 |
Ondansetron hcl injection |
7,482 |
6,467 |
$12K |
| 11042 |
|
236 |
89 |
$12K |
| 73630 |
|
168 |
152 |
$11K |
| 87491 |
|
1,431 |
1,331 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
116 |
106 |
$9K |
| 94640 |
|
1,758 |
1,261 |
$8K |
| 82728 |
|
714 |
667 |
$8K |
| 84466 |
|
702 |
656 |
$7K |
| Q3014 |
Telehealth facility fee |
591 |
517 |
$6K |
| 80076 |
|
1,536 |
1,397 |
$6K |
| 82607 |
|
486 |
459 |
$6K |
| 73110 |
|
26 |
25 |
$5K |
| 73560 |
|
79 |
74 |
$5K |
| A9270 |
Non-covered item or service |
9,527 |
1,852 |
$5K |
| 73610 |
|
43 |
41 |
$4K |
| 59025 |
|
46 |
40 |
$4K |
| 80061 |
|
471 |
377 |
$4K |
| 76705 |
|
311 |
296 |
$4K |
| 83540 |
|
706 |
659 |
$4K |
| 97530 |
|
53 |
24 |
$4K |
| 87880 |
|
568 |
551 |
$3K |
| 74176 |
|
173 |
164 |
$3K |
| 87635 |
|
332 |
272 |
$3K |
| 88305 |
|
12 |
12 |
$3K |
| 82803 |
|
769 |
661 |
$3K |
| 20610 |
|
32 |
26 |
$3K |
| 83880 |
|
800 |
719 |
$3K |
| 83735 |
|
1,627 |
1,379 |
$3K |
| G0483 |
Drug test def 22+ classes |
39 |
38 |
$3K |
| S0020 |
Injection, bupivicaine hydro |
1,371 |
1,150 |
$2K |
| 82248 |
|
1,210 |
1,121 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$2K |
| 87077 |
|
16 |
16 |
$2K |
| 82075 |
|
461 |
390 |
$2K |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
12 |
$2K |
| 77336 |
|
45 |
16 |
$2K |
| 83605 |
|
1,537 |
1,349 |
$2K |
| G0480 |
Drug test def 1-7 classes |
97 |
90 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
911 |
489 |
$1K |
| 87389 |
|
56 |
49 |
$1K |
| 93975 |
|
220 |
211 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
577 |
508 |
$1K |
| 85014 |
|
751 |
679 |
$948.22 |
| 20553 |
|
14 |
14 |
$945.77 |
| 84443 |
|
88 |
80 |
$808.90 |
| 87591 |
|
1,337 |
1,236 |
$806.45 |
| 74018 |
|
12 |
12 |
$801.47 |
| 73030 |
|
18 |
14 |
$730.09 |
| 83036 |
|
110 |
79 |
$625.45 |
| J1040 |
Methylprednisolone 80 mg inj |
179 |
132 |
$331.57 |
| J1010 |
Inj, methylpred acetate 1 mg |
169 |
142 |
$285.39 |
| J2704 |
Inj, propofol, 10 mg |
114 |
105 |
$243.01 |
| 96127 |
|
191 |
150 |
$240.97 |
| G0379 |
Direct refer hospital observ |
12 |
12 |
$227.22 |
| J0702 |
Betamethasone acet&sod phosp |
87 |
82 |
$202.71 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
79 |
67 |
$202.05 |
| 85610 |
|
44 |
36 |
$123.04 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
72 |
65 |
$84.54 |
| A6456 |
Zinc paste band w >=3"<5"/yd |
38 |
13 |
$64.46 |
| J3301 |
Triamcinolone acet inj nos |
39 |
38 |
$61.91 |
| 72125 |
|
17 |
13 |
$44.75 |
| J1200 |
Diphenhydramine hcl injectio |
502 |
439 |
$43.90 |
| 84100 |
|
16 |
15 |
$37.26 |
| 87205 |
|
12 |
12 |
$37.17 |
| 94760 |
|
284 |
223 |
$35.12 |
| J1790 |
Droperidol injection |
62 |
56 |
$34.66 |
| J3010 |
Fentanyl citrate injection |
208 |
188 |
$31.52 |
| 96376 |
|
778 |
597 |
$31.04 |
| 87186 |
|
152 |
138 |
$30.00 |
| 87088 |
|
119 |
112 |
$13.78 |
| J2272 |
Inj, morphine (fresenius) |
467 |
380 |
$13.50 |
| 85379 |
|
114 |
108 |
$10.18 |
| 76830 |
|
66 |
62 |
$4.10 |
| 86901 |
|
69 |
64 |
$2.00 |
| J2550 |
Promethazine hcl injection |
100 |
86 |
$1.85 |
| 87633 |
|
55 |
54 |
$0.00 |
| 85007 |
|
14 |
13 |
$0.00 |
| 91300 |
|
697 |
614 |
$0.00 |
| G1004 |
Cdsm ndsc |
69 |
57 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
12 |
$0.00 |
| 76817 |
|
20 |
17 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 94761 |
|
165 |
132 |
$0.00 |
| 87581 |
|
56 |
55 |
$0.00 |
| 87147 |
|
27 |
25 |
$0.00 |
| 71275 |
|
27 |
25 |
$0.00 |
| 86140 |
|
17 |
12 |
$0.00 |