| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
23,309 |
17,879 |
$3.96M |
| 99285 |
|
10,393 |
6,637 |
$2.12M |
| 99283 |
|
18,407 |
15,918 |
$2.09M |
| 96375 |
|
9,301 |
7,041 |
$692K |
| 74177 |
|
3,503 |
2,917 |
$606K |
| 70450 |
|
4,272 |
3,031 |
$572K |
| 74176 |
|
3,327 |
2,504 |
$513K |
| 97110 |
|
16,175 |
4,092 |
$494K |
| G0378 |
Hospital observation per hr |
4,147 |
1,672 |
$466K |
| 96365 |
|
9,352 |
4,356 |
$435K |
| 96374 |
|
11,292 |
8,464 |
$430K |
| 96372 |
|
8,177 |
6,453 |
$414K |
| 93306 |
|
1,808 |
1,595 |
$386K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,802 |
4,283 |
$385K |
| 93005 |
|
9,649 |
8,107 |
$344K |
| 78452 |
|
848 |
394 |
$309K |
| 87635 |
|
7,735 |
6,418 |
$292K |
| 96361 |
|
13,478 |
7,321 |
$283K |
| 99282 |
|
3,741 |
3,404 |
$268K |
| 92507 |
|
5,954 |
1,687 |
$239K |
| 87502 |
|
3,292 |
2,831 |
$236K |
| 71045 |
|
9,726 |
6,085 |
$225K |
| 80053 |
|
29,315 |
18,201 |
$221K |
| 71046 |
|
6,160 |
5,018 |
$193K |
| G0481 |
Drug test def 8-14 classes |
2,706 |
1,398 |
$172K |
| 85025 |
|
25,695 |
19,333 |
$160K |
| 96366 |
|
1,730 |
963 |
$118K |
| J7030 |
Normal saline solution infus |
11,155 |
8,450 |
$113K |
| 80307 |
|
2,709 |
2,315 |
$113K |
| 96360 |
|
3,318 |
1,788 |
$108K |
| 94640 |
|
2,168 |
1,636 |
$107K |
| 84484 |
|
12,373 |
6,062 |
$102K |
| G0463 |
Hospital outpt clinic visit |
2,951 |
2,631 |
$96K |
| 72125 |
|
560 |
466 |
$86K |
| 96376 |
|
2,852 |
1,720 |
$85K |
| 83880 |
|
2,908 |
2,439 |
$75K |
| 80050 |
|
2,838 |
1,646 |
$74K |
| 36415 |
|
48,777 |
13,520 |
$74K |
| 94760 |
|
7,611 |
6,419 |
$73K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,717 |
1,047 |
$73K |
| 97161 |
|
2,329 |
1,486 |
$73K |
| 93017 |
|
573 |
550 |
$64K |
| 83690 |
|
10,188 |
7,906 |
$56K |
| 87804 |
|
4,159 |
2,594 |
$55K |
| 83735 |
|
10,437 |
7,889 |
$54K |
| 72148 |
|
330 |
276 |
$53K |
| J1885 |
Ketorolac tromethamine inj |
7,366 |
6,369 |
$52K |
| 87651 |
|
1,771 |
1,693 |
$52K |
| J0131 |
Inj, acetaminophen (nos) |
1,435 |
1,109 |
$48K |
| J2405 |
Ondansetron hcl injection |
8,231 |
6,293 |
$47K |
| 99291 |
|
185 |
102 |
$46K |
| 73630 |
|
1,302 |
1,104 |
$44K |
| 87634 |
|
747 |
711 |
$44K |
| 97140 |
|
1,397 |
506 |
$39K |
| 80306 |
|
3,461 |
2,510 |
$39K |
| 71275 |
|
242 |
192 |
$38K |
| 83605 |
|
4,409 |
3,114 |
$38K |
| J0696 |
Ceftriaxone sodium injection |
2,574 |
2,049 |
$38K |
| 74022 |
|
1,027 |
910 |
$34K |
| J7050 |
Normal saline solution infus |
3,287 |
1,663 |
$33K |
| 87040 |
|
3,978 |
1,986 |
$33K |
| C9803 |
Hopd covid-19 spec collect |
7,299 |
4,715 |
$32K |
| 99214 |
|
585 |
559 |
$31K |
| 81001 |
|
12,694 |
9,781 |
$30K |
| 72131 |
|
240 |
157 |
$30K |
| 80048 |
|
5,652 |
3,076 |
$29K |
| G2023 |
Specimen collect covid-19 |
1,604 |
1,480 |
$29K |
| 73130 |
|
777 |
692 |
$27K |
| 87880 |
|
1,953 |
1,762 |
$26K |
| J3490 |
Drugs unclassified injection |
1,740 |
1,029 |
$26K |
| 73610 |
|
722 |
627 |
$25K |
| 99211 |
|
1,146 |
1,047 |
$23K |
| 82550 |
|
4,362 |
3,573 |
$23K |
| 73562 |
|
617 |
496 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
2,474 |
2,192 |
$21K |
| 87086 |
|
3,300 |
2,898 |
$21K |
| 84703 |
|
3,368 |
3,041 |
$21K |
| U0005 |
Infec agen detec ampli probe |
1,080 |
968 |
$20K |
| 82948 |
|
8,912 |
1,698 |
$20K |
| 73030 |
|
651 |
520 |
$20K |
| 80061 |
|
1,955 |
1,569 |
$20K |
| 76705 |
|
162 |
150 |
$19K |
| 85379 |
|
2,069 |
1,799 |
$18K |
| 87186 |
|
2,161 |
1,733 |
$17K |
| 82150 |
|
3,072 |
2,678 |
$16K |
| 81025 |
|
2,246 |
2,041 |
$16K |
| 84443 |
|
1,018 |
774 |
$16K |
| 85610 |
|
4,677 |
3,734 |
$14K |
| 86140 |
|
2,986 |
2,150 |
$14K |
| J2930 |
Methylprednisolone injection |
1,275 |
1,045 |
$14K |
| 96367 |
|
1,032 |
492 |
$13K |
| J1170 |
Hydromorphone injection |
1,912 |
1,097 |
$13K |
| J7120 |
Ringers lactate infusion |
1,036 |
818 |
$13K |
| 87077 |
|
2,122 |
1,420 |
$13K |
| 73721 |
|
53 |
49 |
$12K |
| 97162 |
|
366 |
201 |
$12K |
| 97012 |
|
437 |
153 |
$11K |
| J7040 |
Normal saline solution infus |
1,188 |
1,038 |
$11K |
| J0134 |
Inj acetaminophen -fresenius |
403 |
347 |
$11K |
| 87081 |
|
1,773 |
1,563 |
$11K |
| J2270 |
Morphine sulfate injection |
2,736 |
2,037 |
$10K |
| 99281 |
|
200 |
190 |
$10K |
| M0243 |
Casirivi and imdevi inj |
82 |
79 |
$10K |
| 82553 |
|
916 |
766 |
$9K |
| J1100 |
Dexamethasone sodium phos |
2,171 |
1,921 |
$9K |
| 82803 |
|
572 |
384 |
$9K |
| 84145 |
|
690 |
346 |
$9K |
| 12001 |
|
118 |
108 |
$9K |
| 85730 |
|
1,705 |
1,489 |
$9K |
| J3475 |
Inj magnesium sulfate |
698 |
568 |
$9K |
| A9500 |
Tc99m sestamibi |
179 |
174 |
$9K |
| 90715 |
|
166 |
160 |
$8K |
| Q0162 |
Ondansetron oral |
1,718 |
1,562 |
$8K |
| 83036 |
|
1,226 |
1,091 |
$8K |
| C9113 |
Inj pantoprazole sodium, via |
991 |
629 |
$8K |
| J3010 |
Fentanyl citrate injection |
2,213 |
1,901 |
$7K |
| 72110 |
|
255 |
194 |
$7K |
| 43239 |
|
18 |
14 |
$7K |
| 74018 |
|
188 |
168 |
$7K |
| J0690 |
Cefazolin sodium injection |
283 |
212 |
$7K |
| J0500 |
Dicyclomine injection |
127 |
112 |
$7K |
| 73110 |
|
197 |
176 |
$7K |
| 87807 |
|
549 |
511 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
126 |
122 |
$6K |
| 82306 |
|
291 |
237 |
$5K |
| G0480 |
Drug test def 1-7 classes |
69 |
51 |
$5K |
| 72100 |
|
180 |
136 |
$5K |
| 81003 |
|
2,766 |
2,389 |
$5K |
| 90471 |
|
489 |
432 |
$5K |
| 0012A |
|
269 |
260 |
$5K |
| 97164 |
|
158 |
151 |
$4K |
| 0011A |
|
287 |
275 |
$4K |
| 82607 |
|
373 |
332 |
$4K |
| J0136 |
Inj, acetaminophen (b braun) |
167 |
144 |
$4K |
| 73221 |
|
14 |
13 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
926 |
805 |
$3K |
| 0202U |
|
34 |
30 |
$3K |
| 93225 |
|
26 |
25 |
$3K |
| 73090 |
|
58 |
51 |
$3K |
| J2765 |
Metoclopramide hcl injection |
513 |
414 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,641 |
1,416 |
$3K |
| 94060 |
|
25 |
24 |
$2K |
| 93270 |
|
93 |
82 |
$2K |
| 90714 |
|
130 |
113 |
$2K |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$2K |
| 0001A |
|
85 |
81 |
$2K |
| 99218 |
|
45 |
16 |
$2K |
| J2550 |
Promethazine hcl injection |
392 |
314 |
$2K |
| 94729 |
|
38 |
37 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
285 |
242 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
92 |
74 |
$1K |
| 94726 |
|
36 |
26 |
$1K |
| J3480 |
Inj potassium chloride |
129 |
69 |
$1K |
| J2360 |
Orphenadrine injection |
91 |
81 |
$1K |
| 12002 |
|
14 |
13 |
$1K |
| 0013A |
|
84 |
79 |
$1K |
| 71101 |
|
38 |
25 |
$1K |
| 87205 |
|
322 |
269 |
$1K |
| J0780 |
Prochlorperazine injection |
29 |
27 |
$920.16 |
| J2060 |
Lorazepam injection |
270 |
191 |
$874.99 |
| 84439 |
|
123 |
120 |
$864.12 |
| 73080 |
|
33 |
24 |
$798.99 |
| 84702 |
|
57 |
44 |
$776.92 |
| 99406 |
|
77 |
65 |
$684.66 |
| 0002A |
|
65 |
65 |
$635.60 |
| 82962 |
|
232 |
188 |
$632.24 |
| 93242 |
|
66 |
64 |
$625.87 |
| 0003A |
|
46 |
46 |
$606.10 |
| P9612 |
Catheterize for urine spec |
50 |
13 |
$445.49 |
| 83550 |
|
49 |
27 |
$421.24 |
| 73502 |
|
13 |
12 |
$420.00 |
| 73564 |
|
15 |
12 |
$417.00 |
| J7510 |
Prednisolone oral per 5 mg |
39 |
36 |
$387.77 |
| 73590 |
|
16 |
12 |
$387.45 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$323.23 |
| J2001 |
Lidocaine injection |
394 |
336 |
$288.92 |
| 84100 |
|
75 |
54 |
$269.00 |
| J0137 |
Inj, acetaminophen (hikma) |
14 |
13 |
$252.25 |
| 85027 |
|
34 |
27 |
$241.57 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
27 |
26 |
$238.12 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
46 |
28 |
$227.32 |
| 0134A |
|
13 |
12 |
$155.80 |
| J0592 |
Buprenorphine hydrochloride |
17 |
17 |
$153.85 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
30 |
$153.45 |
| 85652 |
|
57 |
49 |
$126.28 |
| 83540 |
|
30 |
27 |
$110.85 |
| 87075 |
|
15 |
12 |
$85.23 |
| J1030 |
Methylprednisolone 40 mg inj |
18 |
13 |
$80.71 |
| J7512 |
Prednisone ir or dr oral 1mg |
44 |
37 |
$73.46 |
| 85007 |
|
19 |
15 |
$63.10 |
| 81002 |
|
36 |
26 |
$62.64 |
| 82043 |
|
15 |
12 |
$49.17 |
| 86901 |
|
13 |
12 |
$35.88 |
| 86900 |
|
13 |
12 |
$35.88 |
| U0002 |
Covid-19 lab test non-cdc |
236 |
184 |
$1.50 |
| 3044F |
|
128 |
120 |
$0.01 |
| A9270 |
Non-covered item or service |
65 |
12 |
$0.00 |