| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
31,136 |
25,999 |
$3.67M |
| 96361 |
|
6,896 |
4,779 |
$2.18M |
| 99284 |
|
15,373 |
12,507 |
$2.01M |
| 99212 |
|
18,043 |
16,087 |
$1.85M |
| 99213 |
|
7,738 |
6,546 |
$847K |
| 99282 |
|
5,754 |
4,587 |
$583K |
| 74177 |
|
1,956 |
1,261 |
$557K |
| 70450 |
|
1,585 |
1,128 |
$433K |
| 74176 |
|
925 |
653 |
$294K |
| 99285 |
|
2,169 |
1,604 |
$289K |
| 96365 |
|
1,656 |
807 |
$271K |
| 96360 |
|
966 |
582 |
$242K |
| 97110 |
|
3,090 |
820 |
$206K |
| 94640 |
|
1,167 |
691 |
$156K |
| G0463 |
Hospital outpt clinic visit |
9,084 |
8,241 |
$119K |
| 87633 |
|
769 |
474 |
$116K |
| 80053 |
|
11,863 |
8,632 |
$115K |
| 80048 |
|
10,792 |
8,205 |
$86K |
| 71275 |
|
312 |
208 |
$85K |
| 64635 |
|
203 |
164 |
$67K |
| G0378 |
Hospital observation per hr |
927 |
319 |
$66K |
| 85025 |
|
26,749 |
20,259 |
$63K |
| 97530 |
|
1,819 |
500 |
$57K |
| 43239 |
|
121 |
81 |
$53K |
| 97140 |
|
869 |
292 |
$45K |
| 93306 |
|
167 |
137 |
$40K |
| 71046 |
|
4,261 |
3,305 |
$40K |
| 93005 |
|
9,156 |
6,955 |
$40K |
| 84443 |
|
2,204 |
1,758 |
$36K |
| 80061 |
|
2,110 |
1,745 |
$35K |
| 96366 |
|
198 |
71 |
$34K |
| 20611 |
|
127 |
97 |
$32K |
| 96374 |
|
10,392 |
7,592 |
$30K |
| 36415 |
|
20,711 |
14,396 |
$28K |
| J0585 |
Injection,onabotulinumtoxina |
82 |
37 |
$27K |
| 87502 |
|
1,149 |
820 |
$26K |
| 97161 |
|
330 |
247 |
$24K |
| 84484 |
|
4,661 |
2,947 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
124 |
122 |
$21K |
| 73630 |
|
1,101 |
797 |
$21K |
| 96375 |
|
5,830 |
3,990 |
$20K |
| 64450 |
|
99 |
39 |
$19K |
| 86140 |
|
1,025 |
761 |
$19K |
| 73562 |
|
406 |
297 |
$19K |
| 99281 |
|
190 |
183 |
$19K |
| 81001 |
|
11,982 |
9,534 |
$16K |
| 45380 |
|
34 |
27 |
$16K |
| 82306 |
|
727 |
600 |
$16K |
| 11042 |
|
232 |
110 |
$16K |
| 73130 |
|
861 |
591 |
$15K |
| 97162 |
|
165 |
125 |
$14K |
| 96372 |
|
5,677 |
3,811 |
$14K |
| 83036 |
|
1,234 |
1,011 |
$13K |
| 93975 |
|
73 |
42 |
$12K |
| 93971 |
|
108 |
73 |
$12K |
| J0561 |
Penicillin g benzathine inj |
50 |
28 |
$12K |
| 73610 |
|
668 |
490 |
$12K |
| 73030 |
|
608 |
434 |
$12K |
| 82607 |
|
547 |
413 |
$11K |
| 81025 |
|
4,653 |
3,357 |
$10K |
| 72125 |
|
481 |
349 |
$10K |
| 72100 |
|
349 |
278 |
$10K |
| 84439 |
|
420 |
326 |
$10K |
| 90715 |
|
523 |
338 |
$9K |
| 80307 |
|
685 |
458 |
$9K |
| 64640 |
|
47 |
27 |
$8K |
| 71045 |
|
2,444 |
1,841 |
$8K |
| 99203 |
|
68 |
53 |
$8K |
| 80076 |
|
968 |
625 |
$8K |
| 73110 |
|
447 |
310 |
$8K |
| 76705 |
|
91 |
55 |
$8K |
| 45385 |
|
13 |
13 |
$7K |
| 85027 |
|
729 |
577 |
$7K |
| 73502 |
|
367 |
284 |
$7K |
| 64493 |
|
18 |
14 |
$7K |
| 83690 |
|
4,365 |
3,016 |
$7K |
| 85652 |
|
1,093 |
824 |
$6K |
| 82728 |
|
482 |
371 |
$6K |
| 83550 |
|
522 |
402 |
$6K |
| 87086 |
|
1,895 |
1,320 |
$6K |
| 99202 |
|
61 |
51 |
$6K |
| 83540 |
|
572 |
440 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
124 |
122 |
$5K |
| 87637 |
|
93 |
91 |
$5K |
| 73564 |
|
549 |
382 |
$5K |
| J7040 |
Normal saline solution infus |
8,723 |
6,806 |
$4K |
| 94729 |
|
56 |
41 |
$4K |
| 93017 |
|
53 |
37 |
$4K |
| 83970 |
|
130 |
97 |
$4K |
| 86900 |
|
193 |
113 |
$4K |
| 72148 |
|
19 |
14 |
$4K |
| 64636 |
|
187 |
147 |
$4K |
| 83605 |
|
1,663 |
975 |
$4K |
| 94760 |
|
912 |
769 |
$4K |
| 87491 |
|
1,006 |
684 |
$4K |
| 12001 |
|
21 |
12 |
$3K |
| 88305 |
|
2,158 |
1,192 |
$3K |
| 99211 |
|
42 |
24 |
$3K |
| 72110 |
|
77 |
53 |
$3K |
| 83735 |
|
886 |
568 |
$3K |
| 96367 |
|
78 |
24 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
24 |
12 |
$3K |
| 82570 |
|
337 |
287 |
$3K |
| 10060 |
|
17 |
12 |
$3K |
| 97113 |
|
47 |
13 |
$2K |
| 80320 |
|
512 |
311 |
$2K |
| 76700 |
|
16 |
13 |
$2K |
| J3490 |
Drugs unclassified injection |
2,923 |
2,329 |
$2K |
| 87591 |
|
1,007 |
685 |
$2K |
| 94726 |
|
38 |
28 |
$2K |
| 71260 |
|
14 |
14 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
1,919 |
1,330 |
$2K |
| 82746 |
|
186 |
120 |
$2K |
| 85610 |
|
895 |
633 |
$2K |
| 73565 |
|
65 |
61 |
$2K |
| 80069 |
|
63 |
38 |
$2K |
| 86850 |
|
112 |
72 |
$2K |
| 73080 |
|
77 |
41 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
2,171 |
1,137 |
$1K |
| 87798 |
|
779 |
478 |
$1K |
| 71250 |
|
30 |
25 |
$1K |
| 87486 |
|
773 |
475 |
$1K |
| 84702 |
|
134 |
64 |
$1K |
| 73560 |
|
65 |
50 |
$1K |
| 87186 |
|
672 |
491 |
$1K |
| 87581 |
|
773 |
475 |
$1K |
| 82962 |
|
1,304 |
604 |
$1K |
| 0012A |
|
40 |
32 |
$1K |
| J7030 |
Normal saline solution infus |
5,883 |
3,619 |
$1K |
| 83880 |
|
444 |
329 |
$1K |
| 82043 |
|
172 |
135 |
$1K |
| 87088 |
|
527 |
379 |
$1K |
| 96413 |
|
59 |
24 |
$1K |
| 0011A |
|
39 |
29 |
$996.01 |
| 87430 |
|
1,570 |
1,066 |
$959.96 |
| 73590 |
|
22 |
12 |
$879.52 |
| 74018 |
|
60 |
31 |
$876.48 |
| 81003 |
|
633 |
422 |
$843.13 |
| 87661 |
|
271 |
181 |
$743.76 |
| 90471 |
|
557 |
344 |
$704.73 |
| 64615 |
|
15 |
12 |
$692.50 |
| J1170 |
Hydromorphone injection |
1,385 |
691 |
$687.47 |
| J2704 |
Inj, propofol, 10 mg |
4,733 |
3,388 |
$650.56 |
| 84703 |
|
510 |
293 |
$649.87 |
| 86038 |
|
34 |
25 |
$612.46 |
| 87070 |
|
93 |
66 |
$515.02 |
| 85379 |
|
616 |
420 |
$512.72 |
| 96376 |
|
860 |
450 |
$509.91 |
| J2250 |
Inj midazolam hydrochloride |
4,878 |
3,593 |
$487.87 |
| 87081 |
|
1,021 |
697 |
$414.87 |
| 90686 |
|
31 |
25 |
$395.60 |
| 85730 |
|
199 |
140 |
$386.48 |
| J1885 |
Ketorolac tromethamine inj |
7,044 |
4,818 |
$369.84 |
| 88304 |
|
212 |
99 |
$368.46 |
| 84156 |
|
61 |
57 |
$358.69 |
| 86901 |
|
278 |
175 |
$347.51 |
| 76830 |
|
17 |
12 |
$343.83 |
| J1100 |
Dexamethasone sodium phos |
2,860 |
1,723 |
$315.34 |
| 87205 |
|
40 |
28 |
$304.26 |
| J0689 |
Inj cefazolin sodium, baxter |
842 |
479 |
$297.86 |
| 87426 |
|
214 |
129 |
$294.04 |
| C9113 |
Inj pantoprazole sodium, via |
149 |
68 |
$239.17 |
| G0008 |
Admin influenza virus vac |
51 |
45 |
$237.35 |
| 87804 |
|
284 |
239 |
$222.49 |
| 84153 |
|
13 |
12 |
$184.59 |
| J2405 |
Ondansetron hcl injection |
6,315 |
4,005 |
$170.84 |
| J3010 |
Fentanyl citrate injection |
3,845 |
2,727 |
$169.98 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,999 |
2,703 |
$139.97 |
| J7120 |
Ringers lactate infusion |
368 |
201 |
$132.79 |
| 87880 |
|
401 |
345 |
$131.31 |
| J2360 |
Orphenadrine injection |
176 |
99 |
$129.50 |
| 82565 |
|
15 |
14 |
$126.66 |
| J1650 |
Inj enoxaparin sodium |
277 |
100 |
$117.17 |
| J7042 |
5% dextrose/normal saline |
1,478 |
1,170 |
$117.07 |
| 00731 |
|
271 |
210 |
$115.94 |
| U0005 |
Infec agen detec ampli probe |
125 |
122 |
$115.86 |
| J0134 |
Inj acetaminophen -fresenius |
365 |
235 |
$107.34 |
| J2270 |
Morphine sulfate injection |
397 |
257 |
$101.10 |
| J0696 |
Ceftriaxone sodium injection |
862 |
503 |
$89.11 |
| J7121 |
5% dextrose in lac ringers |
853 |
531 |
$88.64 |
| J8540 |
Oral dexamethasone |
151 |
73 |
$86.72 |
| J1200 |
Diphenhydramine hcl injectio |
896 |
512 |
$75.07 |
| 82550 |
|
25 |
15 |
$70.50 |
| J7050 |
Normal saline solution infus |
675 |
256 |
$58.39 |
| 87210 |
|
34 |
24 |
$54.31 |
| J2550 |
Promethazine hcl injection |
127 |
59 |
$48.17 |
| J3301 |
Triamcinolone acet inj nos |
640 |
463 |
$45.54 |
| 36416 |
|
1,073 |
602 |
$45.04 |
| 81002 |
|
39 |
39 |
$41.82 |
| J2765 |
Metoclopramide hcl injection |
373 |
233 |
$30.13 |
| J0690 |
Cefazolin sodium injection |
63 |
29 |
$29.91 |
| J7512 |
Prednisone ir or dr oral 1mg |
644 |
406 |
$27.92 |
| 84100 |
|
24 |
13 |
$27.51 |
| J2001 |
Lidocaine injection |
261 |
160 |
$23.63 |
| J0780 |
Prochlorperazine injection |
47 |
36 |
$16.95 |
| J2060 |
Lorazepam injection |
79 |
52 |
$7.15 |
| A9270 |
Non-covered item or service |
2,785 |
1,472 |
$2.94 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
48 |
39 |
$1.90 |
| 91301 |
|
84 |
68 |
$0.55 |
| A9585 |
Gadobutrol injection |
36 |
29 |
$0.00 |
| 64494 |
|
18 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
28 |
12 |
$0.00 |
| 76942 |
|
67 |
59 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
25 |
24 |
$0.00 |
| 87400 |
|
241 |
194 |
$0.00 |
| 87420 |
|
69 |
47 |
$0.00 |
| 00811 |
|
126 |
76 |
$0.00 |
| J2930 |
Methylprednisolone injection |
25 |
15 |
$0.00 |