| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
172,964 |
164,279 |
$14.34M |
| 99284 |
|
80,603 |
74,558 |
$7.73M |
| 99282 |
|
37,693 |
36,441 |
$2.43M |
| 11042 |
|
13,945 |
5,264 |
$1.26M |
| 99281 |
|
11,703 |
11,304 |
$595K |
| 96374 |
|
44,450 |
41,054 |
$545K |
| 85027 |
|
63,598 |
57,043 |
$348K |
| 80053 |
|
36,714 |
32,972 |
$282K |
| 96375 |
|
14,141 |
12,811 |
$256K |
| 71045 |
|
20,377 |
18,969 |
$246K |
| 96372 |
|
16,233 |
14,999 |
$203K |
| 81025 |
|
24,109 |
23,171 |
$131K |
| 11045 |
|
8,831 |
967 |
$127K |
| 93005 |
|
14,703 |
13,326 |
$119K |
| 31720 |
|
2,651 |
1,916 |
$104K |
| 81001 |
|
41,036 |
38,877 |
$95K |
| 70551 |
|
454 |
428 |
$85K |
| G0383 |
Lev 4 hosp type b ed visit |
580 |
428 |
$71K |
| 70553 |
|
88 |
85 |
$71K |
| 99285 |
|
488 |
468 |
$64K |
| 80048 |
|
10,453 |
9,716 |
$63K |
| 96361 |
|
3,343 |
3,022 |
$58K |
| 76805 |
|
651 |
641 |
$50K |
| 76770 |
|
683 |
659 |
$48K |
| 87804 |
|
1,797 |
1,689 |
$45K |
| 83690 |
|
8,733 |
8,113 |
$42K |
| 97110 |
|
1,114 |
444 |
$41K |
| 70450 |
|
697 |
656 |
$40K |
| 80047 |
|
2,629 |
2,380 |
$36K |
| 76816 |
|
713 |
674 |
$33K |
| 87880 |
|
5,183 |
5,044 |
$31K |
| 84484 |
|
4,119 |
3,390 |
$31K |
| 74177 |
|
356 |
335 |
$29K |
| G0378 |
Hospital observation per hr |
289 |
251 |
$27K |
| 94640 |
|
2,717 |
2,509 |
$26K |
| 87591 |
|
733 |
713 |
$23K |
| 87491 |
|
716 |
698 |
$23K |
| 97602 |
|
363 |
234 |
$18K |
| 87081 |
|
3,086 |
2,998 |
$18K |
| 87633 |
|
45 |
44 |
$16K |
| 12001 |
|
85 |
82 |
$14K |
| 76801 |
|
222 |
201 |
$14K |
| 74018 |
|
981 |
946 |
$14K |
| J1170 |
Hydromorphone injection |
5,908 |
4,995 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
10,994 |
10,118 |
$12K |
| 96365 |
|
148 |
123 |
$12K |
| 80307 |
|
228 |
216 |
$12K |
| 97605 |
|
1,485 |
399 |
$11K |
| 10060 |
|
66 |
64 |
$10K |
| 11043 |
|
160 |
70 |
$10K |
| 94060 |
|
239 |
224 |
$10K |
| J2405 |
Ondansetron hcl injection |
11,007 |
10,016 |
$10K |
| 76705 |
|
247 |
239 |
$9K |
| 96409 |
|
193 |
144 |
$9K |
| 96360 |
|
220 |
206 |
$9K |
| 87086 |
|
1,112 |
1,067 |
$8K |
| 87186 |
|
932 |
809 |
$8K |
| 71046 |
|
658 |
623 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
211 |
207 |
$8K |
| 97530 |
|
152 |
74 |
$7K |
| 72125 |
|
77 |
75 |
$7K |
| 82248 |
|
1,778 |
1,048 |
$6K |
| 97597 |
|
55 |
44 |
$6K |
| 99211 |
|
360 |
290 |
$6K |
| 71275 |
|
38 |
37 |
$5K |
| 76817 |
|
104 |
90 |
$5K |
| 74176 |
|
122 |
110 |
$5K |
| 76856 |
|
93 |
93 |
$5K |
| 29125 |
|
24 |
24 |
$5K |
| 84112 |
|
72 |
67 |
$5K |
| 96376 |
|
359 |
296 |
$5K |
| 99213 |
|
183 |
170 |
$5K |
| 90471 |
|
258 |
251 |
$4K |
| 92588 |
|
113 |
112 |
$4K |
| 76830 |
|
78 |
78 |
$4K |
| 81003 |
|
2,947 |
2,806 |
$4K |
| 12011 |
|
84 |
82 |
$4K |
| 93971 |
|
50 |
50 |
$4K |
| 87205 |
|
1,297 |
1,170 |
$4K |
| 87070 |
|
982 |
870 |
$4K |
| 36430 |
|
12 |
12 |
$4K |
| 84443 |
|
158 |
150 |
$4K |
| 0241U |
|
67 |
65 |
$4K |
| 92507 |
|
89 |
36 |
$3K |
| 87210 |
|
843 |
784 |
$3K |
| 99392 |
|
46 |
46 |
$3K |
| 83735 |
|
273 |
235 |
$3K |
| 97116 |
|
107 |
55 |
$3K |
| 71260 |
|
13 |
13 |
$2K |
| 70486 |
|
28 |
27 |
$2K |
| 76819 |
|
45 |
31 |
$2K |
| 73610 |
|
154 |
149 |
$2K |
| 87147 |
|
478 |
441 |
$2K |
| 76815 |
|
53 |
51 |
$2K |
| 73630 |
|
148 |
141 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
239 |
162 |
$2K |
| 87077 |
|
293 |
266 |
$2K |
| J7030 |
Normal saline solution infus |
18,139 |
16,680 |
$2K |
| 96366 |
|
89 |
48 |
$2K |
| 88305 |
|
86 |
79 |
$2K |
| 93976 |
|
48 |
47 |
$2K |
| J2270 |
Morphine sulfate injection |
853 |
735 |
$2K |
| 73130 |
|
121 |
119 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,889 |
1,650 |
$2K |
| 84703 |
|
243 |
230 |
$2K |
| 84702 |
|
176 |
154 |
$2K |
| J7050 |
Normal saline solution infus |
2,721 |
1,765 |
$1K |
| 73110 |
|
109 |
107 |
$1K |
| 73502 |
|
53 |
48 |
$1K |
| 87807 |
|
63 |
63 |
$1K |
| G0463 |
Hospital outpt clinic visit |
3,238 |
2,008 |
$1K |
| 83880 |
|
98 |
86 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
822 |
774 |
$1K |
| 97161 |
|
24 |
24 |
$1K |
| 86920 |
|
13 |
12 |
$1K |
| 80076 |
|
169 |
155 |
$1K |
| J8540 |
Oral dexamethasone |
683 |
649 |
$1K |
| 73562 |
|
102 |
98 |
$1K |
| 92555 |
|
68 |
68 |
$1K |
| 73030 |
|
80 |
74 |
$1K |
| 80320 |
|
74 |
72 |
$1K |
| 83605 |
|
110 |
104 |
$1K |
| 82728 |
|
49 |
46 |
$974.25 |
| 92568 |
|
101 |
101 |
$962.81 |
| 72100 |
|
61 |
56 |
$944.77 |
| 87040 |
|
96 |
81 |
$934.68 |
| 76700 |
|
14 |
14 |
$930.90 |
| 73080 |
|
54 |
54 |
$904.25 |
| J1200 |
Diphenhydramine hcl injectio |
790 |
684 |
$835.46 |
| J2765 |
Metoclopramide hcl injection |
621 |
564 |
$834.30 |
| 86850 |
|
105 |
103 |
$786.64 |
| 85379 |
|
97 |
94 |
$784.59 |
| 86901 |
|
154 |
149 |
$784.00 |
| 90715 |
|
70 |
67 |
$753.80 |
| 85610 |
|
194 |
150 |
$743.42 |
| 99391 |
|
12 |
12 |
$729.24 |
| L4350 |
Ankle control ortho pre ots |
45 |
45 |
$681.75 |
| 95819 |
|
16 |
15 |
$680.11 |
| 80061 |
|
61 |
56 |
$659.89 |
| 87088 |
|
69 |
69 |
$656.83 |
| 73590 |
|
45 |
43 |
$647.50 |
| 85014 |
|
641 |
595 |
$615.48 |
| 76536 |
|
27 |
27 |
$609.11 |
| 80329 |
|
15 |
15 |
$589.83 |
| 90472 |
|
12 |
12 |
$587.54 |
| 73140 |
|
52 |
52 |
$576.89 |
| J2930 |
Methylprednisolone injection |
111 |
104 |
$519.59 |
| 95816 |
|
12 |
12 |
$495.22 |
| 86140 |
|
87 |
83 |
$484.40 |
| 83615 |
|
64 |
56 |
$462.76 |
| 97162 |
|
12 |
12 |
$446.58 |
| 82570 |
|
64 |
58 |
$425.46 |
| J7120 |
Ringers lactate infusion |
565 |
439 |
$393.12 |
| 85046 |
|
57 |
50 |
$380.47 |
| 86592 |
|
86 |
84 |
$376.76 |
| 84439 |
|
28 |
27 |
$368.39 |
| A9270 |
Non-covered item or service |
3,165 |
1,341 |
$366.86 |
| 86900 |
|
94 |
91 |
$363.87 |
| 84550 |
|
56 |
52 |
$359.55 |
| 77067 |
|
12 |
12 |
$356.22 |
| 80069 |
|
31 |
27 |
$319.82 |
| 77072 |
|
27 |
27 |
$314.44 |
| J2060 |
Lorazepam injection |
278 |
237 |
$303.85 |
| 84156 |
|
63 |
54 |
$302.84 |
| 88307 |
|
22 |
16 |
$298.96 |
| J2550 |
Promethazine hcl injection |
146 |
124 |
$290.30 |
| J7512 |
Prednisone ir or dr oral 1mg |
285 |
265 |
$286.05 |
| A6212 |
Foam drg <=16 sq in w/border |
320 |
192 |
$235.86 |
| 73564 |
|
13 |
13 |
$220.29 |
| 82803 |
|
13 |
13 |
$219.91 |
| 73090 |
|
13 |
13 |
$188.10 |
| 85730 |
|
36 |
31 |
$169.53 |
| J1642 |
Inj heparin sodium per 10 u |
40 |
16 |
$158.29 |
| 87340 |
|
14 |
13 |
$156.57 |
| 83036 |
|
15 |
14 |
$154.86 |
| 36415 |
|
3,625 |
2,083 |
$151.69 |
| J0780 |
Prochlorperazine injection |
19 |
15 |
$147.77 |
| 88304 |
|
17 |
16 |
$140.40 |
| 85007 |
|
54 |
38 |
$130.05 |
| 85018 |
|
113 |
105 |
$128.41 |
| 82565 |
|
28 |
26 |
$109.38 |
| 84134 |
|
27 |
25 |
$109.24 |
| J1100 |
Dexamethasone sodium phos |
138 |
83 |
$105.11 |
| 82550 |
|
14 |
14 |
$99.24 |
| J7613 |
Albuterol non-comp unit |
380 |
365 |
$95.14 |
| 85651 |
|
24 |
21 |
$94.38 |
| J1644 |
Inj heparin sodium per 1000u |
104 |
46 |
$90.82 |
| 84132 |
|
30 |
26 |
$80.20 |
| 90686 |
|
15 |
13 |
$58.83 |
| 84100 |
|
15 |
14 |
$56.29 |
| 87806 |
|
87 |
85 |
$54.62 |
| S0028 |
Injection, famotidine, 20 mg |
51 |
47 |
$49.77 |
| 96127 |
|
22 |
17 |
$47.70 |
| J7040 |
Normal saline solution infus |
49 |
42 |
$38.29 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,380 |
980 |
$37.60 |
| J2360 |
Orphenadrine injection |
72 |
66 |
$36.93 |
| J2300 |
Inj nalbuphine hydrochloride |
14 |
12 |
$30.38 |
| J3490 |
Drugs unclassified injection |
70 |
66 |
$19.46 |
| J0690 |
Cefazolin sodium injection |
55 |
41 |
$15.68 |
| J2250 |
Inj midazolam hydrochloride |
385 |
251 |
$4.90 |
| J1630 |
Haloperidol injection |
19 |
17 |
$3.00 |
| S0020 |
Injection, bupivicaine hydro |
111 |
106 |
$2.40 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
21 |
12 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
30 |
24 |
$0.00 |
| J7999 |
Compounded drug, noc |
156 |
146 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
182 |
105 |
$0.00 |
| G0283 |
Elec stim other than wound |
36 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
26 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
92 |
76 |
$0.00 |