| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
87,850 |
77,679 |
$14.25M |
| 99283 |
|
93,687 |
87,874 |
$10.89M |
| 99285 |
|
40,740 |
33,455 |
$8.45M |
| 99282 |
|
28,094 |
27,317 |
$1.99M |
| U0002 |
Covid-19 lab test non-cdc |
39,348 |
35,956 |
$1.66M |
| 96374 |
|
32,791 |
27,419 |
$1.37M |
| 43239 |
|
2,879 |
2,425 |
$1.37M |
| 87635 |
|
21,369 |
20,148 |
$986K |
| 87804 |
|
113,607 |
54,415 |
$956K |
| C9803 |
Hopd covid-19 spec collect |
54,546 |
49,778 |
$692K |
| 99281 |
|
12,159 |
11,840 |
$633K |
| G0378 |
Hospital observation per hr |
5,313 |
2,266 |
$580K |
| 84484 |
|
38,244 |
21,736 |
$574K |
| 87651 |
|
14,756 |
14,337 |
$512K |
| 93306 |
|
21,071 |
15,177 |
$507K |
| 80053 |
|
101,639 |
83,022 |
$503K |
| 85025 |
|
80,996 |
66,622 |
$488K |
| 96375 |
|
20,777 |
16,568 |
$367K |
| 71045 |
|
25,882 |
21,053 |
$355K |
| 93005 |
|
51,749 |
35,082 |
$331K |
| 71046 |
|
10,274 |
9,319 |
$280K |
| 74177 |
|
2,403 |
1,984 |
$274K |
| 43775 |
|
179 |
168 |
$254K |
| J0561 |
Penicillin g benzathine inj |
1,722 |
1,396 |
$222K |
| 36415 |
|
124,612 |
96,430 |
$220K |
| 96361 |
|
6,598 |
5,175 |
$180K |
| 70450 |
|
3,320 |
2,785 |
$177K |
| 87807 |
|
16,717 |
16,266 |
$171K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,944 |
2,679 |
$171K |
| 84703 |
|
22,268 |
19,367 |
$165K |
| 96365 |
|
2,962 |
2,359 |
$143K |
| 96372 |
|
9,549 |
7,966 |
$113K |
| 87880 |
|
9,955 |
9,598 |
$105K |
| G0463 |
Hospital outpt clinic visit |
1,490 |
1,127 |
$101K |
| 83735 |
|
18,172 |
13,729 |
$80K |
| 85027 |
|
20,590 |
15,886 |
$79K |
| 92587 |
|
1,892 |
977 |
$77K |
| 94640 |
|
5,335 |
4,792 |
$76K |
| 92651 |
|
973 |
460 |
$75K |
| 83690 |
|
11,791 |
9,944 |
$70K |
| 76700 |
|
785 |
753 |
$67K |
| 87633 |
|
158 |
157 |
$57K |
| 58662 |
|
64 |
42 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
636 |
579 |
$51K |
| 81001 |
|
40,098 |
34,486 |
$50K |
| 93010 |
|
12,074 |
8,991 |
$43K |
| 45380 |
|
95 |
78 |
$43K |
| 58571 |
|
43 |
28 |
$41K |
| 74246 |
|
616 |
592 |
$33K |
| 83880 |
|
2,464 |
1,761 |
$32K |
| 86900 |
|
1,594 |
1,073 |
$30K |
| 80048 |
|
4,973 |
3,576 |
$29K |
| G1004 |
Cdsm ndsc |
2,819 |
2,132 |
$25K |
| 11042 |
|
599 |
220 |
$24K |
| 92586 |
|
310 |
300 |
$24K |
| J1100 |
Dexamethasone sodium phos |
7,107 |
6,266 |
$24K |
| 36821 |
|
46 |
36 |
$21K |
| 83605 |
|
2,116 |
1,703 |
$18K |
| 81025 |
|
4,383 |
3,989 |
$18K |
| 86850 |
|
1,505 |
1,004 |
$16K |
| 92585 |
|
308 |
107 |
$15K |
| 45378 |
|
29 |
25 |
$15K |
| 85610 |
|
5,290 |
3,763 |
$13K |
| 74176 |
|
204 |
170 |
$12K |
| 81003 |
|
9,268 |
8,339 |
$12K |
| 85730 |
|
2,027 |
1,654 |
$11K |
| 86901 |
|
1,629 |
1,092 |
$11K |
| U0005 |
Infec agen detec ampli probe |
485 |
464 |
$11K |
| 0001A |
|
382 |
317 |
$10K |
| 0002A |
|
323 |
260 |
$9K |
| 87086 |
|
996 |
929 |
$8K |
| 96366 |
|
305 |
130 |
$8K |
| 96360 |
|
141 |
132 |
$8K |
| 99214 |
|
818 |
624 |
$7K |
| 73130 |
|
523 |
426 |
$6K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
12 |
$6K |
| 84702 |
|
396 |
359 |
$6K |
| 80307 |
|
178 |
155 |
$5K |
| 77336 |
|
80 |
39 |
$5K |
| 74019 |
|
471 |
463 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,825 |
7,834 |
$4K |
| J7030 |
Normal saline solution infus |
8,012 |
6,624 |
$4K |
| 76830 |
|
58 |
53 |
$4K |
| 73560 |
|
331 |
274 |
$4K |
| J2405 |
Ondansetron hcl injection |
8,689 |
6,255 |
$4K |
| 86140 |
|
555 |
536 |
$3K |
| 85379 |
|
271 |
241 |
$3K |
| 76811 |
|
13 |
13 |
$2K |
| 80074 |
|
545 |
520 |
$2K |
| 76801 |
|
28 |
27 |
$2K |
| 82550 |
|
380 |
337 |
$2K |
| 73630 |
|
188 |
154 |
$2K |
| 83874 |
|
156 |
121 |
$2K |
| 84443 |
|
618 |
584 |
$1K |
| 72170 |
|
104 |
90 |
$1K |
| 76815 |
|
26 |
25 |
$1K |
| 82150 |
|
194 |
180 |
$1K |
| 74018 |
|
145 |
144 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
11,341 |
9,288 |
$1K |
| 72100 |
|
84 |
76 |
$1K |
| 71275 |
|
41 |
24 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
462 |
376 |
$1K |
| 80061 |
|
568 |
532 |
$985.68 |
| 87591 |
|
37 |
34 |
$931.70 |
| 87491 |
|
37 |
34 |
$931.70 |
| 72125 |
|
25 |
14 |
$849.30 |
| 93017 |
|
15 |
12 |
$832.11 |
| J2704 |
Inj, propofol, 10 mg |
11,051 |
8,636 |
$830.32 |
| 93312 |
|
28 |
25 |
$822.70 |
| 84480 |
|
551 |
525 |
$788.26 |
| J2270 |
Morphine sulfate injection |
1,788 |
1,310 |
$768.66 |
| 87040 |
|
123 |
74 |
$764.49 |
| A9270 |
Non-covered item or service |
8,129 |
4,702 |
$728.79 |
| 76705 |
|
13 |
13 |
$683.18 |
| J2930 |
Methylprednisolone injection |
118 |
111 |
$642.54 |
| 0012A |
|
31 |
17 |
$567.14 |
| J7120 |
Ringers lactate infusion |
4,922 |
3,885 |
$563.10 |
| 76817 |
|
12 |
12 |
$562.72 |
| J1650 |
Inj enoxaparin sodium |
159 |
84 |
$474.50 |
| C1769 |
Guide wire |
111 |
69 |
$465.82 |
| 86702 |
|
158 |
152 |
$452.71 |
| J2765 |
Metoclopramide hcl injection |
325 |
298 |
$426.36 |
| 83036 |
|
520 |
494 |
$421.60 |
| 93750 |
|
15 |
12 |
$381.55 |
| 84436 |
|
546 |
520 |
$364.90 |
| 86701 |
|
158 |
152 |
$328.86 |
| J0131 |
Inj, acetaminophen (nos) |
2,270 |
1,798 |
$318.63 |
| J0696 |
Ceftriaxone sodium injection |
968 |
872 |
$304.31 |
| 85007 |
|
61 |
58 |
$298.37 |
| 97597 |
|
27 |
12 |
$297.20 |
| 96376 |
|
663 |
338 |
$278.08 |
| 96367 |
|
55 |
39 |
$275.30 |
| 82565 |
|
79 |
73 |
$238.26 |
| 0011A |
|
19 |
15 |
$225.37 |
| 83540 |
|
69 |
69 |
$224.28 |
| J1170 |
Hydromorphone injection |
1,147 |
649 |
$204.69 |
| 83615 |
|
191 |
100 |
$161.13 |
| J3010 |
Fentanyl citrate injection |
2,695 |
2,045 |
$130.83 |
| 99211 |
|
108 |
52 |
$111.19 |
| 93320 |
|
28 |
25 |
$106.91 |
| J2550 |
Promethazine hcl injection |
139 |
115 |
$92.27 |
| 87300 |
|
29 |
27 |
$81.52 |
| G0008 |
Admin influenza virus vac |
24 |
18 |
$72.02 |
| J0690 |
Cefazolin sodium injection |
1,227 |
774 |
$59.87 |
| J2060 |
Lorazepam injection |
21 |
15 |
$58.83 |
| J2250 |
Inj midazolam hydrochloride |
2,670 |
1,956 |
$58.56 |
| 87389 |
|
351 |
331 |
$55.44 |
| 87205 |
|
18 |
17 |
$54.36 |
| 87210 |
|
20 |
20 |
$51.56 |
| 92650 |
|
36 |
35 |
$46.84 |
| 93325 |
|
28 |
25 |
$46.60 |
| J1644 |
Inj heparin sodium per 1000u |
1,262 |
685 |
$43.43 |
| J2001 |
Lidocaine injection |
1,203 |
1,081 |
$42.20 |
| 88307 |
|
124 |
116 |
$37.62 |
| 85014 |
|
29 |
26 |
$32.03 |
| Q0162 |
Ondansetron oral |
7,533 |
7,233 |
$19.02 |
| J2710 |
Neostigmine methylslfte inj |
210 |
144 |
$13.00 |
| 90686 |
|
24 |
18 |
$8.69 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
13 |
$5.18 |
| J7510 |
Prednisolone oral per 5 mg |
49 |
48 |
$2.52 |
| J3420 |
Vitamin b12 injection |
114 |
107 |
$0.51 |
| 80197 |
|
34 |
25 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
125 |
108 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
69 |
51 |
$0.00 |
| J1815 |
Insulin injection |
95 |
38 |
$0.00 |
| J7040 |
Normal saline solution infus |
164 |
136 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
351 |
167 |
$0.00 |
| 91300 |
|
82 |
74 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
17 |
15 |
$0.00 |