| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
35,226 |
27,118 |
$1.83M |
| 99283 |
|
29,887 |
26,795 |
$1.64M |
| 0241U |
|
10,169 |
9,315 |
$1.43M |
| 99284 |
|
29,874 |
26,122 |
$1.23M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,627 |
3,405 |
$628K |
| 92507 |
|
5,337 |
1,862 |
$450K |
| 99281 |
|
3,900 |
3,655 |
$406K |
| 96372 |
|
10,537 |
8,594 |
$404K |
| 81001 |
|
16,256 |
14,501 |
$371K |
| 99282 |
|
4,307 |
4,049 |
$332K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,396 |
3,145 |
$316K |
| 97110 |
|
10,903 |
2,392 |
$273K |
| 87635 |
|
4,354 |
4,035 |
$261K |
| 87651 |
|
6,912 |
6,573 |
$257K |
| 87804 |
|
13,331 |
9,114 |
$233K |
| 76805 |
|
1,424 |
1,372 |
$210K |
| 59025 |
|
3,291 |
1,938 |
$208K |
| J7030 |
Normal saline solution infus |
2,751 |
2,042 |
$203K |
| 80053 |
|
22,444 |
19,000 |
$180K |
| 96374 |
|
10,263 |
8,816 |
$159K |
| 87070 |
|
2,572 |
2,467 |
$159K |
| 80307 |
|
6,366 |
5,856 |
$138K |
| 76816 |
|
1,258 |
1,187 |
$127K |
| 76830 |
|
1,369 |
1,345 |
$127K |
| 80048 |
|
10,390 |
8,727 |
$119K |
| 76801 |
|
2,101 |
1,911 |
$114K |
| 70450 |
|
5,147 |
4,674 |
$109K |
| 97535 |
|
5,528 |
1,930 |
$104K |
| 77063 |
|
1,417 |
1,400 |
$99K |
| 81003 |
|
4,473 |
4,198 |
$93K |
| 71045 |
|
15,980 |
13,997 |
$87K |
| 76819 |
|
307 |
158 |
$84K |
| 81025 |
|
9,433 |
8,683 |
$71K |
| 99285 |
|
11,656 |
10,195 |
$70K |
| 73130 |
|
1,134 |
1,058 |
$65K |
| 96361 |
|
6,096 |
5,057 |
$60K |
| 73630 |
|
1,311 |
1,218 |
$58K |
| 96365 |
|
3,218 |
2,807 |
$56K |
| 87210 |
|
1,452 |
1,379 |
$55K |
| 73564 |
|
1,564 |
1,375 |
$53K |
| 73610 |
|
1,093 |
1,015 |
$52K |
| 71046 |
|
2,567 |
2,451 |
$47K |
| 73030 |
|
877 |
804 |
$37K |
| 87086 |
|
4,419 |
4,077 |
$37K |
| 36416 |
|
3,564 |
2,243 |
$33K |
| 74176 |
|
3,013 |
2,778 |
$32K |
| 96376 |
|
2,831 |
1,767 |
$30K |
| J7120 |
Ringers lactate infusion |
559 |
475 |
$30K |
| 93306 |
|
210 |
207 |
$30K |
| Q0162 |
Ondansetron oral |
281 |
246 |
$29K |
| 93005 |
|
14,767 |
11,849 |
$28K |
| 74018 |
|
976 |
932 |
$24K |
| 85025 |
|
27,551 |
22,717 |
$21K |
| 96375 |
|
8,227 |
6,512 |
$18K |
| 87491 |
|
1,311 |
1,272 |
$17K |
| 73110 |
|
324 |
302 |
$17K |
| 76815 |
|
154 |
125 |
$12K |
| 82948 |
|
2,046 |
1,045 |
$12K |
| 87077 |
|
1,334 |
1,212 |
$11K |
| 74022 |
|
795 |
760 |
$11K |
| 96360 |
|
2,010 |
1,895 |
$11K |
| G0378 |
Hospital observation per hr |
3,495 |
2,221 |
$11K |
| 87430 |
|
2,369 |
2,283 |
$10K |
| 72125 |
|
1,632 |
1,527 |
$10K |
| 97161 |
|
1,456 |
1,361 |
$9K |
| 74177 |
|
3,339 |
3,165 |
$8K |
| 72100 |
|
350 |
339 |
$8K |
| 85610 |
|
10,958 |
9,331 |
$8K |
| 84702 |
|
2,098 |
1,725 |
$8K |
| 87807 |
|
1,737 |
1,636 |
$7K |
| J7050 |
Normal saline solution infus |
1,276 |
803 |
$7K |
| 94640 |
|
4,461 |
3,299 |
$7K |
| 97014 |
|
132 |
40 |
$7K |
| 86850 |
|
1,050 |
967 |
$7K |
| 76705 |
|
167 |
161 |
$7K |
| 96366 |
|
999 |
771 |
$6K |
| J2405 |
Ondansetron hcl injection |
7,694 |
6,557 |
$6K |
| 70551 |
|
12 |
12 |
$6K |
| 87591 |
|
1,694 |
1,629 |
$5K |
| 71260 |
|
210 |
209 |
$5K |
| U0005 |
Infec agen detec ampli probe |
2,387 |
2,178 |
$4K |
| 97140 |
|
1,236 |
405 |
$4K |
| 71250 |
|
63 |
59 |
$4K |
| 71275 |
|
310 |
295 |
$4K |
| 85027 |
|
7,090 |
6,149 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,305 |
1,191 |
$3K |
| 73502 |
|
97 |
91 |
$3K |
| 73090 |
|
70 |
68 |
$3K |
| 83735 |
|
15,403 |
12,294 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
5,806 |
5,172 |
$3K |
| 88305 |
|
205 |
152 |
$3K |
| 97112 |
|
186 |
76 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,796 |
3,202 |
$2K |
| 73590 |
|
42 |
39 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,243 |
941 |
$2K |
| 77067 |
|
1,497 |
1,478 |
$2K |
| 84484 |
|
12,496 |
9,197 |
$2K |
| J1100 |
Dexamethasone sodium phos |
5,266 |
4,850 |
$2K |
| 73080 |
|
37 |
36 |
$2K |
| 87798 |
|
1,405 |
1,338 |
$2K |
| 82803 |
|
1,816 |
1,577 |
$2K |
| G0283 |
Elec stim other than wound |
501 |
131 |
$1K |
| 36600 |
|
1,262 |
1,128 |
$1K |
| 83655 |
|
488 |
487 |
$1K |
| J2270 |
Morphine sulfate injection |
4,554 |
3,738 |
$1K |
| J3490 |
Drugs unclassified injection |
1,177 |
905 |
$1K |
| J1170 |
Hydromorphone injection |
2,889 |
1,938 |
$1K |
| 92523 |
|
67 |
67 |
$1K |
| J1650 |
Inj enoxaparin sodium |
368 |
214 |
$1K |
| J2543 |
Piperacillin/tazobactam |
75 |
50 |
$1K |
| 83690 |
|
8,370 |
7,499 |
$965.77 |
| 93971 |
|
15 |
13 |
$861.07 |
| C9803 |
Hopd covid-19 spec collect |
1,451 |
1,367 |
$789.75 |
| J1940 |
Furosemide injection |
155 |
123 |
$742.02 |
| 80061 |
|
882 |
844 |
$711.88 |
| 87040 |
|
6,157 |
3,777 |
$696.89 |
| 83013 |
|
12 |
12 |
$688.39 |
| J2060 |
Lorazepam injection |
552 |
468 |
$663.31 |
| 70486 |
|
53 |
51 |
$567.15 |
| A9270 |
Non-covered item or service |
2,801 |
1,901 |
$556.10 |
| 85730 |
|
8,434 |
7,361 |
$512.36 |
| 83880 |
|
4,237 |
3,767 |
$505.22 |
| 76642 |
|
12 |
12 |
$491.04 |
| 80076 |
|
2,181 |
2,056 |
$450.04 |
| 72040 |
|
14 |
14 |
$417.96 |
| 86738 |
|
167 |
161 |
$387.90 |
| 83605 |
|
4,660 |
3,875 |
$384.41 |
| 99291 |
|
108 |
104 |
$370.09 |
| 84100 |
|
1,372 |
1,021 |
$355.47 |
| 84443 |
|
3,599 |
3,328 |
$351.33 |
| J1815 |
Insulin injection |
59 |
37 |
$337.79 |
| J1200 |
Diphenhydramine hcl injectio |
1,999 |
1,451 |
$271.74 |
| J0360 |
Hydralazine hcl injection |
120 |
103 |
$202.27 |
| 82550 |
|
614 |
538 |
$137.25 |
| 87147 |
|
441 |
428 |
$133.45 |
| J2250 |
Inj midazolam hydrochloride |
519 |
475 |
$127.76 |
| J7510 |
Prednisolone oral per 5 mg |
1,692 |
1,628 |
$126.56 |
| J3475 |
Inj magnesium sulfate |
1,017 |
858 |
$126.47 |
| 85014 |
|
472 |
388 |
$121.22 |
| G0480 |
Drug test def 1-7 classes |
697 |
641 |
$117.08 |
| 85379 |
|
1,179 |
1,123 |
$108.87 |
| Q0163 |
Diphenhydramine hcl 50mg |
70 |
67 |
$98.43 |
| 83036 |
|
1,095 |
1,066 |
$98.24 |
| 94644 |
|
1,084 |
981 |
$64.99 |
| 80320 |
|
339 |
314 |
$62.06 |
| 84145 |
|
1,002 |
902 |
$60.36 |
| 87186 |
|
1,828 |
1,677 |
$55.00 |
| 73552 |
|
14 |
13 |
$39.14 |
| 84703 |
|
60 |
56 |
$29.22 |
| 86901 |
|
1,993 |
1,840 |
$25.22 |
| 86900 |
|
1,994 |
1,841 |
$25.22 |
| J2550 |
Promethazine hcl injection |
1,906 |
1,545 |
$18.28 |
| 87205 |
|
359 |
303 |
$18.27 |
| 82077 |
|
1,474 |
1,309 |
$15.32 |
| J2930 |
Methylprednisolone injection |
962 |
856 |
$13.30 |
| 82570 |
|
12 |
12 |
$11.97 |
| 87140 |
|
67 |
62 |
$9.00 |
| 82565 |
|
44 |
40 |
$4.48 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,316 |
1,213 |
$2.43 |
| 80143 |
|
403 |
344 |
$1.75 |
| 84439 |
|
453 |
437 |
$1.00 |
| J2920 |
Methylprednisolone injection |
64 |
28 |
$0.24 |
| J3480 |
Inj potassium chloride |
93 |
63 |
$0.00 |
| 86140 |
|
53 |
47 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
402 |
377 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
28 |
28 |
$0.00 |
| 85651 |
|
377 |
350 |
$0.00 |
| 90471 |
|
115 |
107 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
164 |
121 |
$0.00 |
| 97162 |
|
26 |
25 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
364 |
303 |
$0.00 |
| 85018 |
|
512 |
406 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
111 |
93 |
$0.00 |
| 82306 |
|
12 |
12 |
$0.00 |
| 80177 |
|
12 |
12 |
$0.00 |
| 83550 |
|
25 |
24 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| 82728 |
|
15 |
14 |
$0.00 |
| 94762 |
|
44 |
27 |
$0.00 |
| 94760 |
|
18 |
13 |
$0.00 |
| 80179 |
|
274 |
245 |
$0.00 |
| 90715 |
|
224 |
215 |
$0.00 |
| 84481 |
|
210 |
206 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
18 |
12 |
$0.00 |
| 83540 |
|
26 |
25 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
32 |
$0.00 |
| Q5106 |
Inj retacrit non-esrd use |
38 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
26 |
14 |
$0.00 |
| 86003 |
|
19 |
13 |
$0.00 |
| 43239 |
|
13 |
13 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |
| 82140 |
|
14 |
14 |
$0.00 |
| J1953 |
Levetiracetam injection |
15 |
12 |
$0.00 |