| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
30,730 |
28,824 |
$4.64M |
| 99284 |
|
29,825 |
27,419 |
$3.77M |
| J3490 |
Drugs unclassified injection |
30,193 |
14,096 |
$2.55M |
| 87636 |
|
8,025 |
7,531 |
$969K |
| 80053 |
|
19,613 |
17,423 |
$925K |
| 99285 |
|
11,811 |
10,612 |
$870K |
| J8499 |
Oral prescrip drug non chemo |
13,193 |
6,383 |
$773K |
| J2270 |
Morphine sulfate injection |
2,529 |
1,922 |
$574K |
| J2250 |
Inj midazolam hydrochloride |
1,637 |
1,507 |
$521K |
| 80048 |
|
8,539 |
6,981 |
$502K |
| 96361 |
|
3,476 |
2,798 |
$294K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,746 |
2,409 |
$285K |
| 99282 |
|
2,878 |
2,738 |
$282K |
| J8597 |
Antiemetic drug oral nos |
1,155 |
1,080 |
$180K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,075 |
1,918 |
$165K |
| 87070 |
|
1,158 |
1,118 |
$165K |
| 96360 |
|
803 |
748 |
$129K |
| 71046 |
|
6,690 |
6,272 |
$127K |
| 87086 |
|
4,714 |
4,367 |
$123K |
| 93005 |
|
10,747 |
9,337 |
$121K |
| J8540 |
Oral dexamethasone |
1,074 |
1,028 |
$114K |
| 96365 |
|
1,668 |
1,505 |
$110K |
| 95810 |
|
232 |
223 |
$106K |
| Q0162 |
Ondansetron oral |
817 |
761 |
$100K |
| J2765 |
Metoclopramide hcl injection |
765 |
663 |
$95K |
| G0378 |
Hospital observation per hr |
2,801 |
2,291 |
$94K |
| 85025 |
|
18,946 |
16,587 |
$91K |
| 81025 |
|
7,737 |
7,107 |
$90K |
| 87081 |
|
1,108 |
1,065 |
$89K |
| G0463 |
Hospital outpt clinic visit |
4,123 |
3,239 |
$83K |
| 81003 |
|
6,533 |
5,979 |
$69K |
| 82962 |
|
3,142 |
1,859 |
$67K |
| 70450 |
|
1,974 |
1,803 |
$62K |
| 85027 |
|
9,406 |
8,200 |
$61K |
| 87486 |
|
311 |
303 |
$60K |
| 87210 |
|
1,594 |
1,487 |
$57K |
| 81001 |
|
6,478 |
5,944 |
$56K |
| 84702 |
|
1,911 |
1,697 |
$54K |
| 11042 |
|
340 |
186 |
$53K |
| 96374 |
|
10,337 |
9,148 |
$52K |
| 71045 |
|
3,029 |
2,738 |
$32K |
| J1644 |
Inj heparin sodium per 1000u |
83 |
36 |
$31K |
| 73630 |
|
369 |
350 |
$30K |
| J0690 |
Cefazolin sodium injection |
145 |
100 |
$29K |
| 80307 |
|
1,269 |
1,096 |
$28K |
| 74177 |
|
2,558 |
2,368 |
$26K |
| S0028 |
Injection, famotidine, 20 mg |
212 |
183 |
$24K |
| 59025 |
|
1,919 |
1,450 |
$24K |
| 81002 |
|
1,312 |
1,163 |
$20K |
| J3010 |
Fentanyl citrate injection |
1,914 |
1,625 |
$14K |
| 76705 |
|
890 |
842 |
$14K |
| 87491 |
|
1,738 |
1,608 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
2,643 |
2,437 |
$14K |
| U0005 |
Infec agen detec ampli probe |
569 |
513 |
$13K |
| 73610 |
|
165 |
158 |
$12K |
| 87430 |
|
977 |
938 |
$12K |
| 71275 |
|
858 |
794 |
$12K |
| 84484 |
|
6,980 |
5,636 |
$12K |
| 76830 |
|
507 |
482 |
$12K |
| J1100 |
Dexamethasone sodium phos |
2,141 |
1,859 |
$11K |
| 73130 |
|
97 |
90 |
$10K |
| 87633 |
|
324 |
311 |
$9K |
| 93975 |
|
866 |
816 |
$9K |
| A9270 |
Non-covered item or service |
14,951 |
1,989 |
$8K |
| 93971 |
|
349 |
328 |
$7K |
| 87637 |
|
54 |
53 |
$7K |
| 73560 |
|
130 |
125 |
$7K |
| 81000 |
|
630 |
584 |
$7K |
| J2060 |
Lorazepam injection |
15 |
12 |
$7K |
| 74176 |
|
506 |
466 |
$6K |
| 83690 |
|
5,445 |
4,870 |
$6K |
| 94640 |
|
1,941 |
1,392 |
$6K |
| 87880 |
|
1,193 |
1,151 |
$5K |
| 83735 |
|
5,007 |
4,270 |
$5K |
| 88305 |
|
91 |
84 |
$5K |
| 74018 |
|
85 |
81 |
$5K |
| 96375 |
|
6,474 |
5,305 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
17 |
12 |
$5K |
| 73110 |
|
40 |
38 |
$4K |
| G0480 |
Drug test def 1-7 classes |
657 |
564 |
$4K |
| 99281 |
|
26 |
25 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
1,415 |
1,194 |
$3K |
| 86900 |
|
29 |
28 |
$3K |
| 86901 |
|
646 |
576 |
$3K |
| 73562 |
|
58 |
52 |
$3K |
| 87635 |
|
54 |
44 |
$3K |
| 76817 |
|
372 |
332 |
$2K |
| 99291 |
|
88 |
84 |
$2K |
| 83880 |
|
1,764 |
1,568 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,416 |
1,129 |
$2K |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$2K |
| 70551 |
|
17 |
14 |
$2K |
| 87591 |
|
1,695 |
1,566 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
27 |
26 |
$2K |
| 76801 |
|
49 |
41 |
$2K |
| 96372 |
|
2,978 |
2,156 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
81 |
73 |
$2K |
| 0011A |
|
22 |
22 |
$1K |
| 87581 |
|
311 |
303 |
$1K |
| 73030 |
|
26 |
25 |
$1K |
| J1170 |
Hydromorphone injection |
1,369 |
1,040 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,980 |
4,330 |
$1K |
| 82803 |
|
311 |
280 |
$1K |
| 0012A |
|
19 |
19 |
$1K |
| 72100 |
|
43 |
38 |
$976.86 |
| 87077 |
|
39 |
36 |
$907.04 |
| J2405 |
Ondansetron hcl injection |
6,727 |
5,457 |
$861.66 |
| 83605 |
|
2,180 |
1,884 |
$835.46 |
| 96376 |
|
2,321 |
1,612 |
$797.73 |
| J2704 |
Inj, propofol, 10 mg |
1,596 |
1,473 |
$786.97 |
| 72125 |
|
70 |
66 |
$766.97 |
| S0020 |
Injection, bupivicaine hydro |
151 |
133 |
$743.41 |
| 85610 |
|
804 |
641 |
$707.74 |
| 84443 |
|
826 |
753 |
$649.14 |
| 80076 |
|
421 |
365 |
$580.96 |
| 80143 |
|
35 |
31 |
$451.43 |
| 80179 |
|
35 |
31 |
$335.96 |
| Q3014 |
Telehealth facility fee |
48 |
42 |
$291.51 |
| J7999 |
Compounded drug, noc |
27 |
16 |
$273.09 |
| 94761 |
|
373 |
287 |
$260.87 |
| 85379 |
|
865 |
804 |
$248.17 |
| 76937 |
|
124 |
110 |
$241.62 |
| 82248 |
|
261 |
237 |
$131.02 |
| J2272 |
Inj, morphine (fresenius) |
570 |
463 |
$104.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
137 |
66 |
$99.79 |
| 99199 |
|
18 |
18 |
$95.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
77 |
68 |
$80.59 |
| 87088 |
|
116 |
110 |
$80.20 |
| 82550 |
|
106 |
98 |
$74.77 |
| 94760 |
|
538 |
406 |
$59.78 |
| 85007 |
|
30 |
26 |
$55.42 |
| J1030 |
Methylprednisolone 40 mg inj |
20 |
12 |
$31.84 |
| J2370 |
Phenylephrine hcl injection |
94 |
88 |
$29.36 |
| 83036 |
|
97 |
84 |
$28.14 |
| J2550 |
Promethazine hcl injection |
786 |
601 |
$23.03 |
| 87186 |
|
131 |
119 |
$9.90 |
| J2930 |
Methylprednisolone injection |
221 |
187 |
$0.23 |
| 84100 |
|
49 |
28 |
$0.00 |
| 80061 |
|
45 |
39 |
$0.00 |
| G1004 |
Cdsm ndsc |
63 |
49 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
152 |
52 |
$0.00 |
| 97161 |
|
18 |
12 |
$0.00 |
| 87040 |
|
230 |
194 |
$0.00 |
| 86850 |
|
28 |
27 |
$0.00 |
| 36410 |
|
15 |
13 |
$0.00 |
| 87147 |
|
49 |
49 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
38 |
36 |
$0.00 |
| 81015 |
|
25 |
24 |
$0.00 |
| 91301 |
|
41 |
41 |
$0.00 |
| 76815 |
|
17 |
12 |
$0.00 |