| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,125 |
14,974 |
$1.32M |
| 99285 |
|
14,172 |
10,658 |
$1.32M |
| 74177 |
|
4,270 |
3,266 |
$763K |
| 99283 |
|
13,497 |
11,554 |
$616K |
| G0378 |
Hospital observation per hr |
8,273 |
4,111 |
$462K |
| 70450 |
|
4,554 |
3,458 |
$251K |
| 71275 |
|
1,230 |
939 |
$227K |
| 96374 |
|
15,401 |
11,039 |
$199K |
| 74176 |
|
1,823 |
1,386 |
$193K |
| 80307 |
|
6,155 |
4,760 |
$148K |
| 78452 |
|
426 |
285 |
$128K |
| 96375 |
|
12,495 |
8,576 |
$123K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,957 |
5,546 |
$111K |
| 80053 |
|
30,070 |
20,633 |
$106K |
| 85025 |
|
34,388 |
22,540 |
$89K |
| 93306 |
|
1,247 |
812 |
$79K |
| 99282 |
|
2,439 |
2,154 |
$78K |
| 96376 |
|
4,950 |
2,892 |
$75K |
| G0480 |
Drug test def 1-7 classes |
1,786 |
1,445 |
$73K |
| 72125 |
|
924 |
755 |
$71K |
| 11042 |
|
1,112 |
470 |
$67K |
| 87635 |
|
3,583 |
2,481 |
$64K |
| 71045 |
|
13,153 |
9,487 |
$63K |
| 96372 |
|
6,639 |
4,697 |
$61K |
| 83880 |
|
6,536 |
4,606 |
$58K |
| 93005 |
|
17,007 |
12,055 |
$56K |
| 0241U |
|
3,868 |
3,311 |
$49K |
| 84484 |
|
13,254 |
8,951 |
$49K |
| 99070 |
|
5,287 |
2,674 |
$48K |
| J3490 |
Drugs unclassified injection |
19,885 |
6,676 |
$47K |
| 76705 |
|
924 |
731 |
$41K |
| 96361 |
|
4,644 |
3,205 |
$41K |
| J7030 |
Normal saline solution infus |
19,868 |
11,864 |
$38K |
| 96365 |
|
2,147 |
1,585 |
$36K |
| 76856 |
|
620 |
511 |
$35K |
| 71046 |
|
3,595 |
2,753 |
$32K |
| 84703 |
|
10,849 |
8,297 |
$31K |
| J2785 |
Regadenoson injection |
441 |
284 |
$31K |
| 83690 |
|
11,138 |
8,129 |
$27K |
| 87040 |
|
3,471 |
2,545 |
$26K |
| 0450 |
|
522 |
454 |
$24K |
| 43239 |
|
117 |
81 |
$20K |
| 99291 |
|
149 |
118 |
$19K |
| J2270 |
Morphine sulfate injection |
10,243 |
5,315 |
$19K |
| A9502 |
Tc99m tetrofosmin |
429 |
286 |
$18K |
| 83605 |
|
4,984 |
3,594 |
$18K |
| 80048 |
|
8,495 |
5,619 |
$18K |
| 76801 |
|
288 |
225 |
$16K |
| 87502 |
|
439 |
348 |
$16K |
| 96360 |
|
1,011 |
800 |
$16K |
| 36415 |
|
24,600 |
14,578 |
$16K |
| 94640 |
|
2,970 |
1,401 |
$15K |
| 83735 |
|
7,818 |
4,207 |
$14K |
| 93971 |
|
358 |
278 |
$14K |
| 59025 |
|
499 |
336 |
$14K |
| 76830 |
|
200 |
159 |
$13K |
| 97161 |
|
1,265 |
719 |
$13K |
| 74022 |
|
562 |
415 |
$12K |
| J1170 |
Hydromorphone injection |
5,735 |
2,668 |
$12K |
| 85379 |
|
3,104 |
2,389 |
$12K |
| 85610 |
|
10,997 |
7,356 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
679 |
480 |
$11K |
| 81001 |
|
10,639 |
8,121 |
$11K |
| 84443 |
|
2,417 |
1,759 |
$11K |
| 85730 |
|
7,335 |
5,015 |
$11K |
| 87086 |
|
3,639 |
2,821 |
$11K |
| 82550 |
|
5,057 |
3,653 |
$10K |
| 87651 |
|
515 |
475 |
$9K |
| 72131 |
|
87 |
78 |
$9K |
| 96366 |
|
409 |
296 |
$9K |
| 87088 |
|
2,820 |
2,194 |
$8K |
| 99213 |
|
343 |
174 |
$7K |
| 85027 |
|
4,281 |
2,728 |
$7K |
| 87491 |
|
363 |
330 |
$7K |
| 87591 |
|
363 |
330 |
$7K |
| 84702 |
|
965 |
766 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
4,297 |
3,186 |
$6K |
| J1815 |
Insulin injection |
2,449 |
749 |
$6K |
| 81025 |
|
2,499 |
2,030 |
$6K |
| J2405 |
Ondansetron hcl injection |
13,761 |
8,096 |
$5K |
| 97165 |
|
492 |
274 |
$5K |
| 84100 |
|
3,724 |
2,081 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,900 |
1,609 |
$5K |
| 93017 |
|
429 |
287 |
$4K |
| 81003 |
|
5,336 |
4,086 |
$4K |
| 93970 |
|
68 |
41 |
$4K |
| 82962 |
|
5,884 |
2,621 |
$4K |
| 80061 |
|
1,255 |
870 |
$4K |
| 87077 |
|
1,328 |
1,009 |
$4K |
| 83036 |
|
1,714 |
1,105 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
4,598 |
2,608 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,200 |
417 |
$3K |
| J0780 |
Prochlorperazine injection |
399 |
283 |
$3K |
| 76817 |
|
56 |
41 |
$3K |
| 73030 |
|
219 |
187 |
$3K |
| 87880 |
|
402 |
324 |
$2K |
| 86901 |
|
2,557 |
1,753 |
$2K |
| 86703 |
|
328 |
302 |
$2K |
| J2060 |
Lorazepam injection |
3,065 |
1,918 |
$2K |
| 73630 |
|
128 |
119 |
$2K |
| 87070 |
|
318 |
241 |
$2K |
| J1100 |
Dexamethasone sodium phos |
3,350 |
2,176 |
$2K |
| J2543 |
Piperacillin/tazobactam |
332 |
137 |
$2K |
| J2930 |
Methylprednisolone injection |
394 |
216 |
$2K |
| J7120 |
Ringers lactate infusion |
916 |
514 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,797 |
1,154 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
2,108 |
618 |
$2K |
| 73610 |
|
72 |
64 |
$1K |
| 90715 |
|
45 |
40 |
$1K |
| 74018 |
|
125 |
98 |
$1K |
| 80320 |
|
1,524 |
1,264 |
$1K |
| 86850 |
|
1,787 |
1,135 |
$1K |
| 90471 |
|
104 |
91 |
$1K |
| 87081 |
|
470 |
374 |
$1K |
| 86900 |
|
1,798 |
1,153 |
$1K |
| 82805 |
|
132 |
87 |
$1K |
| 73130 |
|
67 |
54 |
$1K |
| J3370 |
Vancomycin hcl injection |
107 |
48 |
$1K |
| J0360 |
Hydralazine hcl injection |
323 |
153 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
2,997 |
1,800 |
$965.55 |
| 73564 |
|
51 |
46 |
$947.81 |
| 70551 |
|
17 |
12 |
$945.36 |
| 86140 |
|
609 |
422 |
$945.02 |
| J3010 |
Fentanyl citrate injection |
3,618 |
2,125 |
$920.90 |
| 94644 |
|
79 |
55 |
$894.57 |
| J7512 |
Prednisone ir or dr oral 1mg |
267 |
158 |
$861.95 |
| 85007 |
|
979 |
634 |
$860.96 |
| J0500 |
Dicyclomine injection |
17 |
13 |
$645.86 |
| 86592 |
|
325 |
299 |
$634.23 |
| J0690 |
Cefazolin sodium injection |
1,086 |
549 |
$622.51 |
| 87631 |
|
303 |
244 |
$589.61 |
| 84145 |
|
66 |
44 |
$562.23 |
| 87804 |
|
148 |
120 |
$554.63 |
| 82728 |
|
144 |
80 |
$451.64 |
| 88305 |
|
303 |
196 |
$443.64 |
| 87205 |
|
494 |
363 |
$438.10 |
| 84439 |
|
185 |
122 |
$412.56 |
| J1630 |
Haloperidol injection |
253 |
164 |
$401.77 |
| 97530 |
|
88 |
25 |
$369.24 |
| 97162 |
|
26 |
12 |
$352.75 |
| J7040 |
Normal saline solution infus |
251 |
157 |
$337.50 |
| 99211 |
|
257 |
176 |
$334.80 |
| 80329 |
|
365 |
252 |
$298.05 |
| J2250 |
Inj midazolam hydrochloride |
1,624 |
927 |
$269.47 |
| G0379 |
Direct refer hospital observ |
494 |
347 |
$267.35 |
| 85652 |
|
304 |
227 |
$265.91 |
| J3475 |
Inj magnesium sulfate |
285 |
164 |
$254.98 |
| C9113 |
Inj pantoprazole sodium, via |
617 |
215 |
$199.89 |
| J1790 |
Droperidol injection |
47 |
36 |
$194.81 |
| 80069 |
|
314 |
123 |
$172.90 |
| 87210 |
|
75 |
65 |
$143.86 |
| 83615 |
|
70 |
46 |
$130.04 |
| 82010 |
|
33 |
27 |
$117.18 |
| 86735 |
|
13 |
12 |
$105.02 |
| 87807 |
|
12 |
12 |
$99.80 |
| 64488 |
|
60 |
41 |
$73.92 |
| 82140 |
|
15 |
12 |
$59.64 |
| 99153 |
Mod sedat endo service >5yrs |
35 |
12 |
$56.55 |
| 90658 |
|
14 |
14 |
$54.60 |
| 99152 |
|
35 |
12 |
$45.37 |
| A9270 |
Non-covered item or service |
6,508 |
2,478 |
$43.37 |
| J8540 |
Oral dexamethasone |
18 |
15 |
$29.96 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
31 |
$29.93 |
| 82553 |
|
19 |
12 |
$23.64 |
| 88304 |
|
20 |
14 |
$20.20 |
| J3480 |
Inj potassium chloride |
23 |
12 |
$17.42 |
| 84132 |
|
24 |
12 |
$12.56 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
34 |
19 |
$2.00 |
| 00731 |
|
80 |
69 |
$0.00 |
| G8979 |
Mobility goal status |
91 |
66 |
$0.00 |
| 88312 |
|
18 |
12 |
$0.00 |
| G8978 |
Mobility current status |
90 |
65 |
$0.00 |
| S2900 |
Robotic surgical system |
145 |
92 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
46 |
17 |
$0.00 |
| G8987 |
Self care current status |
58 |
39 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
49 |
12 |
$0.00 |
| G8988 |
Self care goal status |
39 |
27 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
12 |
$0.00 |