| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,680 |
12,727 |
$1.61M |
| 99285 |
|
6,995 |
6,134 |
$1.48M |
| 99284 |
|
6,167 |
5,668 |
$953K |
| 99282 |
|
1,686 |
1,591 |
$193K |
| 93306 |
|
482 |
438 |
$146K |
| 45380 |
|
261 |
216 |
$78K |
| 11042 |
|
413 |
159 |
$58K |
| 87502 |
|
4,241 |
4,052 |
$54K |
| 99281 |
|
587 |
566 |
$52K |
| 76856 |
|
600 |
565 |
$38K |
| 45385 |
|
43 |
38 |
$25K |
| 88305 |
|
364 |
346 |
$24K |
| 43239 |
|
148 |
122 |
$21K |
| 76642 |
|
221 |
217 |
$21K |
| 96361 |
|
628 |
527 |
$15K |
| 59025 |
|
861 |
706 |
$14K |
| 74177 |
|
546 |
511 |
$13K |
| 95810 |
|
27 |
26 |
$12K |
| 74176 |
|
652 |
605 |
$12K |
| 70450 |
|
984 |
839 |
$10K |
| 96365 |
|
203 |
167 |
$9K |
| G0378 |
Hospital observation per hr |
814 |
369 |
$9K |
| 77067 |
|
226 |
212 |
$7K |
| J1100 |
Dexamethasone sodium phos |
750 |
647 |
$5K |
| 87635 |
|
4,331 |
4,047 |
$5K |
| 72100 |
|
197 |
191 |
$5K |
| J7030 |
Normal saline solution infus |
1,297 |
1,068 |
$4K |
| 96375 |
|
1,628 |
1,340 |
$4K |
| 96360 |
|
372 |
334 |
$4K |
| 71275 |
|
212 |
202 |
$4K |
| 93017 |
|
106 |
102 |
$3K |
| 96374 |
|
3,101 |
2,592 |
$2K |
| 71046 |
|
372 |
350 |
$2K |
| 97110 |
|
202 |
78 |
$2K |
| 93005 |
|
2,165 |
1,866 |
$2K |
| 76705 |
|
141 |
125 |
$2K |
| 73562 |
|
147 |
111 |
$2K |
| 80307 |
|
394 |
359 |
$2K |
| 96413 |
|
50 |
25 |
$1K |
| 78452 |
|
14 |
13 |
$1K |
| 94726 |
|
13 |
12 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
817 |
651 |
$1K |
| 73630 |
|
181 |
160 |
$1K |
| A9270 |
Non-covered item or service |
1,165 |
664 |
$952.09 |
| 76817 |
|
79 |
68 |
$940.90 |
| 80053 |
|
4,739 |
4,080 |
$896.37 |
| 93971 |
|
50 |
45 |
$881.98 |
| 76830 |
|
418 |
399 |
$771.10 |
| 72040 |
|
46 |
42 |
$756.57 |
| 96372 |
|
1,191 |
941 |
$678.49 |
| 76801 |
|
229 |
206 |
$647.41 |
| 72125 |
|
261 |
202 |
$634.57 |
| 76536 |
|
12 |
12 |
$616.34 |
| J7050 |
Normal saline solution infus |
440 |
313 |
$575.59 |
| 77066 |
Tomosynthesis, mammo |
89 |
86 |
$574.83 |
| 71250 |
|
27 |
27 |
$521.84 |
| 85025 |
|
6,613 |
5,480 |
$474.03 |
| J1642 |
Inj heparin sodium per 10 u |
66 |
27 |
$455.41 |
| 71045 |
|
2,163 |
1,936 |
$432.67 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
819 |
746 |
$429.66 |
| J2250 |
Inj midazolam hydrochloride |
302 |
259 |
$425.76 |
| 73030 |
|
137 |
113 |
$416.82 |
| J3010 |
Fentanyl citrate injection |
465 |
391 |
$405.14 |
| 36415 |
|
3,612 |
2,836 |
$403.90 |
| J0171 |
Adrenalin epinephrine inject |
31 |
28 |
$383.04 |
| J0690 |
Cefazolin sodium injection |
130 |
107 |
$383.04 |
| 97140 |
|
30 |
12 |
$359.60 |
| 73130 |
|
99 |
86 |
$199.02 |
| 80048 |
|
1,266 |
1,051 |
$188.52 |
| 82077 |
|
133 |
119 |
$185.53 |
| 94640 |
|
399 |
323 |
$164.61 |
| 81001 |
|
2,798 |
2,524 |
$143.46 |
| 87086 |
|
315 |
290 |
$122.66 |
| 77062 |
|
64 |
64 |
$95.25 |
| 90471 |
|
15 |
15 |
$86.23 |
| 81025 |
|
2,015 |
1,876 |
$76.99 |
| 73610 |
|
126 |
102 |
$73.07 |
| 81003 |
|
976 |
895 |
$70.50 |
| 84484 |
|
1,510 |
1,237 |
$70.16 |
| 87651 |
|
1,195 |
1,132 |
$63.90 |
| 77063 |
|
226 |
212 |
$63.88 |
| 83880 |
|
283 |
250 |
$56.98 |
| 73110 |
|
39 |
27 |
$53.78 |
| 87210 |
|
518 |
494 |
$51.70 |
| 74018 |
|
25 |
24 |
$36.77 |
| 82962 |
|
584 |
333 |
$35.52 |
| 86703 |
|
71 |
60 |
$35.41 |
| 94762 |
|
39 |
25 |
$33.43 |
| J2405 |
Ondansetron hcl injection |
1,326 |
1,113 |
$31.50 |
| 85610 |
|
400 |
330 |
$18.62 |
| 85730 |
|
294 |
244 |
$18.62 |
| 87491 |
|
412 |
399 |
$16.67 |
| J1885 |
Ketorolac tromethamine inj |
1,380 |
1,256 |
$16.19 |
| 86901 |
|
600 |
461 |
$15.93 |
| 83690 |
|
1,248 |
1,106 |
$12.82 |
| 87591 |
|
412 |
399 |
$8.34 |
| 83605 |
|
392 |
328 |
$7.79 |
| 86803 |
|
59 |
49 |
$6.52 |
| 86900 |
|
518 |
386 |
$5.19 |
| 86850 |
|
385 |
271 |
$5.19 |
| 80061 |
|
44 |
36 |
$5.17 |
| J2270 |
Morphine sulfate injection |
494 |
386 |
$4.97 |
| J7120 |
Ringers lactate infusion |
1,402 |
1,189 |
$4.97 |
| 83735 |
|
328 |
258 |
$4.69 |
| 84703 |
|
875 |
815 |
$4.69 |
| 85379 |
|
190 |
182 |
$4.64 |
| 84702 |
|
458 |
381 |
$4.05 |
| 81002 |
|
16 |
14 |
$3.12 |
| J2550 |
Promethazine hcl injection |
199 |
172 |
$0.00 |
| 87186 |
|
55 |
50 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
18 |
13 |
$0.00 |
| 87634 |
|
426 |
417 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
133 |
118 |
$0.00 |
| 72131 |
|
15 |
12 |
$0.00 |
| 94729 |
|
13 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
36 |
32 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
98 |
42 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
139 |
134 |
$0.00 |
| 84443 |
|
189 |
164 |
$0.00 |
| 96376 |
|
332 |
211 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
402 |
328 |
$0.00 |
| 83036 |
|
58 |
48 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
16 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
161 |
142 |
$0.00 |
| 82550 |
|
64 |
53 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
132 |
121 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
56 |
54 |
$0.00 |
| 87040 |
|
100 |
79 |
$0.00 |
| 86140 |
|
16 |
12 |
$0.00 |
| 87077 |
|
52 |
46 |
$0.00 |
| 88342 |
|
16 |
13 |
$0.00 |
| 87205 |
|
17 |
14 |
$0.00 |
| J2060 |
Lorazepam injection |
12 |
12 |
$0.00 |
| 85027 |
|
32 |
25 |
$0.00 |