| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,656 |
12,543 |
$1.60M |
| 96361 |
|
4,261 |
3,611 |
$988K |
| 99283 |
|
7,528 |
7,007 |
$732K |
| 0202U |
|
2,238 |
2,084 |
$628K |
| 74177 |
|
1,680 |
1,556 |
$431K |
| 99282 |
|
3,715 |
3,547 |
$379K |
| 99285 |
|
3,163 |
2,879 |
$340K |
| 70450 |
|
1,702 |
1,540 |
$324K |
| 97110 |
|
4,353 |
1,445 |
$296K |
| 71260 |
|
550 |
505 |
$107K |
| 96360 |
|
867 |
800 |
$88K |
| 71046 |
|
2,408 |
2,253 |
$71K |
| 87636 |
|
807 |
717 |
$69K |
| 96366 |
|
292 |
193 |
$66K |
| 96365 |
|
824 |
730 |
$62K |
| 80053 |
|
16,247 |
13,866 |
$59K |
| U0004 |
Cov-19 test non-cdc hgh thru |
700 |
666 |
$51K |
| J3490 |
Drugs unclassified injection |
12,319 |
6,632 |
$43K |
| 93005 |
|
4,199 |
3,586 |
$42K |
| 96374 |
|
5,793 |
5,187 |
$41K |
| 85025 |
|
16,518 |
13,791 |
$39K |
| 74176 |
|
174 |
154 |
$37K |
| 80307 |
|
1,844 |
1,508 |
$36K |
| 76856 |
|
210 |
199 |
$35K |
| G0378 |
Hospital observation per hr |
780 |
568 |
$33K |
| G0480 |
Drug test def 1-7 classes |
1,338 |
1,060 |
$32K |
| 93976 |
|
319 |
304 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
1,206 |
1,156 |
$24K |
| 94640 |
|
698 |
502 |
$24K |
| J7030 |
Normal saline solution infus |
5,426 |
4,604 |
$23K |
| 87491 |
|
886 |
820 |
$22K |
| 84443 |
|
2,590 |
2,475 |
$22K |
| 96375 |
|
3,599 |
3,052 |
$20K |
| C8957 |
Prolonged iv inf, req pump |
122 |
113 |
$20K |
| 87591 |
|
886 |
820 |
$18K |
| 41899 |
|
17 |
14 |
$15K |
| 87804 |
|
1,031 |
590 |
$15K |
| 83036 |
|
1,960 |
1,882 |
$14K |
| 97165 |
|
204 |
184 |
$13K |
| 80048 |
|
2,925 |
2,110 |
$12K |
| 36415 |
|
6,295 |
4,768 |
$11K |
| 80061 |
|
1,547 |
1,490 |
$11K |
| 77067 |
|
359 |
349 |
$10K |
| 93306 |
|
24 |
24 |
$10K |
| 81025 |
|
3,504 |
3,211 |
$10K |
| G0463 |
Hospital outpt clinic visit |
186 |
134 |
$9K |
| 71045 |
|
2,693 |
2,378 |
$8K |
| 73562 |
|
403 |
359 |
$8K |
| 94761 |
|
797 |
716 |
$8K |
| 87086 |
|
1,678 |
1,539 |
$8K |
| 85027 |
|
2,024 |
1,635 |
$7K |
| 87880 |
|
771 |
741 |
$7K |
| 96372 |
|
2,949 |
1,987 |
$7K |
| 87081 |
|
1,200 |
1,152 |
$7K |
| 83690 |
|
2,908 |
2,637 |
$7K |
| 0241U |
|
60 |
60 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
3,889 |
3,352 |
$7K |
| 83735 |
|
2,956 |
2,035 |
$6K |
| U0005 |
Infec agen detec ampli probe |
369 |
349 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
1,060 |
912 |
$6K |
| 84484 |
|
3,286 |
2,491 |
$6K |
| 12001 |
|
24 |
24 |
$6K |
| 73630 |
|
242 |
219 |
$6K |
| J8499 |
Oral prescrip drug non chemo |
10,619 |
3,447 |
$6K |
| 82805 |
|
115 |
93 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,986 |
2,576 |
$5K |
| 77063 |
|
261 |
250 |
$5K |
| 73610 |
|
243 |
223 |
$5K |
| 84439 |
|
591 |
551 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,708 |
1,379 |
$5K |
| 87631 |
|
29 |
28 |
$4K |
| 81001 |
|
3,510 |
3,143 |
$4K |
| 83605 |
|
1,621 |
1,349 |
$4K |
| A9270 |
Non-covered item or service |
6,548 |
833 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,612 |
1,476 |
$4K |
| 97161 |
|
188 |
174 |
$3K |
| 81003 |
|
3,728 |
3,409 |
$3K |
| 83880 |
|
651 |
565 |
$3K |
| 96376 |
|
713 |
460 |
$2K |
| 97162 |
|
184 |
176 |
$2K |
| 88305 |
|
164 |
144 |
$2K |
| 85610 |
|
1,354 |
1,102 |
$2K |
| 72100 |
|
54 |
51 |
$2K |
| 85379 |
|
1,048 |
943 |
$2K |
| 85007 |
|
541 |
406 |
$1K |
| 72125 |
|
141 |
126 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
240 |
206 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
631 |
554 |
$1K |
| 84145 |
|
793 |
714 |
$1K |
| 84100 |
|
992 |
629 |
$1K |
| 76705 |
|
12 |
12 |
$1K |
| 73130 |
|
24 |
24 |
$1K |
| 73110 |
|
48 |
44 |
$1K |
| Q0162 |
Ondansetron oral |
721 |
656 |
$943.07 |
| 84703 |
|
139 |
133 |
$938.76 |
| 86140 |
|
624 |
567 |
$911.40 |
| J1170 |
Hydromorphone injection |
434 |
306 |
$910.65 |
| 97530 |
|
62 |
39 |
$854.51 |
| 84702 |
|
64 |
53 |
$847.38 |
| 73030 |
|
89 |
79 |
$843.63 |
| 97140 |
|
55 |
13 |
$842.31 |
| 76700 |
|
13 |
13 |
$779.66 |
| 82570 |
|
225 |
220 |
$723.99 |
| 82728 |
|
80 |
77 |
$717.53 |
| 84466 |
|
118 |
115 |
$649.87 |
| A4217 |
Sterile water/saline, 500 ml |
581 |
424 |
$558.93 |
| 87077 |
|
219 |
191 |
$554.64 |
| 73502 |
|
29 |
26 |
$552.68 |
| J2250 |
Inj midazolam hydrochloride |
917 |
846 |
$511.66 |
| 82607 |
|
42 |
40 |
$506.35 |
| 83540 |
|
137 |
127 |
$470.14 |
| J2270 |
Morphine sulfate injection |
233 |
182 |
$441.10 |
| 82550 |
|
94 |
82 |
$411.23 |
| 76830 |
|
89 |
85 |
$324.30 |
| J2765 |
Metoclopramide hcl injection |
74 |
64 |
$321.74 |
| 87210 |
|
66 |
62 |
$319.31 |
| G1010 |
Cdsm stanson |
1,495 |
1,269 |
$294.50 |
| 86900 |
|
47 |
39 |
$293.22 |
| 87807 |
|
17 |
16 |
$226.44 |
| J7040 |
Normal saline solution infus |
28 |
25 |
$194.70 |
| 87186 |
|
122 |
108 |
$175.63 |
| 85652 |
|
120 |
113 |
$142.66 |
| J0780 |
Prochlorperazine injection |
238 |
220 |
$127.33 |
| 85730 |
|
254 |
196 |
$124.20 |
| J7120 |
Ringers lactate infusion |
1,630 |
1,433 |
$89.48 |
| 82043 |
|
30 |
28 |
$77.58 |
| 86901 |
|
35 |
27 |
$69.42 |
| J0690 |
Cefazolin sodium injection |
369 |
261 |
$64.65 |
| 80179 |
|
306 |
280 |
$37.28 |
| J1650 |
Inj enoxaparin sodium |
90 |
30 |
$26.67 |
| 80143 |
|
313 |
273 |
$18.64 |
| 87040 |
|
94 |
53 |
$16.89 |
| J3475 |
Inj magnesium sulfate |
82 |
54 |
$10.19 |
| J2060 |
Lorazepam injection |
179 |
141 |
$8.19 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,046 |
1,705 |
$3.86 |
| 85014 |
|
24 |
14 |
$3.38 |
| J1644 |
Inj heparin sodium per 1000u |
36 |
24 |
$0.00 |
| 94664 |
|
30 |
29 |
$0.00 |
| J7070 |
D5w infusion |
17 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
20 |
14 |
$0.00 |
| A9578 |
Inj multihance multipack |
15 |
15 |
$0.00 |
| J1630 |
Haloperidol injection |
159 |
139 |
$0.00 |
| 99156 |
|
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
340 |
312 |
$0.00 |
| J7050 |
Normal saline solution infus |
119 |
67 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
96 |
77 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
73 |
67 |
$0.00 |