| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
|
14,199 |
13,584 |
$1.34M |
| 99283 |
|
10,416 |
9,856 |
$1.19M |
| 74177 |
|
2,102 |
2,019 |
$714K |
| 99284 |
|
4,465 |
4,167 |
$658K |
| 80053 |
|
19,891 |
17,845 |
$427K |
| 70450 |
|
2,454 |
2,304 |
$411K |
| 71045 |
|
7,546 |
6,929 |
$351K |
| 93005 |
|
7,333 |
6,513 |
$344K |
| 99285 |
|
1,351 |
1,300 |
$343K |
| 97110 |
|
5,823 |
1,296 |
$341K |
| 96375 |
|
5,548 |
4,741 |
$306K |
| 96365 |
|
3,234 |
2,296 |
$284K |
| 99281 |
|
4,423 |
4,260 |
$260K |
| 96374 |
|
5,141 |
4,443 |
$187K |
| 96372 |
|
5,651 |
4,954 |
$187K |
| 85025 |
|
20,019 |
17,843 |
$143K |
| 11042 |
|
906 |
490 |
$133K |
| 71046 |
|
2,571 |
2,438 |
$133K |
| 74176 |
|
560 |
535 |
$128K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,273 |
2,814 |
$120K |
| 87428 |
|
1,567 |
1,530 |
$107K |
| 93306 |
|
240 |
240 |
$90K |
| 0241U |
|
709 |
693 |
$88K |
| 87635 |
|
2,384 |
2,284 |
$83K |
| 36415 |
|
23,906 |
20,517 |
$79K |
| 94640 |
|
782 |
641 |
$77K |
| 84443 |
|
4,732 |
4,641 |
$73K |
| 77067 |
|
461 |
459 |
$73K |
| 97530 |
|
1,586 |
652 |
$71K |
| 84484 |
|
4,580 |
3,781 |
$66K |
| 80306 |
|
2,521 |
2,383 |
$66K |
| 73630 |
|
974 |
844 |
$60K |
| 95811 |
|
57 |
57 |
$57K |
| G0480 |
Drug test def 1-7 classes |
709 |
594 |
$51K |
| 72125 |
|
289 |
282 |
$51K |
| 73562 |
|
593 |
551 |
$51K |
| 83880 |
|
2,192 |
2,012 |
$50K |
| 80061 |
|
3,521 |
3,473 |
$47K |
| 83690 |
|
4,778 |
4,422 |
$46K |
| 73721 |
|
128 |
121 |
$44K |
| 81001 |
|
9,912 |
9,279 |
$43K |
| 83036 |
|
3,892 |
3,844 |
$36K |
| 87086 |
|
2,855 |
2,688 |
$34K |
| 85730 |
|
3,953 |
3,718 |
$32K |
| 73610 |
|
330 |
310 |
$29K |
| 95806 |
|
132 |
131 |
$29K |
| 97140 |
|
986 |
418 |
$28K |
| 81025 |
|
2,549 |
2,448 |
$27K |
| 82306 |
|
1,119 |
1,106 |
$26K |
| 95810 |
|
25 |
25 |
$26K |
| 84439 |
|
2,496 |
2,460 |
$25K |
| G0463 |
Hospital outpt clinic visit |
277 |
178 |
$22K |
| 72100 |
|
263 |
261 |
$21K |
| 96361 |
|
497 |
462 |
$21K |
| 74021 |
|
265 |
252 |
$18K |
| 73030 |
|
215 |
206 |
$17K |
| 85610 |
|
4,557 |
4,162 |
$17K |
| 87804 |
|
1,271 |
677 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
850 |
700 |
$16K |
| 87591 |
|
405 |
400 |
$16K |
| 73130 |
|
219 |
205 |
$15K |
| 87186 |
|
1,370 |
1,204 |
$15K |
| 84703 |
|
1,252 |
1,210 |
$15K |
| 83605 |
|
1,025 |
835 |
$14K |
| 87491 |
|
405 |
400 |
$14K |
| 87430 |
|
980 |
959 |
$14K |
| 87081 |
|
799 |
786 |
$14K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
140 |
44 |
$14K |
| 87077 |
|
1,569 |
1,352 |
$14K |
| G0378 |
Hospital observation per hr |
62 |
42 |
$13K |
| 84481 |
|
718 |
706 |
$12K |
| 87040 |
|
765 |
547 |
$11K |
| 71275 |
|
40 |
38 |
$11K |
| 73110 |
|
140 |
135 |
$11K |
| 80048 |
|
708 |
651 |
$10K |
| 76705 |
|
109 |
106 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
527 |
500 |
$10K |
| 94664 |
|
66 |
59 |
$8K |
| 82607 |
|
513 |
505 |
$7K |
| 96376 |
|
306 |
242 |
$7K |
| 76856 |
|
52 |
52 |
$7K |
| 86140 |
|
727 |
650 |
$7K |
| J3010 |
Fentanyl citrate injection |
4,402 |
2,976 |
$6K |
| 87070 |
|
618 |
596 |
$6K |
| 82550 |
|
735 |
656 |
$5K |
| 85379 |
|
456 |
442 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
2,396 |
1,861 |
$5K |
| 74018 |
|
81 |
78 |
$5K |
| J3490 |
Drugs unclassified injection |
4,083 |
2,739 |
$5K |
| 77063 |
|
380 |
377 |
$5K |
| 76830 |
|
41 |
41 |
$5K |
| 97161 |
|
163 |
159 |
$5K |
| 86850 |
|
555 |
485 |
$4K |
| 82553 |
|
436 |
403 |
$4K |
| 96366 |
|
70 |
60 |
$4K |
| J7030 |
Normal saline solution infus |
3,389 |
2,800 |
$4K |
| J2405 |
Ondansetron hcl injection |
4,869 |
4,213 |
$4K |
| 82570 |
|
521 |
483 |
$4K |
| 90471 |
|
153 |
149 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
5,654 |
4,774 |
$4K |
| 82043 |
|
502 |
493 |
$4K |
| 87400 |
|
283 |
266 |
$4K |
| 83735 |
|
519 |
449 |
$4K |
| 71260 |
|
12 |
12 |
$4K |
| 76641 |
|
29 |
27 |
$4K |
| 72148 |
|
14 |
13 |
$3K |
| 82728 |
|
248 |
246 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,453 |
1,024 |
$3K |
| 86900 |
|
556 |
488 |
$3K |
| 86901 |
|
653 |
576 |
$3K |
| 85652 |
|
784 |
689 |
$3K |
| 88305 |
|
93 |
90 |
$3K |
| 97112 |
|
79 |
37 |
$3K |
| J3370 |
Vancomycin hcl injection |
496 |
422 |
$3K |
| 82150 |
|
317 |
290 |
$3K |
| 96367 |
|
44 |
39 |
$2K |
| 82248 |
|
330 |
263 |
$2K |
| 76942 |
|
25 |
24 |
$2K |
| J2270 |
Morphine sulfate injection |
1,101 |
914 |
$2K |
| 99213 |
|
163 |
158 |
$2K |
| 85027 |
|
319 |
279 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,762 |
1,487 |
$2K |
| J1790 |
Droperidol injection |
330 |
301 |
$2K |
| 83540 |
|
275 |
269 |
$1K |
| 76700 |
|
12 |
12 |
$1K |
| 76642 |
|
13 |
12 |
$1K |
| J7120 |
Ringers lactate infusion |
1,080 |
921 |
$1K |
| 96360 |
|
12 |
12 |
$1K |
| 84466 |
|
130 |
127 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,451 |
1,226 |
$1K |
| 93000 |
|
40 |
38 |
$1K |
| 82805 |
|
16 |
13 |
$1K |
| 87420 |
|
35 |
31 |
$1K |
| 97162 |
|
28 |
26 |
$981.46 |
| 76536 |
|
12 |
12 |
$948.66 |
| 87661 |
|
31 |
30 |
$885.25 |
| 81002 |
|
279 |
263 |
$695.87 |
| J2250 |
Inj midazolam hydrochloride |
1,620 |
1,465 |
$670.92 |
| 73140 |
|
12 |
12 |
$670.02 |
| J1040 |
Methylprednisolone 80 mg inj |
60 |
57 |
$645.97 |
| 86703 |
|
37 |
37 |
$564.29 |
| 73560 |
|
13 |
13 |
$559.21 |
| 93010 |
|
930 |
758 |
$511.87 |
| 81003 |
|
171 |
165 |
$466.56 |
| J1170 |
Hydromorphone injection |
290 |
218 |
$461.82 |
| J2550 |
Promethazine hcl injection |
506 |
445 |
$420.14 |
| 84702 |
|
14 |
13 |
$407.57 |
| 80076 |
|
30 |
28 |
$407.03 |
| G2023 |
Specimen collect covid-19 |
19 |
17 |
$373.55 |
| J2800 |
Methocarbamol injection |
25 |
24 |
$349.36 |
| 80305 |
|
25 |
24 |
$313.79 |
| 87205 |
|
81 |
76 |
$313.54 |
| 86141 |
|
21 |
17 |
$296.91 |
| 88304 |
|
15 |
13 |
$292.62 |
| J2001 |
Lidocaine injection |
63 |
52 |
$287.56 |
| J0500 |
Dicyclomine injection |
15 |
13 |
$267.31 |
| 90714 |
|
13 |
13 |
$264.30 |
| 97035 |
|
24 |
12 |
$260.66 |
| 86038 |
|
18 |
15 |
$257.99 |
| A9576 |
Inj prohance multipack |
29 |
27 |
$241.10 |
| C9290 |
Inj, bupivacaine liposome |
261 |
239 |
$169.73 |
| J3301 |
Triamcinolone acet inj nos |
53 |
49 |
$161.74 |
| 86592 |
|
25 |
25 |
$155.88 |
| J2930 |
Methylprednisolone injection |
54 |
52 |
$125.21 |
| 86039 |
|
14 |
13 |
$109.01 |
| 99214 |
|
15 |
15 |
$54.70 |
| J2795 |
Ropivacaine hcl injection |
15 |
15 |
$45.72 |
| J2060 |
Lorazepam injection |
31 |
24 |
$25.60 |
| Q0162 |
Ondansetron oral |
26 |
25 |
$10.33 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$8.19 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$7.13 |
| 87426 |
|
24 |
22 |
$7.07 |