| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
45,057 |
41,853 |
$4.20M |
| 99284 |
|
30,106 |
26,759 |
$1.94M |
| 99282 |
|
15,278 |
14,483 |
$1.31M |
| 80053 |
|
20,071 |
16,219 |
$1.05M |
| 99285 |
|
10,550 |
7,548 |
$1.02M |
| 92507 |
|
6,212 |
1,527 |
$587K |
| 74177 |
|
3,113 |
2,729 |
$576K |
| 70450 |
|
4,255 |
3,758 |
$536K |
| 97530 |
|
4,834 |
1,390 |
$494K |
| 97110 |
|
4,215 |
1,247 |
$436K |
| 99281 |
|
3,137 |
3,017 |
$375K |
| 80048 |
|
14,714 |
11,452 |
$358K |
| 87275 |
|
23,385 |
22,015 |
$219K |
| 74176 |
|
1,750 |
1,489 |
$203K |
| 76705 |
|
2,288 |
2,098 |
$171K |
| G0378 |
Hospital observation per hr |
16,053 |
6,915 |
$159K |
| 71275 |
|
806 |
712 |
$159K |
| 87070 |
|
10,469 |
9,874 |
$154K |
| 87635 |
|
17,448 |
16,701 |
$126K |
| 87088 |
|
10,572 |
9,724 |
$85K |
| 93975 |
|
3,773 |
3,188 |
$83K |
| 87426 |
|
2,310 |
1,956 |
$76K |
| 71046 |
|
11,072 |
10,378 |
$70K |
| 80307 |
|
1,519 |
1,357 |
$66K |
| 85027 |
|
39,845 |
29,740 |
$64K |
| 70553 |
|
470 |
426 |
$62K |
| 76856 |
|
433 |
404 |
$61K |
| 76819 |
|
1,194 |
983 |
$55K |
| 81001 |
|
17,096 |
15,294 |
$53K |
| 96361 |
|
1,219 |
1,071 |
$50K |
| 80047 |
|
1,914 |
1,502 |
$48K |
| 72125 |
|
645 |
554 |
$47K |
| 76830 |
|
784 |
704 |
$45K |
| 76775 |
|
616 |
589 |
$45K |
| 96360 |
|
708 |
629 |
$41K |
| 81003 |
|
9,225 |
8,397 |
$39K |
| 96365 |
|
747 |
621 |
$39K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,033 |
1,940 |
$37K |
| 36415 |
|
1,596 |
1,367 |
$37K |
| 74018 |
|
2,737 |
2,561 |
$36K |
| A9270 |
Non-covered item or service |
5,807 |
1,105 |
$35K |
| 94640 |
|
4,152 |
3,362 |
$35K |
| 84702 |
|
3,540 |
2,830 |
$25K |
| 81025 |
|
12,647 |
11,368 |
$25K |
| 76700 |
|
219 |
205 |
$23K |
| 96372 |
|
3,365 |
2,914 |
$23K |
| 86850 |
|
3,200 |
2,722 |
$22K |
| 71045 |
|
7,564 |
6,362 |
$22K |
| 12011 |
|
270 |
255 |
$20K |
| 97163 |
|
434 |
369 |
$19K |
| 80076 |
|
6,651 |
6,094 |
$17K |
| 74019 |
|
1,280 |
1,227 |
$17K |
| 87807 |
|
8,138 |
7,661 |
$16K |
| 76815 |
|
1,168 |
1,054 |
$15K |
| 87077 |
|
1,843 |
1,663 |
$15K |
| 73610 |
|
870 |
783 |
$14K |
| 73070 |
|
538 |
481 |
$14K |
| 87633 |
|
191 |
188 |
$14K |
| 96374 |
|
14,759 |
12,717 |
$13K |
| 88305 |
|
1,464 |
1,240 |
$12K |
| 85610 |
|
7,719 |
6,354 |
$12K |
| S0028 |
Injection, famotidine, 20 mg |
1,455 |
1,101 |
$12K |
| 85730 |
|
7,644 |
6,261 |
$12K |
| 73562 |
|
845 |
737 |
$12K |
| S5010 |
5% dextrose and 0.45% saline |
14 |
13 |
$9K |
| J3010 |
Fentanyl citrate injection |
1,068 |
826 |
$9K |
| 93005 |
|
10,141 |
8,085 |
$9K |
| J1100 |
Dexamethasone sodium phos |
7,168 |
3,914 |
$9K |
| 76817 |
|
955 |
769 |
$8K |
| 73630 |
|
795 |
727 |
$8K |
| 86140 |
|
7,065 |
6,175 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,760 |
3,981 |
$8K |
| 70491 |
|
32 |
27 |
$8K |
| J1644 |
Inj heparin sodium per 1000u |
1,583 |
639 |
$7K |
| 84484 |
|
6,842 |
4,755 |
$7K |
| 87880 |
|
11,844 |
11,234 |
$7K |
| 87045 |
|
269 |
247 |
$7K |
| 73110 |
|
462 |
424 |
$7K |
| J2405 |
Ondansetron hcl injection |
5,639 |
4,053 |
$7K |
| J1170 |
Hydromorphone injection |
1,308 |
865 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,144 |
860 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
1,427 |
898 |
$6K |
| J7030 |
Normal saline solution infus |
11,154 |
8,768 |
$6K |
| 43239 |
|
190 |
150 |
$6K |
| 87040 |
|
6,882 |
6,015 |
$6K |
| 74240 |
|
102 |
99 |
$5K |
| 83735 |
|
2,211 |
1,754 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
6,559 |
4,068 |
$5K |
| 86900 |
|
3,672 |
3,120 |
$5K |
| 73130 |
|
547 |
494 |
$5K |
| J3490 |
Drugs unclassified injection |
476 |
360 |
$5K |
| 93306 |
|
152 |
136 |
$4K |
| 93971 |
|
310 |
263 |
$4K |
| 96368 |
|
45 |
44 |
$4K |
| 01922 |
|
50 |
47 |
$4K |
| 73030 |
|
315 |
274 |
$4K |
| 86901 |
|
4,855 |
4,107 |
$4K |
| Q0162 |
Ondansetron oral |
6,868 |
6,518 |
$4K |
| 76870 |
|
24 |
24 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
334 |
246 |
$3K |
| 12001 |
|
56 |
49 |
$3K |
| 72100 |
|
148 |
119 |
$3K |
| 76801 |
|
710 |
611 |
$3K |
| 76857 |
|
944 |
888 |
$3K |
| 96366 |
|
18 |
13 |
$2K |
| 83880 |
|
1,455 |
1,204 |
$2K |
| 86780 |
|
65 |
54 |
$2K |
| 87276 |
|
23,379 |
22,008 |
$2K |
| 82550 |
|
1,545 |
1,238 |
$2K |
| J2270 |
Morphine sulfate injection |
3,141 |
2,058 |
$2K |
| 82272 |
|
47 |
41 |
$2K |
| 70551 |
|
33 |
25 |
$2K |
| 73090 |
|
204 |
184 |
$2K |
| J7120 |
Ringers lactate infusion |
2,161 |
1,740 |
$2K |
| 70486 |
|
16 |
15 |
$2K |
| 92523 |
|
13 |
12 |
$2K |
| 74241 |
|
18 |
16 |
$1K |
| 96375 |
|
5,048 |
4,229 |
$1K |
| 72131 |
|
63 |
51 |
$1K |
| 83690 |
|
7,833 |
6,761 |
$1K |
| S0119 |
Ondansetron 4 mg |
75 |
75 |
$1K |
| 29125 |
|
55 |
48 |
$985.74 |
| C1769 |
Guide wire |
55 |
37 |
$943.94 |
| J2765 |
Metoclopramide hcl injection |
1,420 |
1,205 |
$900.98 |
| 84443 |
|
1,155 |
1,031 |
$874.02 |
| J0696 |
Ceftriaxone sodium injection |
3,612 |
2,379 |
$871.92 |
| 82247 |
|
493 |
373 |
$840.26 |
| 84703 |
|
471 |
413 |
$813.91 |
| 87210 |
|
43 |
39 |
$731.89 |
| 84112 |
|
90 |
81 |
$723.80 |
| 83605 |
|
2,847 |
2,205 |
$690.11 |
| 82040 |
|
397 |
308 |
$687.79 |
| 87491 |
|
208 |
195 |
$679.41 |
| 88342 |
|
320 |
267 |
$666.20 |
| 90471 |
|
125 |
98 |
$616.49 |
| 73590 |
|
73 |
59 |
$533.02 |
| 85379 |
|
867 |
729 |
$488.32 |
| 84450 |
|
396 |
310 |
$402.41 |
| 84460 |
|
396 |
310 |
$402.41 |
| 84155 |
|
396 |
310 |
$402.41 |
| 84075 |
|
396 |
310 |
$402.41 |
| 85014 |
|
18 |
12 |
$346.86 |
| 00813 |
|
31 |
24 |
$339.12 |
| 83036 |
|
254 |
222 |
$338.58 |
| 73140 |
|
17 |
13 |
$277.02 |
| 88304 |
|
627 |
549 |
$257.22 |
| 82728 |
|
216 |
174 |
$227.77 |
| J7050 |
Normal saline solution infus |
1,782 |
1,070 |
$190.29 |
| 82570 |
|
13 |
13 |
$176.43 |
| J7040 |
Normal saline solution infus |
972 |
861 |
$175.10 |
| 87591 |
|
208 |
195 |
$171.19 |
| 84550 |
|
311 |
265 |
$129.03 |
| 70210 |
|
41 |
39 |
$118.41 |
| 82248 |
|
1,979 |
1,386 |
$88.66 |
| G0480 |
Drug test def 1-7 classes |
29 |
25 |
$65.66 |
| J7512 |
Prednisone ir or dr oral 1mg |
278 |
227 |
$65.16 |
| 87205 |
|
600 |
488 |
$64.47 |
| 82306 |
|
38 |
37 |
$60.91 |
| 86308 |
|
158 |
151 |
$57.53 |
| J0690 |
Cefazolin sodium injection |
132 |
84 |
$54.45 |
| 80061 |
|
149 |
130 |
$48.48 |
| 86738 |
|
178 |
166 |
$45.28 |
| 85652 |
|
1,802 |
1,644 |
$39.82 |
| 87798 |
|
221 |
216 |
$16.67 |
| J1815 |
Insulin injection |
368 |
156 |
$15.43 |
| J2930 |
Methylprednisolone injection |
86 |
66 |
$15.08 |
| 86920 |
|
27 |
24 |
$9.12 |
| 84439 |
|
89 |
83 |
$7.68 |
| 96376 |
|
53 |
43 |
$5.06 |
| 80320 |
|
60 |
53 |
$4.89 |
| 87186 |
|
148 |
130 |
$3.97 |
| 87075 |
|
47 |
40 |
$1.84 |
| 82150 |
|
97 |
87 |
$1.77 |
| 00840 |
|
148 |
134 |
$1.56 |
| 84100 |
|
259 |
223 |
$1.56 |
| 00731 |
|
30 |
27 |
$1.17 |
| 72040 |
|
31 |
24 |
$0.92 |
| J2360 |
Orphenadrine injection |
27 |
24 |
$0.46 |
| 86923 |
|
47 |
44 |
$0.00 |
| 83540 |
|
66 |
55 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
86 |
51 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
330 |
192 |
$0.00 |
| G1003 |
Cdsm medicalis |
64 |
48 |
$0.00 |
| 85045 |
|
169 |
124 |
$0.00 |
| 87502 |
|
85 |
76 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
64 |
26 |
$0.00 |
| 86665 |
|
13 |
12 |
$0.00 |
| 86663 |
|
13 |
12 |
$0.00 |
| 85384 |
|
20 |
15 |
$0.00 |
| 82009 |
|
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
17 |
14 |
$0.00 |
| 00170 |
|
32 |
31 |
$0.00 |
| 97116 |
|
22 |
12 |
$0.00 |
| 41899 |
|
33 |
32 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
26 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
32 |
25 |
$0.00 |
| 82077 |
|
72 |
63 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
103 |
66 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
15 |
15 |
$0.00 |
| 84157 |
|
45 |
40 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
33 |
33 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
13 |
12 |
$0.00 |
| 86664 |
|
13 |
12 |
$0.00 |
| 83615 |
|
19 |
13 |
$0.00 |
| 73502 |
|
20 |
13 |
$0.00 |