| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,221 |
13,810 |
$3.27M |
| 99283 |
|
18,025 |
15,264 |
$2.56M |
| G0378 |
Hospital observation per hr |
3,318 |
2,440 |
$1.20M |
| 99285 |
|
3,475 |
2,986 |
$800K |
| 96374 |
|
7,565 |
6,105 |
$792K |
| 99282 |
|
7,681 |
6,321 |
$613K |
| 87428 |
|
9,512 |
8,345 |
$535K |
| 96372 |
|
13,348 |
9,723 |
$481K |
| 96361 |
|
6,403 |
4,304 |
$376K |
| 96365 |
|
3,485 |
2,590 |
$350K |
| 74177 |
|
1,942 |
1,702 |
$312K |
| 71045 |
|
7,092 |
6,011 |
$287K |
| 94640 |
|
2,731 |
1,828 |
$258K |
| 87880 |
|
15,991 |
13,982 |
$216K |
| 96375 |
|
7,331 |
4,979 |
$213K |
| 96360 |
|
1,876 |
1,569 |
$212K |
| 96413 |
|
1,623 |
795 |
$211K |
| 80053 |
|
25,974 |
19,715 |
$176K |
| 86885 |
|
2,040 |
1,658 |
$173K |
| 97110 |
|
3,798 |
717 |
$163K |
| 85025 |
|
32,512 |
23,642 |
$158K |
| 87491 |
|
5,908 |
5,038 |
$158K |
| 87591 |
|
5,904 |
5,035 |
$158K |
| 70450 |
|
2,889 |
2,541 |
$152K |
| 93005 |
|
7,019 |
5,693 |
$151K |
| 86900 |
|
2,370 |
1,944 |
$150K |
| 87426 |
|
4,670 |
4,021 |
$147K |
| 87804 |
|
7,244 |
4,966 |
$144K |
| 71046 |
|
2,963 |
2,649 |
$129K |
| 54161 |
|
59 |
58 |
$84K |
| 74176 |
|
668 |
601 |
$71K |
| 77067 |
|
826 |
772 |
$65K |
| 86901 |
|
2,615 |
2,150 |
$52K |
| 74018 |
|
1,146 |
983 |
$51K |
| G0481 |
Drug test def 8-14 classes |
660 |
579 |
$51K |
| 96366 |
|
730 |
428 |
$47K |
| 99213 |
|
1,612 |
1,206 |
$47K |
| 84443 |
|
3,805 |
3,234 |
$44K |
| 87400 |
|
2,284 |
1,884 |
$44K |
| 87086 |
|
6,642 |
5,593 |
$40K |
| 74019 |
|
586 |
487 |
$39K |
| 83880 |
|
1,890 |
1,623 |
$38K |
| 87070 |
|
4,262 |
3,715 |
$34K |
| 99214 |
|
719 |
536 |
$33K |
| 84484 |
|
5,168 |
3,865 |
$33K |
| 81001 |
|
14,568 |
11,949 |
$32K |
| 87420 |
|
2,495 |
2,215 |
$32K |
| 97530 |
|
817 |
155 |
$31K |
| 86703 |
|
3,083 |
2,652 |
$31K |
| 80061 |
|
3,008 |
2,668 |
$29K |
| 81025 |
|
3,733 |
3,119 |
$24K |
| 87807 |
|
2,103 |
1,885 |
$23K |
| G0463 |
Hospital outpt clinic visit |
4,252 |
3,460 |
$23K |
| 80048 |
|
3,638 |
2,871 |
$20K |
| 83690 |
|
4,866 |
4,019 |
$20K |
| 83735 |
|
4,899 |
3,757 |
$19K |
| 82306 |
|
943 |
819 |
$17K |
| 83036 |
|
2,444 |
2,194 |
$17K |
| 82728 |
|
2,319 |
2,030 |
$16K |
| 96367 |
|
528 |
304 |
$15K |
| 87799 |
|
166 |
135 |
$14K |
| 87186 |
|
2,135 |
1,806 |
$13K |
| 82607 |
|
1,554 |
1,388 |
$13K |
| 92507 |
|
269 |
55 |
$13K |
| 83655 |
|
1,184 |
1,078 |
$13K |
| 84702 |
|
1,189 |
797 |
$13K |
| 36415 |
|
5,760 |
4,294 |
$12K |
| 73562 |
|
339 |
305 |
$12K |
| 87481 |
|
172 |
138 |
$12K |
| G0480 |
Drug test def 1-7 classes |
241 |
200 |
$12K |
| 80306 |
|
928 |
782 |
$12K |
| 87340 |
|
1,548 |
1,334 |
$11K |
| Q3014 |
Telehealth facility fee |
662 |
580 |
$11K |
| 93306 |
|
57 |
54 |
$11K |
| 76805 |
|
163 |
115 |
$11K |
| 86803 |
|
1,062 |
941 |
$11K |
| 86592 |
|
3,074 |
2,638 |
$10K |
| 59025 |
|
100 |
63 |
$10K |
| 88142 |
|
593 |
518 |
$9K |
| 86762 |
|
802 |
698 |
$9K |
| M0243 |
Casirivi and imdevi inj |
33 |
32 |
$8K |
| 87077 |
|
1,545 |
1,327 |
$8K |
| 82553 |
|
1,309 |
1,088 |
$8K |
| 83550 |
|
2,045 |
1,817 |
$8K |
| 87624 |
|
292 |
243 |
$7K |
| 87040 |
|
1,292 |
716 |
$7K |
| 88175 |
|
370 |
319 |
$7K |
| 83540 |
|
2,106 |
1,863 |
$6K |
| 73610 |
|
140 |
110 |
$6K |
| 73030 |
|
171 |
140 |
$6K |
| 83020 |
|
667 |
573 |
$6K |
| 82746 |
|
811 |
717 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
79 |
72 |
$6K |
| 84703 |
|
1,125 |
979 |
$6K |
| 71275 |
|
77 |
65 |
$6K |
| 83605 |
|
1,071 |
836 |
$6K |
| 85018 |
|
2,739 |
2,398 |
$5K |
| 85014 |
|
2,735 |
2,386 |
$5K |
| 85027 |
|
908 |
733 |
$5K |
| 87512 |
|
165 |
138 |
$5K |
| 99291 |
|
17 |
14 |
$4K |
| 76819 |
|
68 |
40 |
$4K |
| 87661 |
|
165 |
138 |
$4K |
| 82150 |
|
571 |
499 |
$4K |
| J7120 |
Ringers lactate infusion |
3,790 |
2,255 |
$4K |
| 72100 |
|
75 |
67 |
$4K |
| 85610 |
|
1,463 |
1,142 |
$3K |
| 87081 |
|
679 |
588 |
$3K |
| 86140 |
|
880 |
721 |
$3K |
| 83021 |
|
217 |
185 |
$3K |
| Q5106 |
Inj retacrit non-esrd use |
15 |
12 |
$3K |
| 73130 |
|
60 |
51 |
$3K |
| 81003 |
|
834 |
714 |
$3K |
| 77336 |
|
77 |
31 |
$2K |
| 82570 |
|
674 |
589 |
$2K |
| 84153 |
|
210 |
185 |
$2K |
| 81220 |
|
17 |
12 |
$2K |
| 73630 |
|
47 |
40 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,936 |
2,344 |
$2K |
| 36600 |
|
29 |
25 |
$2K |
| 82962 |
|
1,061 |
647 |
$2K |
| 82378 |
|
173 |
166 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,840 |
793 |
$2K |
| 85379 |
|
215 |
195 |
$1K |
| 73560 |
|
39 |
31 |
$1K |
| 84156 |
|
536 |
409 |
$1K |
| 83615 |
|
319 |
281 |
$1K |
| 99211 |
|
276 |
180 |
$1K |
| 73502 |
|
41 |
38 |
$1K |
| J7030 |
Normal saline solution infus |
6,538 |
4,768 |
$1K |
| 76705 |
|
19 |
12 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,362 |
2,846 |
$1K |
| 76815 |
|
13 |
12 |
$1K |
| J2469 |
Palonosetron hcl |
62 |
25 |
$1K |
| 88305 |
|
46 |
36 |
$1K |
| J7040 |
Normal saline solution infus |
2,066 |
1,326 |
$963.13 |
| 97162 |
|
29 |
24 |
$938.83 |
| 71260 |
|
13 |
13 |
$935.00 |
| U0002 |
Covid-19 lab test non-cdc |
26 |
22 |
$925.65 |
| 82784 |
|
91 |
79 |
$888.04 |
| J1100 |
Dexamethasone sodium phos |
3,742 |
2,526 |
$838.38 |
| 97161 |
|
15 |
14 |
$804.55 |
| 73110 |
|
12 |
12 |
$747.74 |
| 87210 |
|
232 |
185 |
$731.51 |
| 85730 |
|
329 |
266 |
$710.80 |
| 85652 |
|
452 |
376 |
$698.90 |
| 96376 |
|
2,212 |
1,267 |
$688.42 |
| 84439 |
|
124 |
97 |
$674.07 |
| 82947 |
|
242 |
207 |
$653.44 |
| 99212 |
|
33 |
26 |
$645.23 |
| 82948 |
|
158 |
116 |
$628.34 |
| 80305 |
|
66 |
57 |
$626.44 |
| 82803 |
|
34 |
27 |
$563.50 |
| J2405 |
Ondansetron hcl injection |
7,031 |
5,109 |
$530.51 |
| 36591 |
|
978 |
476 |
$530.30 |
| 85041 |
|
390 |
344 |
$528.00 |
| 72125 |
|
16 |
12 |
$519.96 |
| 84165 |
|
107 |
97 |
$485.24 |
| 85044 |
|
209 |
157 |
$414.31 |
| 85651 |
|
99 |
89 |
$413.70 |
| 82550 |
|
144 |
113 |
$391.83 |
| 71250 |
|
12 |
12 |
$363.70 |
| 84403 |
|
17 |
13 |
$232.76 |
| A9270 |
Non-covered item or service |
2,696 |
1,735 |
$222.66 |
| 82565 |
|
44 |
42 |
$190.78 |
| 82044 |
|
36 |
30 |
$175.92 |
| J2704 |
Inj, propofol, 10 mg |
1,739 |
1,463 |
$160.90 |
| 86038 |
|
24 |
24 |
$160.52 |
| J1885 |
Ketorolac tromethamine inj |
6,350 |
5,176 |
$119.84 |
| J1200 |
Diphenhydramine hcl injectio |
1,633 |
939 |
$113.24 |
| 86334 |
|
13 |
12 |
$111.75 |
| 84100 |
|
76 |
68 |
$98.41 |
| 82247 |
|
22 |
12 |
$91.61 |
| 84550 |
|
26 |
24 |
$85.55 |
| 82043 |
|
25 |
25 |
$82.94 |
| J7060 |
5% dextrose/water |
284 |
43 |
$67.55 |
| 82272 |
|
27 |
24 |
$61.40 |
| J7050 |
Normal saline solution infus |
1,183 |
519 |
$56.19 |
| J2919 |
Inj, methylpred sod succ 5mg |
103 |
65 |
$54.55 |
| J2270 |
Morphine sulfate injection |
2,436 |
1,720 |
$43.64 |
| J2920 |
Methylprednisolone injection |
43 |
40 |
$41.30 |
| J2550 |
Promethazine hcl injection |
1,759 |
1,083 |
$40.92 |
| 84155 |
|
63 |
56 |
$39.60 |
| J2175 |
Meperidine hydrochl /100 mg |
768 |
521 |
$35.00 |
| J2930 |
Methylprednisolone injection |
558 |
447 |
$22.42 |
| 85045 |
|
16 |
14 |
$22.34 |
| J2272 |
Inj, morphine (fresenius) |
755 |
532 |
$20.93 |
| J2250 |
Inj midazolam hydrochloride |
1,107 |
923 |
$19.69 |
| J3010 |
Fentanyl citrate injection |
310 |
250 |
$19.18 |
| J1170 |
Hydromorphone injection |
2,690 |
1,633 |
$11.62 |
| J2360 |
Orphenadrine injection |
419 |
333 |
$3.71 |
| Q0162 |
Ondansetron oral |
70 |
60 |
$0.23 |
| G1004 |
Cdsm ndsc |
72 |
64 |
$0.00 |
| J0780 |
Prochlorperazine injection |
106 |
73 |
$0.00 |
| 84145 |
|
54 |
31 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
66 |
50 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
21 |
15 |
$0.00 |
| J1956 |
Levofloxacin injection |
28 |
27 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
31 |
30 |
$0.00 |
| 00920 |
|
32 |
31 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
86 |
40 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
52 |
27 |
$0.00 |
| 81329 |
|
60 |
42 |
$0.00 |
| J2001 |
Lidocaine injection |
335 |
260 |
$0.00 |
| 80050 |
|
31 |
28 |
$0.00 |
| J0500 |
Dicyclomine injection |
37 |
29 |
$0.00 |
| 77063 |
|
530 |
481 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
182 |
106 |
$0.00 |
| J1815 |
Insulin injection |
155 |
81 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
17 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
16 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
91 |
51 |
$0.00 |
| J1940 |
Furosemide injection |
60 |
42 |
$0.00 |