| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,243 |
28,425 |
$2.55M |
| 99283 |
|
51,752 |
46,130 |
$2.43M |
| 99285 |
|
19,097 |
17,099 |
$2.18M |
| 74177 |
|
4,607 |
4,216 |
$1.12M |
| 87428 |
|
15,528 |
14,447 |
$593K |
| 70450 |
|
3,874 |
3,545 |
$354K |
| 74176 |
|
2,337 |
2,153 |
$350K |
| 96374 |
|
15,713 |
13,769 |
$336K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,839 |
4,550 |
$287K |
| 99282 |
|
7,737 |
7,349 |
$269K |
| 71275 |
|
837 |
766 |
$223K |
| 96375 |
|
12,768 |
10,872 |
$213K |
| 85025 |
|
31,805 |
27,209 |
$121K |
| 96365 |
|
4,609 |
4,181 |
$119K |
| 96372 |
|
11,190 |
9,181 |
$115K |
| 76801 |
|
1,552 |
1,342 |
$112K |
| 71045 |
|
11,893 |
10,825 |
$111K |
| 96361 |
|
9,520 |
8,250 |
$106K |
| 76856 |
|
1,194 |
1,098 |
$89K |
| 71046 |
|
5,970 |
5,431 |
$88K |
| 76705 |
|
1,310 |
1,203 |
$86K |
| 87591 |
|
3,785 |
3,412 |
$69K |
| 87491 |
|
3,788 |
3,414 |
$68K |
| 81025 |
|
19,847 |
17,710 |
$66K |
| 72125 |
|
637 |
592 |
$66K |
| 93005 |
|
12,577 |
11,021 |
$65K |
| 87804 |
|
10,584 |
4,774 |
$63K |
| 80051 |
|
18,818 |
16,638 |
$63K |
| 87880 |
|
9,257 |
8,568 |
$60K |
| 80053 |
|
12,252 |
10,702 |
$60K |
| 82550 |
|
19,024 |
16,783 |
$60K |
| G0378 |
Hospital observation per hr |
570 |
357 |
$58K |
| 94640 |
|
4,317 |
3,594 |
$50K |
| 84484 |
|
10,948 |
9,092 |
$50K |
| 96360 |
|
1,886 |
1,755 |
$50K |
| 82977 |
|
14,326 |
12,806 |
$49K |
| 76830 |
|
514 |
482 |
$47K |
| 83880 |
|
3,137 |
2,844 |
$46K |
| 82565 |
|
18,821 |
16,639 |
$46K |
| 82150 |
|
14,522 |
12,980 |
$45K |
| 76817 |
|
656 |
575 |
$43K |
| 73562 |
|
1,577 |
1,432 |
$42K |
| 87426 |
|
1,612 |
1,505 |
$41K |
| 73610 |
|
1,602 |
1,461 |
$40K |
| 82947 |
|
20,385 |
17,227 |
$38K |
| 84520 |
|
18,830 |
16,647 |
$37K |
| 73630 |
|
1,783 |
1,627 |
$35K |
| 93971 |
|
622 |
556 |
$34K |
| 84460 |
|
13,686 |
12,278 |
$34K |
| 84450 |
|
13,692 |
12,284 |
$33K |
| 84075 |
|
13,687 |
12,279 |
$32K |
| 81003 |
|
29,120 |
25,936 |
$32K |
| 73130 |
|
1,483 |
1,362 |
$32K |
| 82247 |
|
13,686 |
12,278 |
$31K |
| 82040 |
|
13,686 |
12,278 |
$31K |
| 99281 |
|
1,828 |
1,746 |
$31K |
| 80305 |
|
5,437 |
4,948 |
$31K |
| 73110 |
|
907 |
837 |
$27K |
| 84155 |
|
13,689 |
12,281 |
$23K |
| 99291 |
|
109 |
105 |
$22K |
| 73030 |
|
1,136 |
1,035 |
$21K |
| 96376 |
|
2,210 |
1,485 |
$21K |
| 83605 |
|
3,873 |
3,239 |
$20K |
| 74018 |
|
1,198 |
1,097 |
$19K |
| 84702 |
|
2,429 |
2,080 |
$18K |
| 85379 |
|
3,245 |
3,008 |
$17K |
| 96366 |
|
907 |
752 |
$16K |
| 87086 |
|
3,680 |
3,434 |
$16K |
| 87420 |
|
2,288 |
2,143 |
$15K |
| 90715 |
|
626 |
552 |
$15K |
| 12001 |
|
446 |
403 |
$14K |
| 87040 |
|
2,258 |
1,419 |
$13K |
| 82805 |
|
1,096 |
854 |
$13K |
| 87400 |
|
1,514 |
732 |
$11K |
| 70486 |
|
66 |
64 |
$10K |
| 72131 |
|
107 |
99 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
6,149 |
5,340 |
$10K |
| 90471 |
|
883 |
772 |
$10K |
| J2270 |
Morphine sulfate injection |
2,749 |
2,301 |
$8K |
| 0450 |
|
195 |
190 |
$7K |
| U0005 |
Infec agen detec ampli probe |
2,295 |
2,196 |
$6K |
| 12011 |
|
143 |
129 |
$6K |
| 72100 |
|
277 |
255 |
$5K |
| J2405 |
Ondansetron hcl injection |
5,418 |
4,704 |
$5K |
| 87210 |
|
2,280 |
2,034 |
$5K |
| 73140 |
|
181 |
171 |
$5K |
| 76805 |
|
42 |
40 |
$4K |
| 82803 |
|
428 |
392 |
$4K |
| 73080 |
|
148 |
136 |
$4K |
| 87807 |
|
549 |
493 |
$3K |
| J1100 |
Dexamethasone sodium phos |
4,317 |
3,838 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,183 |
1,813 |
$3K |
| 85610 |
|
1,750 |
1,560 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
73 |
63 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,527 |
2,173 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,142 |
1,007 |
$2K |
| J2930 |
Methylprednisolone injection |
397 |
312 |
$2K |
| 10060 |
|
26 |
24 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,860 |
5,315 |
$2K |
| J0780 |
Prochlorperazine injection |
174 |
155 |
$2K |
| 76700 |
|
14 |
13 |
$2K |
| J1170 |
Hydromorphone injection |
725 |
529 |
$2K |
| 36415 |
|
1,047 |
981 |
$1K |
| 96368 |
|
146 |
111 |
$866.40 |
| J0500 |
Dicyclomine injection |
26 |
25 |
$831.89 |
| 86901 |
|
448 |
417 |
$763.11 |
| J0131 |
Inj, acetaminophen (nos) |
906 |
861 |
$599.86 |
| J2543 |
Piperacillin/tazobactam |
153 |
122 |
$534.63 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,188 |
1,040 |
$491.13 |
| 73090 |
|
24 |
24 |
$459.55 |
| 96367 |
|
49 |
39 |
$453.73 |
| 72040 |
|
15 |
15 |
$363.12 |
| 71101 |
|
12 |
12 |
$314.10 |
| J2060 |
Lorazepam injection |
227 |
198 |
$266.12 |
| 73590 |
|
13 |
13 |
$250.03 |
| 82948 |
|
200 |
103 |
$235.85 |
| 73502 |
|
14 |
13 |
$201.32 |
| 99406 |
|
33 |
31 |
$144.42 |
| 86900 |
|
68 |
67 |
$126.63 |
| 0250 |
|
308 |
166 |
$76.80 |
| J1650 |
Inj enoxaparin sodium |
37 |
25 |
$73.38 |
| C9113 |
Inj pantoprazole sodium, via |
105 |
89 |
$70.39 |
| 87070 |
|
13 |
13 |
$64.68 |
| J1790 |
Droperidol injection |
15 |
13 |
$50.35 |
| 82553 |
|
82 |
78 |
$33.10 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
44 |
44 |
$32.92 |
| J1815 |
Insulin injection |
19 |
13 |
$8.25 |