| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
74,864 |
68,469 |
$6.29M |
| 99284 |
|
41,529 |
36,507 |
$2.77M |
| 80053 |
|
29,689 |
24,272 |
$1.26M |
| 99285 |
|
12,343 |
8,000 |
$950K |
| 99282 |
|
11,895 |
11,190 |
$823K |
| 70450 |
|
7,092 |
6,151 |
$699K |
| 74177 |
|
4,706 |
4,338 |
$668K |
| 80048 |
|
12,632 |
8,712 |
$654K |
| 99281 |
|
4,713 |
4,388 |
$469K |
| G0257 |
Unsched dialysis esrd pt hos |
1,846 |
251 |
$382K |
| 71275 |
|
1,877 |
1,708 |
$358K |
| 74176 |
|
2,603 |
2,348 |
$328K |
| 81003 |
|
33,585 |
29,631 |
$237K |
| 11042 |
|
2,231 |
825 |
$172K |
| 94640 |
|
3,585 |
3,025 |
$162K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,941 |
2,828 |
$146K |
| G0378 |
Hospital observation per hr |
8,134 |
4,308 |
$138K |
| 87804 |
|
8,416 |
7,246 |
$135K |
| 96361 |
|
1,061 |
973 |
$130K |
| G0382 |
Lev 3 hosp type b ed visit |
1,623 |
1,542 |
$126K |
| 87070 |
|
7,818 |
7,410 |
$121K |
| 72125 |
|
2,508 |
2,092 |
$119K |
| 80305 |
|
5,341 |
4,645 |
$107K |
| 71045 |
|
16,402 |
14,143 |
$96K |
| 76856 |
|
2,046 |
1,945 |
$85K |
| 84702 |
|
4,256 |
3,304 |
$85K |
| 10060 |
|
904 |
832 |
$78K |
| 85027 |
|
43,561 |
32,383 |
$72K |
| U0002 |
Covid-19 lab test non-cdc |
6,158 |
5,821 |
$65K |
| 87169 |
|
3,242 |
3,049 |
$63K |
| 86850 |
|
1,492 |
1,236 |
$60K |
| 71046 |
|
4,578 |
4,120 |
$60K |
| A9270 |
Non-covered item or service |
11,104 |
2,840 |
$58K |
| 81025 |
|
15,579 |
14,147 |
$53K |
| 12001 |
|
570 |
534 |
$51K |
| 93306 |
|
1,228 |
1,099 |
$50K |
| 76705 |
|
1,418 |
1,309 |
$44K |
| 87088 |
|
5,121 |
4,598 |
$44K |
| 96372 |
|
7,475 |
6,732 |
$40K |
| 78452 |
|
204 |
179 |
$39K |
| 96360 |
|
295 |
279 |
$35K |
| 73610 |
|
995 |
919 |
$35K |
| 87077 |
|
2,255 |
1,994 |
$33K |
| 76801 |
|
3,109 |
2,537 |
$31K |
| 88305 |
|
1,111 |
928 |
$29K |
| 76830 |
|
1,240 |
1,181 |
$29K |
| 85610 |
|
6,758 |
5,486 |
$27K |
| 73630 |
|
959 |
876 |
$26K |
| 72131 |
|
808 |
697 |
$26K |
| J1644 |
Inj heparin sodium per 1000u |
4,982 |
2,210 |
$25K |
| 70486 |
|
504 |
444 |
$24K |
| 12011 |
|
261 |
242 |
$24K |
| 73030 |
|
1,214 |
1,046 |
$23K |
| 82565 |
|
310 |
267 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
1,832 |
1,339 |
$23K |
| G0463 |
Hospital outpt clinic visit |
998 |
578 |
$22K |
| J3010 |
Fentanyl citrate injection |
2,563 |
1,913 |
$22K |
| 93005 |
|
16,117 |
12,460 |
$21K |
| 87426 |
|
2,470 |
2,283 |
$21K |
| 73564 |
|
951 |
854 |
$21K |
| J2704 |
Inj, propofol, 10 mg |
1,284 |
1,017 |
$20K |
| 73130 |
|
699 |
638 |
$19K |
| 96374 |
|
17,469 |
15,092 |
$19K |
| 74018 |
|
1,135 |
1,056 |
$17K |
| 93971 |
|
1,117 |
1,004 |
$17K |
| 86900 |
|
3,016 |
2,576 |
$16K |
| 84484 |
|
10,238 |
7,023 |
$16K |
| 76805 |
|
1,108 |
1,000 |
$16K |
| 87880 |
|
9,812 |
9,395 |
$16K |
| 73560 |
|
673 |
572 |
$16K |
| 87591 |
|
1,747 |
1,610 |
$15K |
| J7030 |
Normal saline solution infus |
11,884 |
9,290 |
$14K |
| C1894 |
Intro/sheath, non-laser |
790 |
656 |
$14K |
| 80047 |
|
350 |
299 |
$13K |
| 84703 |
|
2,441 |
2,253 |
$12K |
| 76817 |
|
1,831 |
1,484 |
$12K |
| 73620 |
|
400 |
370 |
$12K |
| 93458 |
|
43 |
38 |
$11K |
| 76818 |
|
196 |
91 |
$11K |
| 85730 |
|
5,390 |
4,403 |
$11K |
| 71260 |
|
80 |
73 |
$11K |
| J3490 |
Drugs unclassified injection |
413 |
284 |
$11K |
| J2405 |
Ondansetron hcl injection |
7,560 |
5,998 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,739 |
4,548 |
$10K |
| 73140 |
|
205 |
194 |
$9K |
| 72040 |
|
285 |
247 |
$9K |
| 80076 |
|
465 |
425 |
$9K |
| 77067 |
|
606 |
563 |
$8K |
| G0480 |
Drug test def 1-7 classes |
1,133 |
912 |
$8K |
| 84132 |
|
377 |
298 |
$8K |
| 12002 |
|
111 |
102 |
$8K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$8K |
| J0690 |
Cefazolin sodium injection |
376 |
266 |
$7K |
| 84112 |
|
55 |
48 |
$7K |
| C1769 |
Guide wire |
554 |
459 |
$7K |
| 71250 |
|
212 |
177 |
$7K |
| 80061 |
|
1,094 |
957 |
$6K |
| 43239 |
|
100 |
85 |
$6K |
| 87807 |
|
1,818 |
1,747 |
$6K |
| J0360 |
Hydralazine hcl injection |
1,024 |
704 |
$6K |
| 73110 |
|
241 |
221 |
$6K |
| 77063 |
|
473 |
442 |
$6K |
| 87491 |
|
1,654 |
1,520 |
$5K |
| 83880 |
|
2,769 |
2,303 |
$5K |
| G0381 |
Lev 2 hosp type b ed visit |
113 |
109 |
$5K |
| 83735 |
|
3,523 |
2,834 |
$5K |
| 73090 |
|
141 |
129 |
$5K |
| 72100 |
|
260 |
246 |
$5K |
| 93017 |
|
262 |
226 |
$5K |
| 84443 |
|
2,941 |
2,507 |
$4K |
| J1100 |
Dexamethasone sodium phos |
3,160 |
2,322 |
$4K |
| 99211 |
|
29 |
24 |
$4K |
| 85379 |
|
1,728 |
1,537 |
$4K |
| 72128 |
|
146 |
125 |
$4K |
| 93798 |
|
103 |
12 |
$4K |
| J2270 |
Morphine sulfate injection |
4,816 |
3,478 |
$4K |
| 83690 |
|
9,681 |
8,511 |
$4K |
| 93970 |
|
204 |
188 |
$4K |
| G0383 |
Lev 4 hosp type b ed visit |
102 |
96 |
$4K |
| 76642 |
|
55 |
50 |
$4K |
| J7120 |
Ringers lactate infusion |
3,464 |
2,659 |
$4K |
| 83036 |
|
1,755 |
1,491 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
7,596 |
6,116 |
$3K |
| G0279 |
Tomosynthesis, mammo |
81 |
75 |
$3K |
| 82805 |
|
28 |
25 |
$3K |
| 85014 |
|
300 |
220 |
$3K |
| 87040 |
|
1,827 |
1,320 |
$3K |
| 93976 |
|
113 |
105 |
$2K |
| 73100 |
|
114 |
98 |
$2K |
| 96375 |
|
5,961 |
5,101 |
$2K |
| 72110 |
|
168 |
153 |
$2K |
| 82553 |
|
918 |
664 |
$2K |
| 73600 |
|
71 |
67 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,540 |
1,215 |
$2K |
| 73120 |
|
70 |
66 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,036 |
1,358 |
$2K |
| 86140 |
|
940 |
865 |
$2K |
| 73502 |
|
211 |
182 |
$2K |
| 29125 |
|
47 |
42 |
$1K |
| Q0162 |
Ondansetron oral |
837 |
697 |
$1K |
| 80320 |
|
893 |
762 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,264 |
2,020 |
$1K |
| 73080 |
|
42 |
39 |
$1K |
| J2550 |
Promethazine hcl injection |
2,151 |
1,673 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
4,538 |
3,791 |
$1K |
| 86901 |
|
2,870 |
2,444 |
$1K |
| J1170 |
Hydromorphone injection |
477 |
323 |
$1K |
| 87210 |
|
2,781 |
2,617 |
$1K |
| 73590 |
|
138 |
129 |
$1K |
| 84439 |
|
702 |
616 |
$1K |
| 93312 |
|
15 |
14 |
$1K |
| 87086 |
|
1,917 |
1,733 |
$1K |
| 90471 |
|
776 |
696 |
$1K |
| 90714 |
|
1,225 |
1,121 |
$1K |
| 80329 |
|
667 |
575 |
$862.66 |
| J7040 |
Normal saline solution infus |
300 |
264 |
$802.66 |
| 83605 |
|
1,697 |
1,345 |
$800.22 |
| 84100 |
|
1,262 |
988 |
$798.88 |
| 87186 |
|
1,956 |
1,748 |
$752.18 |
| J2930 |
Methylprednisolone injection |
488 |
372 |
$676.21 |
| 85018 |
|
271 |
191 |
$581.42 |
| 88342 |
|
121 |
106 |
$578.45 |
| J3370 |
Vancomycin hcl injection |
339 |
251 |
$567.61 |
| 82550 |
|
1,444 |
1,201 |
$537.59 |
| J7999 |
Compounded drug, noc |
287 |
231 |
$439.09 |
| 72170 |
|
13 |
13 |
$425.69 |
| P9016 |
Rbc leukocytes reduced |
17 |
12 |
$405.26 |
| 96365 |
|
35 |
32 |
$389.20 |
| 93325 |
|
15 |
14 |
$386.19 |
| J7050 |
Normal saline solution infus |
1,095 |
742 |
$365.41 |
| 76775 |
|
14 |
13 |
$319.38 |
| J1815 |
Insulin injection |
2,361 |
944 |
$297.69 |
| G1003 |
Cdsm medicalis |
173 |
129 |
$288.56 |
| 82010 |
|
14 |
14 |
$228.10 |
| 72070 |
|
13 |
12 |
$187.97 |
| 85651 |
|
451 |
406 |
$174.29 |
| 87400 |
|
4,233 |
4,005 |
$168.88 |
| 97163 |
|
64 |
52 |
$130.19 |
| 82607 |
|
31 |
26 |
$129.26 |
| 97530 |
|
21 |
15 |
$128.58 |
| 97162 |
|
15 |
14 |
$128.58 |
| J2060 |
Lorazepam injection |
1,196 |
946 |
$126.59 |
| A9500 |
Tc99m sestamibi |
111 |
94 |
$120.00 |
| J2785 |
Regadenoson injection |
71 |
58 |
$120.00 |
| 93880 |
|
13 |
13 |
$98.16 |
| 87147 |
|
46 |
43 |
$96.40 |
| 96376 |
|
542 |
469 |
$59.99 |
| J8540 |
Oral dexamethasone |
572 |
549 |
$25.83 |
| 82728 |
|
63 |
54 |
$15.68 |
| 90686 |
|
26 |
19 |
$14.32 |
| 83550 |
|
93 |
84 |
$7.84 |
| 82077 |
|
862 |
753 |
$7.62 |
| 83540 |
|
96 |
87 |
$6.72 |
| Q9957 |
Inj perflutren lip micros,ml |
15 |
13 |
$5.20 |
| 86920 |
|
19 |
14 |
$4.17 |
| J2765 |
Metoclopramide hcl injection |
462 |
407 |
$1.06 |
| S0119 |
Ondansetron 4 mg |
1,316 |
1,235 |
$0.00 |
| 00731 |
|
29 |
25 |
$0.00 |
| C1887 |
Catheter, guiding |
17 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
54 |
40 |
$0.00 |
| 76937 |
|
14 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
258 |
216 |
$0.00 |
| 87205 |
|
101 |
72 |
$0.00 |
| 74021 |
|
13 |
13 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
13 |
$0.00 |
| 82746 |
|
31 |
26 |
$0.00 |