| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,900 |
12,726 |
$2.15M |
| 99285 |
|
5,866 |
4,955 |
$1.76M |
| 99283 |
|
12,664 |
11,381 |
$1.11M |
| 41899 |
|
762 |
634 |
$651K |
| 85025 |
|
25,248 |
19,087 |
$447K |
| 74177 |
|
2,433 |
2,076 |
$438K |
| J3010 |
Fentanyl citrate injection |
5,839 |
4,121 |
$401K |
| 80053 |
|
19,776 |
15,665 |
$397K |
| J2405 |
Ondansetron hcl injection |
8,314 |
6,486 |
$378K |
| J1100 |
Dexamethasone sodium phos |
4,060 |
3,346 |
$301K |
| J2704 |
Inj, propofol, 10 mg |
4,620 |
3,770 |
$299K |
| 74176 |
|
2,829 |
2,523 |
$276K |
| 70450 |
|
3,548 |
3,158 |
$244K |
| 36415 |
|
20,750 |
15,329 |
$232K |
| 87636 |
|
2,936 |
2,586 |
$226K |
| 96374 |
|
7,758 |
6,528 |
$216K |
| 96375 |
|
7,188 |
5,450 |
$205K |
| G0378 |
Hospital observation per hr |
1,980 |
1,602 |
$193K |
| 93005 |
|
9,391 |
7,540 |
$189K |
| J2250 |
Inj midazolam hydrochloride |
3,136 |
2,399 |
$186K |
| 96361 |
|
5,469 |
4,686 |
$181K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,389 |
3,789 |
$180K |
| 96365 |
|
3,131 |
2,533 |
$178K |
| 93306 |
|
875 |
809 |
$163K |
| J2001 |
Lidocaine injection |
2,638 |
2,158 |
$160K |
| 96372 |
|
6,619 |
5,418 |
$158K |
| 88305 |
|
2,820 |
2,519 |
$157K |
| 84484 |
|
7,053 |
4,637 |
$141K |
| J3490 |
Drugs unclassified injection |
18,947 |
6,740 |
$135K |
| 80048 |
|
6,898 |
5,310 |
$132K |
| 71046 |
|
3,992 |
3,534 |
$131K |
| 81001 |
|
7,631 |
6,537 |
$119K |
| 71045 |
|
6,288 |
5,354 |
$117K |
| 87040 |
|
5,151 |
2,487 |
$103K |
| J1885 |
Ketorolac tromethamine inj |
5,062 |
4,154 |
$97K |
| 96376 |
|
2,375 |
1,477 |
$95K |
| 95810 |
|
202 |
192 |
$95K |
| 87086 |
|
4,435 |
3,857 |
$94K |
| 83690 |
|
4,559 |
3,793 |
$88K |
| 81003 |
|
6,011 |
5,267 |
$83K |
| 71275 |
|
702 |
592 |
$81K |
| 71260 |
|
802 |
732 |
$81K |
| 99282 |
|
1,409 |
1,310 |
$79K |
| 83735 |
|
5,098 |
3,512 |
$77K |
| 80307 |
|
1,180 |
936 |
$77K |
| 84443 |
|
2,726 |
2,383 |
$73K |
| 87804 |
|
2,406 |
2,145 |
$71K |
| 80306 |
|
2,256 |
1,967 |
$71K |
| 82962 |
|
4,806 |
2,072 |
$71K |
| J1170 |
Hydromorphone injection |
958 |
635 |
$68K |
| J0696 |
Ceftriaxone sodium injection |
2,914 |
2,355 |
$67K |
| J0330 |
Succinycholine chloride inj |
1,175 |
909 |
$67K |
| 72125 |
|
889 |
794 |
$65K |
| 88342 |
|
1,110 |
981 |
$64K |
| 72148 |
|
408 |
393 |
$64K |
| J2710 |
Neostigmine methylslfte inj |
674 |
452 |
$63K |
| 43239 |
|
215 |
171 |
$62K |
| 94640 |
|
2,252 |
1,387 |
$57K |
| 83605 |
|
3,117 |
2,397 |
$57K |
| 81025 |
|
1,318 |
1,083 |
$54K |
| 83880 |
|
1,442 |
1,177 |
$54K |
| J0690 |
Cefazolin sodium injection |
1,049 |
861 |
$53K |
| 99281 |
|
1,847 |
1,708 |
$53K |
| 96360 |
|
1,101 |
993 |
$52K |
| J7030 |
Normal saline solution infus |
668 |
547 |
$48K |
| 88304 |
|
723 |
610 |
$48K |
| 87426 |
|
1,685 |
1,483 |
$46K |
| 84703 |
|
2,104 |
1,826 |
$46K |
| 87077 |
|
2,538 |
2,245 |
$45K |
| 78452 |
|
89 |
82 |
$44K |
| 74018 |
|
642 |
514 |
$43K |
| 82803 |
|
1,060 |
790 |
$42K |
| J7120 |
Ringers lactate infusion |
459 |
380 |
$42K |
| 87186 |
|
2,416 |
2,137 |
$41K |
| 93017 |
|
171 |
158 |
$41K |
| J2550 |
Promethazine hcl injection |
1,047 |
791 |
$41K |
| 85610 |
|
2,296 |
1,943 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
4,180 |
3,671 |
$38K |
| 87430 |
|
1,373 |
1,248 |
$36K |
| 73721 |
|
129 |
124 |
$36K |
| 77067 |
|
392 |
380 |
$35K |
| 93971 |
|
442 |
407 |
$35K |
| A9579 |
Gad-base mr contrast nos,1ml |
299 |
285 |
$35K |
| A9500 |
Tc99m sestamibi |
91 |
83 |
$34K |
| 71250 |
|
630 |
597 |
$33K |
| Q0162 |
Ondansetron oral |
592 |
534 |
$29K |
| 85027 |
|
2,009 |
1,622 |
$29K |
| 87635 |
|
744 |
637 |
$28K |
| 85379 |
|
1,029 |
911 |
$27K |
| 78226 |
|
148 |
133 |
$27K |
| J2930 |
Methylprednisolone injection |
1,774 |
1,498 |
$27K |
| J1940 |
Furosemide injection |
226 |
168 |
$26K |
| 76700 |
|
365 |
354 |
$26K |
| J2274 |
Inj morphine pf epid ithc |
861 |
651 |
$25K |
| 96366 |
|
958 |
758 |
$24K |
| 72100 |
|
677 |
620 |
$24K |
| M0245 |
Bamlan and etesev infusion |
60 |
57 |
$23K |
| 87070 |
|
740 |
617 |
$21K |
| 73562 |
|
581 |
536 |
$21K |
| 85730 |
|
1,583 |
1,360 |
$21K |
| J1650 |
Inj enoxaparin sodium |
951 |
534 |
$20K |
| 76770 |
|
285 |
275 |
$18K |
| A9537 |
Tc99m mebrofenin |
147 |
132 |
$18K |
| 73610 |
|
401 |
364 |
$18K |
| J1200 |
Diphenhydramine hcl injectio |
706 |
575 |
$17K |
| J2175 |
Meperidine hydrochl /100 mg |
249 |
183 |
$17K |
| 36600 |
|
826 |
668 |
$17K |
| 82550 |
|
620 |
513 |
$16K |
| 97161 |
|
632 |
535 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
238 |
214 |
$16K |
| 87807 |
|
445 |
392 |
$16K |
| 73630 |
|
420 |
376 |
$15K |
| 73030 |
|
461 |
412 |
$13K |
| 59025 |
|
379 |
268 |
$13K |
| 76705 |
|
174 |
163 |
$13K |
| 73130 |
|
327 |
294 |
$13K |
| 83036 |
|
826 |
730 |
$12K |
| 82150 |
|
329 |
278 |
$12K |
| 47562 |
|
50 |
27 |
$12K |
| 70553 |
|
86 |
82 |
$12K |
| 97110 |
|
477 |
292 |
$12K |
| 73110 |
|
184 |
171 |
$11K |
| G0463 |
Hospital outpt clinic visit |
254 |
195 |
$11K |
| 86850 |
|
467 |
387 |
$11K |
| 86900 |
|
583 |
485 |
$11K |
| 86901 |
|
585 |
485 |
$11K |
| 76641 |
|
159 |
155 |
$10K |
| 84153 |
|
191 |
187 |
$10K |
| J2270 |
Morphine sulfate injection |
1,614 |
1,197 |
$9K |
| 80061 |
|
428 |
379 |
$9K |
| 45384 |
|
51 |
37 |
$9K |
| 86140 |
|
786 |
622 |
$9K |
| 94060 |
|
125 |
123 |
$8K |
| 96367 |
|
106 |
83 |
$7K |
| 82553 |
|
205 |
180 |
$7K |
| D2710 |
|
17 |
17 |
$7K |
| D2930 |
|
30 |
25 |
$7K |
| 70486 |
|
99 |
94 |
$7K |
| G8978 |
Mobility current status |
333 |
281 |
$6K |
| G8979 |
Mobility goal status |
330 |
282 |
$6K |
| 94729 |
|
90 |
89 |
$5K |
| 85652 |
|
142 |
132 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
144 |
130 |
$5K |
| 74022 |
|
182 |
161 |
$5K |
| 94726 |
|
76 |
75 |
$5K |
| 90471 |
|
133 |
107 |
$5K |
| 82140 |
|
96 |
65 |
$5K |
| J3370 |
Vancomycin hcl injection |
159 |
96 |
$4K |
| 84702 |
|
80 |
69 |
$4K |
| 76536 |
|
64 |
63 |
$4K |
| 74019 |
|
96 |
88 |
$4K |
| 80143 |
|
315 |
269 |
$4K |
| 80179 |
|
312 |
268 |
$4K |
| J2060 |
Lorazepam injection |
561 |
417 |
$4K |
| J3475 |
Inj magnesium sulfate |
240 |
172 |
$4K |
| J2920 |
Methylprednisolone injection |
242 |
165 |
$4K |
| 84100 |
|
248 |
178 |
$3K |
| 72050 |
|
57 |
53 |
$3K |
| J0780 |
Prochlorperazine injection |
116 |
98 |
$3K |
| 93970 |
|
17 |
15 |
$3K |
| 93976 |
|
13 |
12 |
$3K |
| 90715 |
|
82 |
73 |
$3K |
| 87184 |
|
85 |
75 |
$3K |
| J2543 |
Piperacillin/tazobactam |
99 |
62 |
$2K |
| 51702 |
|
45 |
41 |
$2K |
| 12002 |
|
14 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
28 |
25 |
$2K |
| 87046 |
|
14 |
12 |
$2K |
| 86308 |
|
61 |
59 |
$2K |
| 80076 |
|
67 |
53 |
$1K |
| 72141 |
|
24 |
24 |
$1K |
| 72072 |
|
39 |
38 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
84 |
58 |
$1K |
| 82272 |
|
103 |
80 |
$1K |
| 73502 |
|
25 |
25 |
$1K |
| 87045 |
|
14 |
12 |
$1K |
| 80050 |
|
39 |
39 |
$1K |
| 72131 |
|
43 |
40 |
$999.38 |
| 87081 |
|
19 |
13 |
$884.26 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$680.11 |
| 82010 |
|
49 |
43 |
$616.70 |
| 74230 |
|
15 |
15 |
$501.47 |
| 92611 |
|
15 |
15 |
$500.95 |
| 92526 |
|
16 |
16 |
$498.10 |
| 73221 |
|
12 |
12 |
$479.60 |
| 95806 |
|
12 |
12 |
$468.50 |
| G8998 |
Swallow d/c status |
15 |
15 |
$438.39 |
| G8996 |
Swallow current status |
15 |
15 |
$438.39 |
| G8997 |
Swallow goal status |
15 |
15 |
$438.39 |
| 80069 |
|
15 |
12 |
$404.03 |
| 73080 |
|
15 |
12 |
$352.27 |
| 82306 |
|
15 |
13 |
$267.34 |
| 84439 |
|
15 |
15 |
$265.49 |
| 82565 |
|
30 |
29 |
$232.36 |
| 84520 |
|
15 |
14 |
$194.31 |
| J2370 |
Phenylephrine hcl injection |
17 |
12 |
$143.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
29 |
25 |
$125.95 |
| 94664 |
|
50 |
42 |
$124.22 |
| 82607 |
|
12 |
12 |
$111.21 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$105.27 |
| 82746 |
|
12 |
12 |
$77.08 |
| 82077 |
|
458 |
389 |
$72.88 |
| 87205 |
|
23 |
14 |
$38.40 |
| 97530 |
|
13 |
12 |
$28.51 |
| 94760 |
|
58 |
28 |
$19.25 |
| G8980 |
Mobility d/c status |
12 |
12 |
$2.24 |
| J7050 |
Normal saline solution infus |
13 |
12 |
$1.24 |