| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
56,317 |
51,595 |
$7.80M |
| 99285 |
|
35,313 |
31,559 |
$5.24M |
| 99283 |
|
40,541 |
37,759 |
$4.74M |
| 74177 |
|
10,989 |
10,015 |
$3.88M |
| J3490 |
Drugs unclassified injection |
97,860 |
49,199 |
$1.82M |
| 70450 |
|
10,918 |
10,026 |
$1.52M |
| 80307 |
|
19,981 |
17,621 |
$1.02M |
| 96361 |
|
23,343 |
20,207 |
$787K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,358 |
8,611 |
$761K |
| 71045 |
|
34,749 |
31,361 |
$746K |
| 96375 |
|
22,217 |
18,799 |
$734K |
| 96365 |
|
11,465 |
10,151 |
$708K |
| 96374 |
|
26,045 |
23,171 |
$665K |
| 80053 |
|
30,421 |
25,840 |
$587K |
| 87635 |
|
9,803 |
9,407 |
$575K |
| 36415 |
|
24,196 |
19,650 |
$558K |
| 85025 |
|
70,899 |
59,891 |
$470K |
| 80048 |
|
37,052 |
32,349 |
$444K |
| 87804 |
|
13,057 |
11,163 |
$359K |
| 93005 |
|
26,171 |
22,687 |
$322K |
| 96360 |
|
4,349 |
3,999 |
$314K |
| 87811 |
|
7,805 |
7,176 |
$267K |
| 72125 |
|
1,290 |
1,180 |
$258K |
| 99281 |
|
5,171 |
4,760 |
$211K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,972 |
7,246 |
$206K |
| 96372 |
|
15,769 |
13,511 |
$195K |
| 81025 |
|
28,599 |
25,843 |
$193K |
| 80076 |
|
28,257 |
25,308 |
$190K |
| 87086 |
|
17,064 |
15,554 |
$170K |
| 74176 |
|
719 |
670 |
$162K |
| 0241U |
|
1,275 |
1,197 |
$156K |
| G0463 |
Hospital outpt clinic visit |
8,375 |
6,778 |
$154K |
| 99282 |
|
2,727 |
2,573 |
$149K |
| 11042 |
|
906 |
491 |
$143K |
| G0480 |
Drug test def 1-7 classes |
2,868 |
2,459 |
$140K |
| 87491 |
|
5,398 |
5,006 |
$135K |
| 87428 |
|
2,262 |
2,051 |
$132K |
| 84484 |
|
17,532 |
14,466 |
$130K |
| 83690 |
|
21,984 |
19,808 |
$126K |
| 81001 |
|
25,897 |
23,874 |
$115K |
| 87070 |
|
4,250 |
3,996 |
$115K |
| 87591 |
|
5,012 |
4,648 |
$114K |
| 87400 |
|
3,604 |
3,323 |
$101K |
| 88305 |
|
1,439 |
1,301 |
$95K |
| 94640 |
|
4,326 |
3,102 |
$92K |
| 81003 |
|
17,959 |
16,125 |
$84K |
| G0378 |
Hospital observation per hr |
2,383 |
1,761 |
$83K |
| 83735 |
|
16,705 |
14,358 |
$77K |
| 82150 |
|
14,804 |
13,338 |
$77K |
| 42820 |
|
83 |
82 |
$70K |
| 87426 |
|
2,231 |
2,030 |
$61K |
| 87040 |
|
4,519 |
3,923 |
$56K |
| J2250 |
Inj midazolam hydrochloride |
428 |
361 |
$55K |
| 87880 |
|
4,491 |
4,259 |
$53K |
| 0202U |
|
559 |
536 |
$53K |
| 69436 |
|
116 |
115 |
$46K |
| 43239 |
|
275 |
258 |
$39K |
| J2405 |
Ondansetron hcl injection |
20,847 |
18,448 |
$38K |
| 81015 |
|
10,739 |
9,506 |
$35K |
| 71275 |
|
267 |
239 |
$34K |
| 87081 |
|
900 |
864 |
$30K |
| 87077 |
|
2,349 |
2,138 |
$29K |
| 84443 |
|
2,835 |
2,512 |
$29K |
| U0005 |
Infec agen detec ampli probe |
1,411 |
1,344 |
$28K |
| J3010 |
Fentanyl citrate injection |
1,015 |
913 |
$26K |
| 71046 |
|
769 |
715 |
$25K |
| 95810 |
|
58 |
48 |
$25K |
| 87651 |
|
692 |
642 |
$25K |
| J2270 |
Morphine sulfate injection |
9,278 |
7,925 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
10,370 |
9,420 |
$22K |
| 96376 |
|
1,370 |
852 |
$22K |
| 87220 |
|
2,886 |
2,665 |
$22K |
| 45378 |
|
81 |
77 |
$20K |
| G0379 |
Direct refer hospital observ |
185 |
139 |
$20K |
| J1100 |
Dexamethasone sodium phos |
4,512 |
3,994 |
$19K |
| 73630 |
|
296 |
269 |
$19K |
| J2704 |
Inj, propofol, 10 mg |
4,416 |
3,995 |
$18K |
| 96367 |
|
55 |
41 |
$18K |
| 83880 |
|
1,292 |
1,140 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
2,986 |
2,693 |
$17K |
| 87186 |
|
2,313 |
2,103 |
$14K |
| 0240U |
|
97 |
95 |
$14K |
| 87210 |
|
974 |
892 |
$14K |
| 73560 |
|
265 |
231 |
$12K |
| 87807 |
|
1,042 |
1,016 |
$11K |
| 87420 |
|
284 |
270 |
$10K |
| 83605 |
|
1,343 |
1,126 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
5,257 |
4,310 |
$10K |
| 99211 |
|
770 |
631 |
$10K |
| 73130 |
|
164 |
155 |
$9K |
| J7120 |
Ringers lactate infusion |
635 |
557 |
$9K |
| 84702 |
|
785 |
663 |
$7K |
| 59025 |
|
140 |
93 |
$7K |
| 87661 |
|
275 |
253 |
$7K |
| 96366 |
|
502 |
359 |
$7K |
| 76815 |
|
145 |
108 |
$7K |
| 42830 |
|
12 |
12 |
$6K |
| 97110 |
|
213 |
63 |
$6K |
| J2765 |
Metoclopramide hcl injection |
342 |
302 |
$6K |
| J7620 |
Albuterol ipratrop non-comp |
610 |
529 |
$6K |
| 85379 |
|
890 |
832 |
$6K |
| 87801 |
|
68 |
64 |
$5K |
| 99291 |
|
15 |
12 |
$5K |
| J2930 |
Methylprednisolone injection |
922 |
810 |
$4K |
| 86900 |
|
2,107 |
1,923 |
$4K |
| 86901 |
|
2,108 |
1,923 |
$4K |
| 76805 |
|
42 |
39 |
$4K |
| 73610 |
|
55 |
51 |
$4K |
| 72148 |
|
12 |
12 |
$3K |
| J2550 |
Promethazine hcl injection |
1,229 |
998 |
$3K |
| 76817 |
|
70 |
65 |
$3K |
| J7030 |
Normal saline solution infus |
20 |
15 |
$3K |
| 96413 |
|
137 |
70 |
$3K |
| J8597 |
Antiemetic drug oral nos |
957 |
885 |
$3K |
| 87590 |
|
139 |
130 |
$3K |
| 95800 |
|
42 |
39 |
$3K |
| 82728 |
|
185 |
169 |
$2K |
| 86850 |
|
305 |
274 |
$2K |
| 82550 |
|
398 |
363 |
$2K |
| J1170 |
Hydromorphone injection |
1,212 |
844 |
$2K |
| 93923 |
|
45 |
44 |
$2K |
| 86003 |
|
17 |
12 |
$2K |
| 72100 |
|
32 |
26 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
239 |
213 |
$2K |
| 70551 |
|
13 |
13 |
$2K |
| J3475 |
Inj magnesium sulfate |
849 |
723 |
$1K |
| 83550 |
|
162 |
153 |
$1K |
| 71250 |
|
13 |
12 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
284 |
263 |
$1K |
| 82803 |
|
184 |
148 |
$1K |
| 80050 |
|
28 |
26 |
$1K |
| 83540 |
|
163 |
155 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
224 |
217 |
$1K |
| 95816 |
|
15 |
15 |
$1K |
| 88342 |
|
28 |
24 |
$999.74 |
| 51701 |
|
45 |
39 |
$992.31 |
| 77063 |
|
13 |
13 |
$974.96 |
| J0500 |
Dicyclomine injection |
15 |
12 |
$779.46 |
| 85610 |
|
442 |
386 |
$734.60 |
| 99213 |
|
52 |
51 |
$688.18 |
| J7510 |
Prednisolone oral per 5 mg |
177 |
138 |
$640.02 |
| 90471 |
|
96 |
90 |
$578.27 |
| J1644 |
Inj heparin sodium per 1000u |
126 |
75 |
$560.15 |
| 80320 |
|
28 |
24 |
$458.55 |
| C1725 |
Cath, translumin non-laser |
14 |
13 |
$454.86 |
| 82607 |
|
32 |
26 |
$444.86 |
| 90715 |
|
42 |
37 |
$405.28 |
| 82746 |
|
30 |
25 |
$380.00 |
| J2272 |
Inj, morphine (fresenius) |
199 |
168 |
$366.45 |
| 82784 |
|
16 |
13 |
$310.29 |
| 85651 |
|
97 |
95 |
$272.07 |
| J2001 |
Lidocaine injection |
139 |
126 |
$259.26 |
| J1790 |
Droperidol injection |
42 |
40 |
$256.08 |
| J3535 |
Metered dose inhaler drug |
57 |
53 |
$232.28 |
| 85730 |
|
102 |
94 |
$220.19 |
| 86141 |
|
31 |
24 |
$212.73 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
168 |
158 |
$212.44 |
| 82785 |
|
15 |
12 |
$182.53 |
| C1894 |
Intro/sheath, non-laser |
30 |
15 |
$178.53 |
| S0028 |
Injection, famotidine, 20 mg |
70 |
68 |
$157.35 |
| 80061 |
|
12 |
12 |
$140.55 |
| J7613 |
Albuterol non-comp unit |
295 |
270 |
$134.03 |
| S0020 |
Injection, bupivicaine hydro |
98 |
94 |
$132.20 |
| 85027 |
|
31 |
26 |
$111.72 |
| V2632 |
Post chmbr intraocular lens |
13 |
12 |
$109.91 |
| C1769 |
Guide wire |
19 |
15 |
$93.64 |
| J1642 |
Inj heparin sodium per 10 u |
81 |
49 |
$51.33 |
| Q0144 |
Azithromycin dihydrate, oral |
377 |
360 |
$49.70 |
| 94761 |
|
51 |
27 |
$44.09 |
| 90714 |
|
38 |
37 |
$43.08 |
| 82272 |
|
12 |
12 |
$24.76 |
| Q0162 |
Ondansetron oral |
108 |
103 |
$0.59 |
| A9270 |
Non-covered item or service |
4,124 |
703 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
19 |
14 |
$0.00 |
| 83036 |
|
14 |
13 |
$0.00 |
| J7999 |
Compounded drug, noc |
14 |
13 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
30 |
13 |
$0.00 |
| 77067 |
|
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
867 |
620 |
$-0.01 |