| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
28,764 |
20,731 |
$443K |
| 70450 |
|
5,607 |
4,501 |
$381K |
| 74177 |
|
3,317 |
2,681 |
$316K |
| U0002 |
Covid-19 lab test non-cdc |
8,773 |
7,071 |
$283K |
| 80307 |
|
5,383 |
4,102 |
$273K |
| 96365 |
|
5,629 |
4,445 |
$218K |
| 71275 |
|
1,249 |
984 |
$175K |
| 87804 |
|
18,985 |
7,865 |
$142K |
| 85025 |
|
27,467 |
19,738 |
$139K |
| 93005 |
|
13,744 |
9,301 |
$109K |
| 72125 |
|
1,081 |
906 |
$94K |
| 83880 |
|
5,122 |
3,800 |
$77K |
| 84484 |
|
14,686 |
8,135 |
$76K |
| 74176 |
|
1,922 |
1,541 |
$76K |
| 36415 |
|
6,319 |
4,950 |
$67K |
| 99283 |
|
2,311 |
2,003 |
$63K |
| 71045 |
|
10,619 |
8,245 |
$62K |
| 87635 |
|
3,568 |
2,924 |
$53K |
| 71250 |
|
755 |
604 |
$50K |
| 83735 |
|
9,743 |
7,181 |
$44K |
| 87880 |
|
5,339 |
4,421 |
$44K |
| 96372 |
|
2,860 |
1,944 |
$43K |
| 81025 |
|
7,274 |
5,826 |
$43K |
| 80050 |
|
1,051 |
894 |
$40K |
| J7030 |
Normal saline solution infus |
486 |
427 |
$33K |
| 80048 |
|
2,535 |
1,916 |
$31K |
| 83690 |
|
5,624 |
4,346 |
$30K |
| 81003 |
|
15,781 |
12,154 |
$29K |
| 83605 |
|
4,809 |
3,246 |
$29K |
| 71046 |
|
2,196 |
1,696 |
$28K |
| 71260 |
|
214 |
180 |
$27K |
| 87040 |
|
4,736 |
2,411 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
10,535 |
8,522 |
$27K |
| 99285 |
|
2,605 |
2,300 |
$26K |
| 99284 |
|
2,123 |
1,885 |
$24K |
| 85027 |
|
4,450 |
3,378 |
$21K |
| 73560 |
|
1,283 |
1,060 |
$20K |
| 84443 |
|
2,104 |
1,648 |
$19K |
| 80061 |
|
1,340 |
1,085 |
$19K |
| 80320 |
|
1,695 |
1,188 |
$18K |
| 82803 |
|
1,854 |
1,260 |
$18K |
| 82306 |
|
545 |
423 |
$17K |
| 83036 |
|
1,659 |
1,347 |
$17K |
| U0004 |
Cov-19 test non-cdc hgh thru |
318 |
275 |
$16K |
| 80329 |
|
1,827 |
772 |
$16K |
| 70486 |
|
156 |
133 |
$15K |
| 73630 |
|
776 |
667 |
$14K |
| 73030 |
|
830 |
678 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
3,735 |
2,840 |
$14K |
| 86901 |
|
786 |
652 |
$14K |
| 85379 |
|
2,121 |
1,613 |
$13K |
| 84703 |
|
1,772 |
1,413 |
$12K |
| 73610 |
|
749 |
632 |
$12K |
| 99282 |
|
625 |
568 |
$11K |
| 90715 |
|
833 |
698 |
$10K |
| 73130 |
|
615 |
510 |
$10K |
| 87086 |
|
2,132 |
1,752 |
$10K |
| 99281 |
|
485 |
422 |
$9K |
| 72100 |
|
567 |
479 |
$9K |
| 82565 |
|
868 |
720 |
$9K |
| 84702 |
|
1,099 |
876 |
$8K |
| 87807 |
|
754 |
614 |
$7K |
| 96374 |
|
2,114 |
1,763 |
$7K |
| J1100 |
Dexamethasone sodium phos |
2,382 |
1,753 |
$7K |
| 96375 |
|
2,479 |
1,799 |
$7K |
| 94640 |
|
2,600 |
1,978 |
$7K |
| 85610 |
|
2,703 |
2,109 |
$6K |
| T1015 |
Clinic service |
1,262 |
861 |
$6K |
| 85730 |
|
1,920 |
1,459 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,138 |
3,282 |
$6K |
| 82375 |
|
898 |
610 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
186 |
145 |
$5K |
| J2405 |
Ondansetron hcl injection |
4,055 |
3,079 |
$5K |
| 94644 |
|
246 |
194 |
$5K |
| J7050 |
Normal saline solution infus |
104 |
84 |
$4K |
| 86140 |
|
1,057 |
854 |
$4K |
| 87591 |
|
231 |
170 |
$4K |
| 87491 |
|
213 |
157 |
$4K |
| 82150 |
|
717 |
591 |
$4K |
| 90471 |
|
872 |
730 |
$4K |
| 81001 |
|
1,296 |
1,048 |
$4K |
| 72148 |
|
15 |
12 |
$3K |
| 82550 |
|
664 |
519 |
$3K |
| 87210 |
|
583 |
510 |
$3K |
| 74018 |
|
266 |
186 |
$3K |
| 74022 |
|
130 |
103 |
$3K |
| 83050 |
|
898 |
609 |
$2K |
| 99214 |
|
194 |
143 |
$2K |
| 73110 |
|
136 |
112 |
$2K |
| G0378 |
Hospital observation per hr |
201 |
93 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,023 |
803 |
$2K |
| 10060 |
|
13 |
12 |
$2K |
| J0561 |
Penicillin g benzathine inj |
62 |
43 |
$2K |
| M0243 |
Casirivi and imdevi inj |
20 |
17 |
$2K |
| 82728 |
|
254 |
202 |
$2K |
| J2930 |
Methylprednisolone injection |
1,210 |
886 |
$1K |
| J7120 |
Ringers lactate infusion |
15 |
14 |
$1K |
| 86900 |
|
538 |
436 |
$1K |
| 85007 |
|
460 |
369 |
$1K |
| 86850 |
|
290 |
239 |
$824.50 |
| 96361 |
|
684 |
456 |
$819.99 |
| J1953 |
Levetiracetam injection |
64 |
49 |
$813.79 |
| 83550 |
|
198 |
160 |
$795.40 |
| 93971 |
|
34 |
26 |
$722.70 |
| J1650 |
Inj enoxaparin sodium |
84 |
40 |
$700.21 |
| 83540 |
|
218 |
175 |
$654.33 |
| 84439 |
|
55 |
45 |
$642.32 |
| G0463 |
Hospital outpt clinic visit |
330 |
273 |
$553.23 |
| J1200 |
Diphenhydramine hcl injectio |
1,064 |
712 |
$507.23 |
| J2270 |
Morphine sulfate injection |
1,949 |
1,503 |
$438.78 |
| 85652 |
|
199 |
168 |
$428.39 |
| 76801 |
|
13 |
12 |
$427.50 |
| 96366 |
|
185 |
136 |
$380.37 |
| J1940 |
Furosemide injection |
787 |
561 |
$328.42 |
| 82009 |
|
134 |
104 |
$327.44 |
| 84100 |
|
138 |
88 |
$325.11 |
| 82248 |
|
58 |
41 |
$303.09 |
| 73502 |
|
16 |
12 |
$295.38 |
| A9270 |
Non-covered item or service |
3,059 |
2,199 |
$291.55 |
| 96376 |
|
214 |
153 |
$226.08 |
| 73590 |
|
23 |
12 |
$225.00 |
| 96367 |
|
59 |
51 |
$216.92 |
| 73090 |
|
12 |
12 |
$216.89 |
| J2060 |
Lorazepam injection |
259 |
195 |
$202.49 |
| J2550 |
Promethazine hcl injection |
356 |
282 |
$190.14 |
| J3475 |
Inj magnesium sulfate |
278 |
209 |
$173.41 |
| 84550 |
|
66 |
52 |
$170.46 |
| Q0162 |
Ondansetron oral |
1,882 |
1,545 |
$160.40 |
| J0360 |
Hydralazine hcl injection |
472 |
384 |
$135.08 |
| 83615 |
|
36 |
26 |
$134.35 |
| 36600 |
|
1,378 |
1,027 |
$112.58 |
| 82140 |
|
15 |
13 |
$108.29 |
| J2543 |
Piperacillin/tazobactam |
177 |
137 |
$93.44 |
| 87070 |
|
18 |
12 |
$86.10 |
| 84145 |
|
16 |
14 |
$86.07 |
| J2360 |
Orphenadrine injection |
100 |
81 |
$67.60 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,773 |
1,434 |
$63.10 |
| 82272 |
|
63 |
39 |
$60.73 |
| J0780 |
Prochlorperazine injection |
248 |
195 |
$52.31 |
| 87205 |
|
18 |
12 |
$42.70 |
| J1170 |
Hydromorphone injection |
452 |
327 |
$39.65 |
| J2765 |
Metoclopramide hcl injection |
171 |
136 |
$30.61 |
| J0456 |
Azithromycin |
14 |
12 |
$21.85 |
| G2211 |
Complex e/m visit add on |
70 |
51 |
$20.51 |
| J0171 |
Adrenalin epinephrine inject |
18 |
15 |
$16.40 |
| J0690 |
Cefazolin sodium injection |
32 |
24 |
$7.29 |
| G1004 |
Cdsm ndsc |
1,815 |
1,373 |
$1.14 |
| 99406 |
|
133 |
109 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
157 |
117 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
66 |
56 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
63 |
55 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
111 |
80 |
$0.00 |
| 96360 |
|
79 |
60 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
44 |
31 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
25 |
14 |
$0.00 |
| J1956 |
Levofloxacin injection |
26 |
19 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
14 |
13 |
$0.00 |