| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,981 |
8,572 |
$1.47M |
| 99283 |
|
7,403 |
6,652 |
$1.05M |
| 99285 |
|
7,298 |
6,146 |
$810K |
| 74176 |
|
1,294 |
1,120 |
$568K |
| 70450 |
|
1,513 |
1,240 |
$534K |
| 74177 |
|
623 |
547 |
$364K |
| G0378 |
Hospital observation per hr |
3,683 |
1,714 |
$130K |
| 99282 |
|
1,093 |
944 |
$120K |
| 93306 |
|
321 |
266 |
$53K |
| 96361 |
|
2,435 |
2,044 |
$47K |
| 76818 |
|
444 |
265 |
$38K |
| 99281 |
|
307 |
290 |
$33K |
| 59025 |
|
405 |
234 |
$31K |
| 71275 |
|
100 |
78 |
$24K |
| 76856 |
|
449 |
406 |
$17K |
| 80053 |
|
7,478 |
5,936 |
$16K |
| 76830 |
|
335 |
309 |
$12K |
| 97110 |
|
1,589 |
240 |
$11K |
| 76705 |
|
687 |
607 |
$10K |
| J7050 |
Normal saline solution infus |
1,467 |
941 |
$10K |
| 87633 |
|
1,621 |
1,472 |
$9K |
| 80307 |
|
1,052 |
816 |
$8K |
| 97161 |
|
283 |
219 |
$8K |
| 71046 |
|
1,073 |
889 |
$7K |
| 96366 |
|
370 |
272 |
$7K |
| 71045 |
|
5,812 |
4,848 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
6,483 |
5,208 |
$7K |
| 96365 |
|
1,006 |
822 |
$7K |
| 76817 |
|
338 |
293 |
$5K |
| 96360 |
|
844 |
725 |
$5K |
| 72125 |
|
288 |
231 |
$4K |
| 85025 |
|
15,017 |
10,679 |
$4K |
| 10005 |
|
13 |
13 |
$4K |
| 76816 |
|
383 |
333 |
$4K |
| 88305 |
|
400 |
330 |
$4K |
| 77067 |
|
207 |
172 |
$3K |
| 96374 |
|
4,522 |
3,843 |
$3K |
| 93005 |
|
5,833 |
4,496 |
$3K |
| 76801 |
|
557 |
476 |
$3K |
| J0690 |
Cefazolin sodium injection |
665 |
499 |
$3K |
| 82962 |
|
1,642 |
734 |
$2K |
| 80048 |
|
4,785 |
3,562 |
$2K |
| 96372 |
|
2,336 |
1,728 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,279 |
1,020 |
$2K |
| 76641 |
|
62 |
28 |
$2K |
| 36415 |
|
10,222 |
7,188 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,190 |
987 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,095 |
856 |
$1K |
| 85610 |
|
4,323 |
3,405 |
$1K |
| 87070 |
|
953 |
749 |
$1K |
| C1769 |
Guide wire |
264 |
200 |
$1K |
| 85730 |
|
4,022 |
3,167 |
$1K |
| 87040 |
|
1,212 |
609 |
$1K |
| 83880 |
|
929 |
768 |
$1K |
| J7030 |
Normal saline solution infus |
3,871 |
2,974 |
$1K |
| 73130 |
|
162 |
142 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
946 |
415 |
$1K |
| 84703 |
|
1,419 |
1,277 |
$1K |
| C1894 |
Intro/sheath, non-laser |
27 |
26 |
$983.88 |
| 84702 |
|
1,303 |
1,083 |
$848.85 |
| 71250 |
|
36 |
25 |
$831.48 |
| 76819 |
|
82 |
72 |
$768.49 |
| J2250 |
Inj midazolam hydrochloride |
1,196 |
950 |
$760.75 |
| 93971 |
|
137 |
111 |
$745.25 |
| J2405 |
Ondansetron hcl injection |
3,002 |
2,314 |
$740.38 |
| J1885 |
Ketorolac tromethamine inj |
2,186 |
1,785 |
$719.46 |
| 72100 |
|
277 |
233 |
$653.03 |
| 93970 |
|
73 |
59 |
$625.99 |
| 87636 |
|
510 |
471 |
$570.30 |
| 97530 |
|
29 |
12 |
$569.17 |
| 97165 |
|
34 |
26 |
$489.41 |
| 94640 |
|
861 |
536 |
$474.14 |
| J7120 |
Ringers lactate infusion |
1,643 |
1,227 |
$445.57 |
| J0696 |
Ceftriaxone sodium injection |
682 |
533 |
$364.15 |
| 76805 |
|
156 |
142 |
$350.44 |
| 96375 |
|
2,774 |
2,182 |
$340.90 |
| 97162 |
|
14 |
12 |
$336.29 |
| 80047 |
|
39 |
31 |
$335.24 |
| C9113 |
Inj pantoprazole sodium, via |
478 |
323 |
$326.44 |
| 81001 |
|
3,722 |
3,261 |
$325.44 |
| 83690 |
|
2,443 |
2,091 |
$306.84 |
| 73610 |
|
200 |
179 |
$301.61 |
| 90714 |
|
166 |
142 |
$301.61 |
| 90471 |
|
93 |
69 |
$301.61 |
| 84484 |
|
3,757 |
2,486 |
$294.08 |
| 80061 |
|
679 |
562 |
$276.60 |
| 86850 |
|
1,283 |
1,073 |
$273.42 |
| 86900 |
|
1,424 |
1,198 |
$249.65 |
| 86901 |
|
1,421 |
1,199 |
$233.22 |
| 74018 |
|
262 |
218 |
$227.56 |
| 81025 |
|
988 |
891 |
$210.08 |
| 81003 |
|
1,651 |
1,402 |
$185.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
686 |
633 |
$134.19 |
| 87186 |
|
544 |
420 |
$129.53 |
| 70551 |
|
30 |
24 |
$126.85 |
| 73562 |
|
206 |
159 |
$124.52 |
| 73630 |
|
258 |
226 |
$115.47 |
| 93976 |
|
13 |
13 |
$107.86 |
| 77063 |
|
185 |
154 |
$95.25 |
| 87426 |
|
191 |
174 |
$90.67 |
| 00840 |
|
30 |
25 |
$89.72 |
| 73030 |
|
101 |
73 |
$87.91 |
| J2270 |
Morphine sulfate injection |
1,272 |
878 |
$84.48 |
| 83605 |
|
805 |
623 |
$74.49 |
| 87088 |
|
1,083 |
920 |
$74.14 |
| 87880 |
|
866 |
795 |
$72.54 |
| 85384 |
|
163 |
108 |
$71.76 |
| 83735 |
|
1,753 |
1,180 |
$64.56 |
| J2930 |
Methylprednisolone injection |
154 |
131 |
$64.36 |
| J1650 |
Inj enoxaparin sodium |
990 |
530 |
$50.44 |
| J2060 |
Lorazepam injection |
448 |
269 |
$50.44 |
| 97535 |
|
225 |
145 |
$47.03 |
| 96376 |
|
664 |
400 |
$37.98 |
| 87804 |
|
1,295 |
812 |
$34.78 |
| 82550 |
|
1,810 |
1,460 |
$34.74 |
| 85379 |
|
333 |
294 |
$34.51 |
| J1100 |
Dexamethasone sodium phos |
1,322 |
1,059 |
$31.54 |
| J0702 |
Betamethasone acet&sod phosp |
24 |
13 |
$29.50 |
| G0480 |
Drug test def 1-7 classes |
188 |
170 |
$27.11 |
| A4216 |
Sterile water/saline, 10 ml |
478 |
355 |
$25.22 |
| 83036 |
|
235 |
190 |
$25.22 |
| 84443 |
|
425 |
352 |
$25.22 |
| 80076 |
|
1,826 |
1,561 |
$24.02 |
| 80050 |
|
25 |
24 |
$20.68 |
| 87635 |
|
24 |
24 |
$16.67 |
| 80143 |
|
154 |
135 |
$13.12 |
| 87400 |
|
819 |
594 |
$9.28 |
| J1200 |
Diphenhydramine hcl injectio |
656 |
511 |
$8.60 |
| 84100 |
|
680 |
445 |
$7.93 |
| 87086 |
|
67 |
62 |
$6.83 |
| 80179 |
|
141 |
125 |
$6.56 |
| 86140 |
|
45 |
42 |
$6.33 |
| 82150 |
|
121 |
108 |
$3.15 |
| 87205 |
|
331 |
203 |
$2.28 |
| J3475 |
Inj magnesium sulfate |
21 |
17 |
$1.11 |
| J2360 |
Orphenadrine injection |
113 |
89 |
$0.60 |
| 84550 |
|
203 |
133 |
$0.00 |
| 82805 |
|
141 |
98 |
$0.00 |
| 84145 |
|
43 |
33 |
$0.00 |
| 84439 |
|
17 |
16 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
16 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
742 |
606 |
$0.00 |
| J7040 |
Normal saline solution infus |
297 |
221 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
384 |
293 |
$0.00 |
| 83540 |
|
102 |
85 |
$0.00 |
| 73110 |
|
29 |
25 |
$0.00 |
| 87185 |
|
39 |
26 |
$0.00 |
| 85045 |
|
19 |
13 |
$0.00 |
| 85007 |
|
86 |
82 |
$0.00 |
| 88173 |
|
27 |
26 |
$0.00 |
| 84466 |
|
16 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
551 |
316 |
$0.00 |
| 82607 |
|
194 |
163 |
$0.00 |
| 85027 |
|
124 |
117 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
106 |
97 |
$0.00 |
| 87081 |
|
286 |
282 |
$0.00 |
| J2001 |
Lidocaine injection |
178 |
155 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
509 |
429 |
$0.00 |
| 87077 |
|
414 |
334 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
153 |
119 |
$0.00 |
| 82728 |
|
205 |
173 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
429 |
365 |
$0.00 |
| A9270 |
Non-covered item or service |
874 |
394 |
$0.00 |
| 82746 |
|
118 |
101 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
16 |
12 |
$0.00 |
| 83615 |
|
159 |
117 |
$0.00 |
| J1815 |
Insulin injection |
70 |
29 |
$0.00 |
| 88331 |
|
13 |
12 |
$0.00 |
| 88304 |
|
32 |
27 |
$0.00 |
| 72170 |
|
19 |
15 |
$0.00 |
| 88307 |
|
18 |
14 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
13 |
$0.00 |
| 88300 |
|
44 |
39 |
$0.00 |
| J7060 |
5% dextrose/water |
16 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
20 |
17 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
14 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
32 |
13 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |