| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,751 |
20,722 |
$2.13M |
| 99284 |
|
23,077 |
18,548 |
$1.73M |
| 97110 |
|
20,622 |
4,396 |
$1.63M |
| 92507 |
|
11,638 |
2,623 |
$938K |
| 99285 |
|
10,996 |
8,499 |
$730K |
| 97530 |
|
11,294 |
2,547 |
$644K |
| 80053 |
|
19,519 |
15,439 |
$553K |
| 74177 |
|
3,096 |
2,751 |
$479K |
| 99282 |
|
3,394 |
3,167 |
$303K |
| 70450 |
|
3,370 |
2,656 |
$251K |
| 96361 |
|
3,846 |
3,203 |
$239K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,280 |
3,650 |
$213K |
| 59899 |
|
1,242 |
966 |
$182K |
| 80048 |
|
8,967 |
4,873 |
$173K |
| 96365 |
|
2,711 |
1,843 |
$149K |
| 81003 |
|
16,373 |
14,094 |
$130K |
| 97803 |
|
1,047 |
995 |
$121K |
| 74176 |
|
1,183 |
1,000 |
$109K |
| 87631 |
|
1,568 |
1,451 |
$96K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
149 |
133 |
$94K |
| 41899 |
|
239 |
203 |
$89K |
| 59025 |
|
811 |
633 |
$85K |
| 87635 |
|
2,606 |
2,323 |
$83K |
| 96360 |
|
1,899 |
1,596 |
$83K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,589 |
2,319 |
$82K |
| J0696 |
Ceftriaxone sodium injection |
1,632 |
1,083 |
$71K |
| G0463 |
Hospital outpt clinic visit |
2,371 |
1,558 |
$70K |
| 99281 |
|
727 |
684 |
$69K |
| 0241U |
|
5,172 |
4,847 |
$63K |
| 36415 |
|
27,732 |
17,404 |
$61K |
| 0202U |
|
1,896 |
1,807 |
$58K |
| G0378 |
Hospital observation per hr |
7,476 |
3,094 |
$55K |
| 97161 |
|
721 |
636 |
$53K |
| 97140 |
|
3,821 |
1,154 |
$53K |
| 97162 |
|
402 |
375 |
$50K |
| 97802 |
|
340 |
333 |
$44K |
| 76856 |
|
976 |
919 |
$38K |
| 81025 |
|
2,026 |
1,819 |
$37K |
| 92526 |
|
543 |
178 |
$33K |
| 71046 |
|
3,807 |
3,408 |
$33K |
| 76705 |
|
1,220 |
1,122 |
$32K |
| 85025 |
|
27,646 |
19,907 |
$30K |
| 87641 |
|
541 |
486 |
$30K |
| 87633 |
|
661 |
618 |
$30K |
| 92523 |
|
268 |
253 |
$30K |
| 94640 |
|
1,943 |
1,495 |
$30K |
| 80307 |
|
1,875 |
1,578 |
$24K |
| 93306 |
|
715 |
577 |
$23K |
| 87651 |
|
4,114 |
3,913 |
$22K |
| 82948 |
|
6,856 |
2,370 |
$22K |
| 87502 |
|
950 |
860 |
$21K |
| 71045 |
|
8,548 |
7,218 |
$18K |
| 87086 |
|
3,145 |
2,692 |
$17K |
| 76815 |
|
372 |
342 |
$17K |
| 73630 |
|
372 |
341 |
$14K |
| 71275 |
|
172 |
143 |
$14K |
| 97167 |
|
111 |
111 |
$13K |
| 97163 |
|
125 |
110 |
$13K |
| 72125 |
|
651 |
464 |
$12K |
| 73130 |
|
290 |
262 |
$12K |
| J7050 |
Normal saline solution infus |
662 |
381 |
$12K |
| 84702 |
|
1,988 |
1,542 |
$12K |
| 76805 |
|
227 |
216 |
$11K |
| 0100U |
|
214 |
187 |
$11K |
| 93005 |
|
12,239 |
9,051 |
$11K |
| 73564 |
|
246 |
214 |
$11K |
| 73610 |
|
278 |
257 |
$10K |
| 76817 |
|
1,036 |
881 |
$10K |
| 84484 |
|
7,921 |
4,361 |
$9K |
| 87491 |
|
1,811 |
1,676 |
$9K |
| 97750 |
|
198 |
160 |
$9K |
| 96372 |
|
2,199 |
1,701 |
$8K |
| A9270 |
Non-covered item or service |
2,233 |
775 |
$8K |
| 96375 |
|
4,552 |
3,672 |
$8K |
| J2405 |
Ondansetron hcl injection |
6,036 |
4,708 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
189 |
173 |
$7K |
| G0283 |
Elec stim other than wound |
35 |
13 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,885 |
2,405 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
2,458 |
2,054 |
$6K |
| 76801 |
|
1,317 |
1,123 |
$6K |
| 96374 |
|
8,482 |
7,018 |
$6K |
| 83880 |
|
2,357 |
1,819 |
$6K |
| 86900 |
|
1,594 |
1,375 |
$5K |
| 93971 |
|
304 |
265 |
$5K |
| 96367 |
|
201 |
135 |
$5K |
| 80061 |
|
1,214 |
934 |
$5K |
| J2001 |
Lidocaine injection |
2,211 |
1,879 |
$5K |
| 84703 |
|
5,878 |
5,102 |
$4K |
| 87591 |
|
1,830 |
1,695 |
$3K |
| 83735 |
|
2,953 |
1,981 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,510 |
2,010 |
$3K |
| 97014 |
|
63 |
25 |
$3K |
| 85610 |
|
2,809 |
2,147 |
$3K |
| 76830 |
|
655 |
608 |
$3K |
| 87077 |
|
1,459 |
1,226 |
$3K |
| 77067 |
|
138 |
125 |
$3K |
| 87186 |
|
1,230 |
1,029 |
$2K |
| 88305 |
|
148 |
127 |
$2K |
| 73030 |
|
213 |
173 |
$2K |
| 85730 |
|
1,651 |
1,328 |
$2K |
| J3490 |
Drugs unclassified injection |
848 |
766 |
$2K |
| 87040 |
|
1,483 |
1,187 |
$2K |
| 83690 |
|
4,557 |
3,897 |
$2K |
| J1170 |
Hydromorphone injection |
1,536 |
1,026 |
$2K |
| 93970 |
|
75 |
62 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
985 |
748 |
$2K |
| J1815 |
Insulin injection |
989 |
509 |
$2K |
| J1650 |
Inj enoxaparin sodium |
209 |
77 |
$2K |
| 85027 |
|
1,762 |
1,225 |
$2K |
| 85380 |
|
655 |
557 |
$2K |
| J3370 |
Vancomycin hcl injection |
29 |
12 |
$1K |
| 73110 |
|
15 |
13 |
$1K |
| 87660 |
|
1,592 |
1,482 |
$1K |
| 87510 |
|
1,589 |
1,479 |
$1K |
| G8979 |
Mobility goal status |
49 |
46 |
$1K |
| 97116 |
|
27 |
12 |
$1K |
| 83605 |
|
1,194 |
896 |
$1K |
| 87480 |
|
1,590 |
1,478 |
$1K |
| 84443 |
|
775 |
603 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
779 |
204 |
$1K |
| G8978 |
Mobility current status |
45 |
43 |
$1K |
| 74018 |
|
90 |
81 |
$987.79 |
| 71260 |
|
34 |
28 |
$883.32 |
| 72100 |
|
56 |
41 |
$852.72 |
| J2930 |
Methylprednisolone injection |
416 |
322 |
$766.83 |
| 71250 |
|
30 |
25 |
$720.14 |
| 72040 |
|
13 |
13 |
$715.29 |
| J1885 |
Ketorolac tromethamine inj |
4,001 |
3,263 |
$708.23 |
| 84145 |
|
364 |
292 |
$708.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
192 |
146 |
$683.22 |
| 86901 |
|
1,570 |
1,351 |
$602.00 |
| 87798 |
|
638 |
596 |
$568.82 |
| 87581 |
|
638 |
596 |
$558.61 |
| 87486 |
|
637 |
595 |
$558.61 |
| J0692 |
Cefepime hcl for injection |
344 |
177 |
$480.72 |
| J2270 |
Morphine sulfate injection |
1,929 |
1,457 |
$466.52 |
| J0690 |
Cefazolin sodium injection |
1,448 |
1,222 |
$415.95 |
| 73090 |
|
12 |
12 |
$388.28 |
| 96376 |
|
196 |
124 |
$385.83 |
| 70486 |
|
14 |
13 |
$371.22 |
| 12011 |
|
15 |
14 |
$327.86 |
| 76642 |
|
14 |
14 |
$286.95 |
| 86850 |
|
193 |
150 |
$227.91 |
| J1642 |
Inj heparin sodium per 10 u |
127 |
75 |
$212.55 |
| 84100 |
|
247 |
141 |
$207.19 |
| 73560 |
|
17 |
12 |
$173.28 |
| U0005 |
Infec agen detec ampli probe |
2,038 |
1,855 |
$168.69 |
| J2710 |
Neostigmine methylslfte inj |
468 |
413 |
$159.09 |
| 83036 |
|
335 |
255 |
$137.32 |
| J3475 |
Inj magnesium sulfate |
32 |
28 |
$129.16 |
| 00170 |
|
207 |
170 |
$90.54 |
| 87640 |
|
366 |
335 |
$69.59 |
| 0240U |
|
99 |
79 |
$69.59 |
| 73502 |
|
16 |
13 |
$69.05 |
| G0279 |
Tomosynthesis, mammo |
14 |
14 |
$56.11 |
| 77063 |
|
108 |
98 |
$46.63 |
| J2765 |
Metoclopramide hcl injection |
1,440 |
1,189 |
$46.15 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
14 |
$40.39 |
| J2060 |
Lorazepam injection |
150 |
117 |
$29.12 |
| 90715 |
|
31 |
26 |
$23.90 |
| 90471 |
|
31 |
25 |
$23.90 |
| 82150 |
|
46 |
37 |
$12.21 |
| 87430 |
|
27 |
26 |
$8.88 |
| 90686 |
|
21 |
15 |
$7.28 |
| A9585 |
Gadobutrol injection |
25 |
24 |
$2.70 |
| J0360 |
Hydralazine hcl injection |
112 |
66 |
$1.11 |
| J0171 |
Adrenalin epinephrine inject |
55 |
53 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
106 |
104 |
$0.00 |
| 0353U |
|
32 |
29 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
15 |
14 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
22 |
13 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
331 |
285 |
$0.00 |
| 87205 |
|
31 |
26 |
$0.00 |
| 82550 |
|
68 |
42 |
$0.00 |
| 87070 |
|
14 |
12 |
$0.00 |
| 86140 |
|
62 |
32 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
121 |
108 |
$0.00 |
| J7999 |
Compounded drug, noc |
22 |
15 |
$0.00 |
| 82077 |
|
31 |
26 |
$0.00 |
| 81001 |
|
14 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
19 |
13 |
$0.00 |
| 87340 |
|
16 |
13 |
$0.00 |