| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,356 |
14,382 |
$2.71M |
| 99284 |
|
10,276 |
8,093 |
$2.13M |
| 99285 |
|
4,900 |
3,592 |
$1.35M |
| 74176 |
|
878 |
777 |
$604K |
| 80053 |
|
14,871 |
12,483 |
$603K |
| 85025 |
|
15,897 |
12,904 |
$448K |
| 74177 |
|
578 |
491 |
$365K |
| 70450 |
|
1,378 |
1,215 |
$322K |
| 36415 |
|
24,933 |
19,389 |
$250K |
| 96375 |
|
3,496 |
2,656 |
$243K |
| 84443 |
|
6,196 |
5,570 |
$241K |
| 71046 |
|
3,577 |
3,214 |
$234K |
| 93005 |
|
5,238 |
4,390 |
$233K |
| 99282 |
|
3,015 |
2,715 |
$226K |
| 97110 |
|
4,049 |
1,047 |
$222K |
| 96374 |
|
3,448 |
2,911 |
$208K |
| 80048 |
|
5,275 |
4,185 |
$189K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,831 |
1,719 |
$166K |
| 80061 |
|
4,777 |
4,289 |
$161K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
980 |
804 |
$157K |
| 83605 |
|
4,151 |
3,312 |
$154K |
| 71045 |
|
3,294 |
2,777 |
$144K |
| 84484 |
|
3,334 |
2,540 |
$141K |
| 81001 |
|
6,427 |
5,523 |
$141K |
| 96372 |
|
3,987 |
3,056 |
$129K |
| 87633 |
|
1,206 |
1,128 |
$127K |
| 96365 |
|
2,052 |
1,303 |
$122K |
| 83690 |
|
3,284 |
2,811 |
$108K |
| J2405 |
Ondansetron hcl injection |
3,165 |
2,365 |
$103K |
| 84439 |
|
2,703 |
2,495 |
$100K |
| 85027 |
|
4,283 |
3,613 |
$99K |
| 83735 |
|
3,782 |
3,038 |
$98K |
| 96361 |
|
1,735 |
1,284 |
$94K |
| 82306 |
|
1,634 |
1,476 |
$94K |
| 87637 |
|
993 |
866 |
$92K |
| J7030 |
Normal saline solution infus |
1,225 |
803 |
$90K |
| 87040 |
|
1,753 |
965 |
$88K |
| J7120 |
Ringers lactate infusion |
1,430 |
973 |
$81K |
| 87086 |
|
2,801 |
2,483 |
$77K |
| 88305 |
|
358 |
224 |
$75K |
| 87804 |
|
1,890 |
1,062 |
$74K |
| 83036 |
|
2,950 |
2,704 |
$70K |
| 72110 |
|
573 |
522 |
$68K |
| J1885 |
Ketorolac tromethamine inj |
2,734 |
2,265 |
$63K |
| 73562 |
|
857 |
676 |
$62K |
| 73630 |
|
813 |
674 |
$61K |
| 97140 |
|
1,570 |
501 |
$56K |
| 81003 |
|
2,148 |
1,916 |
$52K |
| J2704 |
Inj, propofol, 10 mg |
777 |
531 |
$51K |
| 73610 |
|
642 |
558 |
$50K |
| 87186 |
|
1,810 |
1,610 |
$48K |
| J2250 |
Inj midazolam hydrochloride |
1,026 |
705 |
$47K |
| 85610 |
|
2,873 |
2,064 |
$47K |
| 83880 |
|
1,140 |
977 |
$46K |
| 73130 |
|
490 |
406 |
$41K |
| U0002 |
Covid-19 lab test non-cdc |
995 |
913 |
$39K |
| 81025 |
|
1,203 |
1,042 |
$39K |
| 96376 |
|
563 |
297 |
$38K |
| 87070 |
|
944 |
817 |
$36K |
| 80307 |
|
660 |
570 |
$36K |
| 87077 |
|
1,050 |
898 |
$36K |
| 73030 |
|
470 |
413 |
$35K |
| 77067 |
|
244 |
227 |
$35K |
| 99214 |
|
5,527 |
3,111 |
$34K |
| 85730 |
|
1,644 |
1,449 |
$33K |
| J3010 |
Fentanyl citrate injection |
516 |
300 |
$32K |
| 85379 |
|
564 |
489 |
$32K |
| 87880 |
|
1,537 |
1,433 |
$31K |
| 97112 |
|
572 |
234 |
$30K |
| 93306 |
|
101 |
89 |
$29K |
| 73110 |
|
367 |
317 |
$29K |
| 97035 |
|
864 |
293 |
$28K |
| 94640 |
|
1,183 |
761 |
$26K |
| 80076 |
|
327 |
284 |
$24K |
| 84703 |
|
388 |
331 |
$24K |
| 86140 |
|
939 |
780 |
$23K |
| 82550 |
|
930 |
753 |
$23K |
| 97161 |
|
323 |
301 |
$22K |
| 82962 |
|
939 |
400 |
$22K |
| 87081 |
|
1,357 |
1,274 |
$22K |
| 82805 |
|
686 |
513 |
$20K |
| 87430 |
|
462 |
421 |
$19K |
| 80305 |
|
351 |
287 |
$18K |
| 0241U |
|
235 |
211 |
$16K |
| 87631 |
|
99 |
91 |
$15K |
| 76705 |
|
101 |
94 |
$14K |
| 72125 |
|
42 |
39 |
$14K |
| 82043 |
|
772 |
707 |
$13K |
| J1100 |
Dexamethasone sodium phos |
1,230 |
974 |
$13K |
| 87798 |
|
166 |
121 |
$13K |
| 74022 |
|
160 |
145 |
$12K |
| 84145 |
|
477 |
423 |
$12K |
| 95117 |
|
1,185 |
415 |
$12K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
248 |
227 |
$10K |
| U0005 |
Infec agen detec ampli probe |
330 |
311 |
$10K |
| 99213 |
|
1,958 |
1,040 |
$8K |
| 82248 |
|
821 |
706 |
$8K |
| 71275 |
|
31 |
27 |
$8K |
| 88142 |
|
193 |
158 |
$8K |
| 87205 |
|
398 |
317 |
$8K |
| 87807 |
|
124 |
122 |
$7K |
| 87088 |
|
583 |
544 |
$7K |
| 82607 |
|
211 |
193 |
$7K |
| J7040 |
Normal saline solution infus |
117 |
95 |
$7K |
| 98941 |
|
586 |
385 |
$7K |
| 80306 |
|
108 |
96 |
$7K |
| 93010 |
|
1,354 |
1,184 |
$6K |
| 74019 |
|
81 |
64 |
$6K |
| 74018 |
|
116 |
109 |
$5K |
| M0243 |
Casirivi and imdevi inj |
34 |
34 |
$5K |
| 90471 |
|
217 |
200 |
$5K |
| Q0162 |
Ondansetron oral |
151 |
133 |
$5K |
| 73502 |
|
88 |
79 |
$5K |
| 87563 |
|
127 |
95 |
$5K |
| 82553 |
|
81 |
70 |
$5K |
| 87147 |
|
120 |
108 |
$5K |
| 36600 |
|
305 |
236 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
466 |
402 |
$5K |
| 20553 |
|
16 |
12 |
$4K |
| 72100 |
|
88 |
82 |
$4K |
| 85651 |
|
342 |
296 |
$4K |
| 80320 |
|
32 |
27 |
$4K |
| 0099U |
|
32 |
29 |
$4K |
| 76700 |
|
26 |
24 |
$4K |
| G0480 |
Drug test def 1-7 classes |
167 |
141 |
$4K |
| 85007 |
|
114 |
100 |
$4K |
| 72050 |
|
30 |
25 |
$4K |
| 82150 |
|
107 |
85 |
$3K |
| 76536 |
|
28 |
26 |
$3K |
| 87389 |
|
110 |
98 |
$3K |
| 82570 |
|
254 |
229 |
$3K |
| J2270 |
Morphine sulfate injection |
72 |
53 |
$3K |
| 43239 |
|
23 |
12 |
$3K |
| 96127 |
|
100 |
94 |
$3K |
| 95165 |
|
104 |
49 |
$3K |
| 86677 |
|
81 |
80 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
519 |
412 |
$3K |
| 20610 |
|
76 |
24 |
$2K |
| 72072 |
|
28 |
28 |
$2K |
| 83540 |
|
113 |
104 |
$2K |
| 87491 |
|
35 |
28 |
$2K |
| 87075 |
|
86 |
69 |
$2K |
| 96360 |
|
27 |
25 |
$2K |
| 80050 |
|
29 |
28 |
$2K |
| G0378 |
Hospital observation per hr |
44 |
13 |
$2K |
| J3490 |
Drugs unclassified injection |
1,279 |
648 |
$2K |
| 87591 |
|
23 |
16 |
$1K |
| 82728 |
|
42 |
35 |
$1K |
| G0463 |
Hospital outpt clinic visit |
183 |
158 |
$1K |
| J0690 |
Cefazolin sodium injection |
18 |
13 |
$1K |
| 73080 |
|
14 |
12 |
$953.58 |
| 86803 |
|
33 |
24 |
$939.06 |
| 99204 |
|
258 |
135 |
$925.93 |
| 97162 |
|
12 |
12 |
$906.48 |
| 87624 |
|
30 |
25 |
$850.53 |
| J2930 |
Methylprednisolone injection |
68 |
50 |
$805.67 |
| 82140 |
|
29 |
25 |
$785.15 |
| 84436 |
|
19 |
17 |
$734.51 |
| 84466 |
|
30 |
26 |
$720.07 |
| 96366 |
|
22 |
15 |
$635.19 |
| 99203 |
|
53 |
31 |
$608.94 |
| 80143 |
|
13 |
12 |
$428.76 |
| 83050 |
|
34 |
29 |
$418.24 |
| 82746 |
|
12 |
12 |
$356.39 |
| 90715 |
|
26 |
26 |
$352.19 |
| 11721 |
|
23 |
17 |
$344.82 |
| 86901 |
|
12 |
12 |
$304.02 |
| 86038 |
|
12 |
12 |
$302.17 |
| 86900 |
|
12 |
12 |
$273.11 |
| 80179 |
|
13 |
12 |
$266.36 |
| J2360 |
Orphenadrine injection |
62 |
56 |
$201.12 |
| J1170 |
Hydromorphone injection |
19 |
13 |
$194.36 |
| G2023 |
Specimen collect covid-19 |
41 |
34 |
$165.88 |
| 90656 |
|
12 |
12 |
$58.87 |
| J2919 |
Inj, methylpred sod succ 5mg |
20 |
14 |
$37.66 |
| Q0240 |
Casirivi and imdevi 600 mg |
42 |
21 |
$0.00 |
| G0439 |
Ppps, subseq visit |
13 |
12 |
$0.00 |