| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
35,287 |
32,241 |
$7.39M |
| 99283 |
|
36,413 |
33,903 |
$5.10M |
| G0463 |
Hospital outpt clinic visit |
61,164 |
54,555 |
$4.58M |
| 99285 |
|
8,276 |
7,326 |
$3.62M |
| 96374 |
|
10,577 |
9,581 |
$1.08M |
| J0585 |
Injection,onabotulinumtoxina |
1,289 |
644 |
$442K |
| S9480 |
Intensive outpatient psychia |
4,171 |
514 |
$433K |
| J2350 |
Injection, ocrelizumab, 1 mg |
61 |
51 |
$431K |
| 92507 |
|
5,527 |
2,065 |
$355K |
| 59025 |
|
4,026 |
3,152 |
$288K |
| 69436 |
|
368 |
355 |
$261K |
| 87637 |
|
2,497 |
2,364 |
$250K |
| 99282 |
|
2,761 |
2,601 |
$238K |
| 43239 |
|
513 |
491 |
$220K |
| H0015 |
Alcohol and/or drug services |
5,215 |
714 |
$205K |
| 96361 |
|
4,344 |
3,791 |
$144K |
| 71046 |
|
2,587 |
2,326 |
$134K |
| 96375 |
|
4,731 |
3,812 |
$125K |
| 64615 |
|
566 |
466 |
$92K |
| 11042 |
|
456 |
229 |
$91K |
| 80307 |
|
4,117 |
1,613 |
$77K |
| J2323 |
Natalizumab injection |
29 |
26 |
$76K |
| G0378 |
Hospital observation per hr |
3,485 |
1,738 |
$75K |
| 45380 |
|
100 |
95 |
$61K |
| H0035 |
Mh partial hosp tx under 24h |
558 |
116 |
$59K |
| 93306 |
|
179 |
166 |
$54K |
| 96365 |
|
808 |
607 |
$53K |
| 97112 |
|
1,487 |
465 |
$45K |
| 71045 |
|
926 |
797 |
$45K |
| D2930 |
|
64 |
15 |
$39K |
| 95806 |
|
321 |
304 |
$34K |
| 0202U |
|
101 |
93 |
$29K |
| 82947 |
|
1,296 |
344 |
$26K |
| D2750 |
|
32 |
12 |
$22K |
| A0425 |
Ground mileage |
838 |
710 |
$22K |
| 95810 |
|
26 |
26 |
$21K |
| 93296 |
|
1,223 |
1,075 |
$19K |
| G0480 |
Drug test def 1-7 classes |
1,512 |
1,009 |
$16K |
| 95819 |
|
67 |
64 |
$16K |
| D1120 |
|
30 |
28 |
$16K |
| 95716 |
|
16 |
16 |
$14K |
| D1206 |
|
25 |
24 |
$13K |
| 74177 |
|
63 |
58 |
$12K |
| 87635 |
|
205 |
182 |
$7K |
| 70450 |
|
119 |
98 |
$7K |
| 96413 |
|
61 |
51 |
$6K |
| 95800 |
|
43 |
41 |
$6K |
| 90853 |
|
384 |
78 |
$6K |
| 86900 |
|
32 |
26 |
$5K |
| G2066 |
Inter devc remote 30d |
360 |
300 |
$5K |
| A0428 |
Bls |
568 |
478 |
$5K |
| 95700 |
|
30 |
28 |
$5K |
| 95714 |
|
17 |
12 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
83 |
72 |
$4K |
| 41899 |
|
14 |
13 |
$3K |
| 80061 |
|
370 |
335 |
$3K |
| 80048 |
|
30,168 |
25,580 |
$3K |
| 93005 |
|
13,683 |
11,508 |
$3K |
| 96116 |
|
16 |
16 |
$3K |
| 85025 |
|
41,147 |
35,425 |
$3K |
| 94762 |
|
94 |
26 |
$3K |
| 97161 |
|
108 |
89 |
$3K |
| 96415 |
|
61 |
51 |
$2K |
| 90686 |
|
93 |
87 |
$2K |
| 93298 |
|
129 |
116 |
$1K |
| 96360 |
|
14 |
13 |
$1K |
| 81001 |
|
8,894 |
7,894 |
$1K |
| 77067 |
|
12 |
12 |
$1K |
| 96366 |
|
232 |
100 |
$1K |
| 97530 |
|
30 |
12 |
$920.79 |
| J2704 |
Inj, propofol, 10 mg |
1,053 |
734 |
$779.18 |
| 96367 |
|
31 |
26 |
$757.32 |
| G0399 |
Home sleep test/type 3 porta |
12 |
12 |
$681.80 |
| 77063 |
|
12 |
12 |
$566.58 |
| 97165 |
|
30 |
26 |
$550.45 |
| 97110 |
|
22 |
12 |
$542.85 |
| 93017 |
|
13 |
12 |
$529.54 |
| 36415 |
|
3,450 |
2,090 |
$470.64 |
| J3010 |
Fentanyl citrate injection |
2,961 |
2,596 |
$401.40 |
| 83036 |
|
5,055 |
4,637 |
$297.83 |
| 84484 |
|
4,668 |
3,573 |
$294.43 |
| 96372 |
|
2,056 |
1,510 |
$272.25 |
| 81025 |
|
1,956 |
1,848 |
$229.23 |
| J2270 |
Morphine sulfate injection |
86 |
70 |
$192.38 |
| 90471 |
|
40 |
36 |
$181.05 |
| 80053 |
|
3,617 |
3,118 |
$175.66 |
| 87811 |
|
15 |
13 |
$120.85 |
| 84100 |
|
358 |
237 |
$93.00 |
| J7040 |
Normal saline solution infus |
1,052 |
607 |
$61.21 |
| 80076 |
|
3,321 |
2,778 |
$55.49 |
| 99152 |
|
598 |
540 |
$54.82 |
| 88305 |
|
1,509 |
1,417 |
$53.04 |
| 87804 |
|
2,744 |
1,532 |
$52.14 |
| 87086 |
|
995 |
843 |
$47.30 |
| 83735 |
|
6,153 |
4,529 |
$43.05 |
| 87651 |
|
393 |
366 |
$35.09 |
| 83690 |
|
2,425 |
2,140 |
$34.21 |
| J1885 |
Ketorolac tromethamine inj |
4,181 |
3,848 |
$29.86 |
| 82553 |
|
821 |
565 |
$27.37 |
| 85610 |
|
3,111 |
2,545 |
$19.71 |
| 85027 |
|
209 |
166 |
$18.69 |
| 82550 |
|
1,044 |
709 |
$15.43 |
| 84132 |
|
157 |
116 |
$9.22 |
| J3475 |
Inj magnesium sulfate |
449 |
243 |
$7.78 |
| J2250 |
Inj midazolam hydrochloride |
2,085 |
1,870 |
$4.21 |
| G0008 |
Admin influenza virus vac |
46 |
41 |
$4.05 |
| J3490 |
Drugs unclassified injection |
355 |
232 |
$3.54 |
| J2405 |
Ondansetron hcl injection |
2,022 |
1,517 |
$1.51 |
| J1170 |
Hydromorphone injection |
58 |
41 |
$0.00 |
| 74019 |
|
242 |
226 |
$0.00 |
| 85730 |
|
1,019 |
900 |
$0.00 |
| 96376 |
|
933 |
336 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
310 |
172 |
$0.00 |
| 83605 |
|
347 |
268 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
975 |
812 |
$0.00 |
| 84703 |
|
135 |
124 |
$0.00 |
| 84443 |
|
451 |
379 |
$0.00 |
| 88300 |
|
51 |
50 |
$0.00 |
| 86850 |
|
32 |
26 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
283 |
248 |
$0.00 |
| 88342 |
|
323 |
315 |
$0.00 |
| 87070 |
|
96 |
83 |
$0.00 |
| 86140 |
|
143 |
132 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
27 |
$0.00 |
| 94640 |
|
55 |
37 |
$0.00 |
| 96139 |
|
13 |
12 |
$0.00 |
| 82044 |
|
275 |
253 |
$0.00 |
| 87205 |
|
95 |
82 |
$0.00 |
| 83880 |
|
133 |
118 |
$0.00 |
| 87807 |
|
299 |
279 |
$0.00 |
| 82607 |
|
13 |
12 |
$0.00 |
| 0241U |
|
19 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
105 |
71 |
$0.00 |
| 95886 |
|
17 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
239 |
87 |
$0.00 |
| G8988 |
Self care goal status |
15 |
13 |
$0.00 |
| 83615 |
|
18 |
15 |
$0.00 |
| J2060 |
Lorazepam injection |
163 |
79 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
34 |
31 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| 87081 |
|
33 |
31 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 82150 |
|
31 |
28 |
$0.00 |
| 96132 |
|
16 |
16 |
$0.00 |
| 82728 |
|
19 |
16 |
$0.00 |
| 86901 |
|
32 |
26 |
$0.00 |
| G8987 |
Self care current status |
15 |
13 |
$0.00 |
| 81003 |
|
579 |
517 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
112 |
106 |
$0.00 |
| J2930 |
Methylprednisolone injection |
85 |
62 |
$0.00 |
| 96133 |
|
16 |
16 |
$0.00 |
| 87880 |
|
412 |
384 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
180 |
55 |
$0.00 |
| 87210 |
|
116 |
81 |
$0.00 |
| G8978 |
Mobility current status |
87 |
72 |
$0.00 |
| G8979 |
Mobility goal status |
87 |
72 |
$0.00 |
| 96138 |
|
12 |
12 |
$0.00 |
| 82140 |
|
73 |
44 |
$0.00 |
| 94664 |
|
44 |
37 |
$0.00 |
| 84145 |
|
109 |
89 |
$0.00 |
| 0100U |
|
17 |
14 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
12 |
$0.00 |
| 90662 |
|
14 |
12 |
$0.00 |