| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
14,855 |
13,844 |
$3.71M |
| 99283 |
|
16,823 |
15,878 |
$3.04M |
| 99285 |
|
3,760 |
3,520 |
$1.03M |
| 92507 |
|
9,981 |
3,076 |
$813K |
| 97530 |
|
17,746 |
4,339 |
$719K |
| 62323 |
|
1,374 |
1,308 |
$702K |
| G0463 |
Hospital outpt clinic visit |
15,621 |
11,914 |
$310K |
| 69436 |
|
464 |
349 |
$296K |
| 96361 |
|
2,364 |
2,082 |
$277K |
| 97110 |
|
7,748 |
2,472 |
$239K |
| 20553 |
|
1,754 |
1,643 |
$163K |
| 96374 |
|
7,469 |
6,976 |
$155K |
| 0241U |
|
817 |
794 |
$113K |
| G0378 |
Hospital observation per hr |
398 |
338 |
$105K |
| 41899 |
|
200 |
181 |
$96K |
| 45385 |
|
100 |
88 |
$83K |
| 43239 |
|
160 |
139 |
$65K |
| 36415 |
|
23,052 |
20,782 |
$65K |
| 80307 |
|
920 |
790 |
$47K |
| 97112 |
|
1,059 |
402 |
$45K |
| 96375 |
|
3,231 |
2,868 |
$44K |
| 74177 |
|
232 |
218 |
$38K |
| M0243 |
Casirivi and imdevi inj |
52 |
43 |
$26K |
| 80053 |
|
19,223 |
17,822 |
$21K |
| 96365 |
|
439 |
301 |
$21K |
| 96372 |
|
1,200 |
917 |
$19K |
| 99282 |
|
316 |
308 |
$18K |
| 88305 |
|
1,393 |
1,040 |
$16K |
| 71046 |
|
770 |
739 |
$13K |
| J0585 |
Injection,onabotulinumtoxina |
52 |
51 |
$12K |
| 45380 |
|
16 |
12 |
$11K |
| M0245 |
Bamlan and etesev infusion |
22 |
13 |
$11K |
| 19083 |
|
12 |
12 |
$10K |
| 97116 |
|
538 |
229 |
$9K |
| 97161 |
|
188 |
167 |
$9K |
| 70553 |
|
48 |
45 |
$9K |
| 70450 |
|
264 |
240 |
$9K |
| 93005 |
|
4,107 |
3,724 |
$9K |
| 0240U |
|
84 |
79 |
$8K |
| 71045 |
|
634 |
584 |
$8K |
| 96360 |
|
169 |
163 |
$7K |
| 87651 |
|
222 |
218 |
$7K |
| 85025 |
|
22,171 |
20,416 |
$7K |
| 97113 |
|
82 |
31 |
$5K |
| 92523 |
|
28 |
26 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
88 |
85 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,818 |
1,625 |
$4K |
| 84439 |
|
344 |
324 |
$4K |
| 96413 |
|
117 |
64 |
$4K |
| 0202U |
|
13 |
13 |
$4K |
| 73630 |
|
125 |
101 |
$3K |
| 96366 |
|
151 |
95 |
$3K |
| 97162 |
|
48 |
42 |
$3K |
| 84443 |
|
497 |
479 |
$3K |
| 76942 |
|
214 |
205 |
$3K |
| 76700 |
|
67 |
66 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
873 |
821 |
$2K |
| 81001 |
|
2,557 |
2,342 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
1,263 |
1,196 |
$2K |
| 87502 |
|
45 |
45 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
1,480 |
1,360 |
$2K |
| 80061 |
|
322 |
318 |
$2K |
| 76642 |
|
14 |
13 |
$2K |
| 94060 |
|
36 |
33 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,772 |
1,611 |
$1K |
| 85027 |
|
413 |
383 |
$1K |
| 71275 |
|
15 |
15 |
$1K |
| 94729 |
|
32 |
29 |
$1K |
| C1769 |
Guide wire |
17 |
13 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
268 |
221 |
$1K |
| 93970 |
|
19 |
19 |
$934.83 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$927.56 |
| 20610 |
|
69 |
61 |
$925.55 |
| 80069 |
|
90 |
84 |
$914.89 |
| 83036 |
|
334 |
328 |
$834.14 |
| 97165 |
|
17 |
12 |
$804.43 |
| 80048 |
|
1,033 |
897 |
$737.95 |
| 82533 |
|
34 |
27 |
$730.34 |
| 93306 |
|
26 |
26 |
$694.71 |
| 83970 |
|
32 |
28 |
$649.54 |
| U0005 |
Infec agen detec ampli probe |
52 |
49 |
$644.92 |
| 86850 |
|
120 |
98 |
$602.22 |
| J2359 |
Inj. olanzapine, 0.5mg |
63 |
56 |
$552.41 |
| 82077 |
|
856 |
783 |
$486.08 |
| 72125 |
|
14 |
14 |
$460.18 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
629 |
487 |
$455.49 |
| 83655 |
|
49 |
49 |
$448.32 |
| 87086 |
|
325 |
305 |
$367.93 |
| J1885 |
Ketorolac tromethamine inj |
1,289 |
1,142 |
$354.12 |
| 73562 |
|
35 |
33 |
$345.28 |
| 73610 |
|
33 |
26 |
$321.58 |
| 86140 |
|
3,112 |
2,923 |
$311.35 |
| 88304 |
|
21 |
17 |
$304.10 |
| 73030 |
|
64 |
58 |
$296.10 |
| 86780 |
|
39 |
31 |
$271.02 |
| 87150 |
|
13 |
12 |
$257.29 |
| Q9969 |
Non-heu tc-99m add-on/dose |
86 |
78 |
$240.91 |
| 82570 |
|
117 |
112 |
$230.44 |
| U0002 |
Covid-19 lab test non-cdc |
23 |
23 |
$174.53 |
| J3010 |
Fentanyl citrate injection |
2,087 |
1,604 |
$173.63 |
| G0108 |
Diab manage trn per indiv |
14 |
13 |
$160.79 |
| 83735 |
|
1,193 |
1,092 |
$137.23 |
| J2405 |
Ondansetron hcl injection |
1,854 |
1,524 |
$134.55 |
| 84484 |
|
924 |
744 |
$120.72 |
| 83690 |
|
880 |
811 |
$110.08 |
| J2360 |
Orphenadrine injection |
155 |
140 |
$107.64 |
| J1100 |
Dexamethasone sodium phos |
949 |
842 |
$103.57 |
| 73130 |
|
15 |
13 |
$89.00 |
| 87210 |
|
54 |
52 |
$57.09 |
| J1170 |
Hydromorphone injection |
386 |
307 |
$51.01 |
| 83605 |
|
612 |
538 |
$47.16 |
| 85610 |
|
600 |
495 |
$25.78 |
| 81003 |
|
323 |
309 |
$25.09 |
| 72100 |
|
17 |
14 |
$24.05 |
| J2765 |
Metoclopramide hcl injection |
186 |
161 |
$14.88 |
| J2250 |
Inj midazolam hydrochloride |
383 |
336 |
$13.40 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$4.30 |
| J1200 |
Diphenhydramine hcl injectio |
218 |
179 |
$2.61 |
| G1004 |
Cdsm ndsc |
848 |
696 |
$0.00 |
| 74018 |
|
48 |
45 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
205 |
193 |
$0.00 |
| 87880 |
|
107 |
105 |
$0.00 |
| 82948 |
|
530 |
253 |
$0.00 |
| 87631 |
|
151 |
146 |
$0.00 |
| 81025 |
|
728 |
680 |
$0.00 |
| J2270 |
Morphine sulfate injection |
242 |
182 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
84 |
74 |
$0.00 |
| 84702 |
|
57 |
53 |
$0.00 |
| 94726 |
|
29 |
26 |
$0.00 |
| G8978 |
Mobility current status |
63 |
58 |
$0.00 |
| 87186 |
|
54 |
52 |
$0.00 |
| 99152 |
|
14 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
89 |
70 |
$0.00 |
| 11721 |
|
26 |
25 |
$0.00 |
| J0897 |
Denosumab injection |
12 |
12 |
$0.00 |
| 82565 |
|
28 |
26 |
$0.00 |
| 93017 |
|
13 |
13 |
$0.00 |
| 84145 |
|
41 |
39 |
$0.00 |
| 86900 |
|
74 |
60 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
12 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
20 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
153 |
146 |
$0.00 |
| 82043 |
|
59 |
59 |
$0.00 |
| 82550 |
|
54 |
52 |
$0.00 |
| 85730 |
|
123 |
105 |
$0.00 |
| J2060 |
Lorazepam injection |
81 |
68 |
$0.00 |
| 87205 |
|
16 |
12 |
$0.00 |
| 97535 |
|
120 |
58 |
$0.00 |
| 83880 |
|
127 |
120 |
$0.00 |
| 94640 |
|
260 |
223 |
$0.00 |
| 96376 |
|
258 |
167 |
$0.00 |
| A9270 |
Non-covered item or service |
2,356 |
291 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
26 |
24 |
$0.00 |
| 85652 |
|
92 |
86 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
43 |
43 |
$0.00 |
| 85379 |
|
80 |
80 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
78 |
63 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
256 |
171 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| 86901 |
|
74 |
60 |
$0.00 |
| 87040 |
|
75 |
57 |
$0.00 |
| 90834 |
|
124 |
90 |
$0.00 |
| A4648 |
Implantable tissue marker |
13 |
13 |
$0.00 |
| 92567 |
|
53 |
53 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 87070 |
|
19 |
13 |
$0.00 |
| 80050 |
|
15 |
12 |
$0.00 |
| J3230 |
Chlorpromazine hcl injection |
15 |
12 |
$0.00 |