| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
25,184 |
22,658 |
$1.90M |
| 99284 |
|
24,116 |
20,203 |
$1.58M |
| 80053 |
|
20,572 |
16,128 |
$517K |
| 74177 |
|
1,845 |
1,625 |
$376K |
| 99285 |
|
3,172 |
2,633 |
$372K |
| 74176 |
|
1,801 |
1,577 |
$250K |
| 99282 |
|
3,403 |
3,162 |
$246K |
| 70450 |
|
3,855 |
3,038 |
$236K |
| 99281 |
|
1,385 |
1,292 |
$131K |
| 80048 |
|
3,815 |
3,214 |
$126K |
| 71045 |
|
8,942 |
7,595 |
$109K |
| 72125 |
|
1,597 |
1,170 |
$81K |
| 93975 |
|
3,726 |
3,204 |
$68K |
| U0002 |
Covid-19 lab test non-cdc |
989 |
927 |
$66K |
| 71275 |
|
234 |
200 |
$62K |
| 87070 |
|
2,274 |
2,111 |
$60K |
| 76801 |
|
2,764 |
2,297 |
$58K |
| 81001 |
|
14,481 |
12,699 |
$56K |
| 84702 |
|
3,986 |
3,177 |
$54K |
| G0378 |
Hospital observation per hr |
3,175 |
1,701 |
$53K |
| 87635 |
|
6,025 |
5,505 |
$47K |
| 87804 |
|
8,888 |
6,585 |
$40K |
| 87210 |
|
3,586 |
3,332 |
$36K |
| 96374 |
|
13,213 |
11,211 |
$33K |
| 93005 |
|
7,494 |
6,156 |
$32K |
| 87040 |
|
1,840 |
1,250 |
$32K |
| 96361 |
|
507 |
466 |
$31K |
| 81003 |
|
4,893 |
4,334 |
$31K |
| 87086 |
|
3,396 |
2,999 |
$30K |
| 96372 |
|
4,727 |
4,028 |
$30K |
| 76805 |
|
395 |
379 |
$26K |
| 81025 |
|
5,680 |
5,189 |
$26K |
| 76856 |
|
1,194 |
1,112 |
$21K |
| G0480 |
Drug test def 1-7 classes |
599 |
493 |
$21K |
| 76830 |
|
1,107 |
1,033 |
$20K |
| 76705 |
|
252 |
236 |
$17K |
| 87077 |
|
1,580 |
1,376 |
$15K |
| 85027 |
|
24,709 |
19,121 |
$14K |
| 76816 |
|
317 |
296 |
$14K |
| 73130 |
|
676 |
594 |
$14K |
| 73610 |
|
634 |
546 |
$13K |
| 80307 |
|
1,339 |
1,154 |
$13K |
| A9270 |
Non-covered item or service |
5,507 |
1,476 |
$12K |
| 76815 |
|
286 |
263 |
$12K |
| 73630 |
|
766 |
693 |
$12K |
| 73562 |
|
775 |
618 |
$11K |
| J7030 |
Normal saline solution infus |
9,665 |
7,860 |
$11K |
| 87491 |
|
3,218 |
3,030 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
270 |
192 |
$8K |
| 71046 |
|
1,194 |
1,065 |
$8K |
| 88305 |
|
545 |
386 |
$8K |
| 76817 |
|
2,346 |
1,975 |
$8K |
| 96375 |
|
5,056 |
3,973 |
$7K |
| J2405 |
Ondansetron hcl injection |
4,213 |
3,363 |
$7K |
| 73030 |
|
354 |
261 |
$6K |
| 86900 |
|
2,364 |
2,075 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,549 |
3,351 |
$6K |
| 87426 |
|
513 |
404 |
$5K |
| J7120 |
Ringers lactate infusion |
1,385 |
974 |
$5K |
| 85610 |
|
3,941 |
3,211 |
$5K |
| 84484 |
|
6,382 |
4,230 |
$5K |
| 96365 |
|
105 |
90 |
$4K |
| 90471 |
|
431 |
372 |
$3K |
| 87280 |
|
122 |
120 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
752 |
607 |
$3K |
| 87591 |
|
3,218 |
3,030 |
$3K |
| 73110 |
|
204 |
170 |
$3K |
| J1170 |
Hydromorphone injection |
1,007 |
652 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
537 |
480 |
$2K |
| 83690 |
|
6,330 |
5,476 |
$2K |
| J2930 |
Methylprednisolone injection |
359 |
301 |
$2K |
| 85730 |
|
1,659 |
1,358 |
$2K |
| 87186 |
|
1,198 |
1,035 |
$1K |
| 74021 |
|
70 |
62 |
$1K |
| 83735 |
|
2,254 |
1,833 |
$1K |
| J2270 |
Morphine sulfate injection |
2,003 |
1,517 |
$1K |
| 72110 |
|
35 |
27 |
$1K |
| 84443 |
|
356 |
322 |
$1K |
| 93971 |
|
121 |
104 |
$1K |
| 86850 |
|
608 |
529 |
$985.24 |
| 96360 |
|
52 |
48 |
$973.00 |
| J3010 |
Fentanyl citrate injection |
190 |
136 |
$965.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,293 |
1,967 |
$891.16 |
| 87880 |
|
2,270 |
2,148 |
$736.93 |
| 83880 |
|
1,029 |
854 |
$730.52 |
| J1100 |
Dexamethasone sodium phos |
559 |
451 |
$630.75 |
| 85379 |
|
732 |
664 |
$544.39 |
| 83036 |
|
51 |
48 |
$505.95 |
| 76818 |
|
19 |
15 |
$432.53 |
| J7050 |
Normal saline solution infus |
439 |
290 |
$384.74 |
| 73502 |
|
31 |
24 |
$366.03 |
| 90715 |
|
252 |
221 |
$320.87 |
| 73080 |
|
15 |
13 |
$272.01 |
| 83605 |
|
1,180 |
928 |
$229.25 |
| 96376 |
|
1,119 |
709 |
$225.46 |
| J0696 |
Ceftriaxone sodium injection |
2,689 |
2,259 |
$196.19 |
| 86901 |
|
2,361 |
2,073 |
$189.45 |
| J3490 |
Drugs unclassified injection |
131 |
93 |
$181.34 |
| J1815 |
Insulin injection |
66 |
38 |
$181.34 |
| G1003 |
Cdsm medicalis |
300 |
192 |
$167.09 |
| 74018 |
|
15 |
12 |
$138.61 |
| 84145 |
|
69 |
51 |
$129.68 |
| Q0162 |
Ondansetron oral |
1,034 |
931 |
$105.13 |
| J0692 |
Cefepime hcl for injection |
60 |
41 |
$90.67 |
| J3370 |
Vancomycin hcl injection |
18 |
15 |
$90.67 |
| 80061 |
|
99 |
80 |
$85.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
784 |
676 |
$64.57 |
| J1200 |
Diphenhydramine hcl injectio |
1,850 |
1,535 |
$4.55 |
| J2765 |
Metoclopramide hcl injection |
1,906 |
1,631 |
$1.54 |
| J2060 |
Lorazepam injection |
259 |
203 |
$1.22 |
| J1650 |
Inj enoxaparin sodium |
266 |
163 |
$0.00 |
| 76376 |
|
14 |
12 |
$0.00 |
| 85007 |
|
34 |
31 |
$0.00 |
| 84100 |
|
42 |
33 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
18 |
14 |
$0.00 |
| S0030 |
Injection, metronidazole |
20 |
13 |
$0.00 |
| 72100 |
|
13 |
12 |
$0.00 |
| 82150 |
|
68 |
56 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
14 |
13 |
$0.00 |
| J8540 |
Oral dexamethasone |
44 |
43 |
$0.00 |
| J7999 |
Compounded drug, noc |
12 |
12 |
$0.00 |
| 93306 |
|
14 |
12 |
$0.00 |
| 96366 |
|
18 |
17 |
$0.00 |
| J1630 |
Haloperidol injection |
29 |
24 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
19 |
12 |
$0.00 |
| 87147 |
|
14 |
12 |
$0.00 |