| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,558 |
15,462 |
$5.58M |
| 99285 |
|
5,674 |
4,948 |
$2.05M |
| 93005 |
|
13,304 |
10,732 |
$815K |
| 74177 |
|
2,900 |
2,610 |
$739K |
| 99291 |
|
1,758 |
1,496 |
$699K |
| 70450 |
|
4,252 |
3,750 |
$446K |
| 99283 |
|
10,692 |
9,321 |
$370K |
| 80053 |
|
29,376 |
23,414 |
$348K |
| 71045 |
|
11,652 |
9,887 |
$303K |
| 85025 |
|
29,625 |
23,551 |
$235K |
| 72125 |
|
1,933 |
1,722 |
$203K |
| 80307 |
|
3,938 |
3,231 |
$195K |
| 87636 |
|
2,563 |
2,343 |
$182K |
| 96361 |
|
1,379 |
1,053 |
$178K |
| 99282 |
|
4,994 |
4,307 |
$156K |
| 71275 |
|
567 |
529 |
$110K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,316 |
2,028 |
$109K |
| 71260 |
|
612 |
553 |
$103K |
| 93975 |
|
571 |
506 |
$101K |
| 83880 |
|
3,788 |
3,246 |
$101K |
| 84484 |
|
7,701 |
5,885 |
$97K |
| 94640 |
|
2,007 |
1,394 |
$95K |
| 74176 |
|
340 |
308 |
$88K |
| 76801 |
|
934 |
782 |
$88K |
| 99281 |
|
2,193 |
1,933 |
$66K |
| 87389 |
|
2,794 |
2,540 |
$64K |
| 76817 |
|
784 |
664 |
$64K |
| 87591 |
|
1,629 |
1,490 |
$60K |
| 87491 |
|
1,630 |
1,491 |
$60K |
| U0002 |
Covid-19 lab test non-cdc |
1,073 |
949 |
$35K |
| 96365 |
|
733 |
516 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
3,766 |
3,264 |
$32K |
| 84703 |
|
4,121 |
3,727 |
$31K |
| 83690 |
|
5,404 |
4,670 |
$29K |
| 36415 |
|
34,511 |
28,504 |
$27K |
| 80048 |
|
3,881 |
2,859 |
$25K |
| 82803 |
|
1,072 |
918 |
$24K |
| 90935 |
|
30 |
12 |
$24K |
| U0005 |
Infec agen detec ampli probe |
1,763 |
1,608 |
$24K |
| 96366 |
|
153 |
94 |
$23K |
| 93971 |
|
232 |
215 |
$22K |
| 81001 |
|
7,440 |
6,233 |
$21K |
| 73030 |
|
625 |
569 |
$21K |
| 83605 |
|
2,011 |
1,656 |
$21K |
| 70486 |
|
187 |
164 |
$19K |
| 86850 |
|
962 |
803 |
$18K |
| 76705 |
|
191 |
170 |
$18K |
| 90715 |
|
603 |
556 |
$18K |
| 85027 |
|
3,336 |
2,536 |
$16K |
| 0001A |
|
1,300 |
1,257 |
$15K |
| 85730 |
|
3,363 |
2,960 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,266 |
2,961 |
$15K |
| 0002A |
|
1,361 |
1,330 |
$15K |
| 85610 |
|
4,641 |
3,957 |
$14K |
| 83735 |
|
3,755 |
2,539 |
$13K |
| 76856 |
|
137 |
128 |
$13K |
| 71046 |
|
620 |
560 |
$13K |
| 81025 |
|
1,562 |
1,448 |
$13K |
| 73630 |
|
284 |
265 |
$13K |
| 87040 |
|
926 |
692 |
$13K |
| 84702 |
|
1,640 |
1,317 |
$12K |
| 90471 |
|
656 |
600 |
$12K |
| 73502 |
|
261 |
232 |
$11K |
| J1650 |
Inj enoxaparin sodium |
857 |
344 |
$10K |
| 82330 |
|
829 |
700 |
$10K |
| 73560 |
|
287 |
254 |
$10K |
| 84443 |
|
778 |
719 |
$9K |
| 72131 |
|
72 |
65 |
$9K |
| 87086 |
|
1,451 |
1,212 |
$9K |
| 73562 |
|
195 |
184 |
$9K |
| 70498 |
|
43 |
39 |
$9K |
| 87210 |
|
1,470 |
1,350 |
$9K |
| G0480 |
Drug test def 1-7 classes |
69 |
63 |
$8K |
| 73610 |
|
177 |
160 |
$8K |
| 93970 |
|
30 |
27 |
$8K |
| 84132 |
|
1,709 |
1,470 |
$7K |
| 73130 |
|
199 |
178 |
$7K |
| 85007 |
|
2,072 |
1,618 |
$7K |
| 81003 |
|
3,423 |
2,929 |
$6K |
| 76830 |
|
50 |
50 |
$6K |
| 96360 |
|
254 |
235 |
$6K |
| 96374 |
|
2,172 |
1,878 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,931 |
1,568 |
$6K |
| J1940 |
Furosemide injection |
820 |
545 |
$5K |
| 88305 |
|
626 |
554 |
$5K |
| 85379 |
|
676 |
598 |
$5K |
| 86900 |
|
1,908 |
1,502 |
$5K |
| G0463 |
Hospital outpt clinic visit |
3,039 |
2,222 |
$5K |
| J1170 |
Hydromorphone injection |
835 |
517 |
$5K |
| P9016 |
Rbc leukocytes reduced |
18 |
12 |
$4K |
| J3010 |
Fentanyl citrate injection |
2,362 |
1,961 |
$4K |
| 86901 |
|
1,739 |
1,476 |
$4K |
| J2270 |
Morphine sulfate injection |
1,202 |
974 |
$4K |
| 87502 |
|
60 |
55 |
$4K |
| 84295 |
|
883 |
781 |
$3K |
| 87651 |
|
114 |
106 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,647 |
2,010 |
$3K |
| 84100 |
|
2,124 |
1,235 |
$3K |
| 96376 |
|
655 |
403 |
$3K |
| 82947 |
|
878 |
781 |
$3K |
| 73590 |
|
87 |
79 |
$3K |
| 85014 |
|
1,178 |
978 |
$2K |
| J2405 |
Ondansetron hcl injection |
4,349 |
3,393 |
$2K |
| 96375 |
|
1,365 |
1,121 |
$2K |
| 87186 |
|
322 |
267 |
$2K |
| M0243 |
Casirivi and imdevi inj |
47 |
47 |
$2K |
| 82550 |
|
445 |
358 |
$2K |
| 83036 |
|
325 |
297 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
148 |
70 |
$2K |
| M0222 |
Bebtelovimab injection |
15 |
15 |
$2K |
| 87077 |
|
179 |
161 |
$2K |
| 76815 |
|
12 |
12 |
$2K |
| 84450 |
|
355 |
312 |
$2K |
| 80061 |
|
193 |
183 |
$2K |
| J2930 |
Methylprednisolone injection |
107 |
94 |
$2K |
| 86833 |
|
32 |
27 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,135 |
852 |
$1K |
| 84460 |
|
195 |
180 |
$1K |
| 86832 |
|
30 |
27 |
$1K |
| 77067 |
|
112 |
112 |
$793.56 |
| 77063 |
|
95 |
95 |
$676.38 |
| 72170 |
|
14 |
13 |
$644.04 |
| 93308 |
|
16 |
14 |
$520.31 |
| 36430 |
|
72 |
53 |
$496.35 |
| 86140 |
|
175 |
144 |
$495.22 |
| J2272 |
Inj, morphine (fresenius) |
156 |
135 |
$458.31 |
| 94618 |
|
14 |
14 |
$423.84 |
| 96372 |
|
1,531 |
836 |
$422.13 |
| 73110 |
|
13 |
12 |
$414.00 |
| 0003A |
|
159 |
159 |
$412.56 |
| 82565 |
|
151 |
145 |
$409.53 |
| 86923 |
|
17 |
12 |
$406.17 |
| 82962 |
|
5,465 |
3,187 |
$405.82 |
| 80069 |
|
111 |
57 |
$315.59 |
| J2250 |
Inj midazolam hydrochloride |
882 |
667 |
$308.01 |
| J1790 |
Droperidol injection |
65 |
51 |
$301.82 |
| 73060 |
|
15 |
14 |
$288.97 |
| 82728 |
|
26 |
24 |
$280.54 |
| 94760 |
|
20 |
12 |
$268.14 |
| J1200 |
Diphenhydramine hcl injectio |
250 |
192 |
$254.41 |
| J1953 |
Levetiracetam injection |
18 |
12 |
$250.28 |
| 84145 |
|
15 |
15 |
$227.70 |
| J2765 |
Metoclopramide hcl injection |
263 |
232 |
$222.62 |
| 83550 |
|
27 |
24 |
$202.57 |
| J0610 |
Calcium glucon (fresenius) |
28 |
13 |
$201.30 |
| 87799 |
|
158 |
132 |
$192.25 |
| J0690 |
Cefazolin sodium injection |
184 |
152 |
$178.18 |
| 83540 |
|
27 |
24 |
$149.84 |
| 85651 |
|
56 |
49 |
$135.50 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$111.99 |
| 80197 |
|
1,693 |
905 |
$111.95 |
| J2060 |
Lorazepam injection |
190 |
158 |
$98.59 |
| 90686 |
|
29 |
28 |
$86.22 |
| 87205 |
|
25 |
24 |
$54.06 |
| 82310 |
|
22 |
20 |
$30.31 |
| 82247 |
|
20 |
18 |
$29.54 |
| 82040 |
|
20 |
18 |
$29.12 |
| 82374 |
|
23 |
21 |
$28.70 |
| 82435 |
|
22 |
20 |
$27.02 |
| J1630 |
Haloperidol injection |
16 |
15 |
$23.66 |
| 84520 |
|
22 |
20 |
$23.24 |
| 84075 |
|
16 |
14 |
$21.75 |
| 84155 |
|
21 |
19 |
$21.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
24 |
16 |
$18.59 |
| J2704 |
Inj, propofol, 10 mg |
2,058 |
1,172 |
$0.53 |
| J7512 |
Prednisone ir or dr oral 1mg |
895 |
578 |
$0.24 |
| G1004 |
Cdsm ndsc |
6,215 |
3,921 |
$0.01 |
| C9113 |
Inj pantoprazole sodium, via |
49 |
32 |
$0.00 |
| 36592 |
|
178 |
151 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
25 |
12 |
$0.00 |
| 0004A |
|
27 |
27 |
$0.00 |
| 43239 |
|
12 |
12 |
$0.00 |
| 0241U |
|
156 |
150 |
$0.00 |
| G0008 |
Admin influenza virus vac |
90 |
89 |
$0.00 |
| 94010 |
|
28 |
28 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
116 |
100 |
$0.00 |
| 36416 |
|
32 |
26 |
$0.00 |
| 88342 |
|
13 |
13 |
$0.00 |