| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,369 |
9,639 |
$4.50M |
| 99284 |
|
6,664 |
6,105 |
$2.82M |
| 99285 |
|
2,963 |
2,670 |
$1.60M |
| 99282 |
|
4,135 |
3,887 |
$1.41M |
| 74177 |
|
1,421 |
1,348 |
$939K |
| 97110 |
|
6,857 |
2,406 |
$306K |
| 93306 |
|
1,043 |
993 |
$207K |
| 74176 |
|
345 |
317 |
$198K |
| 97140 |
|
5,201 |
1,879 |
$163K |
| 70450 |
|
1,268 |
1,169 |
$156K |
| 99281 |
|
331 |
320 |
$115K |
| 77067 |
|
1,183 |
1,153 |
$95K |
| 76811 |
|
454 |
441 |
$67K |
| 76816 |
|
532 |
466 |
$48K |
| 0001A |
|
911 |
827 |
$33K |
| 0002A |
|
852 |
800 |
$33K |
| 76830 |
|
468 |
454 |
$30K |
| 71046 |
|
2,057 |
1,974 |
$24K |
| 96365 |
|
1,238 |
812 |
$23K |
| 97161 |
|
402 |
385 |
$21K |
| 76856 |
|
498 |
482 |
$19K |
| 59025 |
|
429 |
287 |
$15K |
| 87502 |
|
2,297 |
2,195 |
$15K |
| 96361 |
|
1,112 |
966 |
$12K |
| 76801 |
|
221 |
207 |
$11K |
| 0004A |
|
237 |
230 |
$9K |
| 99213 |
|
45 |
38 |
$9K |
| 94640 |
|
729 |
573 |
$8K |
| 96413 |
|
347 |
167 |
$8K |
| 0071A |
|
170 |
162 |
$7K |
| 80053 |
|
8,253 |
7,131 |
$7K |
| 99291 |
|
13 |
13 |
$7K |
| 0072A |
|
155 |
152 |
$7K |
| 73110 |
|
160 |
142 |
$6K |
| 97112 |
|
241 |
118 |
$6K |
| 73610 |
|
217 |
189 |
$5K |
| 93005 |
|
2,023 |
1,800 |
$5K |
| 76805 |
|
45 |
40 |
$4K |
| 73630 |
|
348 |
320 |
$4K |
| 73130 |
|
175 |
156 |
$4K |
| 96366 |
|
16 |
14 |
$4K |
| 96374 |
|
5,197 |
4,526 |
$4K |
| 0054A |
|
90 |
86 |
$3K |
| 78452 |
|
16 |
13 |
$3K |
| 97530 |
|
312 |
204 |
$3K |
| 73562 |
|
228 |
205 |
$3K |
| 76705 |
|
130 |
122 |
$3K |
| 96375 |
|
2,994 |
2,638 |
$2K |
| 73030 |
|
121 |
114 |
$2K |
| 84443 |
|
123 |
118 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
2,309 |
2,013 |
$2K |
| 96372 |
|
1,554 |
1,382 |
$2K |
| 94060 |
|
12 |
12 |
$2K |
| 76642 |
|
15 |
12 |
$2K |
| G0463 |
Hospital outpt clinic visit |
110 |
90 |
$2K |
| 85025 |
|
11,320 |
9,438 |
$2K |
| 71045 |
|
3,409 |
3,030 |
$1K |
| 99211 |
|
83 |
66 |
$1K |
| 92587 |
|
15 |
15 |
$1K |
| 80307 |
|
708 |
644 |
$1K |
| 0124A |
|
38 |
37 |
$1K |
| 73502 |
|
39 |
37 |
$1K |
| 87086 |
|
2,516 |
2,323 |
$1K |
| 76700 |
|
18 |
16 |
$1K |
| 96160 |
|
6,326 |
5,730 |
$736.46 |
| G0108 |
Diab manage trn per indiv |
23 |
13 |
$716.30 |
| 96360 |
|
25 |
24 |
$613.66 |
| 87635 |
|
1,357 |
1,272 |
$465.74 |
| 76817 |
|
28 |
25 |
$440.70 |
| 93017 |
|
30 |
28 |
$433.41 |
| 88305 |
|
625 |
531 |
$418.84 |
| 81025 |
|
2,277 |
2,100 |
$381.57 |
| 81001 |
|
5,952 |
5,381 |
$316.39 |
| 84484 |
|
2,767 |
1,940 |
$261.69 |
| 80048 |
|
2,828 |
2,511 |
$228.62 |
| 87186 |
|
551 |
460 |
$211.39 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,097 |
2,705 |
$136.90 |
| 83690 |
|
2,754 |
2,525 |
$109.89 |
| 87040 |
|
452 |
244 |
$106.25 |
| 84702 |
|
135 |
115 |
$99.70 |
| J1885 |
Ketorolac tromethamine inj |
3,008 |
2,704 |
$89.95 |
| 82962 |
|
102 |
67 |
$75.67 |
| J2405 |
Ondansetron hcl injection |
4,348 |
3,526 |
$73.26 |
| 87651 |
|
99 |
98 |
$72.86 |
| 96161 |
|
1,832 |
1,744 |
$61.76 |
| 83605 |
|
768 |
637 |
$52.90 |
| J3010 |
Fentanyl citrate injection |
2,104 |
1,869 |
$45.42 |
| 87807 |
|
510 |
492 |
$45.39 |
| 87880 |
|
58 |
55 |
$43.94 |
| 90715 |
|
25 |
25 |
$40.62 |
| 84703 |
|
512 |
490 |
$39.27 |
| 83735 |
|
974 |
884 |
$36.91 |
| J2270 |
Morphine sulfate injection |
547 |
441 |
$30.71 |
| 85610 |
|
1,510 |
1,362 |
$30.24 |
| 83880 |
|
217 |
196 |
$30.15 |
| J0134 |
Inj acetaminophen -fresenius |
190 |
170 |
$28.80 |
| J0696 |
Ceftriaxone sodium injection |
476 |
414 |
$25.38 |
| 86140 |
|
649 |
596 |
$23.26 |
| 85730 |
|
326 |
292 |
$18.03 |
| 87081 |
|
28 |
26 |
$16.36 |
| J2704 |
Inj, propofol, 10 mg |
2,310 |
2,073 |
$14.32 |
| 86900 |
|
441 |
383 |
$12.80 |
| 87088 |
|
508 |
445 |
$11.84 |
| 86901 |
|
458 |
399 |
$10.58 |
| 83615 |
|
209 |
174 |
$8.77 |
| 85379 |
|
131 |
122 |
$8.23 |
| J1100 |
Dexamethasone sodium phos |
2,187 |
1,663 |
$6.62 |
| 90471 |
|
25 |
25 |
$4.46 |
| 36415 |
|
1,031 |
726 |
$3.00 |
| J0690 |
Cefazolin sodium injection |
800 |
624 |
$1.15 |
| C1751 |
Cath, inf, per/cent/midline |
266 |
227 |
$0.00 |
| J2550 |
Promethazine hcl injection |
222 |
211 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
124 |
119 |
$0.00 |
| 94726 |
|
12 |
12 |
$0.00 |
| 94799 |
|
80 |
75 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
71 |
50 |
$0.00 |
| G1004 |
Cdsm ndsc |
15 |
13 |
$0.00 |
| 94729 |
|
26 |
24 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
35 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
877 |
803 |
$0.00 |
| A9270 |
Non-covered item or service |
1,115 |
442 |
$0.00 |
| 77063 |
|
402 |
393 |
$0.00 |
| 88738 |
|
26 |
24 |
$0.00 |
| J1170 |
Hydromorphone injection |
233 |
192 |
$0.00 |
| 96376 |
|
53 |
52 |
$0.00 |
| 86850 |
|
181 |
154 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
84 |
78 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
40 |
35 |
$0.00 |
| J2060 |
Lorazepam injection |
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
38 |
37 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
120 |
61 |
$0.00 |
| 85651 |
|
14 |
14 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
49 |
45 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
56 |
53 |
$0.00 |
| A9500 |
Tc99m sestamibi |
16 |
13 |
$0.00 |