| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
46,972 |
38,742 |
$5.11M |
| G0378 |
Hospital observation per hr |
20,654 |
14,593 |
$2.45M |
| 99284 |
|
26,148 |
23,194 |
$2.23M |
| 74177 |
|
9,313 |
7,888 |
$2.15M |
| 99283 |
|
25,368 |
21,398 |
$1.30M |
| 70450 |
|
10,011 |
8,333 |
$834K |
| 71275 |
|
3,035 |
2,560 |
$725K |
| 74176 |
|
4,760 |
4,086 |
$699K |
| 96374 |
|
36,309 |
28,016 |
$588K |
| 96361 |
|
26,975 |
19,610 |
$550K |
| 96375 |
|
30,332 |
21,204 |
$532K |
| 78452 |
|
911 |
755 |
$411K |
| 80307 |
|
13,080 |
10,606 |
$289K |
| 99282 |
|
7,120 |
6,460 |
$246K |
| 59025 |
|
6,739 |
4,839 |
$234K |
| 96372 |
|
17,262 |
11,273 |
$234K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,392 |
11,930 |
$230K |
| 85025 |
|
71,387 |
49,782 |
$217K |
| 72125 |
|
2,074 |
1,811 |
$216K |
| 96376 |
|
15,444 |
7,918 |
$213K |
| 80053 |
|
47,569 |
36,531 |
$203K |
| 96360 |
|
6,614 |
5,736 |
$203K |
| 76856 |
|
2,858 |
2,444 |
$169K |
| 96365 |
|
5,502 |
4,406 |
$157K |
| 93005 |
|
34,847 |
26,832 |
$154K |
| 71045 |
|
24,258 |
20,072 |
$148K |
| 87636 |
|
2,148 |
2,013 |
$146K |
| 93306 |
|
1,337 |
1,032 |
$142K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,389 |
2,923 |
$140K |
| 76830 |
|
1,984 |
1,712 |
$139K |
| 84484 |
|
32,469 |
17,678 |
$136K |
| 76801 |
|
2,331 |
1,955 |
$135K |
| 76705 |
|
2,572 |
2,218 |
$126K |
| 71046 |
|
9,157 |
8,031 |
$118K |
| 84702 |
|
20,274 |
16,883 |
$116K |
| 36415 |
|
85,613 |
54,164 |
$115K |
| 0450 |
|
2,317 |
2,049 |
$113K |
| 70496 |
|
355 |
321 |
$109K |
| 43239 |
|
513 |
457 |
$105K |
| 95819 |
|
650 |
426 |
$103K |
| 76817 |
|
1,542 |
1,296 |
$93K |
| 70551 |
|
411 |
328 |
$90K |
| 70498 |
|
344 |
312 |
$82K |
| 80048 |
|
26,063 |
18,923 |
$82K |
| 93971 |
|
1,780 |
1,535 |
$81K |
| 97530 |
|
7,522 |
2,947 |
$77K |
| A9500 |
Tc99m sestamibi |
894 |
742 |
$68K |
| 99214 |
|
1,198 |
996 |
$67K |
| 96366 |
|
2,343 |
1,502 |
$66K |
| 99213 |
|
2,198 |
1,735 |
$66K |
| 72131 |
|
506 |
471 |
$65K |
| 87502 |
|
1,806 |
1,460 |
$65K |
| 83690 |
|
21,098 |
17,082 |
$61K |
| 83880 |
|
5,581 |
4,574 |
$60K |
| 97161 |
|
2,496 |
1,964 |
$60K |
| 87651 |
|
3,244 |
2,838 |
$58K |
| J2270 |
Morphine sulfate injection |
21,513 |
13,707 |
$56K |
| 11042 |
|
1,169 |
539 |
$56K |
| 93970 |
|
719 |
632 |
$53K |
| 83605 |
|
10,724 |
8,011 |
$44K |
| 99203 |
|
888 |
803 |
$44K |
| 97165 |
|
1,759 |
1,381 |
$43K |
| 87086 |
|
12,116 |
10,259 |
$41K |
| 0241U |
|
3,081 |
2,898 |
$40K |
| 99281 |
|
1,779 |
1,660 |
$40K |
| 99204 |
|
433 |
386 |
$40K |
| 81001 |
|
28,952 |
24,177 |
$39K |
| 90715 |
|
995 |
883 |
$38K |
| 73564 |
|
1,838 |
1,655 |
$37K |
| 87635 |
|
1,456 |
1,159 |
$35K |
| 47562 |
|
29 |
25 |
$34K |
| 94640 |
|
3,622 |
3,047 |
$34K |
| 97162 |
|
1,218 |
1,018 |
$31K |
| 85730 |
|
15,930 |
12,395 |
$30K |
| 83735 |
|
13,618 |
8,577 |
$28K |
| 70486 |
|
240 |
211 |
$28K |
| 81025 |
|
11,529 |
9,781 |
$28K |
| 87040 |
|
6,306 |
3,368 |
$27K |
| 85379 |
|
6,459 |
5,546 |
$27K |
| J0153 |
Adenosine inj 1mg |
470 |
304 |
$26K |
| 73630 |
|
1,608 |
1,448 |
$25K |
| 73610 |
|
1,401 |
1,269 |
$25K |
| 76805 |
|
313 |
250 |
$24K |
| 85610 |
|
19,037 |
14,509 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
6,254 |
4,425 |
$22K |
| 73130 |
|
1,162 |
1,053 |
$20K |
| 87491 |
|
1,208 |
1,018 |
$20K |
| 87591 |
|
1,205 |
1,017 |
$20K |
| 47563 |
|
14 |
13 |
$17K |
| 73030 |
|
1,290 |
1,133 |
$17K |
| 84443 |
|
3,145 |
2,606 |
$17K |
| 97166 |
|
644 |
561 |
$17K |
| J1170 |
Hydromorphone injection |
8,501 |
5,124 |
$16K |
| 80076 |
|
5,036 |
4,155 |
$16K |
| 93017 |
|
949 |
783 |
$15K |
| 87186 |
|
4,257 |
3,012 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
12,011 |
9,931 |
$14K |
| 73110 |
|
667 |
610 |
$14K |
| G0463 |
Hospital outpt clinic visit |
517 |
329 |
$14K |
| J3370 |
Vancomycin hcl injection |
1,492 |
839 |
$13K |
| 97535 |
|
1,242 |
874 |
$13K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
241 |
208 |
$12K |
| J2930 |
Methylprednisolone injection |
1,598 |
1,161 |
$12K |
| 99212 |
|
974 |
783 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
8,477 |
7,481 |
$12K |
| 80061 |
|
2,946 |
2,336 |
$11K |
| J2405 |
Ondansetron hcl injection |
30,427 |
21,763 |
$11K |
| J2543 |
Piperacillin/tazobactam |
1,688 |
889 |
$11K |
| 82962 |
|
16,076 |
5,911 |
$11K |
| 43235 |
|
44 |
44 |
$11K |
| 87641 |
|
1,732 |
1,210 |
$10K |
| 90471 |
|
983 |
875 |
$10K |
| 82550 |
|
4,091 |
3,203 |
$10K |
| 81003 |
|
10,858 |
9,054 |
$10K |
| 84145 |
|
1,038 |
818 |
$10K |
| 72100 |
|
656 |
564 |
$10K |
| 70491 |
|
57 |
52 |
$9K |
| J0360 |
Hydralazine hcl injection |
2,446 |
1,547 |
$9K |
| 97110 |
|
503 |
156 |
$9K |
| 85027 |
|
7,211 |
5,121 |
$8K |
| J1100 |
Dexamethasone sodium phos |
12,201 |
9,990 |
$8K |
| 74018 |
|
798 |
646 |
$8K |
| 83036 |
|
2,925 |
2,390 |
$8K |
| 99291 |
|
44 |
41 |
$7K |
| 82803 |
|
1,114 |
888 |
$7K |
| J1644 |
Inj heparin sodium per 1000u |
5,423 |
2,526 |
$7K |
| 97116 |
|
845 |
643 |
$7K |
| J1650 |
Inj enoxaparin sodium |
1,721 |
830 |
$7K |
| 86140 |
|
3,268 |
2,630 |
$6K |
| 74174 |
|
12 |
12 |
$6K |
| 86901 |
|
6,959 |
5,744 |
$6K |
| 87077 |
|
1,522 |
1,264 |
$6K |
| 86900 |
|
6,850 |
5,637 |
$6K |
| 97597 |
|
627 |
340 |
$6K |
| J3010 |
Fentanyl citrate injection |
9,881 |
7,673 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
9,521 |
7,575 |
$6K |
| J0780 |
Prochlorperazine injection |
948 |
773 |
$5K |
| 80069 |
|
2,884 |
1,417 |
$5K |
| J2765 |
Metoclopramide hcl injection |
6,722 |
5,202 |
$5K |
| 76700 |
|
72 |
68 |
$5K |
| U0005 |
Infec agen detec ampli probe |
1,462 |
1,289 |
$5K |
| 86850 |
|
5,119 |
4,151 |
$5K |
| 74022 |
|
203 |
167 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
6,708 |
4,526 |
$5K |
| 87210 |
|
2,061 |
1,768 |
$4K |
| J0690 |
Cefazolin sodium injection |
5,379 |
3,986 |
$4K |
| 84439 |
|
1,172 |
1,008 |
$4K |
| 82330 |
|
735 |
612 |
$3K |
| 84100 |
|
2,119 |
1,538 |
$3K |
| 94644 |
|
158 |
121 |
$3K |
| 76815 |
|
51 |
49 |
$3K |
| 73080 |
|
170 |
157 |
$3K |
| 93880 |
|
36 |
32 |
$3K |
| J0330 |
Succinycholine chloride inj |
2,580 |
2,049 |
$3K |
| 99202 |
|
86 |
78 |
$3K |
| J2060 |
Lorazepam injection |
5,058 |
3,530 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,423 |
1,040 |
$3K |
| J2001 |
Lidocaine injection |
3,086 |
2,612 |
$3K |
| A9585 |
Gadobutrol injection |
87 |
67 |
$3K |
| 84132 |
|
2,736 |
1,986 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
2,088 |
1,191 |
$2K |
| 87661 |
|
123 |
118 |
$2K |
| 96367 |
|
154 |
127 |
$2K |
| J3490 |
Drugs unclassified injection |
202 |
149 |
$2K |
| 82140 |
|
452 |
345 |
$2K |
| 87276 |
|
512 |
470 |
$2K |
| 87275 |
|
512 |
470 |
$2K |
| 29125 |
|
64 |
55 |
$2K |
| 73502 |
|
95 |
89 |
$2K |
| J3475 |
Inj magnesium sulfate |
730 |
618 |
$2K |
| 72040 |
|
111 |
94 |
$2K |
| 87631 |
|
1,121 |
935 |
$1K |
| 87070 |
|
710 |
547 |
$1K |
| 76775 |
|
66 |
62 |
$1K |
| 87205 |
|
1,192 |
851 |
$1K |
| J1630 |
Haloperidol injection |
1,050 |
677 |
$1K |
| 85652 |
|
1,456 |
1,172 |
$1K |
| 82607 |
|
318 |
229 |
$1K |
| J1790 |
Droperidol injection |
201 |
179 |
$1K |
| 82728 |
|
283 |
193 |
$1K |
| 84112 |
|
90 |
76 |
$1K |
| J2785 |
Regadenoson injection |
17 |
12 |
$1K |
| 82570 |
|
504 |
401 |
$1K |
| 84295 |
|
953 |
745 |
$1K |
| 73590 |
|
99 |
92 |
$1K |
| 85018 |
|
1,898 |
1,381 |
$1K |
| 85014 |
|
1,840 |
1,347 |
$1K |
| 12001 |
|
27 |
25 |
$986.36 |
| J0456 |
Azithromycin |
328 |
205 |
$980.52 |
| 82746 |
|
245 |
174 |
$969.06 |
| 88305 |
|
504 |
328 |
$911.62 |
| J2370 |
Phenylephrine hcl injection |
1,154 |
911 |
$910.67 |
| 84550 |
|
401 |
326 |
$857.19 |
| 85384 |
|
534 |
473 |
$852.45 |
| M0243 |
Casirivi and imdevi inj |
18 |
16 |
$798.99 |
| J1953 |
Levetiracetam injection |
216 |
129 |
$775.38 |
| 92610 |
|
29 |
26 |
$714.61 |
| J2919 |
Inj, methylpred sod succ 5mg |
156 |
130 |
$695.57 |
| J2250 |
Inj midazolam hydrochloride |
6,626 |
5,319 |
$665.47 |
| 87563 |
|
42 |
41 |
$653.58 |
| 87081 |
|
365 |
284 |
$650.38 |
| J3480 |
Inj potassium chloride |
422 |
296 |
$632.60 |
| J0131 |
Inj, acetaminophen (nos) |
358 |
327 |
$623.96 |
| 87430 |
|
164 |
152 |
$607.42 |
| 80074 |
|
80 |
53 |
$604.94 |
| 87420 |
|
125 |
115 |
$603.02 |
| 71101 |
|
26 |
25 |
$581.40 |
| 94664 |
|
59 |
46 |
$545.50 |
| 82010 |
|
127 |
114 |
$534.43 |
| J0500 |
Dicyclomine injection |
29 |
24 |
$531.10 |
| J1940 |
Furosemide injection |
574 |
226 |
$511.81 |
| 12011 |
|
12 |
12 |
$481.46 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
148 |
136 |
$466.53 |
| 73090 |
|
35 |
29 |
$457.06 |
| 84156 |
|
290 |
234 |
$455.34 |
| J2710 |
Neostigmine methylslfte inj |
582 |
503 |
$430.68 |
| Q0114 |
Fern test |
32 |
27 |
$392.14 |
| J7510 |
Prednisolone oral per 5 mg |
16 |
16 |
$375.46 |
| J2470 |
Inj pantoprazole sodium 40mg |
139 |
92 |
$307.75 |
| J2920 |
Methylprednisolone injection |
57 |
24 |
$300.62 |
| 83615 |
|
133 |
105 |
$283.20 |
| 86038 |
|
74 |
55 |
$283.12 |
| J0692 |
Cefepime hcl for injection |
57 |
37 |
$278.01 |
| 82731 |
|
18 |
13 |
$256.04 |
| 0250 |
|
96 |
24 |
$253.98 |
| G0008 |
Admin influenza virus vac |
48 |
43 |
$253.80 |
| J3360 |
Diazepam injection |
20 |
18 |
$252.57 |
| 82553 |
|
47 |
26 |
$252.16 |
| 90686 |
|
47 |
42 |
$210.47 |
| A9270 |
Non-covered item or service |
15,470 |
2,587 |
$209.97 |
| C1769 |
Guide wire |
195 |
172 |
$155.27 |
| J3105 |
Terbutaline sulfate inj |
42 |
28 |
$135.15 |
| J1836 |
Inj, metronidazole, 10 mg |
282 |
217 |
$114.45 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
109 |
91 |
$76.60 |
| 83986 |
|
62 |
52 |
$76.43 |
| 99211 |
|
15 |
12 |
$68.66 |
| 82150 |
|
31 |
24 |
$67.62 |
| 93356 |
|
19 |
13 |
$64.11 |
| J2800 |
Methocarbamol injection |
105 |
87 |
$63.77 |
| 86780 |
|
12 |
12 |
$63.75 |
| J8540 |
Oral dexamethasone |
49 |
39 |
$54.30 |
| J0694 |
Cefoxitin sodium injection |
14 |
12 |
$50.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
728 |
646 |
$38.37 |
| 88304 |
|
68 |
37 |
$33.66 |
| 85046 |
|
22 |
13 |
$26.73 |
| J1920 |
Inj, labetalol hcl, 5mg |
77 |
59 |
$16.53 |
| J1580 |
Garamycin gentamicin inj |
27 |
12 |
$14.00 |
| 83540 |
|
13 |
13 |
$11.67 |
| J0736 |
Inj, clindamycin phosp 300mg |
17 |
15 |
$10.75 |
| 83550 |
|
12 |
12 |
$9.56 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
178 |
168 |
$5.49 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
228 |
199 |
$0.95 |
| Q0177 |
Hydroxyzine pamoate 25mg |
12 |
12 |
$0.72 |
| 0353U |
|
314 |
292 |
$0.00 |
| G8979 |
Mobility goal status |
306 |
233 |
$0.00 |
| G8978 |
Mobility current status |
307 |
235 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
43 |
40 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
55 |
50 |
$0.00 |
| G8980 |
Mobility d/c status |
116 |
92 |
$0.00 |
| G8988 |
Self care goal status |
118 |
84 |
$0.00 |
| G8987 |
Self care current status |
118 |
84 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
26 |
13 |
$0.00 |