| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Drugs unclassified injection |
31,425 |
10,386 |
$1.69M |
| 99283 |
|
14,419 |
11,172 |
$1.12M |
| 99285 |
|
4,046 |
3,111 |
$990K |
| 99284 |
|
7,526 |
6,089 |
$841K |
| 36415 |
|
21,650 |
15,297 |
$328K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,184 |
1,763 |
$284K |
| 80053 |
|
17,084 |
12,780 |
$280K |
| 85025 |
|
17,889 |
12,956 |
$276K |
| 96361 |
|
3,751 |
2,738 |
$245K |
| 93005 |
|
7,171 |
5,184 |
$230K |
| 96365 |
|
3,313 |
2,266 |
$223K |
| 74176 |
|
1,833 |
1,446 |
$222K |
| J3010 |
Fentanyl citrate injection |
2,773 |
2,133 |
$192K |
| 99282 |
|
2,732 |
2,276 |
$171K |
| G0378 |
Hospital observation per hr |
930 |
771 |
$164K |
| J2250 |
Inj midazolam hydrochloride |
2,337 |
1,832 |
$164K |
| 70450 |
|
2,181 |
1,828 |
$161K |
| 80307 |
|
3,618 |
2,689 |
$155K |
| 96372 |
|
6,233 |
4,927 |
$135K |
| 71045 |
|
4,853 |
3,790 |
$131K |
| J2405 |
Ondansetron hcl injection |
4,022 |
2,929 |
$127K |
| 80048 |
|
3,557 |
2,753 |
$123K |
| J2704 |
Inj, propofol, 10 mg |
1,924 |
1,556 |
$111K |
| 96375 |
|
4,269 |
2,989 |
$110K |
| 85027 |
|
3,516 |
2,768 |
$109K |
| J1885 |
Ketorolac tromethamine inj |
3,455 |
2,733 |
$108K |
| 96374 |
|
4,138 |
3,090 |
$107K |
| 85610 |
|
2,589 |
1,993 |
$105K |
| 87400 |
|
4,247 |
3,067 |
$105K |
| 99281 |
|
2,219 |
1,828 |
$101K |
| J1100 |
Dexamethasone sodium phos |
2,519 |
1,955 |
$92K |
| 84484 |
|
5,956 |
3,578 |
$92K |
| 81003 |
|
6,945 |
5,649 |
$91K |
| 94640 |
|
2,298 |
1,436 |
$90K |
| 74177 |
|
644 |
529 |
$89K |
| 85730 |
|
1,708 |
1,353 |
$86K |
| 96360 |
|
1,207 |
950 |
$86K |
| 71275 |
|
434 |
337 |
$83K |
| C1769 |
Guide wire |
553 |
416 |
$77K |
| 93458 |
|
109 |
82 |
$76K |
| 97110 |
|
891 |
222 |
$75K |
| J0690 |
Cefazolin sodium injection |
984 |
696 |
$71K |
| J2001 |
Lidocaine injection |
1,551 |
1,251 |
$66K |
| 71046 |
|
2,981 |
2,416 |
$63K |
| 88305 |
|
854 |
701 |
$62K |
| 96366 |
|
1,268 |
804 |
$61K |
| 87880 |
|
3,298 |
2,639 |
$59K |
| 83690 |
|
3,487 |
2,616 |
$58K |
| 87086 |
|
4,024 |
3,384 |
$56K |
| 82553 |
|
3,303 |
2,440 |
$54K |
| 84443 |
|
3,096 |
2,593 |
$53K |
| 87040 |
|
2,194 |
1,630 |
$53K |
| 82550 |
|
3,840 |
2,724 |
$49K |
| 83735 |
|
3,461 |
2,457 |
$49K |
| 83880 |
|
1,726 |
1,333 |
$48K |
| J2710 |
Neostigmine methylslfte inj |
395 |
297 |
$47K |
| J1170 |
Hydromorphone injection |
1,092 |
776 |
$47K |
| 82805 |
|
1,325 |
988 |
$43K |
| 86140 |
|
3,048 |
2,397 |
$42K |
| 87186 |
|
1,720 |
1,459 |
$36K |
| 72110 |
|
962 |
850 |
$35K |
| 81001 |
|
3,553 |
2,818 |
$34K |
| 80061 |
|
2,266 |
1,914 |
$34K |
| 83605 |
|
1,584 |
1,054 |
$33K |
| 82962 |
|
3,422 |
1,519 |
$33K |
| 82150 |
|
1,599 |
1,298 |
$32K |
| J2550 |
Promethazine hcl injection |
1,067 |
743 |
$32K |
| 93971 |
|
527 |
448 |
$32K |
| 96376 |
|
962 |
686 |
$30K |
| C1893 |
Intro/sheath, fixed,non-peel |
202 |
145 |
$30K |
| 77067 |
|
396 |
291 |
$29K |
| 72125 |
|
456 |
371 |
$29K |
| 84703 |
|
1,835 |
1,512 |
$28K |
| 87070 |
|
1,198 |
970 |
$28K |
| J2930 |
Methylprednisolone injection |
1,371 |
1,079 |
$26K |
| G0480 |
Drug test def 1-7 classes |
340 |
213 |
$26K |
| 87205 |
|
1,230 |
1,001 |
$26K |
| 99211 |
|
596 |
398 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
2,070 |
1,519 |
$22K |
| 99152 |
|
225 |
161 |
$22K |
| 87077 |
|
643 |
531 |
$22K |
| 93017 |
|
153 |
121 |
$21K |
| 83036 |
|
1,784 |
1,502 |
$21K |
| J2270 |
Morphine sulfate injection |
926 |
629 |
$20K |
| 82306 |
|
998 |
847 |
$20K |
| 73562 |
|
774 |
663 |
$20K |
| J0592 |
Buprenorphine hydrochloride |
572 |
441 |
$19K |
| J3370 |
Vancomycin hcl injection |
583 |
325 |
$19K |
| 66984 |
|
65 |
43 |
$18K |
| 76705 |
|
392 |
305 |
$18K |
| 36600 |
|
1,292 |
997 |
$18K |
| J2274 |
Inj morphine pf epid ithc |
374 |
274 |
$17K |
| 85379 |
|
771 |
643 |
$17K |
| 84702 |
|
997 |
714 |
$17K |
| J1200 |
Diphenhydramine hcl injectio |
792 |
577 |
$17K |
| 73030 |
|
821 |
667 |
$17K |
| 74019 |
|
546 |
459 |
$16K |
| 87807 |
|
981 |
728 |
$16K |
| J1956 |
Levofloxacin injection |
212 |
151 |
$16K |
| 74018 |
|
709 |
599 |
$15K |
| 85007 |
|
513 |
380 |
$14K |
| 81025 |
|
786 |
648 |
$14K |
| 87088 |
|
1,007 |
888 |
$13K |
| 73630 |
|
710 |
609 |
$13K |
| 64483 |
|
47 |
32 |
$12K |
| 73610 |
|
501 |
429 |
$11K |
| 90471 |
|
372 |
307 |
$11K |
| 87591 |
|
374 |
272 |
$11K |
| 87491 |
|
373 |
271 |
$11K |
| 76700 |
|
146 |
136 |
$11K |
| 73130 |
|
406 |
329 |
$10K |
| J2765 |
Metoclopramide hcl injection |
426 |
318 |
$10K |
| 96367 |
|
314 |
221 |
$10K |
| 73502 |
|
443 |
389 |
$10K |
| 86900 |
|
713 |
624 |
$10K |
| C9113 |
Inj pantoprazole sodium, via |
629 |
445 |
$10K |
| 86901 |
|
712 |
623 |
$9K |
| 82607 |
|
484 |
431 |
$9K |
| 85018 |
|
801 |
650 |
$9K |
| 85014 |
|
753 |
606 |
$9K |
| 90715 |
|
232 |
199 |
$8K |
| 86850 |
|
446 |
385 |
$8K |
| 83721 |
|
707 |
610 |
$8K |
| 87081 |
|
849 |
718 |
$8K |
| 84439 |
|
595 |
463 |
$8K |
| 72050 |
|
186 |
171 |
$8K |
| C1751 |
Cath, inf, per/cent/midline |
240 |
200 |
$7K |
| 72070 |
|
114 |
106 |
$7K |
| 83540 |
|
331 |
278 |
$6K |
| 43239 |
|
33 |
30 |
$6K |
| 83550 |
|
270 |
230 |
$6K |
| 82950 |
|
605 |
477 |
$6K |
| 70486 |
|
63 |
45 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
73 |
54 |
$6K |
| A9500 |
Tc99m sestamibi |
69 |
65 |
$5K |
| 73110 |
|
198 |
188 |
$5K |
| J3475 |
Inj magnesium sulfate |
340 |
241 |
$5K |
| 73590 |
|
88 |
82 |
$5K |
| J2060 |
Lorazepam injection |
378 |
270 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
91 |
71 |
$5K |
| 73560 |
|
314 |
252 |
$5K |
| 86592 |
|
581 |
444 |
$5K |
| J1650 |
Inj enoxaparin sodium |
347 |
222 |
$5K |
| J0330 |
Succinycholine chloride inj |
130 |
117 |
$4K |
| 95810 |
|
12 |
12 |
$4K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
69 |
53 |
$4K |
| 84550 |
|
372 |
288 |
$4K |
| C1780 |
Lens, intraocular (new tech) |
81 |
54 |
$4K |
| 36416 |
|
851 |
545 |
$3K |
| C1894 |
Intro/sheath, non-laser |
60 |
42 |
$3K |
| 73721 |
|
27 |
25 |
$3K |
| J2543 |
Piperacillin/tazobactam |
141 |
109 |
$3K |
| 76817 |
|
13 |
13 |
$3K |
| 85652 |
|
267 |
228 |
$3K |
| 84436 |
|
236 |
185 |
$3K |
| 87210 |
|
194 |
163 |
$2K |
| 93306 |
|
42 |
41 |
$2K |
| 80074 |
|
61 |
54 |
$2K |
| G0463 |
Hospital outpt clinic visit |
18 |
12 |
$2K |
| 82272 |
|
123 |
111 |
$2K |
| 87804 |
|
140 |
53 |
$2K |
| J2785 |
Regadenoson injection |
15 |
14 |
$2K |
| 82140 |
|
19 |
12 |
$2K |
| 82746 |
|
43 |
41 |
$2K |
| 73100 |
|
76 |
68 |
$1K |
| 82247 |
|
287 |
120 |
$1K |
| 88304 |
|
107 |
94 |
$1K |
| 83655 |
|
155 |
146 |
$1K |
| 82043 |
|
140 |
112 |
$1K |
| 86308 |
|
164 |
150 |
$1K |
| 82728 |
|
90 |
81 |
$1K |
| J0780 |
Prochlorperazine injection |
195 |
163 |
$1K |
| 76536 |
|
22 |
12 |
$1K |
| J1940 |
Furosemide injection |
131 |
72 |
$992.76 |
| 59025 |
|
52 |
25 |
$970.11 |
| 97161 |
|
27 |
25 |
$925.39 |
| 73080 |
|
55 |
53 |
$902.14 |
| J0171 |
Adrenalin epinephrine inject |
36 |
28 |
$876.64 |
| 87806 |
|
33 |
25 |
$844.44 |
| 88312 |
|
19 |
17 |
$823.52 |
| 76775 |
|
14 |
14 |
$808.46 |
| 73090 |
|
49 |
42 |
$727.45 |
| 71250 |
|
34 |
32 |
$706.29 |
| 84481 |
|
33 |
31 |
$577.45 |
| 51702 |
|
29 |
26 |
$574.66 |
| 73140 |
|
20 |
14 |
$535.53 |
| U0002 |
Covid-19 lab test non-cdc |
20 |
16 |
$522.49 |
| J3301 |
Triamcinolone acet inj nos |
52 |
32 |
$495.10 |
| 72170 |
|
29 |
26 |
$416.78 |
| J7512 |
Prednisone ir or dr oral 1mg |
229 |
160 |
$373.69 |
| 82570 |
|
44 |
24 |
$360.79 |
| 82009 |
|
28 |
25 |
$261.96 |
| 96368 |
|
26 |
19 |
$253.40 |
| 71260 |
|
13 |
12 |
$250.32 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
49 |
38 |
$237.86 |
| 86885 |
|
37 |
33 |
$204.22 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
49 |
38 |
$202.50 |
| 80076 |
|
24 |
24 |
$194.79 |
| 82248 |
|
42 |
40 |
$174.35 |
| 87075 |
|
16 |
13 |
$150.60 |
| J1644 |
Inj heparin sodium per 1000u |
60 |
43 |
$145.12 |
| J7060 |
5% dextrose/water |
91 |
14 |
$96.03 |
| C1725 |
Cath, translumin non-laser |
45 |
40 |
$40.97 |
| 82565 |
|
20 |
14 |
$40.96 |
| J2795 |
Ropivacaine hcl injection |
13 |
12 |
$35.02 |
| C1887 |
Catheter, guiding |
17 |
14 |
$15.16 |
| A9270 |
Non-covered item or service |
19 |
12 |
$0.00 |