| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
67,888 |
61,838 |
$12.56M |
| 99283 |
|
69,872 |
64,533 |
$7.00M |
| 99285 |
|
21,506 |
19,561 |
$4.81M |
| 0241U |
|
14,359 |
13,229 |
$2.00M |
| 74177 |
|
3,405 |
3,140 |
$1.87M |
| 70450 |
|
8,869 |
8,184 |
$1.13M |
| 96375 |
|
19,991 |
17,897 |
$1.06M |
| 96374 |
|
31,919 |
29,322 |
$986K |
| 93005 |
|
38,151 |
33,753 |
$925K |
| 80053 |
|
102,261 |
89,730 |
$820K |
| 85025 |
|
117,534 |
101,235 |
$819K |
| 96361 |
|
18,395 |
16,515 |
$768K |
| 71045 |
|
22,521 |
20,751 |
$756K |
| 99282 |
|
11,996 |
11,186 |
$747K |
| 80307 |
|
8,794 |
7,542 |
$408K |
| C9803 |
Hopd covid-19 spec collect |
15,561 |
14,215 |
$365K |
| G0463 |
Hospital outpt clinic visit |
61,290 |
50,806 |
$320K |
| J3490 |
Drugs unclassified injection |
239,582 |
81,097 |
$286K |
| 71046 |
|
6,836 |
6,398 |
$277K |
| J2405 |
Ondansetron hcl injection |
14,450 |
12,654 |
$200K |
| 83735 |
|
24,837 |
22,647 |
$145K |
| 81025 |
|
18,552 |
16,972 |
$139K |
| 97110 |
|
4,956 |
1,747 |
$137K |
| 84484 |
|
12,673 |
8,610 |
$132K |
| J7030 |
Normal saline solution infus |
31,422 |
27,289 |
$111K |
| 83690 |
|
15,733 |
14,567 |
$108K |
| J1885 |
Ketorolac tromethamine inj |
4,993 |
4,575 |
$106K |
| 96372 |
|
8,125 |
6,630 |
$103K |
| 81001 |
|
33,046 |
30,339 |
$101K |
| 87086 |
|
11,083 |
10,141 |
$91K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,726 |
11,619 |
$82K |
| D0220 |
|
1,199 |
830 |
$72K |
| 80299 |
|
4,949 |
4,170 |
$71K |
| D0230 |
|
1,133 |
793 |
$68K |
| H0015 |
Alcohol and/or drug services |
1,016 |
180 |
$67K |
| 76816 |
|
1,698 |
1,196 |
$56K |
| 74176 |
|
156 |
145 |
$55K |
| 90853 |
|
1,550 |
244 |
$54K |
| J3010 |
Fentanyl citrate injection |
3,240 |
2,560 |
$49K |
| 87804 |
|
2,733 |
2,474 |
$47K |
| 76811 |
|
750 |
580 |
$47K |
| 72125 |
|
153 |
145 |
$46K |
| G0177 |
Opps/php/iop; train & educ |
2,344 |
394 |
$44K |
| D1208 |
|
728 |
471 |
$39K |
| 71275 |
|
71 |
70 |
$35K |
| U0002 |
Covid-19 lab test non-cdc |
779 |
708 |
$35K |
| T1023 |
Program intake assessment |
412 |
412 |
$35K |
| D2930 |
|
302 |
215 |
$34K |
| 90791 |
|
367 |
363 |
$31K |
| U0004 |
Cov-19 test non-cdc hgh thru |
450 |
405 |
$29K |
| J1100 |
Dexamethasone sodium phos |
1,841 |
1,333 |
$27K |
| 81003 |
|
12,398 |
11,404 |
$27K |
| 84703 |
|
2,465 |
2,280 |
$26K |
| D1120 |
|
495 |
303 |
$25K |
| 76819 |
|
735 |
411 |
$24K |
| 87631 |
|
254 |
244 |
$22K |
| J2704 |
Inj, propofol, 10 mg |
1,395 |
1,027 |
$22K |
| J2270 |
Morphine sulfate injection |
908 |
819 |
$21K |
| 93306 |
|
1,733 |
1,701 |
$20K |
| 76820 |
|
715 |
350 |
$19K |
| D3220 |
|
157 |
106 |
$19K |
| 87502 |
|
357 |
317 |
$18K |
| 80048 |
|
2,885 |
2,500 |
$17K |
| 80143 |
|
1,097 |
848 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
1,232 |
1,086 |
$15K |
| 80179 |
|
1,113 |
864 |
$15K |
| D2392 |
|
257 |
161 |
$14K |
| 87637 |
|
133 |
120 |
$14K |
| 85730 |
|
3,034 |
2,820 |
$13K |
| 92650 |
|
250 |
232 |
$13K |
| 76815 |
|
493 |
268 |
$13K |
| 85610 |
|
4,557 |
4,192 |
$13K |
| J1030 |
Methylprednisolone 40 mg inj |
553 |
492 |
$11K |
| 96413 |
|
344 |
176 |
$11K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
591 |
518 |
$11K |
| U0005 |
Infec agen detec ampli probe |
467 |
421 |
$10K |
| 96360 |
|
164 |
154 |
$9K |
| G0378 |
Hospital observation per hr |
133 |
66 |
$8K |
| J7120 |
Ringers lactate infusion |
2,341 |
1,707 |
$8K |
| D2391 |
|
148 |
97 |
$8K |
| 0202U |
|
15 |
13 |
$8K |
| 97161 |
|
163 |
160 |
$7K |
| 36415 |
|
6,165 |
4,600 |
$7K |
| J1170 |
Hydromorphone injection |
302 |
260 |
$7K |
| D7140 |
|
122 |
78 |
$7K |
| 96365 |
|
128 |
110 |
$7K |
| 99212 |
|
804 |
719 |
$6K |
| 82550 |
|
1,171 |
1,025 |
$6K |
| 76801 |
|
85 |
79 |
$5K |
| D1351 |
|
99 |
56 |
$5K |
| J1010 |
Inj, methylpred acetate 1 mg |
181 |
158 |
$5K |
| 83880 |
|
153 |
141 |
$4K |
| 76818 |
|
114 |
39 |
$4K |
| J7050 |
Normal saline solution infus |
1,860 |
791 |
$4K |
| 84145 |
|
178 |
171 |
$4K |
| 85027 |
|
859 |
615 |
$4K |
| 76817 |
|
58 |
53 |
$4K |
| 85379 |
|
330 |
315 |
$3K |
| 84702 |
|
293 |
272 |
$3K |
| 83605 |
|
262 |
223 |
$3K |
| 80061 |
|
913 |
865 |
$3K |
| 93296 |
|
1,225 |
1,223 |
$3K |
| 87633 |
|
15 |
15 |
$3K |
| 87430 |
|
201 |
163 |
$3K |
| 82728 |
|
288 |
268 |
$3K |
| 96376 |
|
110 |
70 |
$3K |
| 87635 |
|
91 |
86 |
$2K |
| 99281 |
|
47 |
46 |
$2K |
| 87070 |
|
240 |
186 |
$2K |
| V2632 |
Post chmbr intraocular lens |
74 |
62 |
$2K |
| 36591 |
|
172 |
86 |
$2K |
| 87210 |
|
439 |
382 |
$2K |
| 99213 |
|
191 |
139 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
50 |
48 |
$2K |
| 97112 |
|
82 |
37 |
$2K |
| 80306 |
|
138 |
74 |
$2K |
| 76805 |
|
50 |
36 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
97 |
89 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
146 |
122 |
$2K |
| 92586 |
|
49 |
49 |
$2K |
| 88305 |
|
18 |
12 |
$2K |
| 83550 |
|
260 |
242 |
$1K |
| 84443 |
|
545 |
470 |
$1K |
| 87591 |
|
58 |
54 |
$1K |
| 83036 |
|
954 |
873 |
$1K |
| 66984 |
|
17 |
14 |
$1K |
| 83540 |
|
260 |
242 |
$1K |
| 87491 |
|
46 |
42 |
$1K |
| 82553 |
|
145 |
121 |
$968.32 |
| Q3014 |
Telehealth facility fee |
65 |
63 |
$957.66 |
| 84112 |
|
14 |
14 |
$929.20 |
| 72100 |
|
12 |
12 |
$858.64 |
| J8499 |
Oral prescrip drug non chemo |
7,334 |
3,045 |
$858.16 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
35 |
27 |
$847.80 |
| J2060 |
Lorazepam injection |
106 |
65 |
$814.23 |
| D1110 |
|
12 |
12 |
$813.25 |
| 97530 |
|
32 |
14 |
$762.94 |
| J2550 |
Promethazine hcl injection |
42 |
36 |
$602.49 |
| 94640 |
|
12 |
12 |
$557.05 |
| 81002 |
|
232 |
216 |
$516.78 |
| 99199 |
|
91 |
91 |
$485.00 |
| 87040 |
|
48 |
24 |
$418.92 |
| 78452 |
|
110 |
109 |
$393.53 |
| 80076 |
|
63 |
58 |
$382.21 |
| 83986 |
|
78 |
73 |
$376.53 |
| 97140 |
|
52 |
25 |
$372.62 |
| 99211 |
|
45 |
39 |
$366.83 |
| J1790 |
Droperidol injection |
15 |
12 |
$358.99 |
| Q9969 |
Non-heu tc-99m add-on/dose |
86 |
85 |
$355.35 |
| 51705 |
|
44 |
38 |
$353.48 |
| 87486 |
|
15 |
15 |
$352.99 |
| 87581 |
|
15 |
15 |
$352.99 |
| 87798 |
|
15 |
15 |
$352.99 |
| 87077 |
|
26 |
24 |
$275.75 |
| 82570 |
|
140 |
129 |
$275.16 |
| J0690 |
Cefazolin sodium injection |
17 |
13 |
$247.89 |
| 86901 |
|
40 |
39 |
$181.37 |
| 84156 |
|
33 |
30 |
$163.09 |
| 83615 |
|
18 |
16 |
$135.10 |
| 82962 |
|
45 |
36 |
$132.28 |
| 52000 |
|
40 |
39 |
$120.63 |
| 97535 |
|
13 |
12 |
$120.58 |
| 84550 |
|
19 |
17 |
$106.61 |
| G0136 |
Adm of pa/n assess 5-15 m |
104 |
104 |
$95.27 |
| 96127 |
|
111 |
110 |
$92.33 |
| J0171 |
Adrenalin epinephrine inject |
59 |
50 |
$81.84 |
| 99495 |
|
615 |
610 |
$78.71 |
| 11102 |
|
15 |
15 |
$57.32 |
| 82043 |
|
101 |
96 |
$56.10 |
| 82306 |
|
45 |
41 |
$55.78 |
| J8597 |
Antiemetic drug oral nos |
1,215 |
976 |
$41.42 |
| G0008 |
Admin influenza virus vac |
114 |
107 |
$21.78 |
| 90686 |
|
33 |
30 |
$3.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
16 |
$0.90 |
| J3420 |
Vitamin b12 injection |
15 |
12 |
$0.24 |
| A9270 |
Non-covered item or service |
93 |
26 |
$0.06 |
| 97597 |
|
44 |
25 |
$0.00 |
| 0099U |
|
13 |
12 |
$0.00 |
| 93280 |
|
12 |
12 |
$0.00 |
| 20610 |
|
12 |
12 |
$0.00 |
| 93017 |
|
13 |
13 |
$0.00 |
| 90662 |
|
26 |
26 |
$0.00 |