| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,631 |
15,015 |
$6.92M |
| 99283 |
|
16,594 |
15,220 |
$5.85M |
| 99285 |
|
9,901 |
8,667 |
$5.03M |
| 74177 |
|
2,926 |
2,718 |
$4.59M |
| T1015 |
Clinic service |
15,271 |
12,018 |
$4.09M |
| 96361 |
|
10,731 |
7,712 |
$2.24M |
| 70450 |
|
4,731 |
4,320 |
$2.08M |
| 72125 |
|
2,106 |
1,973 |
$2.01M |
| 74176 |
|
714 |
688 |
$1.09M |
| G0378 |
Hospital observation per hr |
5,750 |
2,090 |
$746K |
| 99291 |
|
772 |
725 |
$660K |
| 99282 |
|
3,115 |
2,972 |
$467K |
| 71275 |
|
323 |
290 |
$436K |
| G0390 |
Trauma respons w/hosp criti |
2,083 |
1,944 |
$322K |
| 96366 |
|
2,627 |
1,937 |
$236K |
| 99211 |
|
1,729 |
964 |
$209K |
| 43239 |
|
139 |
133 |
$117K |
| 70486 |
|
465 |
436 |
$116K |
| 87633 |
|
6,652 |
6,070 |
$100K |
| 87635 |
|
1,364 |
1,279 |
$81K |
| 93005 |
|
8,236 |
7,149 |
$78K |
| 71046 |
|
1,658 |
1,568 |
$45K |
| 71260 |
|
330 |
311 |
$40K |
| 82306 |
|
667 |
651 |
$38K |
| 80053 |
|
22,401 |
18,646 |
$33K |
| 99281 |
|
291 |
284 |
$29K |
| 72148 |
|
39 |
39 |
$23K |
| J2704 |
Inj, propofol, 10 mg |
2,381 |
2,279 |
$21K |
| 88305 |
|
604 |
489 |
$17K |
| 94640 |
|
696 |
579 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,720 |
3,432 |
$13K |
| 71045 |
|
7,484 |
6,672 |
$13K |
| 83036 |
|
1,996 |
1,932 |
$13K |
| 84443 |
|
4,283 |
4,017 |
$13K |
| 97110 |
|
682 |
189 |
$13K |
| 96360 |
|
2,539 |
2,384 |
$13K |
| 96365 |
|
6,517 |
5,623 |
$12K |
| 80307 |
|
5,074 |
4,601 |
$11K |
| 45378 |
|
12 |
12 |
$11K |
| 84439 |
|
860 |
819 |
$11K |
| 73721 |
|
27 |
25 |
$10K |
| 80061 |
|
1,612 |
1,571 |
$8K |
| 86850 |
|
757 |
705 |
$8K |
| 87591 |
|
278 |
210 |
$8K |
| 82607 |
|
170 |
164 |
$6K |
| 71250 |
|
14 |
14 |
$6K |
| 73030 |
|
220 |
205 |
$6K |
| 94002 |
|
15 |
15 |
$6K |
| 96367 |
|
1,081 |
923 |
$5K |
| 96375 |
|
8,911 |
7,140 |
$5K |
| 73564 |
|
73 |
66 |
$5K |
| 87637 |
|
634 |
621 |
$5K |
| 87491 |
|
145 |
140 |
$5K |
| 87088 |
|
4,092 |
3,829 |
$5K |
| 85025 |
|
21,594 |
17,961 |
$5K |
| 83880 |
|
2,410 |
2,079 |
$4K |
| 12001 |
|
25 |
25 |
$4K |
| 83690 |
|
6,881 |
6,121 |
$4K |
| 73130 |
|
187 |
168 |
$4K |
| 96374 |
|
8,194 |
7,272 |
$4K |
| 99213 |
|
4,789 |
3,525 |
$4K |
| 73630 |
|
150 |
138 |
$3K |
| 36415 |
|
23,497 |
17,727 |
$3K |
| 81000 |
|
9,592 |
8,675 |
$3K |
| 86900 |
|
1,047 |
978 |
$2K |
| A9270 |
Non-covered item or service |
2,932 |
1,659 |
$2K |
| 73610 |
|
94 |
86 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
6,049 |
5,597 |
$2K |
| 84484 |
|
6,406 |
5,336 |
$2K |
| 80048 |
|
4,303 |
3,637 |
$2K |
| 87798 |
|
717 |
675 |
$2K |
| 73562 |
|
57 |
51 |
$1K |
| 85610 |
|
5,915 |
5,312 |
$1K |
| 96372 |
|
5,615 |
4,694 |
$1K |
| 85007 |
|
3,606 |
3,128 |
$921.22 |
| 83605 |
|
4,213 |
3,659 |
$854.15 |
| 81025 |
|
2,246 |
2,134 |
$843.42 |
| 90471 |
|
827 |
765 |
$823.55 |
| 84703 |
|
2,620 |
2,390 |
$803.96 |
| 94760 |
|
413 |
319 |
$801.92 |
| 83735 |
|
7,077 |
6,181 |
$749.81 |
| 87086 |
|
799 |
760 |
$737.73 |
| 97140 |
|
157 |
39 |
$733.72 |
| 73110 |
|
29 |
25 |
$694.66 |
| 72100 |
|
14 |
14 |
$690.63 |
| 85027 |
|
3,950 |
3,460 |
$611.12 |
| 87502 |
|
130 |
121 |
$581.60 |
| 99232 |
|
25 |
12 |
$563.47 |
| 85730 |
|
4,340 |
3,928 |
$549.51 |
| 90715 |
|
990 |
953 |
$484.18 |
| 85379 |
|
1,301 |
1,183 |
$436.65 |
| J7120 |
Ringers lactate infusion |
5,121 |
4,368 |
$405.18 |
| 87081 |
|
256 |
247 |
$399.94 |
| J1885 |
Ketorolac tromethamine inj |
5,126 |
4,535 |
$395.56 |
| 80320 |
|
6,951 |
5,973 |
$370.67 |
| 80329 |
|
4,019 |
1,917 |
$366.96 |
| 99212 |
|
236 |
204 |
$350.75 |
| J3010 |
Fentanyl citrate injection |
3,133 |
2,491 |
$335.74 |
| J7030 |
Normal saline solution infus |
7,288 |
6,003 |
$308.43 |
| 82140 |
|
505 |
432 |
$293.66 |
| 87040 |
|
1,631 |
1,330 |
$259.62 |
| G0379 |
Direct refer hospital observ |
75 |
73 |
$234.45 |
| J2405 |
Ondansetron hcl injection |
7,566 |
6,190 |
$232.54 |
| 87880 |
|
1,456 |
1,420 |
$226.07 |
| 82150 |
|
205 |
186 |
$223.76 |
| J2270 |
Morphine sulfate injection |
2,573 |
1,867 |
$218.57 |
| 82550 |
|
679 |
586 |
$202.69 |
| J3360 |
Diazepam injection |
338 |
248 |
$176.37 |
| 86780 |
|
47 |
46 |
$167.72 |
| Q0162 |
Ondansetron oral |
1,900 |
1,751 |
$153.80 |
| 96376 |
|
3,764 |
2,618 |
$146.34 |
| 84702 |
|
102 |
84 |
$139.64 |
| J0131 |
Inj, acetaminophen (nos) |
1,445 |
1,303 |
$130.92 |
| 82805 |
|
640 |
554 |
$108.61 |
| 86140 |
|
12 |
12 |
$86.09 |
| 87070 |
|
28 |
26 |
$83.44 |
| J1170 |
Hydromorphone injection |
310 |
263 |
$82.40 |
| 86901 |
|
1,090 |
1,019 |
$77.15 |
| J7040 |
Normal saline solution infus |
4,604 |
3,088 |
$56.31 |
| 88304 |
|
122 |
92 |
$50.54 |
| J7050 |
Normal saline solution infus |
2,292 |
1,953 |
$45.97 |
| J3475 |
Inj magnesium sulfate |
375 |
303 |
$43.07 |
| 82553 |
|
212 |
180 |
$41.29 |
| J2060 |
Lorazepam injection |
1,751 |
1,431 |
$38.24 |
| J0696 |
Ceftriaxone sodium injection |
2,140 |
1,736 |
$38.06 |
| 87486 |
|
603 |
574 |
$36.65 |
| 87581 |
|
604 |
574 |
$36.65 |
| J2274 |
Inj morphine pf epid ithc |
759 |
630 |
$32.13 |
| J2250 |
Inj midazolam hydrochloride |
911 |
733 |
$32.05 |
| J1200 |
Diphenhydramine hcl injectio |
741 |
678 |
$21.26 |
| J2550 |
Promethazine hcl injection |
216 |
179 |
$18.71 |
| J3411 |
Thiamine hcl 100 mg |
881 |
787 |
$16.91 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
16 |
$16.16 |
| 83615 |
|
228 |
203 |
$14.55 |
| J1100 |
Dexamethasone sodium phos |
2,002 |
1,783 |
$13.43 |
| 87077 |
|
139 |
133 |
$11.32 |
| 90472 |
|
57 |
41 |
$11.17 |
| S0164 |
Injection pantroprazole |
60 |
46 |
$9.46 |
| 82948 |
|
461 |
299 |
$6.26 |
| 81002 |
|
154 |
144 |
$5.09 |
| 85651 |
|
197 |
180 |
$4.42 |
| J3480 |
Inj potassium chloride |
2,043 |
1,424 |
$4.00 |
| 86592 |
|
44 |
41 |
$3.18 |
| 81001 |
|
124 |
120 |
$2.83 |
| J7613 |
Albuterol non-comp unit |
85 |
61 |
$0.12 |
| 99214 |
|
1,181 |
1,068 |
$0.00 |
| J1630 |
Haloperidol injection |
82 |
74 |
$0.00 |
| J2001 |
Lidocaine injection |
1,603 |
1,361 |
$0.00 |
| 3044F |
|
252 |
248 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
161 |
140 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
281 |
217 |
$0.00 |
| 94762 |
|
72 |
54 |
$0.00 |
| 0011A |
|
49 |
35 |
$0.00 |
| 96368 |
|
73 |
70 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 0012A |
|
81 |
59 |
$0.00 |
| 94644 |
|
58 |
49 |
$0.00 |
| J1790 |
Droperidol injection |
26 |
24 |
$0.00 |
| J1815 |
Insulin injection |
92 |
65 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
28 |
27 |
$0.00 |
| 0064A |
|
14 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
28 |
15 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |
| 85018 |
|
13 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
367 |
354 |
$0.00 |
| 82009 |
|
46 |
39 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
107 |
103 |
$0.00 |
| 87186 |
|
101 |
97 |
$0.00 |
| 99203 |
|
42 |
42 |
$0.00 |
| 74018 |
|
26 |
26 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
17 |
15 |
$0.00 |
| 87641 |
|
28 |
25 |
$0.00 |
| J2930 |
Methylprednisolone injection |
58 |
49 |
$0.00 |
| 84145 |
|
29 |
29 |
$0.00 |
| 86703 |
|
26 |
26 |
$0.00 |
| 83540 |
|
15 |
15 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
12 |
12 |
$0.00 |
| 86922 |
|
16 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
19 |
16 |
$0.00 |
| 99442 |
|
83 |
54 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
46 |
31 |
$0.00 |
| 94664 |
|
28 |
13 |
$0.00 |