| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,506 |
12,983 |
$982K |
| 99285 |
|
7,299 |
2,583 |
$528K |
| 99284 |
|
12,334 |
10,150 |
$488K |
| 97110 |
|
5,623 |
1,326 |
$373K |
| 70450 |
|
3,424 |
2,615 |
$284K |
| 80053 |
|
13,402 |
10,402 |
$264K |
| 74177 |
|
1,602 |
1,377 |
$248K |
| 99282 |
|
2,707 |
2,533 |
$207K |
| G0378 |
Hospital observation per hr |
5,026 |
1,559 |
$149K |
| 74176 |
|
1,294 |
1,069 |
$144K |
| 99281 |
|
1,381 |
1,265 |
$131K |
| 71275 |
|
254 |
215 |
$75K |
| 99211 |
|
2,124 |
1,520 |
$71K |
| 99213 |
|
870 |
706 |
$46K |
| 87070 |
|
2,404 |
2,231 |
$41K |
| 73130 |
|
637 |
502 |
$38K |
| G0463 |
Hospital outpt clinic visit |
3,232 |
1,394 |
$37K |
| 96361 |
|
284 |
250 |
$29K |
| 84702 |
|
4,517 |
4,013 |
$22K |
| 81001 |
|
5,746 |
4,970 |
$21K |
| 93976 |
|
295 |
261 |
$21K |
| 71046 |
|
2,604 |
2,308 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
555 |
479 |
$21K |
| 80048 |
|
1,734 |
1,259 |
$19K |
| 94640 |
|
747 |
607 |
$18K |
| 76856 |
|
476 |
437 |
$17K |
| 87635 |
|
2,935 |
2,605 |
$17K |
| 71045 |
|
6,310 |
5,188 |
$17K |
| G0480 |
Drug test def 1-7 classes |
753 |
638 |
$15K |
| 72125 |
|
1,630 |
1,167 |
$15K |
| 97760 |
|
228 |
194 |
$12K |
| 76705 |
|
454 |
348 |
$12K |
| 85027 |
|
16,380 |
11,929 |
$12K |
| A9270 |
Non-covered item or service |
6,645 |
1,583 |
$8K |
| 97163 |
|
180 |
156 |
$8K |
| 96374 |
|
7,304 |
5,967 |
$8K |
| 73630 |
|
505 |
427 |
$7K |
| 97140 |
|
405 |
110 |
$7K |
| 87804 |
|
3,229 |
2,423 |
$7K |
| 94729 |
|
88 |
73 |
$7K |
| 93005 |
|
7,821 |
6,120 |
$6K |
| 93971 |
|
104 |
84 |
$6K |
| 73564 |
|
445 |
366 |
$6K |
| 96372 |
|
2,054 |
1,559 |
$6K |
| 81003 |
|
1,877 |
1,625 |
$6K |
| 87040 |
|
1,541 |
942 |
$5K |
| 87426 |
|
773 |
605 |
$4K |
| J3490 |
Drugs unclassified injection |
210 |
146 |
$4K |
| 73610 |
|
301 |
261 |
$4K |
| 81025 |
|
1,705 |
1,595 |
$4K |
| 85610 |
|
4,125 |
3,184 |
$4K |
| 86850 |
|
585 |
451 |
$4K |
| 76830 |
|
279 |
261 |
$3K |
| 97530 |
|
332 |
81 |
$3K |
| S0028 |
Injection, famotidine, 20 mg |
436 |
370 |
$3K |
| 97165 |
|
105 |
91 |
$3K |
| 86900 |
|
1,012 |
806 |
$3K |
| 85730 |
|
2,605 |
2,061 |
$3K |
| 87086 |
|
852 |
763 |
$3K |
| 87077 |
|
690 |
588 |
$3K |
| 86901 |
|
1,117 |
897 |
$3K |
| J2405 |
Ondansetron hcl injection |
3,045 |
2,366 |
$2K |
| 84484 |
|
5,881 |
3,752 |
$2K |
| 73110 |
|
106 |
96 |
$2K |
| J7030 |
Normal saline solution infus |
6,143 |
4,769 |
$2K |
| 83735 |
|
4,202 |
3,287 |
$2K |
| 80307 |
|
689 |
593 |
$2K |
| 93970 |
|
15 |
12 |
$1K |
| 85379 |
|
519 |
460 |
$1K |
| 94060 |
|
91 |
76 |
$1K |
| 96376 |
|
514 |
280 |
$1K |
| J7050 |
Normal saline solution infus |
564 |
225 |
$1K |
| 87591 |
|
396 |
373 |
$1K |
| 87491 |
|
389 |
366 |
$1K |
| 87880 |
|
2,334 |
2,223 |
$1K |
| 12001 |
|
16 |
14 |
$984.96 |
| J1170 |
Hydromorphone injection |
888 |
596 |
$935.44 |
| 73030 |
|
55 |
50 |
$888.66 |
| 73140 |
|
14 |
13 |
$831.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
624 |
507 |
$784.79 |
| 82565 |
|
201 |
146 |
$706.66 |
| J1200 |
Diphenhydramine hcl injectio |
1,009 |
837 |
$683.24 |
| 96375 |
|
2,928 |
2,231 |
$679.94 |
| 87210 |
|
166 |
160 |
$677.84 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,556 |
1,923 |
$604.71 |
| 99203 |
|
15 |
15 |
$590.34 |
| 97763 |
|
14 |
12 |
$545.35 |
| J1885 |
Ketorolac tromethamine inj |
2,105 |
1,624 |
$466.73 |
| 83690 |
|
4,267 |
3,608 |
$461.63 |
| 87088 |
|
289 |
242 |
$429.95 |
| 90471 |
|
109 |
87 |
$377.80 |
| J3010 |
Fentanyl citrate injection |
97 |
55 |
$301.89 |
| 76801 |
|
48 |
43 |
$294.95 |
| J2270 |
Morphine sulfate injection |
2,030 |
1,405 |
$217.22 |
| 83880 |
|
891 |
688 |
$205.40 |
| 80051 |
|
38 |
27 |
$152.70 |
| 83605 |
|
1,068 |
851 |
$145.27 |
| 87186 |
|
326 |
275 |
$114.01 |
| G1003 |
Cdsm medicalis |
270 |
198 |
$96.34 |
| J0696 |
Ceftriaxone sodium injection |
1,881 |
1,327 |
$81.97 |
| 84520 |
|
87 |
65 |
$68.73 |
| 87400 |
|
65 |
41 |
$35.16 |
| 94727 |
|
89 |
74 |
$16.72 |
| 84443 |
|
301 |
257 |
$4.69 |
| Q0162 |
Ondansetron oral |
1,498 |
1,363 |
$0.04 |
| 84100 |
|
101 |
81 |
$0.00 |
| 90715 |
|
76 |
63 |
$0.00 |
| J2930 |
Methylprednisolone injection |
60 |
56 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
115 |
13 |
$0.00 |
| 74018 |
|
33 |
27 |
$0.00 |
| 86756 |
|
83 |
78 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
620 |
518 |
$0.00 |
| 72170 |
|
15 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
70 |
53 |
$0.00 |
| 82550 |
|
115 |
77 |
$0.00 |
| 87147 |
|
12 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
23 |
14 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
261 |
180 |
$0.00 |
| 76817 |
|
16 |
15 |
$0.00 |
| J1815 |
Insulin injection |
74 |
37 |
$0.00 |
| 88305 |
|
14 |
12 |
$0.00 |