| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
9,831 |
6,761 |
$3.36M |
| 99284 |
|
12,508 |
10,521 |
$3.08M |
| 99283 |
|
13,316 |
11,679 |
$2.36M |
| 74177 |
|
3,265 |
2,843 |
$1.13M |
| 70450 |
|
3,101 |
2,567 |
$681K |
| 74176 |
|
1,920 |
1,682 |
$576K |
| 99282 |
|
4,347 |
3,945 |
$484K |
| 97110 |
|
10,840 |
2,644 |
$465K |
| 87631 |
|
3,496 |
3,206 |
$389K |
| 93005 |
|
8,556 |
6,961 |
$349K |
| 93306 |
|
893 |
732 |
$332K |
| 96361 |
|
14,868 |
6,243 |
$331K |
| 96374 |
|
10,888 |
7,185 |
$317K |
| 96375 |
|
7,101 |
5,398 |
$277K |
| 71045 |
|
6,028 |
4,924 |
$248K |
| 80053 |
|
20,439 |
14,314 |
$192K |
| 96365 |
|
4,805 |
2,145 |
$171K |
| 80307 |
|
3,402 |
2,919 |
$166K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,544 |
4,708 |
$165K |
| 71046 |
|
3,199 |
2,633 |
$160K |
| G0480 |
Drug test def 1-7 classes |
2,297 |
1,683 |
$158K |
| 71260 |
|
673 |
578 |
$154K |
| 87502 |
|
3,745 |
3,336 |
$131K |
| 85025 |
|
18,576 |
14,853 |
$125K |
| 96360 |
|
4,817 |
1,768 |
$124K |
| 77067 |
|
1,736 |
1,649 |
$122K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,885 |
1,487 |
$103K |
| 76705 |
|
645 |
596 |
$98K |
| 96372 |
|
3,715 |
2,677 |
$97K |
| 36415 |
|
21,208 |
11,400 |
$89K |
| 87634 |
|
3,521 |
3,225 |
$87K |
| 73610 |
|
686 |
575 |
$85K |
| 71275 |
|
232 |
213 |
$85K |
| 96376 |
|
1,843 |
1,345 |
$80K |
| 72100 |
|
961 |
804 |
$79K |
| 94640 |
|
2,262 |
1,503 |
$75K |
| 73630 |
|
721 |
619 |
$75K |
| G0378 |
Hospital observation per hr |
1,345 |
668 |
$74K |
| 84484 |
|
6,518 |
4,864 |
$71K |
| 87804 |
|
4,629 |
2,216 |
$67K |
| 83880 |
|
2,568 |
2,016 |
$66K |
| 72125 |
|
292 |
251 |
$65K |
| 87635 |
|
1,433 |
1,190 |
$55K |
| 97161 |
|
1,111 |
920 |
$48K |
| J2405 |
Ondansetron hcl injection |
7,102 |
5,761 |
$44K |
| 84703 |
|
6,264 |
5,497 |
$43K |
| 96366 |
|
627 |
411 |
$39K |
| 87880 |
|
2,385 |
2,218 |
$37K |
| 88305 |
|
186 |
173 |
$36K |
| 80048 |
|
4,799 |
3,222 |
$35K |
| 83690 |
|
5,896 |
5,064 |
$35K |
| 97140 |
|
1,194 |
444 |
$35K |
| 73130 |
|
542 |
455 |
$34K |
| 81001 |
|
11,099 |
9,215 |
$34K |
| 87086 |
|
3,964 |
3,487 |
$30K |
| 77063 |
|
1,137 |
1,004 |
$30K |
| 93971 |
|
263 |
239 |
$29K |
| J1885 |
Ketorolac tromethamine inj |
4,411 |
3,893 |
$24K |
| 84443 |
|
1,704 |
1,517 |
$23K |
| J2704 |
Inj, propofol, 10 mg |
2,430 |
2,130 |
$22K |
| 73030 |
|
377 |
290 |
$22K |
| J2270 |
Morphine sulfate injection |
3,660 |
2,675 |
$21K |
| 82553 |
|
1,714 |
1,289 |
$21K |
| U0005 |
Infec agen detec ampli probe |
1,073 |
940 |
$20K |
| 71250 |
|
178 |
135 |
$20K |
| 83605 |
|
2,065 |
1,628 |
$19K |
| J7030 |
Normal saline solution infus |
2,529 |
2,137 |
$19K |
| 72040 |
|
246 |
191 |
$18K |
| 83735 |
|
2,913 |
2,281 |
$16K |
| 97530 |
|
408 |
117 |
$16K |
| 82947 |
|
2,591 |
1,539 |
$15K |
| 87651 |
|
539 |
499 |
$15K |
| 87491 |
|
434 |
392 |
$14K |
| 82550 |
|
2,261 |
1,716 |
$14K |
| 87077 |
|
1,689 |
1,478 |
$14K |
| 87081 |
|
1,711 |
1,529 |
$12K |
| 73560 |
|
173 |
142 |
$11K |
| 85610 |
|
3,128 |
2,550 |
$11K |
| 87040 |
|
944 |
598 |
$11K |
| J3010 |
Fentanyl citrate injection |
1,285 |
1,089 |
$11K |
| 85730 |
|
2,394 |
2,050 |
$11K |
| J1170 |
Hydromorphone injection |
1,342 |
999 |
$10K |
| 94060 |
|
103 |
67 |
$10K |
| 74018 |
|
291 |
254 |
$10K |
| 85379 |
|
1,086 |
998 |
$10K |
| 85027 |
|
1,431 |
1,108 |
$10K |
| J0690 |
Cefazolin sodium injection |
1,101 |
867 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
12 |
$8K |
| 94760 |
|
1,633 |
999 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
1,887 |
1,657 |
$8K |
| 82565 |
|
596 |
359 |
$8K |
| J1100 |
Dexamethasone sodium phos |
1,249 |
1,112 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
1,449 |
1,126 |
$7K |
| 90715 |
|
249 |
229 |
$7K |
| 72148 |
|
13 |
12 |
$7K |
| 90471 |
|
343 |
309 |
$7K |
| G0283 |
Elec stim other than wound |
490 |
154 |
$7K |
| J7120 |
Ringers lactate infusion |
576 |
498 |
$6K |
| 99281 |
|
174 |
157 |
$6K |
| G0481 |
Drug test def 8-14 classes |
47 |
42 |
$5K |
| 92507 |
|
92 |
29 |
$5K |
| 82805 |
|
85 |
64 |
$4K |
| J2930 |
Methylprednisolone injection |
481 |
393 |
$4K |
| 87633 |
|
17 |
13 |
$4K |
| 87186 |
|
517 |
439 |
$4K |
| 73110 |
|
62 |
54 |
$4K |
| 82150 |
|
585 |
506 |
$4K |
| 80061 |
|
292 |
263 |
$3K |
| 73562 |
|
33 |
24 |
$3K |
| 83036 |
|
379 |
327 |
$3K |
| J3490 |
Drugs unclassified injection |
696 |
326 |
$3K |
| 86328 |
|
79 |
76 |
$3K |
| 93017 |
|
14 |
12 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
414 |
373 |
$2K |
| 12001 |
|
25 |
24 |
$2K |
| J2765 |
Metoclopramide hcl injection |
330 |
293 |
$2K |
| 97116 |
|
55 |
26 |
$2K |
| 93225 |
|
14 |
12 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
172 |
142 |
$2K |
| 76536 |
|
14 |
12 |
$2K |
| J2060 |
Lorazepam injection |
238 |
184 |
$2K |
| 81003 |
|
720 |
623 |
$2K |
| Q0162 |
Ondansetron oral |
792 |
726 |
$2K |
| 86141 |
|
191 |
150 |
$2K |
| 87210 |
|
388 |
183 |
$2K |
| 94726 |
|
29 |
24 |
$2K |
| 84145 |
|
65 |
61 |
$1K |
| 73080 |
|
16 |
14 |
$1K |
| 87807 |
|
97 |
92 |
$1K |
| 73502 |
|
21 |
16 |
$1K |
| 94729 |
|
47 |
39 |
$1K |
| J2550 |
Promethazine hcl injection |
289 |
248 |
$987.68 |
| G0463 |
Hospital outpt clinic visit |
26 |
25 |
$960.29 |
| 84100 |
|
198 |
156 |
$881.72 |
| 87591 |
|
31 |
24 |
$792.63 |
| 84702 |
|
52 |
42 |
$777.58 |
| J2001 |
Lidocaine injection |
251 |
207 |
$776.27 |
| 88304 |
|
12 |
12 |
$775.91 |
| 97112 |
|
30 |
12 |
$774.83 |
| 93922 |
|
13 |
12 |
$644.29 |
| 82306 |
|
26 |
24 |
$599.47 |
| J7050 |
Normal saline solution infus |
36 |
19 |
$476.04 |
| 86677 |
|
29 |
27 |
$470.81 |
| J3475 |
Inj magnesium sulfate |
71 |
67 |
$402.15 |
| J7512 |
Prednisone ir or dr oral 1mg |
213 |
170 |
$380.52 |
| J1790 |
Droperidol injection |
39 |
38 |
$338.95 |
| J1650 |
Inj enoxaparin sodium |
27 |
12 |
$309.35 |
| A9577 |
Inj multihance |
17 |
15 |
$267.90 |
| 36600 |
|
15 |
14 |
$252.43 |
| J7040 |
Normal saline solution infus |
31 |
27 |
$146.26 |
| 80076 |
|
18 |
16 |
$117.68 |
| 93242 |
|
13 |
12 |
$106.90 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
13 |
$93.36 |
| 84439 |
|
12 |
12 |
$83.61 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$80.15 |
| 84132 |
|
12 |
12 |
$51.34 |
| 86900 |
|
13 |
13 |
$40.83 |
| 86901 |
|
13 |
13 |
$40.83 |
| Q0163 |
Diphenhydramine hcl 50mg |
42 |
39 |
$33.21 |
| A9270 |
Non-covered item or service |
485 |
86 |
$0.00 |