| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
18,877 |
17,419 |
$2.11M |
| 99283 |
|
33,773 |
29,767 |
$2.06M |
| 99202 |
|
7,611 |
5,314 |
$984K |
| 97110 |
|
33,814 |
6,512 |
$687K |
| 99201 |
|
7,126 |
4,647 |
$670K |
| 70450 |
|
2,079 |
2,044 |
$499K |
| 96374 |
|
3,764 |
3,587 |
$407K |
| 74177 |
|
911 |
904 |
$379K |
| 97139 |
|
14,395 |
2,893 |
$293K |
| 76811 |
|
1,607 |
1,597 |
$266K |
| 87502 |
|
2,914 |
2,857 |
$256K |
| 77067 |
|
1,268 |
1,265 |
$251K |
| 97750 |
|
5,886 |
3,161 |
$244K |
| 96360 |
|
2,145 |
2,041 |
$240K |
| 93005 |
|
4,905 |
4,679 |
$236K |
| 96375 |
|
2,725 |
2,587 |
$230K |
| 93976 |
|
538 |
534 |
$211K |
| 76856 |
|
1,652 |
1,646 |
$197K |
| 74176 |
|
853 |
836 |
$194K |
| 86328 |
|
3,772 |
3,645 |
$171K |
| 76700 |
|
1,355 |
1,353 |
$169K |
| 80053 |
|
15,551 |
14,196 |
$162K |
| 96365 |
|
1,122 |
1,041 |
$153K |
| J3490 |
Drugs unclassified injection |
7,070 |
5,608 |
$153K |
| G0480 |
Drug test def 1-7 classes |
2,399 |
2,324 |
$152K |
| 71046 |
|
3,681 |
3,601 |
$132K |
| 76641 |
|
861 |
687 |
$122K |
| 85025 |
|
16,375 |
14,753 |
$115K |
| 73721 |
|
207 |
201 |
$104K |
| 80306 |
|
5,790 |
5,592 |
$95K |
| C9803 |
Hopd covid-19 spec collect |
3,463 |
3,344 |
$95K |
| 72125 |
|
242 |
241 |
$91K |
| 87651 |
|
2,244 |
2,209 |
$91K |
| 76830 |
|
559 |
556 |
$77K |
| 72148 |
|
195 |
195 |
$76K |
| 59025 |
|
2,038 |
1,148 |
$75K |
| 73630 |
|
1,739 |
1,705 |
$73K |
| 71045 |
|
2,820 |
2,744 |
$64K |
| 73610 |
|
1,325 |
1,273 |
$64K |
| 72100 |
|
1,081 |
1,073 |
$58K |
| 73562 |
|
1,399 |
1,392 |
$57K |
| 76801 |
|
567 |
556 |
$57K |
| 96372 |
|
1,037 |
975 |
$55K |
| 73130 |
|
1,190 |
1,152 |
$55K |
| 84443 |
|
3,341 |
3,249 |
$53K |
| 73110 |
|
1,104 |
1,058 |
$51K |
| 76815 |
|
504 |
318 |
$45K |
| 93306 |
|
133 |
132 |
$45K |
| G0482 |
Drug test def 15-21 classes |
339 |
320 |
$45K |
| 73030 |
|
941 |
920 |
$44K |
| 90715 |
|
834 |
833 |
$43K |
| 76805 |
|
306 |
287 |
$43K |
| 94640 |
|
1,085 |
991 |
$41K |
| 76817 |
|
353 |
335 |
$37K |
| 83880 |
|
1,021 |
941 |
$35K |
| J7120 |
Ringers lactate infusion |
3,004 |
2,749 |
$33K |
| 82553 |
|
2,621 |
2,494 |
$30K |
| 82306 |
|
970 |
952 |
$30K |
| 83690 |
|
4,397 |
4,179 |
$29K |
| 87801 |
|
664 |
647 |
$29K |
| 84484 |
|
2,878 |
2,704 |
$28K |
| 83605 |
|
2,165 |
2,081 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
5,043 |
4,718 |
$25K |
| 96361 |
|
537 |
517 |
$25K |
| 80061 |
|
1,757 |
1,724 |
$24K |
| J7030 |
Normal saline solution infus |
1,992 |
1,885 |
$24K |
| 87086 |
|
2,774 |
2,669 |
$22K |
| 88305 |
|
2,609 |
1,588 |
$21K |
| 74022 |
|
339 |
333 |
$21K |
| 82550 |
|
2,909 |
2,767 |
$19K |
| 97799 |
|
888 |
164 |
$19K |
| 81015 |
|
5,617 |
5,335 |
$19K |
| 11042 |
|
910 |
479 |
$19K |
| 87186 |
|
1,809 |
1,749 |
$19K |
| 83036 |
|
1,774 |
1,719 |
$19K |
| J2405 |
Ondansetron hcl injection |
4,221 |
3,951 |
$19K |
| 87040 |
|
963 |
937 |
$15K |
| 85730 |
|
2,544 |
2,480 |
$15K |
| 85610 |
|
3,577 |
3,373 |
$14K |
| 76536 |
|
143 |
143 |
$14K |
| J1100 |
Dexamethasone sodium phos |
2,643 |
2,584 |
$14K |
| 80048 |
|
1,263 |
1,166 |
$12K |
| J2250 |
Inj midazolam hydrochloride |
1,905 |
1,841 |
$12K |
| 84439 |
|
1,213 |
1,190 |
$12K |
| 86140 |
|
2,175 |
2,057 |
$11K |
| 87635 |
|
215 |
211 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
1,768 |
1,726 |
$11K |
| 72040 |
|
239 |
238 |
$11K |
| 81003 |
|
4,028 |
3,901 |
$10K |
| 76705 |
|
109 |
108 |
$10K |
| 73080 |
|
210 |
196 |
$10K |
| 87491 |
|
246 |
242 |
$9K |
| J0690 |
Cefazolin sodium injection |
1,160 |
829 |
$9K |
| 80307 |
|
156 |
153 |
$8K |
| 81001 |
|
1,833 |
1,764 |
$8K |
| 77063 |
|
140 |
140 |
$8K |
| 97010 |
|
355 |
65 |
$8K |
| 76816 |
|
90 |
89 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
1,267 |
1,212 |
$8K |
| 94664 |
|
334 |
318 |
$7K |
| 87591 |
|
196 |
195 |
$7K |
| 76770 |
|
63 |
63 |
$7K |
| 71250 |
|
25 |
25 |
$7K |
| 73221 |
|
13 |
13 |
$7K |
| 85378 |
|
843 |
829 |
$7K |
| 87077 |
|
620 |
612 |
$6K |
| 87081 |
|
1,243 |
1,207 |
$6K |
| J3010 |
Fentanyl citrate injection |
767 |
707 |
$6K |
| 70551 |
|
13 |
13 |
$6K |
| G0202 |
Scr mammo bi incl cad |
32 |
28 |
$6K |
| 87661 |
|
139 |
138 |
$5K |
| J1170 |
Hydromorphone injection |
428 |
359 |
$5K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
91 |
37 |
$5K |
| 76496 |
|
16 |
16 |
$5K |
| S0164 |
Injection pantroprazole |
203 |
192 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
243 |
242 |
$4K |
| 96366 |
|
31 |
28 |
$3K |
| 85007 |
|
759 |
705 |
$3K |
| 86850 |
|
976 |
940 |
$3K |
| 83540 |
|
477 |
467 |
$3K |
| 87075 |
|
258 |
246 |
$3K |
| 82962 |
|
851 |
597 |
$3K |
| 73502 |
|
57 |
55 |
$3K |
| J2270 |
Morphine sulfate injection |
170 |
153 |
$3K |
| 73140 |
|
85 |
84 |
$2K |
| G0483 |
Drug test def 22+ classes |
13 |
13 |
$2K |
| 99070 |
|
92 |
75 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
230 |
215 |
$2K |
| 85651 |
|
511 |
493 |
$2K |
| 82728 |
|
125 |
120 |
$2K |
| 86901 |
|
512 |
489 |
$2K |
| J2060 |
Lorazepam injection |
157 |
147 |
$1K |
| J2765 |
Metoclopramide hcl injection |
127 |
117 |
$901.86 |
| 82570 |
|
135 |
118 |
$756.71 |
| 82746 |
|
45 |
44 |
$715.65 |
| 86703 |
|
39 |
39 |
$698.31 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,136 |
2,100 |
$658.47 |
| J2550 |
Promethazine hcl injection |
39 |
37 |
$604.01 |
| 76000 |
|
12 |
12 |
$541.32 |
| 86900 |
|
164 |
155 |
$501.19 |
| 43239 |
|
12 |
12 |
$452.84 |
| 84156 |
|
136 |
115 |
$445.16 |
| 83735 |
|
66 |
54 |
$385.77 |
| 12001 |
|
12 |
12 |
$340.80 |
| J0131 |
Inj, acetaminophen (nos) |
69 |
66 |
$328.41 |
| 86592 |
|
24 |
24 |
$218.16 |
| 82607 |
|
12 |
12 |
$183.94 |
| 84703 |
|
30 |
29 |
$180.88 |
| 82803 |
|
12 |
12 |
$165.90 |
| 29125 |
|
14 |
14 |
$165.62 |
| 84481 |
|
13 |
13 |
$155.09 |
| 86803 |
|
12 |
12 |
$153.80 |
| 88313 |
|
13 |
13 |
$138.78 |
| J3301 |
Triamcinolone acet inj nos |
14 |
14 |
$135.49 |
| Q0162 |
Ondansetron oral |
92 |
90 |
$5.52 |
| A6402 |
Sterile gauze <= 16 sq in |
13 |
13 |
$4.59 |