| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
16,262 |
11,678 |
$928K |
| 36415 |
|
11,515 |
7,707 |
$515K |
| 99284 |
|
8,816 |
6,461 |
$459K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,605 |
1,212 |
$458K |
| 99283 |
|
5,569 |
4,824 |
$403K |
| 99282 |
|
4,424 |
3,627 |
$316K |
| 59025 |
|
1,944 |
1,309 |
$263K |
| 87635 |
|
4,906 |
4,325 |
$259K |
| 93306 |
|
1,256 |
989 |
$199K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,685 |
2,168 |
$188K |
| 70450 |
|
2,879 |
2,118 |
$174K |
| 80053 |
|
8,689 |
6,495 |
$171K |
| 96361 |
|
1,700 |
1,122 |
$167K |
| 96413 |
|
316 |
164 |
$150K |
| 74177 |
|
2,032 |
1,612 |
$132K |
| 80048 |
|
4,840 |
3,411 |
$128K |
| 11042 |
|
1,138 |
382 |
$97K |
| 96374 |
|
7,056 |
5,204 |
$92K |
| 96360 |
|
901 |
679 |
$81K |
| 81025 |
|
3,448 |
2,879 |
$73K |
| 99281 |
|
810 |
726 |
$73K |
| 76856 |
|
1,125 |
897 |
$55K |
| 45380 |
|
424 |
291 |
$54K |
| 43239 |
|
645 |
472 |
$52K |
| 94640 |
|
1,309 |
841 |
$52K |
| 88305 |
|
850 |
671 |
$51K |
| 74176 |
|
683 |
544 |
$48K |
| 96372 |
|
2,258 |
1,542 |
$47K |
| 96365 |
|
668 |
501 |
$40K |
| 82962 |
|
2,542 |
1,246 |
$37K |
| 71275 |
|
539 |
449 |
$29K |
| 86901 |
|
1,039 |
777 |
$27K |
| G0378 |
Hospital observation per hr |
2,736 |
1,094 |
$27K |
| A9270 |
Non-covered item or service |
3,938 |
1,715 |
$25K |
| 96375 |
|
4,916 |
3,476 |
$25K |
| 78452 |
|
96 |
82 |
$24K |
| 81001 |
|
5,683 |
4,466 |
$23K |
| 71046 |
|
1,646 |
1,334 |
$22K |
| 45385 |
|
66 |
55 |
$21K |
| 87081 |
|
722 |
586 |
$21K |
| 87210 |
|
1,014 |
827 |
$19K |
| 87400 |
|
1,875 |
850 |
$19K |
| 71045 |
|
4,480 |
3,461 |
$18K |
| 93017 |
|
364 |
298 |
$18K |
| 76642 |
|
261 |
254 |
$17K |
| 95810 |
|
41 |
40 |
$17K |
| 87086 |
|
1,527 |
1,183 |
$15K |
| 76705 |
|
319 |
287 |
$12K |
| 85025 |
|
12,937 |
9,085 |
$12K |
| 72131 |
|
169 |
140 |
$11K |
| 97110 |
|
141 |
51 |
$11K |
| J7030 |
Normal saline solution infus |
6,540 |
4,596 |
$11K |
| 81003 |
|
2,233 |
1,825 |
$11K |
| 96376 |
|
979 |
597 |
$11K |
| 86850 |
|
460 |
332 |
$9K |
| 86900 |
|
1,027 |
713 |
$9K |
| 72100 |
|
315 |
271 |
$8K |
| 72125 |
|
707 |
543 |
$7K |
| 84112 |
|
40 |
25 |
$7K |
| 93005 |
|
5,654 |
4,254 |
$6K |
| J2405 |
Ondansetron hcl injection |
3,861 |
2,916 |
$6K |
| 80307 |
|
1,052 |
848 |
$6K |
| 82731 |
|
28 |
14 |
$6K |
| 76830 |
|
657 |
525 |
$6K |
| 73610 |
|
159 |
145 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,610 |
1,226 |
$5K |
| 73630 |
|
237 |
201 |
$5K |
| 76817 |
|
534 |
427 |
$5K |
| 84702 |
|
1,214 |
856 |
$5K |
| 77066 |
Tomosynthesis, mammo |
129 |
125 |
$5K |
| 85610 |
|
1,711 |
1,268 |
$5K |
| 73030 |
|
154 |
133 |
$4K |
| 84484 |
|
4,309 |
3,024 |
$4K |
| 77063 |
|
172 |
171 |
$4K |
| 95816 |
|
35 |
29 |
$4K |
| 76801 |
|
416 |
299 |
$4K |
| 87491 |
|
1,076 |
873 |
$3K |
| 73130 |
|
97 |
74 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,629 |
1,237 |
$3K |
| A9585 |
Gadobutrol injection |
31 |
26 |
$3K |
| 85730 |
|
1,107 |
819 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,017 |
806 |
$3K |
| 72040 |
|
72 |
70 |
$3K |
| 77067 |
|
116 |
115 |
$3K |
| 93971 |
|
172 |
147 |
$3K |
| G0463 |
Hospital outpt clinic visit |
360 |
220 |
$2K |
| 73562 |
|
187 |
142 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,553 |
2,779 |
$2K |
| 87591 |
|
1,134 |
901 |
$2K |
| J7050 |
Normal saline solution infus |
1,552 |
957 |
$2K |
| 97161 |
|
46 |
41 |
$2K |
| 83735 |
|
788 |
556 |
$2K |
| J2270 |
Morphine sulfate injection |
2,018 |
1,445 |
$2K |
| 83690 |
|
3,158 |
2,473 |
$2K |
| 83605 |
|
1,324 |
1,016 |
$2K |
| 94060 |
|
25 |
15 |
$2K |
| 84703 |
|
2,796 |
2,216 |
$1K |
| 85379 |
|
844 |
665 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,378 |
1,046 |
$1K |
| 87077 |
|
60 |
40 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
523 |
433 |
$1K |
| 87651 |
|
425 |
408 |
$1K |
| 87502 |
|
652 |
638 |
$917.72 |
| J0690 |
Cefazolin sodium injection |
368 |
267 |
$747.05 |
| J2550 |
Promethazine hcl injection |
963 |
711 |
$647.28 |
| J7120 |
Ringers lactate infusion |
1,258 |
1,003 |
$554.27 |
| J1200 |
Diphenhydramine hcl injectio |
985 |
727 |
$549.15 |
| 80061 |
|
52 |
40 |
$486.13 |
| 83880 |
|
947 |
682 |
$482.30 |
| 80076 |
|
194 |
150 |
$457.11 |
| J1642 |
Inj heparin sodium per 10 u |
269 |
146 |
$434.03 |
| J1644 |
Inj heparin sodium per 1000u |
451 |
196 |
$302.89 |
| 87634 |
|
188 |
185 |
$219.17 |
| 87186 |
|
194 |
142 |
$219.06 |
| 80329 |
|
122 |
102 |
$152.36 |
| 87807 |
|
99 |
78 |
$140.41 |
| 80320 |
|
266 |
206 |
$138.89 |
| 84443 |
|
532 |
411 |
$122.18 |
| 84145 |
|
99 |
65 |
$106.54 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
43 |
39 |
$94.79 |
| 87040 |
|
275 |
200 |
$61.30 |
| 88342 |
|
166 |
125 |
$33.87 |
| 83036 |
|
88 |
77 |
$14.52 |
| 86140 |
|
52 |
45 |
$6.61 |
| 87430 |
|
734 |
590 |
$2.61 |
| J7512 |
Prednisone ir or dr oral 1mg |
164 |
153 |
$0.02 |
| U0005 |
Infec agen detec ampli probe |
56 |
40 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
235 |
198 |
$0.00 |
| J1170 |
Hydromorphone injection |
243 |
192 |
$0.00 |
| J2060 |
Lorazepam injection |
107 |
77 |
$0.00 |
| 86803 |
|
41 |
40 |
$0.00 |
| 87147 |
|
51 |
39 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
36 |
27 |
$0.00 |
| J1815 |
Insulin injection |
103 |
54 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
16 |
15 |
$0.00 |
| 85652 |
|
18 |
13 |
$0.00 |
| 85027 |
|
12 |
12 |
$0.00 |
| 82077 |
|
77 |
64 |
$0.00 |
| 94762 |
|
23 |
12 |
$0.00 |
| A9500 |
Tc99m sestamibi |
60 |
51 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
18 |
13 |
$0.00 |
| 86703 |
|
41 |
40 |
$0.00 |
| 90714 |
|
15 |
13 |
$0.00 |
| 87641 |
|
17 |
15 |
$0.00 |
| 82010 |
|
17 |
15 |
$0.00 |
| 82248 |
|
30 |
16 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
42 |
40 |
$0.00 |
| 94729 |
|
26 |
16 |
$0.00 |
| 94726 |
|
23 |
14 |
$0.00 |
| 77062 |
|
18 |
18 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |