| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
106,217 |
91,970 |
$8.24M |
| 74177 |
|
6,151 |
6,042 |
$1.76M |
| 97530 |
|
25,265 |
11,175 |
$1.62M |
| 70450 |
|
7,143 |
6,945 |
$1.60M |
| 97799 |
|
33,835 |
8,355 |
$1.55M |
| 78815 |
|
799 |
799 |
$1.55M |
| 0241U |
|
8,653 |
8,446 |
$1.15M |
| 96374 |
|
11,638 |
10,713 |
$1.03M |
| 93005 |
|
19,999 |
18,572 |
$938K |
| G0480 |
Drug test def 1-7 classes |
8,033 |
7,071 |
$771K |
| 92507 |
|
7,343 |
3,386 |
$769K |
| 96365 |
|
8,545 |
4,564 |
$748K |
| 80053 |
|
42,622 |
37,289 |
$550K |
| 80307 |
|
6,153 |
5,653 |
$499K |
| 96375 |
|
8,043 |
6,906 |
$486K |
| 72125 |
|
1,408 |
1,391 |
$469K |
| 85025 |
|
45,281 |
39,306 |
$429K |
| T1999 |
Noc retail items andsupplies |
79,893 |
38,299 |
$403K |
| 96361 |
|
9,543 |
8,665 |
$381K |
| 96360 |
|
4,229 |
3,773 |
$373K |
| 93971 |
|
1,957 |
1,921 |
$344K |
| 97165 |
|
3,745 |
2,899 |
$323K |
| U0002 |
Covid-19 lab test non-cdc |
4,616 |
4,433 |
$317K |
| 74176 |
|
1,932 |
1,905 |
$274K |
| 99243 |
|
2,888 |
2,881 |
$273K |
| 71260 |
|
739 |
738 |
$268K |
| 99213 |
|
2,247 |
1,379 |
$257K |
| 76700 |
|
1,990 |
1,969 |
$220K |
| 71045 |
|
15,479 |
14,771 |
$219K |
| 76705 |
|
2,477 |
2,435 |
$218K |
| 71275 |
|
898 |
890 |
$217K |
| 84484 |
|
13,144 |
12,022 |
$197K |
| 93976 |
|
405 |
399 |
$145K |
| 99211 |
|
2,609 |
1,957 |
$138K |
| 76856 |
|
1,358 |
1,338 |
$137K |
| 76830 |
|
1,319 |
1,293 |
$135K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,789 |
6,564 |
$134K |
| 87502 |
|
1,550 |
1,529 |
$131K |
| 93306 |
|
592 |
588 |
$131K |
| 71046 |
|
4,695 |
4,601 |
$127K |
| 83880 |
|
3,961 |
3,739 |
$124K |
| J7030 |
Normal saline solution infus |
8,840 |
7,848 |
$120K |
| 93975 |
|
321 |
313 |
$118K |
| 0450 |
|
3,094 |
2,725 |
$117K |
| 94640 |
|
2,654 |
2,259 |
$106K |
| 83690 |
|
12,295 |
11,484 |
$104K |
| 83605 |
|
6,936 |
6,544 |
$103K |
| 87040 |
|
4,322 |
4,101 |
$98K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,119 |
1,081 |
$96K |
| J3490 |
Drugs unclassified injection |
2,352 |
1,515 |
$93K |
| A9552 |
F18 fdg |
253 |
252 |
$90K |
| 84145 |
|
3,451 |
3,303 |
$89K |
| 59025 |
|
1,434 |
998 |
$82K |
| 93970 |
|
273 |
271 |
$78K |
| 76770 |
|
711 |
704 |
$77K |
| 84443 |
|
3,767 |
3,659 |
$75K |
| 87631 |
|
868 |
853 |
$74K |
| 87651 |
|
1,529 |
1,505 |
$69K |
| 87086 |
|
6,708 |
6,463 |
$67K |
| 87633 |
|
135 |
135 |
$65K |
| 81001 |
|
15,829 |
15,041 |
$63K |
| 73610 |
|
1,426 |
1,407 |
$62K |
| 90715 |
|
642 |
641 |
$62K |
| 80048 |
|
5,981 |
5,617 |
$61K |
| J1885 |
Ketorolac tromethamine inj |
5,886 |
5,583 |
$59K |
| 97803 |
|
856 |
771 |
$59K |
| 73562 |
|
1,565 |
1,544 |
$59K |
| 87591 |
|
1,699 |
1,665 |
$58K |
| 84703 |
|
5,733 |
5,478 |
$53K |
| 97140 |
|
3,819 |
1,972 |
$50K |
| 73630 |
|
1,213 |
1,205 |
$48K |
| 87506 |
|
154 |
149 |
$48K |
| J2405 |
Ondansetron hcl injection |
5,195 |
4,547 |
$48K |
| 87637 |
|
211 |
209 |
$47K |
| 73030 |
|
1,039 |
1,031 |
$44K |
| 96413 |
|
1,021 |
678 |
$40K |
| 12001 |
|
138 |
138 |
$39K |
| 83735 |
|
4,546 |
3,620 |
$38K |
| J2270 |
Morphine sulfate injection |
2,331 |
2,055 |
$36K |
| 87186 |
|
3,014 |
2,949 |
$35K |
| 85027 |
|
4,383 |
3,964 |
$35K |
| 99283 |
|
337 |
307 |
$33K |
| J0696 |
Ceftriaxone sodium injection |
2,496 |
1,605 |
$32K |
| 87430 |
|
2,008 |
1,979 |
$32K |
| Z7502 |
|
831 |
820 |
$31K |
| 96366 |
|
580 |
432 |
$31K |
| 97110 |
|
5,548 |
2,561 |
$30K |
| 73130 |
|
722 |
712 |
$30K |
| 87077 |
|
3,089 |
2,991 |
$29K |
| 85610 |
|
5,850 |
5,556 |
$28K |
| 82962 |
|
4,140 |
3,259 |
$26K |
| 87798 |
|
183 |
179 |
$25K |
| 94060 |
|
568 |
568 |
$25K |
| 76817 |
|
269 |
253 |
$24K |
| 86850 |
|
2,233 |
2,060 |
$24K |
| 85730 |
|
3,393 |
3,295 |
$24K |
| 70486 |
|
74 |
74 |
$23K |
| 99284 |
|
94 |
84 |
$23K |
| 10060 |
|
89 |
86 |
$22K |
| J7040 |
Normal saline solution infus |
1,983 |
1,447 |
$22K |
| 96372 |
|
1,243 |
1,091 |
$21K |
| 86141 |
|
1,558 |
1,321 |
$21K |
| J1200 |
Diphenhydramine hcl injectio |
2,301 |
1,896 |
$21K |
| 73110 |
|
464 |
456 |
$19K |
| 72100 |
|
468 |
467 |
$19K |
| J1815 |
Insulin injection |
97 |
62 |
$19K |
| J7050 |
Normal saline solution infus |
2,261 |
1,482 |
$18K |
| 87081 |
|
2,066 |
2,039 |
$18K |
| 85379 |
|
1,417 |
1,397 |
$18K |
| 92522 |
|
91 |
91 |
$17K |
| 81003 |
|
6,154 |
5,971 |
$17K |
| 87491 |
|
790 |
778 |
$17K |
| P9016 |
Rbc leukocytes reduced |
55 |
39 |
$17K |
| J1170 |
Hydromorphone injection |
1,046 |
890 |
$16K |
| 84702 |
|
803 |
694 |
$16K |
| 94729 |
|
236 |
236 |
$16K |
| 76801 |
|
167 |
161 |
$15K |
| 97535 |
|
2,535 |
1,661 |
$15K |
| 85007 |
|
3,280 |
2,950 |
$14K |
| J2060 |
Lorazepam injection |
1,518 |
1,362 |
$14K |
| 84100 |
|
2,042 |
1,513 |
$12K |
| J2765 |
Metoclopramide hcl injection |
1,128 |
1,047 |
$11K |
| 86901 |
|
2,795 |
2,589 |
$11K |
| J1100 |
Dexamethasone sodium phos |
1,084 |
898 |
$10K |
| 94726 |
|
170 |
170 |
$10K |
| U0005 |
Infec agen detec ampli probe |
535 |
505 |
$10K |
| 87804 |
|
836 |
804 |
$9K |
| 86900 |
|
2,346 |
2,164 |
$9K |
| J1756 |
Iron sucrose injection |
33 |
14 |
$9K |
| 87389 |
|
346 |
342 |
$9K |
| 29125 |
|
77 |
75 |
$8K |
| 82550 |
|
884 |
749 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
863 |
429 |
$7K |
| 73080 |
|
166 |
165 |
$7K |
| 99199 |
|
139 |
125 |
$7K |
| 85652 |
|
1,903 |
1,575 |
$7K |
| 87070 |
|
553 |
540 |
$6K |
| 86140 |
|
847 |
694 |
$6K |
| 97162 |
|
308 |
305 |
$6K |
| E1399 |
Durable medical equipment mi |
15 |
13 |
$6K |
| 73140 |
|
185 |
184 |
$5K |
| 83036 |
|
440 |
437 |
$5K |
| 97112 |
|
970 |
457 |
$5K |
| J3010 |
Fentanyl citrate injection |
594 |
567 |
$5K |
| 87147 |
|
311 |
310 |
$5K |
| 97802 |
|
27 |
27 |
$5K |
| J7120 |
Ringers lactate infusion |
344 |
249 |
$5K |
| 96367 |
|
80 |
70 |
$5K |
| 86803 |
|
247 |
246 |
$4K |
| 36415 |
|
6,427 |
5,603 |
$4K |
| 72131 |
|
12 |
12 |
$4K |
| 76870 |
|
37 |
37 |
$4K |
| 10061 |
|
14 |
13 |
$4K |
| 96379 |
|
2,603 |
1,670 |
$4K |
| 80076 |
|
378 |
371 |
$4K |
| 86403 |
|
237 |
237 |
$3K |
| 86780 |
|
272 |
265 |
$3K |
| 87210 |
|
458 |
452 |
$3K |
| 80061 |
|
254 |
251 |
$3K |
| 71250 |
|
12 |
12 |
$3K |
| 99152 |
|
56 |
53 |
$3K |
| 87340 |
|
214 |
213 |
$3K |
| 92610 |
|
44 |
44 |
$3K |
| 73502 |
|
74 |
74 |
$2K |
| 90471 |
|
325 |
316 |
$2K |
| 72040 |
|
67 |
67 |
$2K |
| 87420 |
|
134 |
111 |
$2K |
| 74018 |
|
83 |
79 |
$2K |
| 93797 |
|
174 |
36 |
$2K |
| 71101 |
|
39 |
39 |
$2K |
| 87661 |
|
35 |
34 |
$2K |
| 73590 |
|
50 |
50 |
$2K |
| 86706 |
|
116 |
115 |
$2K |
| 84439 |
|
155 |
148 |
$2K |
| G0108 |
Diab manage trn per indiv |
15 |
15 |
$1K |
| 87205 |
|
220 |
212 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
55 |
52 |
$1K |
| 82010 |
|
122 |
111 |
$1K |
| 97116 |
|
179 |
92 |
$1K |
| 86308 |
|
142 |
142 |
$1K |
| J0780 |
Prochlorperazine injection |
45 |
41 |
$959.78 |
| J2930 |
Methylprednisolone injection |
42 |
39 |
$652.96 |
| 96415 |
|
17 |
12 |
$636.16 |
| 97161 |
|
16 |
16 |
$533.26 |
| 96523 |
|
13 |
12 |
$421.29 |
| 82570 |
|
63 |
51 |
$405.44 |
| 0270 |
|
233 |
127 |
$393.43 |
| 84156 |
|
101 |
78 |
$382.92 |
| 73090 |
|
12 |
12 |
$366.18 |
| 86709 |
|
28 |
28 |
$363.55 |
| 0250 |
|
44 |
25 |
$340.49 |
| 82728 |
|
20 |
14 |
$329.63 |
| 82803 |
|
13 |
13 |
$286.96 |
| 97166 |
|
12 |
12 |
$269.71 |
| 86708 |
|
16 |
16 |
$215.15 |
| 82140 |
|
12 |
12 |
$210.68 |
| 86790 |
|
12 |
12 |
$193.38 |
| J1630 |
Haloperidol injection |
19 |
15 |
$190.35 |
| Z7610 |
|
129 |
75 |
$97.96 |
| 87088 |
|
13 |
13 |
$93.45 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$88.10 |
| 99070 |
|
37 |
12 |
$81.65 |
| 82565 |
|
12 |
12 |
$79.37 |
| 97018 |
|
64 |
26 |
$38.27 |
| U0001 |
2019-ncov diagnostic p |
43 |
43 |
$0.37 |
| G8988 |
Self care goal status |
70 |
68 |
$0.00 |
| G8987 |
Self care current status |
71 |
67 |
$0.00 |
| A9270 |
Non-covered item or service |
25 |
23 |
$0.00 |
| G8978 |
Mobility current status |
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
15 |
13 |
$0.00 |