| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,951 |
9,797 |
$1.47M |
| 0202U |
|
5,425 |
5,122 |
$1.43M |
| 99283 |
|
9,075 |
8,480 |
$1.27M |
| 74177 |
|
1,894 |
1,758 |
$820K |
| 87633 |
|
1,733 |
1,680 |
$739K |
| 99285 |
|
4,288 |
3,845 |
$664K |
| 96361 |
|
2,359 |
2,003 |
$643K |
| 70450 |
|
1,886 |
1,717 |
$475K |
| 97110 |
|
9,628 |
3,076 |
$461K |
| 92507 |
|
5,528 |
1,498 |
$445K |
| 97530 |
|
5,543 |
2,011 |
$372K |
| 96365 |
|
3,279 |
1,892 |
$331K |
| 43239 |
|
457 |
417 |
$327K |
| G0378 |
Hospital observation per hr |
2,413 |
1,160 |
$236K |
| 99212 |
|
1,167 |
934 |
$226K |
| 93306 |
|
496 |
486 |
$204K |
| 80053 |
|
32,537 |
28,151 |
$200K |
| A0425 |
Ground mileage |
2,755 |
2,179 |
$191K |
| 84443 |
|
13,742 |
13,076 |
$167K |
| 87591 |
|
4,794 |
4,499 |
$164K |
| 76705 |
|
1,043 |
989 |
$149K |
| 85025 |
|
35,777 |
29,916 |
$145K |
| 87491 |
|
4,788 |
4,500 |
$142K |
| 96366 |
|
382 |
232 |
$139K |
| 96360 |
|
846 |
758 |
$128K |
| 74176 |
|
340 |
323 |
$127K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,598 |
1,518 |
$120K |
| 82306 |
|
4,138 |
4,013 |
$118K |
| A4649 |
Surgical supplies |
5,837 |
3,506 |
$117K |
| A0427 |
Als1-emergency |
988 |
843 |
$114K |
| 97140 |
|
1,917 |
777 |
$105K |
| 99282 |
|
1,235 |
1,192 |
$105K |
| 0099U |
|
616 |
595 |
$101K |
| 97161 |
|
1,651 |
1,561 |
$95K |
| 97113 |
|
965 |
362 |
$74K |
| 71275 |
|
281 |
247 |
$72K |
| 83036 |
|
8,634 |
8,380 |
$72K |
| 87798 |
|
1,752 |
1,697 |
$68K |
| 93005 |
|
4,496 |
3,839 |
$67K |
| 87486 |
|
1,731 |
1,678 |
$65K |
| 87581 |
|
1,731 |
1,678 |
$65K |
| J7120 |
Ringers lactate infusion |
5,272 |
4,477 |
$63K |
| 88305 |
|
2,682 |
2,474 |
$60K |
| 80061 |
|
7,570 |
7,333 |
$60K |
| 84439 |
|
6,238 |
5,935 |
$57K |
| 71046 |
|
999 |
951 |
$56K |
| 36415 |
|
24,868 |
20,905 |
$56K |
| 72148 |
|
258 |
243 |
$55K |
| 87088 |
|
8,779 |
7,901 |
$55K |
| 94640 |
|
783 |
557 |
$48K |
| 85027 |
|
7,150 |
6,665 |
$46K |
| 96374 |
|
4,692 |
3,710 |
$43K |
| A0429 |
Bls-emergency |
781 |
651 |
$43K |
| 87624 |
|
1,243 |
1,105 |
$42K |
| 87507 |
|
118 |
113 |
$38K |
| 88175 |
|
1,945 |
1,781 |
$38K |
| 77067 |
|
1,057 |
1,041 |
$37K |
| G0463 |
Hospital outpt clinic visit |
3,865 |
2,905 |
$36K |
| 96375 |
|
2,956 |
2,398 |
$35K |
| 87426 |
|
1,676 |
1,522 |
$35K |
| 71045 |
|
2,987 |
2,652 |
$33K |
| 74018 |
|
671 |
616 |
$33K |
| 83655 |
|
1,955 |
1,912 |
$32K |
| 80307 |
|
1,488 |
1,343 |
$29K |
| 72125 |
|
487 |
432 |
$27K |
| 87661 |
|
999 |
942 |
$26K |
| J7030 |
Normal saline solution infus |
2,450 |
1,852 |
$26K |
| 45380 |
|
50 |
45 |
$26K |
| G0480 |
Drug test def 1-7 classes |
341 |
291 |
$26K |
| J3010 |
Fentanyl citrate injection |
4,296 |
3,319 |
$25K |
| J2405 |
Ondansetron hcl injection |
4,728 |
3,895 |
$24K |
| 82607 |
|
2,364 |
2,275 |
$23K |
| 80048 |
|
5,730 |
4,697 |
$23K |
| 86850 |
|
1,599 |
1,454 |
$23K |
| J7040 |
Normal saline solution infus |
2,292 |
1,471 |
$22K |
| 97165 |
|
197 |
189 |
$22K |
| 84702 |
|
1,238 |
887 |
$20K |
| 87186 |
|
3,713 |
3,426 |
$18K |
| 87077 |
|
3,845 |
3,547 |
$18K |
| 86140 |
|
2,980 |
2,584 |
$18K |
| 82728 |
|
1,898 |
1,805 |
$17K |
| J3490 |
Drugs unclassified injection |
10,503 |
4,685 |
$17K |
| 87660 |
|
1,677 |
1,568 |
$17K |
| 80081 |
|
306 |
285 |
$16K |
| 97112 |
|
350 |
142 |
$16K |
| 83013 |
|
221 |
220 |
$16K |
| 87081 |
|
1,567 |
1,519 |
$16K |
| 70553 |
|
41 |
39 |
$15K |
| 93975 |
|
75 |
70 |
$15K |
| J1100 |
Dexamethasone sodium phos |
3,063 |
2,464 |
$14K |
| M0243 |
Casirivi and imdevi inj |
43 |
41 |
$14K |
| 83550 |
|
1,610 |
1,548 |
$13K |
| 87480 |
|
1,664 |
1,556 |
$12K |
| 86592 |
|
1,308 |
1,247 |
$12K |
| 83970 |
|
423 |
387 |
$12K |
| 77063 |
|
820 |
804 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
3,850 |
3,475 |
$12K |
| 96413 |
|
121 |
52 |
$12K |
| 86703 |
|
945 |
906 |
$11K |
| 97803 |
|
212 |
201 |
$11K |
| 87340 |
|
1,152 |
1,097 |
$11K |
| 86900 |
|
1,592 |
1,449 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
2,344 |
2,128 |
$11K |
| 87510 |
|
1,664 |
1,556 |
$11K |
| 84484 |
|
2,857 |
2,230 |
$11K |
| 83690 |
|
3,532 |
3,172 |
$10K |
| 85610 |
|
4,205 |
3,013 |
$10K |
| 87070 |
|
1,534 |
1,447 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
2,628 |
2,182 |
$10K |
| 86870 |
|
423 |
397 |
$10K |
| 83880 |
|
1,058 |
940 |
$10K |
| 85652 |
|
2,385 |
2,106 |
$10K |
| 81001 |
|
6,081 |
5,488 |
$10K |
| 0097U |
|
74 |
70 |
$9K |
| 81003 |
|
5,917 |
5,290 |
$9K |
| 70551 |
|
54 |
50 |
$9K |
| A4216 |
Sterile water/saline, 10 ml |
2,988 |
2,088 |
$8K |
| 83735 |
|
3,317 |
2,718 |
$8K |
| 76937 |
|
340 |
294 |
$8K |
| 83540 |
|
1,662 |
1,597 |
$8K |
| A9270 |
Non-covered item or service |
14,517 |
5,925 |
$8K |
| 99281 |
|
173 |
170 |
$7K |
| 86762 |
|
747 |
717 |
$7K |
| 76642 |
|
44 |
40 |
$6K |
| 73721 |
|
14 |
13 |
$6K |
| 96372 |
|
984 |
881 |
$6K |
| 87430 |
|
432 |
428 |
$6K |
| 90686 |
|
477 |
470 |
$6K |
| 81025 |
|
1,568 |
1,451 |
$5K |
| 87084 |
|
242 |
230 |
$5K |
| 90471 |
|
223 |
209 |
$5K |
| 82950 |
|
835 |
812 |
$5K |
| 12001 |
|
13 |
13 |
$5K |
| 88342 |
|
642 |
585 |
$5K |
| 97162 |
|
55 |
50 |
$5K |
| G0379 |
Direct refer hospital observ |
318 |
296 |
$5K |
| 87205 |
|
1,071 |
968 |
$5K |
| 86038 |
|
480 |
452 |
$5K |
| 87400 |
|
303 |
279 |
$4K |
| 82570 |
|
1,288 |
1,068 |
$4K |
| 86803 |
|
464 |
449 |
$4K |
| 84156 |
|
1,103 |
938 |
$4K |
| 84153 |
|
376 |
363 |
$4K |
| 84481 |
|
253 |
247 |
$4K |
| 88142 |
|
205 |
185 |
$4K |
| 83516 |
|
412 |
344 |
$3K |
| J0690 |
Cefazolin sodium injection |
947 |
687 |
$3K |
| 86376 |
|
199 |
189 |
$3K |
| 82962 |
|
2,747 |
1,585 |
$3K |
| 95819 |
|
13 |
12 |
$3K |
| 84550 |
|
972 |
919 |
$3K |
| 86431 |
|
287 |
240 |
$3K |
| 97802 |
|
37 |
37 |
$3K |
| 90715 |
|
208 |
196 |
$3K |
| M0247 |
Sotrovimab infusion |
21 |
20 |
$3K |
| 76856 |
|
17 |
17 |
$3K |
| 85379 |
|
1,254 |
1,148 |
$3K |
| 72100 |
|
91 |
82 |
$3K |
| 82043 |
|
904 |
876 |
$2K |
| J1170 |
Hydromorphone injection |
1,256 |
955 |
$2K |
| 84146 |
|
270 |
254 |
$2K |
| 80069 |
|
433 |
359 |
$2K |
| 72141 |
|
15 |
15 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
604 |
484 |
$2K |
| 90734 |
|
93 |
91 |
$2K |
| 0241U |
|
15 |
15 |
$2K |
| 87040 |
|
947 |
568 |
$2K |
| 82746 |
|
243 |
230 |
$2K |
| 92526 |
|
39 |
12 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| 87635 |
|
50 |
49 |
$2K |
| 99211 |
|
230 |
219 |
$1K |
| J2270 |
Morphine sulfate injection |
177 |
142 |
$1K |
| 82784 |
|
113 |
102 |
$1K |
| 97116 |
|
59 |
27 |
$1K |
| 97014 |
|
31 |
12 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
470 |
225 |
$1K |
| 85730 |
|
719 |
642 |
$1K |
| 90651 |
|
77 |
76 |
$1K |
| 73564 |
|
15 |
15 |
$974.55 |
| 83605 |
|
702 |
546 |
$950.76 |
| 86225 |
|
147 |
138 |
$937.21 |
| 71250 |
|
15 |
13 |
$931.36 |
| J7050 |
Normal saline solution infus |
2,727 |
1,286 |
$910.86 |
| 82150 |
|
195 |
181 |
$910.68 |
| 82947 |
|
217 |
208 |
$877.93 |
| 93246 |
|
13 |
13 |
$849.73 |
| 86235 |
|
135 |
125 |
$835.22 |
| 83001 |
|
76 |
69 |
$670.84 |
| 86160 |
|
164 |
148 |
$546.31 |
| 96376 |
|
50 |
37 |
$528.98 |
| Q0162 |
Ondansetron oral |
99 |
92 |
$505.91 |
| 97035 |
|
26 |
12 |
$505.25 |
| 94060 |
|
12 |
12 |
$500.93 |
| A4315 |
Cath w/drainage 2-way silcne |
258 |
229 |
$407.49 |
| 86003 |
|
50 |
39 |
$407.09 |
| 84703 |
|
122 |
114 |
$387.03 |
| 82670 |
|
41 |
38 |
$353.42 |
| 82247 |
|
60 |
40 |
$302.07 |
| J1650 |
Inj enoxaparin sodium |
259 |
170 |
$299.12 |
| 80076 |
|
44 |
42 |
$298.33 |
| 81513 |
|
15 |
15 |
$276.70 |
| 82785 |
|
13 |
13 |
$269.23 |
| 86901 |
|
75 |
70 |
$258.41 |
| 84403 |
|
14 |
12 |
$252.02 |
| 86706 |
|
25 |
24 |
$236.13 |
| 87807 |
|
19 |
13 |
$218.68 |
| 84480 |
|
14 |
14 |
$194.74 |
| 87086 |
|
13 |
12 |
$184.47 |
| 82550 |
|
34 |
28 |
$176.88 |
| 73630 |
|
13 |
13 |
$174.86 |
| 73030 |
|
14 |
13 |
$171.44 |
| 80074 |
|
12 |
12 |
$167.16 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
28 |
27 |
$166.66 |
| J2001 |
Lidocaine injection |
187 |
161 |
$163.49 |
| 82077 |
|
969 |
832 |
$127.95 |
| 81015 |
|
205 |
193 |
$125.02 |
| 71260 |
|
14 |
12 |
$119.17 |
| 84145 |
|
55 |
45 |
$115.74 |
| 84100 |
|
33 |
26 |
$93.98 |
| 80179 |
|
440 |
390 |
$73.72 |
| 87210 |
|
12 |
12 |
$64.02 |
| 90653 |
|
27 |
27 |
$63.01 |
| 83615 |
|
40 |
25 |
$63.00 |
| 80164 |
|
13 |
13 |
$60.20 |
| 90633 |
|
13 |
13 |
$58.50 |
| 88304 |
|
12 |
12 |
$53.27 |
| 82565 |
|
20 |
20 |
$51.70 |
| 80143 |
|
457 |
401 |
$36.88 |
| J1644 |
Inj heparin sodium per 1000u |
212 |
102 |
$17.31 |
| S0020 |
Injection, bupivicaine hydro |
318 |
287 |
$17.07 |
| G0008 |
Admin influenza virus vac |
190 |
188 |
$5.67 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,760 |
1,581 |
$4.84 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
17 |
14 |
$0.00 |
| C1758 |
Catheter, ureteral |
119 |
110 |
$0.00 |
| A9577 |
Inj multihance |
215 |
206 |
$0.00 |
| A7000 |
Disposable canister for pump |
104 |
87 |
$0.00 |
| G8979 |
Mobility goal status |
28 |
25 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
15 |
14 |
$0.00 |
| C1729 |
Cath, drainage |
118 |
95 |
$0.00 |
| J2550 |
Promethazine hcl injection |
48 |
43 |
$0.00 |
| A4314 |
Cath w/drainage 2-way latex |
55 |
50 |
$0.00 |
| A7002 |
Tubing used w suction pump |
148 |
128 |
$0.00 |
| G8978 |
Mobility current status |
14 |
13 |
$0.00 |
| 97602 |
|
15 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |
| 3044F |
|
26 |
26 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
206 |
166 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
157 |
134 |
$0.00 |
| C1769 |
Guide wire |
66 |
53 |
$0.00 |
| J2060 |
Lorazepam injection |
155 |
131 |
$0.00 |
| 82803 |
|
33 |
26 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
122 |
117 |
$0.00 |
| G8982 |
Body pos goal status |
13 |
12 |
$0.00 |
| J1815 |
Insulin injection |
35 |
25 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
13 |
12 |
$0.00 |