| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,967 |
5,340 |
$846K |
| 99283 |
|
5,220 |
4,825 |
$637K |
| 99285 |
|
3,003 |
2,636 |
$412K |
| 96361 |
|
2,587 |
1,697 |
$399K |
| 97110 |
|
5,369 |
1,750 |
$347K |
| 74177 |
|
1,319 |
1,205 |
$323K |
| 70450 |
|
1,443 |
1,279 |
$225K |
| 0241U |
|
1,073 |
946 |
$100K |
| 96365 |
|
1,202 |
898 |
$98K |
| 97140 |
|
2,077 |
747 |
$91K |
| 99282 |
|
804 |
751 |
$61K |
| 96366 |
|
337 |
152 |
$47K |
| 93005 |
|
4,269 |
3,539 |
$41K |
| 77063 |
|
769 |
742 |
$36K |
| 43239 |
|
54 |
49 |
$35K |
| 80050 |
|
2,509 |
2,180 |
$34K |
| 71275 |
|
142 |
125 |
$32K |
| 97112 |
|
367 |
178 |
$30K |
| G0378 |
Hospital observation per hr |
1,047 |
794 |
$30K |
| 71046 |
|
942 |
894 |
$28K |
| J7030 |
Normal saline solution infus |
3,882 |
2,959 |
$28K |
| 94640 |
|
581 |
404 |
$27K |
| 96374 |
|
4,043 |
3,560 |
$24K |
| 96375 |
|
3,044 |
2,393 |
$24K |
| 96360 |
|
260 |
238 |
$20K |
| J3490 |
Drugs unclassified injection |
14,957 |
4,606 |
$19K |
| 80053 |
|
6,443 |
5,516 |
$18K |
| J7120 |
Ringers lactate infusion |
4,001 |
2,905 |
$17K |
| 85025 |
|
7,531 |
6,215 |
$14K |
| 88305 |
|
815 |
731 |
$14K |
| 97165 |
|
317 |
271 |
$11K |
| 84484 |
|
3,512 |
2,480 |
$11K |
| 97530 |
|
720 |
387 |
$10K |
| 96372 |
|
2,086 |
1,474 |
$9K |
| 74176 |
|
44 |
38 |
$9K |
| 96376 |
|
1,236 |
718 |
$9K |
| J2405 |
Ondansetron hcl injection |
3,649 |
2,950 |
$9K |
| J3010 |
Fentanyl citrate injection |
2,751 |
1,809 |
$8K |
| 87804 |
|
500 |
248 |
$8K |
| 80048 |
|
1,598 |
1,205 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
2,631 |
2,076 |
$8K |
| 83690 |
|
2,707 |
2,369 |
$7K |
| 36415 |
|
3,256 |
2,304 |
$7K |
| 59025 |
|
84 |
66 |
$7K |
| 76642 |
|
45 |
40 |
$6K |
| 71045 |
|
1,899 |
1,667 |
$6K |
| J2270 |
Morphine sulfate injection |
1,356 |
999 |
$6K |
| 81025 |
|
1,940 |
1,774 |
$6K |
| 80307 |
|
762 |
642 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,080 |
1,766 |
$5K |
| 81001 |
|
2,387 |
2,092 |
$4K |
| 97161 |
|
860 |
779 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,629 |
1,411 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
63 |
56 |
$3K |
| 82962 |
|
2,643 |
964 |
$3K |
| 97535 |
|
169 |
102 |
$3K |
| 83605 |
|
1,202 |
948 |
$2K |
| 77067 |
|
755 |
733 |
$2K |
| 81003 |
|
1,941 |
1,731 |
$2K |
| 85610 |
|
1,172 |
916 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,441 |
1,206 |
$2K |
| 76705 |
|
16 |
14 |
$2K |
| 93971 |
|
13 |
12 |
$1K |
| 84703 |
|
614 |
562 |
$1K |
| 72125 |
|
178 |
155 |
$1K |
| 85730 |
|
229 |
197 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| A4649 |
Surgical supplies |
372 |
350 |
$1K |
| 87880 |
|
95 |
91 |
$945.21 |
| 94760 |
|
108 |
70 |
$813.32 |
| 97113 |
|
31 |
13 |
$784.79 |
| J8499 |
Oral prescrip drug non chemo |
5,236 |
1,456 |
$689.95 |
| 87086 |
|
293 |
257 |
$653.70 |
| A9270 |
Non-covered item or service |
2,882 |
470 |
$430.39 |
| 86140 |
|
200 |
183 |
$327.97 |
| 87081 |
|
42 |
41 |
$321.64 |
| 74018 |
|
13 |
12 |
$294.37 |
| 90715 |
|
12 |
12 |
$274.52 |
| 85379 |
|
418 |
376 |
$267.01 |
| 83735 |
|
709 |
536 |
$192.12 |
| 83880 |
|
450 |
392 |
$174.63 |
| J1170 |
Hydromorphone injection |
107 |
67 |
$155.16 |
| J2765 |
Metoclopramide hcl injection |
12 |
12 |
$145.87 |
| 73630 |
|
17 |
12 |
$140.24 |
| J1200 |
Diphenhydramine hcl injectio |
231 |
193 |
$126.40 |
| J2710 |
Neostigmine methylslfte inj |
96 |
83 |
$105.97 |
| 86900 |
|
14 |
13 |
$99.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,305 |
1,164 |
$89.00 |
| 73610 |
|
17 |
16 |
$71.53 |
| 87651 |
|
33 |
28 |
$42.70 |
| J0690 |
Cefazolin sodium injection |
599 |
441 |
$40.64 |
| 80143 |
|
279 |
234 |
$30.46 |
| 84702 |
|
29 |
25 |
$28.48 |
| 82077 |
|
693 |
570 |
$27.42 |
| 87040 |
|
209 |
121 |
$23.04 |
| 80179 |
|
256 |
218 |
$15.24 |
| J7050 |
Normal saline solution infus |
170 |
103 |
$14.93 |
| 87070 |
|
17 |
12 |
$10.49 |
| 87186 |
|
15 |
12 |
$10.48 |
| 87077 |
|
16 |
13 |
$10.48 |
| 85027 |
|
20 |
16 |
$8.11 |
| 87205 |
|
32 |
25 |
$5.24 |
| 86901 |
|
14 |
13 |
$2.99 |
| G8979 |
Mobility goal status |
46 |
41 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
83 |
74 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
33 |
26 |
$0.00 |
| G8978 |
Mobility current status |
29 |
26 |
$0.00 |
| A9577 |
Inj multihance |
16 |
15 |
$0.00 |
| J0780 |
Prochlorperazine injection |
16 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
137 |
83 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
97 |
71 |
$0.00 |
| 97162 |
|
42 |
39 |
$0.00 |
| 88342 |
|
34 |
28 |
$0.00 |
| 90471 |
|
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
71 |
48 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
30 |
28 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
18 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
19 |
14 |
$0.00 |
| C1889 |
Implant/insert device, noc |
16 |
14 |
$0.00 |