| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
10,499 |
9,189 |
$826K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,191 |
2,635 |
$784K |
| 99282 |
|
5,416 |
4,996 |
$552K |
| 80048 |
|
6,698 |
5,272 |
$422K |
| 87637 |
|
3,844 |
3,610 |
$385K |
| 99283 |
|
9,384 |
8,555 |
$222K |
| 93306 |
|
1,382 |
1,294 |
$117K |
| 81001 |
|
4,606 |
4,228 |
$81K |
| 96361 |
|
1,437 |
1,252 |
$80K |
| 36415 |
|
11,470 |
9,090 |
$80K |
| 96372 |
|
2,822 |
2,298 |
$78K |
| 99284 |
|
6,096 |
5,597 |
$69K |
| 78452 |
|
431 |
407 |
$61K |
| 82947 |
|
1,960 |
1,325 |
$59K |
| 87491 |
|
1,142 |
1,095 |
$58K |
| 81025 |
|
3,062 |
2,860 |
$49K |
| 81003 |
|
3,018 |
2,737 |
$45K |
| 70450 |
|
1,352 |
1,243 |
$40K |
| 87651 |
|
876 |
854 |
$34K |
| 85025 |
|
14,186 |
11,700 |
$27K |
| 93970 |
|
205 |
185 |
$25K |
| 80307 |
|
772 |
716 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
223 |
143 |
$22K |
| 99281 |
|
152 |
146 |
$21K |
| 87086 |
|
1,250 |
1,127 |
$20K |
| 71045 |
|
3,989 |
3,506 |
$19K |
| 71046 |
|
1,134 |
1,067 |
$18K |
| 73560 |
|
476 |
403 |
$18K |
| 96374 |
|
3,391 |
3,001 |
$16K |
| 93017 |
|
522 |
492 |
$15K |
| 99285 |
|
3,630 |
3,181 |
$14K |
| 93458 |
|
509 |
488 |
$13K |
| 86780 |
|
632 |
617 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
55 |
43 |
$13K |
| 80061 |
|
2,657 |
2,551 |
$11K |
| 87426 |
|
148 |
122 |
$9K |
| C1769 |
Guide wire |
1,074 |
938 |
$9K |
| 96365 |
|
664 |
603 |
$9K |
| 87077 |
|
446 |
354 |
$8K |
| 73030 |
|
187 |
176 |
$8K |
| 86900 |
|
87 |
85 |
$8K |
| 93971 |
|
57 |
54 |
$7K |
| 74176 |
|
756 |
694 |
$7K |
| 96376 |
|
367 |
235 |
$6K |
| 71250 |
|
39 |
38 |
$6K |
| 87210 |
|
40 |
39 |
$6K |
| 93880 |
|
126 |
120 |
$6K |
| 84702 |
|
154 |
150 |
$6K |
| 84484 |
|
4,327 |
3,188 |
$6K |
| 73610 |
|
72 |
66 |
$6K |
| 85027 |
|
2,714 |
2,288 |
$6K |
| C1894 |
Intro/sheath, non-laser |
1,055 |
929 |
$5K |
| 82306 |
|
974 |
934 |
$5K |
| 87804 |
|
24 |
21 |
$5K |
| 85610 |
|
1,558 |
1,259 |
$4K |
| 94640 |
|
801 |
648 |
$4K |
| 84443 |
|
2,205 |
2,078 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,594 |
1,037 |
$3K |
| 74177 |
|
1,037 |
954 |
$3K |
| J2270 |
Morphine sulfate injection |
976 |
787 |
$3K |
| 80051 |
|
31 |
29 |
$3K |
| 73130 |
|
47 |
44 |
$3K |
| 73630 |
|
46 |
43 |
$3K |
| 93005 |
|
5,729 |
4,906 |
$2K |
| 83735 |
|
4,653 |
3,792 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
988 |
860 |
$2K |
| G0378 |
Hospital observation per hr |
355 |
153 |
$2K |
| 83605 |
|
721 |
638 |
$2K |
| 72100 |
|
69 |
68 |
$2K |
| 83036 |
|
2,134 |
2,030 |
$2K |
| 82607 |
|
315 |
305 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,714 |
989 |
$2K |
| 87635 |
|
14 |
13 |
$2K |
| 86803 |
|
629 |
614 |
$2K |
| G0480 |
Drug test def 1-7 classes |
65 |
54 |
$2K |
| 83880 |
|
1,506 |
1,324 |
$1K |
| 96375 |
|
1,824 |
1,528 |
$1K |
| 80197 |
|
495 |
358 |
$1K |
| A9270 |
Non-covered item or service |
941 |
585 |
$1K |
| 96360 |
|
237 |
224 |
$1K |
| 82043 |
|
257 |
240 |
$1K |
| 83690 |
|
2,722 |
2,419 |
$975.45 |
| 84439 |
|
201 |
194 |
$963.25 |
| 82728 |
|
271 |
261 |
$872.88 |
| 86706 |
|
37 |
33 |
$797.47 |
| 84703 |
|
554 |
515 |
$785.59 |
| 72125 |
|
131 |
127 |
$682.89 |
| 82570 |
|
977 |
871 |
$655.82 |
| 94010 |
|
14 |
13 |
$603.28 |
| 88305 |
|
60 |
42 |
$597.97 |
| 83540 |
|
457 |
443 |
$575.60 |
| 71260 |
|
327 |
308 |
$558.28 |
| A9500 |
Tc99m sestamibi |
87 |
82 |
$427.99 |
| 93922 |
|
12 |
12 |
$422.07 |
| J1885 |
Ketorolac tromethamine inj |
2,278 |
2,030 |
$410.69 |
| 85379 |
|
849 |
795 |
$402.59 |
| 87389 |
|
635 |
622 |
$355.69 |
| 84156 |
|
553 |
484 |
$352.92 |
| 87661 |
|
979 |
937 |
$185.92 |
| 87591 |
|
1,113 |
1,057 |
$122.05 |
| 87040 |
|
105 |
56 |
$117.72 |
| 82746 |
|
127 |
122 |
$114.79 |
| J1100 |
Dexamethasone sodium phos |
924 |
860 |
$110.90 |
| 87799 |
|
31 |
28 |
$39.44 |
| 86140 |
|
64 |
54 |
$35.46 |
| 71275 |
|
115 |
97 |
$30.36 |
| 88304 |
|
14 |
12 |
$26.77 |
| J0690 |
Cefazolin sodium injection |
254 |
230 |
$25.11 |
| 84100 |
|
1,207 |
968 |
$13.83 |
| C1887 |
Catheter, guiding |
685 |
456 |
$13.31 |
| J2405 |
Ondansetron hcl injection |
2,477 |
2,125 |
$8.11 |
| 99152 |
|
826 |
762 |
$6.66 |
| 82248 |
|
102 |
91 |
$2.08 |
| 85651 |
|
13 |
12 |
$1.26 |
| A9502 |
Tc99m tetrofosmin |
166 |
157 |
$0.00 |
| 87186 |
|
216 |
181 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
432 |
393 |
$0.00 |
| C1760 |
Closure dev, vasc |
327 |
307 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
143 |
103 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
159 |
130 |
$0.00 |
| 82565 |
|
32 |
30 |
$0.00 |
| 85347 |
|
127 |
79 |
$0.00 |
| J2930 |
Methylprednisolone injection |
47 |
38 |
$0.00 |
| 83970 |
|
40 |
40 |
$0.00 |
| 94729 |
|
14 |
13 |
$0.00 |
| 84520 |
|
31 |
29 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
36 |
$0.00 |
| 94726 |
|
16 |
15 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
16 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
31 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
15 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
2,102 |
1,859 |
$0.00 |
| J2785 |
Regadenoson injection |
334 |
315 |
$0.00 |
| 83550 |
|
202 |
200 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
354 |
314 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
54 |
52 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
611 |
561 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,681 |
1,539 |
$0.00 |
| J7050 |
Normal saline solution infus |
206 |
161 |
$0.00 |
| J1170 |
Hydromorphone injection |
501 |
377 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
192 |
170 |
$0.00 |
| J1940 |
Furosemide injection |
115 |
77 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
147 |
134 |
$0.00 |
| 85730 |
|
1,070 |
896 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |
| 86901 |
|
87 |
85 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
48 |
43 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
103 |
93 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
55 |
42 |
$0.00 |
| 87340 |
|
53 |
50 |
$0.00 |
| 80320 |
|
15 |
12 |
$0.00 |
| 82077 |
|
33 |
28 |
$0.00 |