| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,901 |
19,962 |
$6.68M |
| 99285 |
|
6,209 |
5,812 |
$2.29M |
| 99283 |
|
28,320 |
27,450 |
$1.35M |
| 74177 |
|
2,131 |
2,069 |
$819K |
| 87651 |
|
11,335 |
11,164 |
$655K |
| 71046 |
|
10,478 |
10,284 |
$564K |
| 87426 |
|
11,641 |
11,205 |
$522K |
| C9803 |
Hopd covid-19 spec collect |
23,919 |
23,074 |
$507K |
| G0378 |
Hospital observation per hr |
2,631 |
2,247 |
$457K |
| 80053 |
|
39,376 |
36,667 |
$423K |
| 85025 |
|
52,149 |
47,361 |
$422K |
| 87804 |
|
10,041 |
7,123 |
$409K |
| 80050 |
|
1,848 |
1,827 |
$306K |
| 70450 |
|
2,864 |
2,780 |
$301K |
| 71045 |
|
7,234 |
6,795 |
$209K |
| 74176 |
|
1,133 |
1,096 |
$177K |
| 93005 |
|
6,367 |
5,391 |
$170K |
| 80307 |
|
2,179 |
2,063 |
$162K |
| 80061 |
|
13,354 |
13,231 |
$161K |
| 84443 |
|
10,098 |
9,962 |
$131K |
| 99218 |
|
618 |
566 |
$121K |
| 99282 |
|
2,428 |
2,370 |
$119K |
| 87635 |
|
2,271 |
2,189 |
$113K |
| 81001 |
|
31,120 |
29,740 |
$113K |
| 76815 |
|
1,143 |
1,087 |
$113K |
| 87807 |
|
4,407 |
4,326 |
$111K |
| U0003 |
Cov-19 amp prb hgh thruput |
947 |
911 |
$102K |
| 83525 |
|
4,882 |
4,830 |
$87K |
| 87086 |
|
10,680 |
10,250 |
$85K |
| 96413 |
|
1,449 |
1,025 |
$81K |
| 87430 |
|
2,437 |
2,375 |
$79K |
| 76705 |
|
652 |
638 |
$63K |
| 99214 |
|
966 |
668 |
$62K |
| 80048 |
|
6,877 |
6,490 |
$62K |
| 83036 |
|
9,419 |
9,315 |
$62K |
| 82306 |
|
4,861 |
4,814 |
$56K |
| 74018 |
|
1,216 |
1,192 |
$56K |
| 83655 |
|
2,610 |
2,593 |
$54K |
| 76700 |
|
512 |
510 |
$47K |
| 96365 |
|
776 |
499 |
$41K |
| CP007 |
|
707 |
390 |
$38K |
| 84702 |
|
2,032 |
1,853 |
$36K |
| 84481 |
|
1,313 |
1,303 |
$34K |
| 72125 |
|
402 |
392 |
$32K |
| 84436 |
|
3,011 |
2,970 |
$31K |
| 77067 |
|
1,375 |
1,373 |
$30K |
| 77063 |
|
1,370 |
1,368 |
$30K |
| 87502 |
|
198 |
192 |
$29K |
| 84439 |
|
3,954 |
3,915 |
$28K |
| 83690 |
|
3,681 |
3,511 |
$27K |
| 71250 |
|
490 |
483 |
$27K |
| 84703 |
|
2,330 |
2,234 |
$25K |
| 82248 |
|
3,679 |
3,445 |
$24K |
| 87040 |
|
2,263 |
1,681 |
$24K |
| 99213 |
|
422 |
244 |
$22K |
| J2405 |
Ondansetron hcl injection |
5,413 |
4,758 |
$21K |
| 82977 |
|
1,763 |
1,747 |
$21K |
| 83880 |
|
1,804 |
1,693 |
$20K |
| 96361 |
|
1,685 |
1,334 |
$20K |
| 87389 |
|
617 |
602 |
$19K |
| 84484 |
|
3,658 |
2,934 |
$19K |
| U0005 |
Infec agen detec ampli probe |
525 |
508 |
$17K |
| J7030 |
Normal saline solution infus |
4,192 |
3,641 |
$17K |
| 87428 |
|
432 |
401 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
2,509 |
2,266 |
$16K |
| 84460 |
|
1,775 |
1,759 |
$15K |
| 84450 |
|
1,708 |
1,695 |
$14K |
| 72081 |
|
177 |
175 |
$14K |
| 94640 |
|
622 |
480 |
$14K |
| 73562 |
|
518 |
498 |
$13K |
| 95816 |
|
34 |
34 |
$13K |
| 86003 |
|
117 |
51 |
$13K |
| 86850 |
|
1,075 |
1,001 |
$12K |
| 70551 |
|
139 |
137 |
$12K |
| 82077 |
|
717 |
642 |
$11K |
| 71260 |
|
88 |
84 |
$11K |
| 76641 |
|
121 |
105 |
$10K |
| 76775 |
|
275 |
274 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
235 |
213 |
$9K |
| 87186 |
|
2,639 |
2,469 |
$9K |
| 85610 |
|
3,959 |
3,693 |
$9K |
| 74246 |
|
53 |
53 |
$9K |
| 87077 |
|
2,671 |
2,489 |
$9K |
| 83605 |
|
1,234 |
1,032 |
$8K |
| 85730 |
|
2,693 |
2,532 |
$8K |
| 82607 |
|
2,235 |
2,222 |
$8K |
| 82728 |
|
1,429 |
1,402 |
$8K |
| 73030 |
|
318 |
309 |
$7K |
| 0202U |
|
8,444 |
8,316 |
$7K |
| 83498 |
|
159 |
157 |
$6K |
| 73630 |
|
203 |
197 |
$6K |
| 76536 |
|
52 |
51 |
$6K |
| 88305 |
|
437 |
390 |
$6K |
| 83970 |
|
805 |
793 |
$6K |
| 87491 |
|
154 |
152 |
$6K |
| 87591 |
|
154 |
152 |
$6K |
| 70260 |
|
66 |
64 |
$6K |
| 96375 |
|
2,348 |
1,664 |
$6K |
| 0241U |
|
3,685 |
3,599 |
$5K |
| 83789 |
|
159 |
157 |
$5K |
| 72100 |
|
186 |
179 |
$5K |
| 77080 |
|
1,097 |
1,094 |
$5K |
| 76856 |
|
42 |
41 |
$5K |
| 96366 |
|
189 |
129 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,311 |
2,072 |
$4K |
| 86900 |
|
2,095 |
1,945 |
$4K |
| G0463 |
Hospital outpt clinic visit |
2,805 |
862 |
$4K |
| 86901 |
|
2,094 |
1,944 |
$4K |
| 82746 |
|
1,156 |
1,150 |
$4K |
| 81025 |
|
411 |
393 |
$4K |
| 83735 |
|
1,728 |
1,493 |
$4K |
| 96360 |
|
345 |
331 |
$4K |
| 82261 |
|
159 |
157 |
$4K |
| J1756 |
Iron sucrose injection |
48 |
26 |
$4K |
| 84466 |
|
911 |
891 |
$4K |
| 80179 |
|
239 |
220 |
$4K |
| 83520 |
|
159 |
157 |
$4K |
| 80143 |
|
227 |
208 |
$4K |
| 83540 |
|
1,433 |
1,414 |
$4K |
| 96415 |
|
56 |
51 |
$4K |
| J2543 |
Piperacillin/tazobactam |
145 |
89 |
$3K |
| 85027 |
|
314 |
311 |
$3K |
| 83020 |
|
159 |
157 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,170 |
1,768 |
$3K |
| 83630 |
|
77 |
75 |
$3K |
| 85379 |
|
501 |
486 |
$3K |
| 82570 |
|
2,861 |
2,765 |
$3K |
| 82550 |
|
866 |
791 |
$3K |
| 82776 |
|
159 |
157 |
$3K |
| 87340 |
|
419 |
405 |
$3K |
| 74022 |
|
13 |
13 |
$2K |
| 82652 |
|
55 |
55 |
$2K |
| 80069 |
|
1,604 |
1,523 |
$2K |
| 93306 |
|
14 |
14 |
$2K |
| 86140 |
|
590 |
574 |
$2K |
| 82043 |
|
2,127 |
2,101 |
$2K |
| J0690 |
Cefazolin sodium injection |
1,051 |
961 |
$2K |
| 87425 |
|
80 |
78 |
$2K |
| 82150 |
|
362 |
345 |
$2K |
| 85007 |
|
309 |
306 |
$2K |
| 82247 |
|
271 |
201 |
$2K |
| 86592 |
|
542 |
524 |
$2K |
| 88304 |
|
73 |
72 |
$2K |
| 80047 |
|
196 |
186 |
$2K |
| 80074 |
|
67 |
67 |
$2K |
| 84437 |
|
159 |
157 |
$2K |
| 97110 |
|
103 |
24 |
$2K |
| 84153 |
|
752 |
738 |
$2K |
| J2270 |
Morphine sulfate injection |
1,296 |
1,148 |
$1K |
| 87045 |
|
80 |
78 |
$1K |
| 96417 |
|
15 |
12 |
$1K |
| 73610 |
|
44 |
42 |
$1K |
| 99281 |
|
24 |
24 |
$1K |
| 82105 |
|
182 |
177 |
$1K |
| 87209 |
|
40 |
38 |
$1K |
| 96374 |
|
1,786 |
1,653 |
$1K |
| 70360 |
|
14 |
14 |
$1K |
| 96372 |
|
1,412 |
1,211 |
$1K |
| 82785 |
|
48 |
37 |
$1K |
| 85652 |
|
912 |
885 |
$1K |
| 73130 |
|
26 |
26 |
$1K |
| J0330 |
Succinycholine chloride inj |
227 |
222 |
$1K |
| 73560 |
|
70 |
67 |
$1K |
| 36415 |
|
18,395 |
15,173 |
$1K |
| 72148 |
|
25 |
25 |
$970.35 |
| 82565 |
|
492 |
479 |
$914.83 |
| 73502 |
|
39 |
39 |
$895.74 |
| 84100 |
|
787 |
727 |
$879.30 |
| 82272 |
|
212 |
151 |
$862.37 |
| J3010 |
Fentanyl citrate injection |
1,646 |
1,574 |
$839.66 |
| 87070 |
|
308 |
282 |
$824.39 |
| 86038 |
|
92 |
90 |
$816.28 |
| 84550 |
|
740 |
728 |
$782.03 |
| 82140 |
|
153 |
137 |
$771.96 |
| 80076 |
|
88 |
87 |
$770.28 |
| 87798 |
|
13 |
12 |
$641.60 |
| 87177 |
|
40 |
38 |
$632.74 |
| 86920 |
|
43 |
36 |
$631.64 |
| 86803 |
|
26 |
25 |
$592.16 |
| 84156 |
|
756 |
738 |
$556.97 |
| 84520 |
|
430 |
422 |
$505.48 |
| J7040 |
Normal saline solution infus |
106 |
79 |
$401.53 |
| 82378 |
|
72 |
65 |
$336.20 |
| J2250 |
Inj midazolam hydrochloride |
1,215 |
1,166 |
$332.73 |
| J3105 |
Terbutaline sulfate inj |
15 |
13 |
$257.73 |
| 83986 |
|
38 |
37 |
$237.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
110 |
109 |
$210.79 |
| 72110 |
|
12 |
12 |
$195.45 |
| J1170 |
Hydromorphone injection |
611 |
531 |
$165.76 |
| 82947 |
|
27 |
27 |
$157.50 |
| 90471 |
|
12 |
12 |
$131.72 |
| J2175 |
Meperidine hydrochl /100 mg |
175 |
161 |
$129.91 |
| 85018 |
|
144 |
103 |
$123.51 |
| 84145 |
|
13 |
13 |
$114.30 |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$87.57 |
| 83615 |
|
41 |
41 |
$86.91 |
| 90715 |
|
12 |
12 |
$84.58 |
| 86430 |
|
14 |
14 |
$77.40 |
| J1650 |
Inj enoxaparin sodium |
19 |
14 |
$68.76 |
| 81003 |
|
33 |
33 |
$67.05 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,468 |
1,410 |
$59.61 |
| 85045 |
|
24 |
24 |
$50.66 |
| J2710 |
Neostigmine methylslfte inj |
211 |
194 |
$46.94 |
| 86334 |
|
12 |
12 |
$37.54 |
| G0379 |
Direct refer hospital observ |
32 |
30 |
$34.40 |
| 94760 |
|
36 |
29 |
$29.12 |
| 94664 |
|
25 |
25 |
$18.99 |
| 84165 |
|
12 |
12 |
$18.04 |
| J2550 |
Promethazine hcl injection |
16 |
14 |
$16.92 |
| J2704 |
Inj, propofol, 10 mg |
1,685 |
1,599 |
$15.59 |
| 87075 |
|
16 |
14 |
$13.44 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$10.54 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
28 |
28 |
$8.16 |
| 82962 |
|
5,390 |
2,263 |
$6.92 |
| 84155 |
|
12 |
12 |
$6.16 |
| J3370 |
Vancomycin hcl injection |
30 |
28 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
18 |
12 |
$0.00 |
| S3620 |
Newborn metabolic screening |
1,407 |
1,359 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
12 |
12 |
$0.00 |