| Code | Description | Claims | Beneficiaries | Total Paid |
| 0202U |
|
19,087 |
18,421 |
$5.07M |
| 99284 |
|
25,286 |
22,918 |
$3.53M |
| 99283 |
|
42,613 |
39,832 |
$3.47M |
| 99285 |
|
10,211 |
9,102 |
$1.08M |
| 74177 |
|
2,865 |
2,610 |
$761K |
| 70450 |
|
3,193 |
2,704 |
$478K |
| 99282 |
|
4,909 |
4,690 |
$403K |
| 96361 |
|
5,082 |
4,529 |
$321K |
| 74176 |
|
928 |
817 |
$199K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,191 |
3,772 |
$140K |
| G0378 |
Hospital observation per hr |
1,820 |
1,120 |
$127K |
| 71275 |
|
471 |
428 |
$126K |
| 81220 |
|
213 |
200 |
$106K |
| 80053 |
|
22,251 |
19,657 |
$102K |
| G0463 |
Hospital outpt clinic visit |
2,286 |
1,748 |
$97K |
| 96360 |
|
1,469 |
1,326 |
$90K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,859 |
1,700 |
$89K |
| 99281 |
|
1,091 |
1,014 |
$73K |
| 59025 |
|
745 |
572 |
$72K |
| 71045 |
|
10,641 |
9,508 |
$69K |
| 96372 |
|
3,568 |
3,110 |
$68K |
| 72125 |
|
635 |
516 |
$65K |
| 71046 |
|
2,669 |
2,556 |
$64K |
| 96365 |
|
1,509 |
1,238 |
$53K |
| 76815 |
|
658 |
630 |
$43K |
| 80307 |
|
1,432 |
1,304 |
$42K |
| 96375 |
|
3,536 |
2,990 |
$42K |
| 99291 |
|
113 |
105 |
$36K |
| 96374 |
|
7,858 |
6,921 |
$35K |
| 87086 |
|
6,672 |
6,131 |
$32K |
| 93005 |
|
8,426 |
7,165 |
$31K |
| 92650 |
|
820 |
741 |
$30K |
| 78452 |
|
82 |
73 |
$29K |
| 97110 |
|
1,612 |
462 |
$26K |
| 85025 |
|
25,378 |
22,028 |
$26K |
| 87637 |
|
3,732 |
3,546 |
$26K |
| 74018 |
|
2,070 |
1,977 |
$25K |
| 88305 |
|
770 |
564 |
$23K |
| 76830 |
|
350 |
334 |
$20K |
| 87507 |
|
284 |
271 |
$20K |
| 94640 |
|
2,114 |
1,964 |
$19K |
| 81025 |
|
4,095 |
3,801 |
$19K |
| 92587 |
|
472 |
395 |
$18K |
| 87880 |
|
215 |
208 |
$18K |
| 87651 |
|
5,446 |
5,346 |
$17K |
| 76805 |
|
258 |
253 |
$17K |
| 86850 |
|
1,697 |
1,509 |
$16K |
| 73610 |
|
781 |
722 |
$16K |
| 76705 |
|
667 |
598 |
$16K |
| 76801 |
|
1,250 |
1,078 |
$15K |
| 82947 |
|
2,729 |
1,594 |
$12K |
| 81001 |
|
15,128 |
13,708 |
$11K |
| 87806 |
|
1,129 |
1,075 |
$11K |
| 73110 |
|
548 |
494 |
$11K |
| 73630 |
|
896 |
813 |
$11K |
| 99213 |
|
138 |
102 |
$10K |
| 80048 |
|
2,490 |
1,977 |
$10K |
| 93017 |
|
266 |
244 |
$10K |
| 86901 |
|
2,241 |
2,005 |
$8K |
| 93306 |
|
165 |
134 |
$8K |
| 69436 |
|
25 |
24 |
$8K |
| 73130 |
|
562 |
498 |
$8K |
| 73562 |
|
558 |
485 |
$8K |
| 76377 |
|
835 |
663 |
$7K |
| 81003 |
|
3,639 |
3,389 |
$7K |
| 76856 |
|
202 |
191 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,015 |
684 |
$7K |
| 93971 |
|
490 |
434 |
$7K |
| 73080 |
|
347 |
315 |
$7K |
| 0225U |
|
646 |
623 |
$6K |
| 87591 |
|
1,317 |
1,231 |
$6K |
| 72131 |
|
62 |
55 |
$6K |
| 84484 |
|
4,598 |
3,441 |
$6K |
| 71260 |
|
107 |
86 |
$6K |
| 87070 |
|
660 |
590 |
$6K |
| 73030 |
|
585 |
514 |
$6K |
| 84702 |
|
1,842 |
1,493 |
$6K |
| 01999 |
|
1,548 |
1,453 |
$6K |
| 80050 |
|
259 |
248 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,237 |
999 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,174 |
1,990 |
$5K |
| 80061 |
|
1,216 |
1,135 |
$5K |
| J0690 |
Cefazolin sodium injection |
300 |
226 |
$4K |
| 87635 |
|
108 |
106 |
$4K |
| J1170 |
Hydromorphone injection |
232 |
161 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
945 |
797 |
$4K |
| J2405 |
Ondansetron hcl injection |
4,480 |
3,731 |
$4K |
| J7120 |
Ringers lactate infusion |
1,497 |
1,269 |
$4K |
| 87636 |
|
1,171 |
1,122 |
$3K |
| 96376 |
|
835 |
583 |
$3K |
| 84443 |
|
1,454 |
1,345 |
$3K |
| 73564 |
|
285 |
245 |
$3K |
| 97161 |
|
47 |
42 |
$3K |
| 82306 |
|
287 |
276 |
$3K |
| 96366 |
|
101 |
80 |
$3K |
| 72100 |
|
320 |
298 |
$3K |
| 88304 |
|
64 |
50 |
$3K |
| 36415 |
|
1,296 |
949 |
$3K |
| 71250 |
|
69 |
55 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
1,783 |
1,595 |
$3K |
| 73090 |
|
173 |
155 |
$3K |
| 72110 |
|
41 |
35 |
$2K |
| 43239 |
|
116 |
107 |
$2K |
| 76819 |
|
33 |
14 |
$2K |
| 73140 |
|
110 |
108 |
$2K |
| 87420 |
|
15 |
14 |
$2K |
| 86317 |
|
159 |
153 |
$2K |
| 84703 |
|
5,869 |
5,372 |
$2K |
| 86140 |
|
2,455 |
2,273 |
$2K |
| J7030 |
Normal saline solution infus |
4,438 |
3,455 |
$2K |
| G1010 |
Cdsm stanson |
781 |
386 |
$2K |
| 76817 |
|
476 |
398 |
$2K |
| 82951 |
|
332 |
327 |
$2K |
| 83690 |
|
4,828 |
4,339 |
$2K |
| U0005 |
Infec agen detec ampli probe |
247 |
183 |
$1K |
| 83036 |
|
1,116 |
1,042 |
$1K |
| 85610 |
|
3,526 |
3,005 |
$1K |
| 97140 |
|
186 |
63 |
$1K |
| 85730 |
|
2,806 |
2,434 |
$1K |
| 86803 |
|
836 |
785 |
$1K |
| 70491 |
|
30 |
30 |
$1K |
| 84439 |
|
1,086 |
1,022 |
$1K |
| 85018 |
|
458 |
425 |
$1K |
| 87491 |
|
1,495 |
1,404 |
$1K |
| 87340 |
|
999 |
946 |
$1K |
| 86592 |
|
503 |
474 |
$945.96 |
| 0002A |
|
74 |
68 |
$925.61 |
| 73502 |
|
160 |
131 |
$910.22 |
| 10060 |
|
14 |
12 |
$763.60 |
| 87077 |
|
1,958 |
1,666 |
$746.86 |
| 73590 |
|
120 |
107 |
$683.14 |
| 82728 |
|
354 |
331 |
$647.68 |
| 0001A |
|
72 |
68 |
$634.61 |
| J1885 |
Ketorolac tromethamine inj |
2,584 |
2,257 |
$625.03 |
| 93970 |
|
19 |
16 |
$617.29 |
| 87186 |
|
1,790 |
1,545 |
$577.01 |
| 86900 |
|
2,249 |
2,006 |
$567.37 |
| 86762 |
|
448 |
422 |
$548.97 |
| 97150 |
|
34 |
12 |
$507.21 |
| 85027 |
|
1,161 |
975 |
$452.39 |
| 72040 |
|
24 |
24 |
$440.48 |
| 0071A |
|
16 |
16 |
$433.79 |
| 86787 |
|
495 |
468 |
$397.26 |
| 80076 |
|
146 |
132 |
$383.08 |
| 87040 |
|
2,464 |
1,806 |
$369.18 |
| 83735 |
|
1,808 |
1,518 |
$365.44 |
| 12011 |
|
14 |
12 |
$360.18 |
| 82247 |
|
196 |
116 |
$345.38 |
| 87205 |
|
286 |
250 |
$325.71 |
| 83880 |
|
1,343 |
1,159 |
$322.64 |
| 84156 |
|
126 |
95 |
$322.20 |
| 82565 |
|
257 |
222 |
$300.77 |
| 85007 |
|
183 |
160 |
$298.45 |
| 82248 |
|
350 |
284 |
$295.85 |
| 87581 |
|
13 |
13 |
$286.37 |
| 85379 |
|
639 |
587 |
$261.73 |
| J2785 |
Regadenoson injection |
65 |
56 |
$247.88 |
| G0480 |
Drug test def 1-7 classes |
15 |
14 |
$240.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
295 |
229 |
$238.26 |
| J1644 |
Inj heparin sodium per 1000u |
202 |
91 |
$237.64 |
| J7040 |
Normal saline solution infus |
357 |
312 |
$237.64 |
| 87210 |
|
1,174 |
1,096 |
$236.17 |
| J7050 |
Normal saline solution infus |
1,076 |
790 |
$215.12 |
| J2765 |
Metoclopramide hcl injection |
350 |
298 |
$205.24 |
| 90715 |
|
333 |
299 |
$201.17 |
| C1751 |
Cath, inf, per/cent/midline |
19 |
13 |
$188.29 |
| 0012A |
|
34 |
31 |
$170.34 |
| 83605 |
|
1,559 |
1,228 |
$164.73 |
| 82105 |
|
25 |
25 |
$160.81 |
| 82607 |
|
169 |
159 |
$152.48 |
| 12001 |
|
14 |
12 |
$149.07 |
| J2060 |
Lorazepam injection |
233 |
181 |
$148.85 |
| 82077 |
|
436 |
364 |
$104.93 |
| 87389 |
|
53 |
53 |
$104.37 |
| 71101 |
|
31 |
30 |
$101.68 |
| J2930 |
Methylprednisolone injection |
284 |
259 |
$85.52 |
| 82570 |
|
261 |
201 |
$81.40 |
| 86780 |
|
177 |
164 |
$70.02 |
| 87801 |
|
13 |
13 |
$67.32 |
| 87481 |
|
12 |
12 |
$67.32 |
| 83655 |
|
108 |
104 |
$63.18 |
| J0696 |
Ceftriaxone sodium injection |
1,649 |
1,373 |
$51.05 |
| 82550 |
|
302 |
242 |
$48.02 |
| J2270 |
Morphine sulfate injection |
1,792 |
1,413 |
$47.23 |
| J2550 |
Promethazine hcl injection |
34 |
28 |
$40.51 |
| 87804 |
|
70 |
37 |
$38.08 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
49 |
44 |
$34.63 |
| 87341 |
|
118 |
109 |
$23.12 |
| 83540 |
|
326 |
304 |
$22.96 |
| 85652 |
|
571 |
517 |
$18.41 |
| 85014 |
|
496 |
461 |
$18.04 |
| 84466 |
|
241 |
228 |
$15.98 |
| 83550 |
|
56 |
51 |
$12.21 |
| 80074 |
|
12 |
12 |
$12.02 |
| 90471 |
|
85 |
74 |
$10.22 |
| J1200 |
Diphenhydramine hcl injectio |
503 |
419 |
$6.72 |
| 93010 |
|
2,475 |
1,459 |
$3.39 |
| 82952 |
|
154 |
151 |
$2.95 |
| 82274 |
|
54 |
49 |
$1.58 |
| A9500 |
Tc99m sestamibi |
79 |
70 |
$0.00 |
| J2360 |
Orphenadrine injection |
445 |
399 |
$0.00 |
| 87486 |
|
13 |
13 |
$0.00 |
| 74019 |
|
42 |
42 |
$0.00 |
| J1790 |
Droperidol injection |
27 |
25 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
76 |
50 |
$0.00 |
| 87081 |
|
69 |
68 |
$0.00 |
| 82746 |
|
26 |
25 |
$0.00 |
| J1815 |
Insulin injection |
38 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
218 |
182 |
$0.00 |
| 99152 |
|
72 |
67 |
$0.00 |
| 29125 |
|
26 |
26 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
59 |
$0.00 |
| 86038 |
|
14 |
14 |
$0.00 |
| 84100 |
|
32 |
26 |
$0.00 |
| 82805 |
|
12 |
12 |
$0.00 |
| 84145 |
|
12 |
12 |
$0.00 |