| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
66,375 |
62,840 |
$10.56M |
| 99284 |
|
40,136 |
37,740 |
$10.30M |
| 99285 |
|
14,961 |
13,747 |
$3.80M |
| 0241U |
|
14,434 |
13,622 |
$2.28M |
| 74177 |
|
2,603 |
2,449 |
$1.53M |
| 99282 |
|
12,005 |
11,540 |
$1.16M |
| 96374 |
|
19,171 |
17,954 |
$653K |
| 93005 |
|
25,493 |
22,182 |
$603K |
| 85025 |
|
61,685 |
54,450 |
$432K |
| 80053 |
|
50,722 |
45,411 |
$417K |
| 96375 |
|
14,729 |
12,504 |
$396K |
| 70450 |
|
2,406 |
2,255 |
$372K |
| 71046 |
|
8,942 |
8,519 |
$358K |
| J3490 |
Drugs unclassified injection |
102,987 |
43,348 |
$339K |
| 96361 |
|
11,168 |
10,266 |
$321K |
| G0463 |
Hospital outpt clinic visit |
13,760 |
10,684 |
$308K |
| 11042 |
|
3,455 |
2,387 |
$252K |
| 96413 |
|
3,767 |
2,182 |
$232K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,706 |
2,490 |
$193K |
| 88305 |
|
2,068 |
1,874 |
$190K |
| Q0138 |
Ferumoxytol, non-esrd |
719 |
569 |
$181K |
| 81025 |
|
17,890 |
16,742 |
$153K |
| 0202U |
|
2,444 |
2,076 |
$151K |
| 71045 |
|
6,226 |
5,838 |
$148K |
| 80307 |
|
3,857 |
3,389 |
$147K |
| G0480 |
Drug test def 1-7 classes |
2,445 |
2,063 |
$139K |
| 84484 |
|
15,571 |
12,766 |
$133K |
| 74176 |
|
288 |
271 |
$128K |
| 81001 |
|
38,060 |
35,676 |
$128K |
| 43239 |
|
791 |
733 |
$124K |
| 59025 |
|
1,559 |
1,208 |
$102K |
| 45380 |
|
724 |
684 |
$101K |
| 96365 |
|
3,093 |
2,460 |
$99K |
| 87651 |
|
2,570 |
2,432 |
$99K |
| 83690 |
|
13,514 |
12,709 |
$96K |
| 96372 |
|
6,906 |
5,934 |
$93K |
| 87086 |
|
11,126 |
10,531 |
$92K |
| 87637 |
|
603 |
584 |
$88K |
| 87804 |
|
3,694 |
3,411 |
$86K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,052 |
6,378 |
$81K |
| 36415 |
|
27,610 |
23,948 |
$59K |
| J7030 |
Normal saline solution infus |
6,392 |
5,802 |
$59K |
| U0005 |
Infec agen detec ampli probe |
2,386 |
2,181 |
$54K |
| J7050 |
Normal saline solution infus |
11,986 |
4,851 |
$47K |
| 45385 |
|
294 |
281 |
$44K |
| 66984 |
|
532 |
495 |
$42K |
| 93458 |
|
56 |
54 |
$37K |
| J7040 |
Normal saline solution infus |
5,299 |
4,873 |
$35K |
| J1885 |
Ketorolac tromethamine inj |
10,013 |
9,340 |
$30K |
| 83735 |
|
4,898 |
4,553 |
$30K |
| 82728 |
|
3,925 |
3,158 |
$29K |
| 87880 |
|
2,036 |
1,986 |
$28K |
| 94640 |
|
628 |
586 |
$22K |
| J7120 |
Ringers lactate infusion |
3,866 |
3,346 |
$19K |
| 83550 |
|
3,660 |
2,986 |
$17K |
| 83540 |
|
3,668 |
2,991 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
3,189 |
2,894 |
$12K |
| J2405 |
Ondansetron hcl injection |
6,720 |
6,111 |
$12K |
| 80048 |
|
1,681 |
1,599 |
$11K |
| 69436 |
|
52 |
32 |
$11K |
| 87081 |
|
1,607 |
1,568 |
$11K |
| 96367 |
|
364 |
214 |
$11K |
| 96360 |
|
303 |
291 |
$10K |
| 87635 |
|
244 |
239 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
294 |
261 |
$9K |
| 85610 |
|
2,779 |
2,580 |
$8K |
| J1439 |
Inj ferric carboxymaltos 1mg |
107 |
70 |
$7K |
| 96417 |
|
173 |
121 |
$7K |
| M0243 |
Casirivi and imdevi inj |
22 |
21 |
$6K |
| 87426 |
|
161 |
149 |
$6K |
| 84443 |
|
458 |
396 |
$5K |
| 96366 |
|
237 |
168 |
$5K |
| V2632 |
Post chmbr intraocular lens |
450 |
419 |
$5K |
| 82553 |
|
663 |
639 |
$4K |
| J1100 |
Dexamethasone sodium phos |
2,303 |
1,353 |
$4K |
| 85027 |
|
907 |
816 |
$3K |
| 83605 |
|
486 |
450 |
$3K |
| C1887 |
Catheter, guiding |
148 |
136 |
$3K |
| C1894 |
Intro/sheath, non-laser |
220 |
208 |
$3K |
| J2916 |
Na ferric gluconate complex |
196 |
134 |
$3K |
| 82550 |
|
850 |
817 |
$3K |
| 72125 |
|
14 |
12 |
$3K |
| J2270 |
Morphine sulfate injection |
1,033 |
914 |
$3K |
| 85730 |
|
718 |
679 |
$3K |
| 36591 |
|
146 |
101 |
$3K |
| 71250 |
|
46 |
25 |
$2K |
| 87070 |
|
478 |
415 |
$2K |
| J8597 |
Antiemetic drug oral nos |
363 |
335 |
$2K |
| 87040 |
|
179 |
145 |
$2K |
| 93303 |
|
26 |
25 |
$2K |
| 96415 |
|
79 |
50 |
$2K |
| 82962 |
|
834 |
666 |
$2K |
| 87491 |
|
51 |
48 |
$2K |
| 87591 |
|
51 |
48 |
$2K |
| 93320 |
|
26 |
25 |
$2K |
| 80061 |
|
250 |
238 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,175 |
1,025 |
$2K |
| 83880 |
|
68 |
66 |
$1K |
| 93325 |
|
26 |
25 |
$1K |
| 99152 |
|
65 |
62 |
$1K |
| C1760 |
Closure dev, vasc |
73 |
69 |
$1K |
| 82378 |
|
129 |
85 |
$1K |
| 87420 |
|
69 |
68 |
$971.04 |
| 87205 |
|
337 |
294 |
$854.49 |
| C1769 |
Guide wire |
16 |
16 |
$844.55 |
| J2250 |
Inj midazolam hydrochloride |
936 |
874 |
$785.18 |
| 86850 |
|
102 |
64 |
$738.16 |
| 81003 |
|
310 |
303 |
$677.60 |
| J2001 |
Lidocaine injection |
861 |
794 |
$585.36 |
| Q5106 |
Inj retacrit non-esrd use |
45 |
26 |
$577.82 |
| 88304 |
|
12 |
12 |
$537.68 |
| 00126 |
|
24 |
14 |
$500.49 |
| 84439 |
|
93 |
76 |
$434.42 |
| J0690 |
Cefazolin sodium injection |
44 |
39 |
$429.63 |
| A9270 |
Non-covered item or service |
14,726 |
6,187 |
$380.48 |
| 85379 |
|
42 |
40 |
$343.84 |
| 90471 |
|
59 |
54 |
$340.80 |
| 84702 |
|
30 |
28 |
$335.70 |
| 83655 |
|
18 |
16 |
$322.88 |
| J0171 |
Adrenalin epinephrine inject |
517 |
486 |
$300.58 |
| J8540 |
Oral dexamethasone |
237 |
164 |
$289.15 |
| G0378 |
Hospital observation per hr |
19 |
12 |
$261.18 |
| 87186 |
|
39 |
37 |
$251.17 |
| J2930 |
Methylprednisolone injection |
66 |
65 |
$241.84 |
| 86901 |
|
105 |
66 |
$214.15 |
| 86900 |
|
104 |
66 |
$214.15 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
65 |
65 |
$167.06 |
| J0696 |
Ceftriaxone sodium injection |
80 |
75 |
$165.17 |
| 87210 |
|
27 |
26 |
$157.34 |
| 82948 |
|
45 |
35 |
$136.33 |
| 85007 |
|
42 |
41 |
$115.83 |
| 82607 |
|
14 |
13 |
$110.33 |
| 90686 |
|
60 |
55 |
$100.05 |
| 83921 |
|
12 |
12 |
$82.04 |
| J1644 |
Inj heparin sodium per 1000u |
46 |
41 |
$48.22 |
| J1200 |
Diphenhydramine hcl injectio |
22 |
12 |
$42.59 |
| 85018 |
|
13 |
12 |
$34.58 |
| 81002 |
|
12 |
12 |
$31.90 |
| 85651 |
|
13 |
12 |
$26.52 |
| J1642 |
Inj heparin sodium per 10 u |
137 |
60 |
$2.30 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
16 |
$0.27 |