| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
18,391 |
17,090 |
$2.07M |
| 99284 |
|
13,108 |
11,812 |
$1.54M |
| 96361 |
|
5,103 |
3,900 |
$1.39M |
| 99285 |
|
8,836 |
7,717 |
$1.11M |
| 97110 |
|
3,571 |
1,082 |
$269K |
| 70450 |
|
998 |
823 |
$240K |
| 80053 |
|
19,844 |
17,025 |
$236K |
| 74176 |
|
747 |
595 |
$198K |
| 74177 |
|
754 |
629 |
$189K |
| G0463 |
Hospital outpt clinic visit |
1,667 |
1,017 |
$149K |
| 87491 |
|
3,505 |
3,197 |
$149K |
| 96360 |
|
796 |
637 |
$144K |
| 96365 |
|
1,368 |
923 |
$129K |
| 94640 |
|
1,121 |
723 |
$109K |
| 96366 |
|
738 |
424 |
$100K |
| 93306 |
|
462 |
396 |
$98K |
| 81513 |
|
641 |
560 |
$95K |
| 99281 |
|
836 |
772 |
$91K |
| 99282 |
|
870 |
780 |
$88K |
| 87591 |
|
3,492 |
3,184 |
$87K |
| 97140 |
|
1,709 |
574 |
$85K |
| 84443 |
|
4,347 |
3,887 |
$75K |
| 69436 |
|
40 |
29 |
$74K |
| 92507 |
|
1,165 |
402 |
$73K |
| 85025 |
|
23,779 |
20,082 |
$70K |
| G0378 |
Hospital observation per hr |
907 |
449 |
$69K |
| 87502 |
|
3,297 |
2,915 |
$68K |
| 76805 |
|
338 |
305 |
$56K |
| 78452 |
|
133 |
119 |
$56K |
| 87086 |
|
3,716 |
3,224 |
$53K |
| 71046 |
|
1,838 |
1,676 |
$53K |
| 87070 |
|
2,176 |
1,938 |
$50K |
| U0003 |
Cov-19 amp prb hgh thruput |
231 |
230 |
$47K |
| 80061 |
|
3,616 |
3,325 |
$46K |
| 80048 |
|
3,136 |
2,563 |
$43K |
| 84439 |
|
1,826 |
1,654 |
$42K |
| 36415 |
|
22,651 |
19,437 |
$38K |
| 80307 |
|
1,891 |
1,546 |
$36K |
| 71275 |
|
131 |
120 |
$33K |
| 97530 |
|
737 |
303 |
$33K |
| 87661 |
|
1,292 |
1,131 |
$33K |
| 83036 |
|
2,458 |
2,220 |
$33K |
| 87635 |
|
3,921 |
3,357 |
$32K |
| 88175 |
|
1,658 |
1,527 |
$32K |
| 87624 |
|
915 |
829 |
$32K |
| 87480 |
|
1,433 |
1,305 |
$30K |
| 82306 |
|
1,206 |
1,107 |
$29K |
| 76705 |
|
294 |
258 |
$28K |
| 84702 |
|
1,489 |
1,002 |
$28K |
| 43239 |
|
103 |
93 |
$28K |
| 87481 |
|
643 |
561 |
$26K |
| 76830 |
|
239 |
215 |
$25K |
| 84144 |
|
732 |
476 |
$25K |
| 97112 |
|
476 |
184 |
$24K |
| 87510 |
|
1,432 |
1,304 |
$23K |
| 77063 |
|
426 |
393 |
$22K |
| 93017 |
|
268 |
220 |
$21K |
| 74018 |
|
471 |
418 |
$21K |
| 87088 |
|
2,362 |
2,038 |
$20K |
| 93005 |
|
7,538 |
6,416 |
$19K |
| 87660 |
|
1,403 |
1,285 |
$18K |
| 87653 |
|
340 |
292 |
$17K |
| 86787 |
|
478 |
440 |
$17K |
| 87077 |
|
1,312 |
1,132 |
$16K |
| 88305 |
|
804 |
692 |
$16K |
| 87651 |
|
1,409 |
1,265 |
$16K |
| 97162 |
|
222 |
196 |
$14K |
| 86592 |
|
389 |
351 |
$14K |
| 84484 |
|
3,354 |
2,711 |
$14K |
| 72100 |
|
346 |
304 |
$13K |
| 82607 |
|
818 |
723 |
$12K |
| 87389 |
|
737 |
669 |
$12K |
| 99291 |
|
109 |
101 |
$12K |
| 97161 |
|
331 |
284 |
$11K |
| 80055 |
|
398 |
362 |
$10K |
| 73630 |
|
559 |
486 |
$10K |
| 82728 |
|
491 |
447 |
$10K |
| 86850 |
|
470 |
405 |
$10K |
| 83735 |
|
2,851 |
2,209 |
$9K |
| 82950 |
|
578 |
543 |
$9K |
| 86803 |
|
440 |
390 |
$8K |
| 82570 |
|
822 |
713 |
$8K |
| J3490 |
Drugs unclassified injection |
2,278 |
1,157 |
$8K |
| 87426 |
|
355 |
345 |
$8K |
| 87186 |
|
1,211 |
1,049 |
$8K |
| 71045 |
|
4,693 |
4,019 |
$7K |
| 73564 |
|
381 |
337 |
$7K |
| 01999 |
|
2,222 |
1,788 |
$7K |
| 86140 |
|
637 |
543 |
$7K |
| 83540 |
|
555 |
499 |
$7K |
| 73610 |
|
399 |
343 |
$6K |
| 86900 |
|
490 |
417 |
$6K |
| 72125 |
|
319 |
255 |
$5K |
| 72148 |
|
28 |
25 |
$5K |
| 94060 |
|
51 |
41 |
$5K |
| 86696 |
|
311 |
269 |
$5K |
| 71250 |
|
55 |
45 |
$5K |
| 85027 |
|
732 |
622 |
$5K |
| 85014 |
|
419 |
365 |
$5K |
| 77067 |
|
426 |
393 |
$5K |
| 86695 |
|
311 |
269 |
$4K |
| 84481 |
|
272 |
236 |
$4K |
| 73130 |
|
351 |
311 |
$4K |
| 85610 |
|
1,556 |
1,056 |
$4K |
| 83550 |
|
383 |
347 |
$4K |
| 0011A |
|
136 |
124 |
$4K |
| 82565 |
|
444 |
391 |
$4K |
| 73030 |
|
204 |
176 |
$4K |
| 87147 |
|
487 |
409 |
$4K |
| 0012A |
|
107 |
105 |
$4K |
| 84403 |
|
187 |
162 |
$4K |
| 85652 |
|
652 |
568 |
$4K |
| 76642 |
|
25 |
18 |
$4K |
| 84480 |
|
176 |
166 |
$3K |
| 82043 |
|
491 |
445 |
$3K |
| 96367 |
|
98 |
71 |
$3K |
| 81001 |
|
1,953 |
1,678 |
$3K |
| 82746 |
|
587 |
510 |
$3K |
| 85018 |
|
465 |
400 |
$3K |
| 84156 |
|
391 |
309 |
$3K |
| 84146 |
|
103 |
87 |
$2K |
| 80076 |
|
178 |
146 |
$2K |
| 76817 |
|
34 |
26 |
$2K |
| 83690 |
|
3,296 |
2,785 |
$2K |
| 83880 |
|
550 |
445 |
$2K |
| 86901 |
|
490 |
417 |
$2K |
| 81003 |
|
2,554 |
2,225 |
$2K |
| A0425 |
Ground mileage |
129 |
106 |
$2K |
| 84550 |
|
288 |
234 |
$2K |
| 71260 |
|
13 |
13 |
$2K |
| 97597 |
|
22 |
12 |
$2K |
| 87801 |
|
648 |
553 |
$2K |
| 81015 |
|
3,110 |
2,696 |
$2K |
| 81025 |
|
3,995 |
3,416 |
$2K |
| 82247 |
|
104 |
71 |
$2K |
| 82805 |
|
49 |
35 |
$2K |
| 96372 |
|
2,612 |
1,970 |
$2K |
| 80081 |
|
51 |
50 |
$2K |
| 87340 |
|
55 |
44 |
$2K |
| 96374 |
|
5,852 |
5,032 |
$1K |
| 84450 |
|
169 |
140 |
$1K |
| 82077 |
|
772 |
611 |
$1K |
| 0064A |
|
35 |
34 |
$1K |
| 76816 |
|
13 |
12 |
$1K |
| 84460 |
|
161 |
132 |
$1K |
| 84153 |
|
69 |
64 |
$1K |
| 94726 |
|
23 |
14 |
$1K |
| 94729 |
|
22 |
13 |
$1K |
| 83605 |
|
721 |
526 |
$1K |
| 87205 |
|
184 |
148 |
$988.52 |
| 84436 |
|
260 |
215 |
$985.93 |
| 86038 |
|
29 |
25 |
$971.57 |
| 72072 |
|
18 |
14 |
$970.09 |
| 96376 |
|
728 |
421 |
$952.77 |
| 83655 |
|
40 |
38 |
$948.55 |
| 80074 |
|
25 |
24 |
$863.43 |
| 82670 |
|
27 |
26 |
$814.52 |
| 85730 |
|
627 |
509 |
$791.61 |
| 82105 |
|
29 |
26 |
$790.07 |
| A0428 |
Bls |
37 |
30 |
$789.60 |
| 73110 |
|
74 |
71 |
$783.67 |
| 83970 |
|
19 |
17 |
$666.02 |
| 73502 |
|
27 |
26 |
$661.94 |
| J7030 |
Normal saline solution infus |
5,138 |
3,953 |
$570.32 |
| 85379 |
|
467 |
399 |
$569.13 |
| 82248 |
|
81 |
59 |
$534.69 |
| 84100 |
|
123 |
85 |
$507.55 |
| 88142 |
|
24 |
24 |
$465.81 |
| 0001A |
|
28 |
20 |
$448.10 |
| 90471 |
|
56 |
40 |
$372.77 |
| 83001 |
|
17 |
12 |
$333.52 |
| 88141 |
|
12 |
12 |
$306.68 |
| 85007 |
|
35 |
26 |
$301.17 |
| 96375 |
|
3,210 |
2,540 |
$270.55 |
| 82951 |
|
12 |
12 |
$252.23 |
| 82947 |
|
16 |
12 |
$239.46 |
| 80329 |
|
163 |
119 |
$212.17 |
| 94760 |
|
3,402 |
2,774 |
$198.30 |
| 86704 |
|
14 |
14 |
$197.40 |
| 73080 |
|
12 |
12 |
$194.22 |
| 86706 |
|
12 |
12 |
$171.08 |
| 82952 |
|
12 |
12 |
$163.35 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,761 |
1,383 |
$159.47 |
| J1170 |
Hydromorphone injection |
591 |
331 |
$155.27 |
| 87040 |
|
151 |
117 |
$152.36 |
| J7120 |
Ringers lactate infusion |
2,266 |
1,625 |
$144.08 |
| 83615 |
|
28 |
28 |
$134.03 |
| 80143 |
|
248 |
219 |
$122.17 |
| 82550 |
|
31 |
27 |
$109.69 |
| 82150 |
|
72 |
59 |
$77.82 |
| J1885 |
Ketorolac tromethamine inj |
1,227 |
1,060 |
$71.08 |
| J0280 |
Aminophyllin 250 mg inj |
15 |
12 |
$70.38 |
| J2405 |
Ondansetron hcl injection |
3,185 |
2,260 |
$53.05 |
| A9270 |
Non-covered item or service |
3,481 |
757 |
$46.25 |
| J2704 |
Inj, propofol, 10 mg |
1,725 |
1,278 |
$45.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
112 |
82 |
$42.17 |
| J0696 |
Ceftriaxone sodium injection |
679 |
358 |
$36.53 |
| J1650 |
Inj enoxaparin sodium |
123 |
53 |
$26.64 |
| J7040 |
Normal saline solution infus |
875 |
657 |
$26.27 |
| J1100 |
Dexamethasone sodium phos |
1,509 |
1,052 |
$20.80 |
| 88342 |
|
28 |
26 |
$20.69 |
| J3010 |
Fentanyl citrate injection |
1,542 |
973 |
$20.17 |
| J0690 |
Cefazolin sodium injection |
782 |
553 |
$15.48 |
| J2060 |
Lorazepam injection |
210 |
122 |
$15.38 |
| J2765 |
Metoclopramide hcl injection |
176 |
142 |
$11.45 |
| J1200 |
Diphenhydramine hcl injectio |
255 |
181 |
$10.64 |
| J2250 |
Inj midazolam hydrochloride |
1,078 |
798 |
$8.83 |
| J2360 |
Orphenadrine injection |
16 |
14 |
$5.38 |
| J7050 |
Normal saline solution infus |
322 |
178 |
$3.92 |
| 91301 |
|
253 |
239 |
$2.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
77 |
56 |
$1.70 |
| J2001 |
Lidocaine injection |
458 |
321 |
$1.20 |
| 91300 |
|
68 |
51 |
$0.60 |
| 91306 |
|
35 |
34 |
$0.33 |
| 94761 |
|
3,482 |
2,926 |
$0.00 |
| A9500 |
Tc99m sestamibi |
134 |
120 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
179 |
125 |
$0.00 |
| 82962 |
|
69 |
51 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
205 |
151 |
$0.00 |
| J0461 |
Atropine sulfate injection |
85 |
48 |
$0.00 |
| J2785 |
Regadenoson injection |
35 |
30 |
$0.00 |
| J8501 |
Oral aprepitant |
16 |
15 |
$0.00 |
| J2930 |
Methylprednisolone injection |
76 |
54 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
19 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
72 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
29 |
16 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
13 |
$0.00 |
| 36600 |
|
17 |
15 |
$0.00 |
| J2270 |
Morphine sulfate injection |
15 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
44 |
27 |
$0.00 |