| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,526 |
20,958 |
$4.77M |
| 99283 |
|
21,373 |
20,387 |
$3.40M |
| 99285 |
|
10,238 |
9,701 |
$2.64M |
| D2930 |
|
22,290 |
5,561 |
$2.20M |
| 74177 |
|
3,216 |
3,122 |
$1.14M |
| D2934 |
|
8,767 |
3,027 |
$1.01M |
| D3220 |
|
7,350 |
2,922 |
$905K |
| D7140 |
|
4,835 |
2,239 |
$635K |
| D1206 |
|
2,738 |
2,714 |
$587K |
| 97110 |
|
9,023 |
3,202 |
$564K |
| D0272 |
|
2,592 |
2,556 |
$549K |
| D0220 |
|
3,365 |
2,273 |
$542K |
| D3310 |
|
4,371 |
1,515 |
$531K |
| D1120 |
|
2,402 |
2,379 |
$513K |
| 95810 |
|
720 |
711 |
$501K |
| 80053 |
|
18,952 |
16,819 |
$492K |
| 87636 |
|
5,953 |
5,810 |
$459K |
| 96374 |
|
11,813 |
10,938 |
$416K |
| 96375 |
|
8,241 |
7,270 |
$411K |
| 43239 |
|
1,338 |
1,317 |
$393K |
| 95811 |
|
583 |
573 |
$389K |
| 93005 |
|
7,905 |
6,971 |
$385K |
| 96361 |
|
5,233 |
4,600 |
$376K |
| 70450 |
|
2,090 |
2,018 |
$375K |
| D2391 |
|
2,036 |
1,211 |
$310K |
| 99282 |
|
3,392 |
3,319 |
$302K |
| 93306 |
|
782 |
771 |
$287K |
| 85025 |
|
21,411 |
18,792 |
$282K |
| 74176 |
|
1,030 |
999 |
$270K |
| D0230 |
|
1,386 |
1,061 |
$203K |
| D2330 |
|
1,214 |
706 |
$198K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,495 |
2,444 |
$188K |
| 71046 |
|
3,578 |
3,426 |
$185K |
| 80307 |
|
1,640 |
1,542 |
$181K |
| 96372 |
|
5,297 |
4,867 |
$171K |
| G0378 |
Hospital observation per hr |
405 |
362 |
$168K |
| 87631 |
|
1,836 |
1,760 |
$168K |
| 71045 |
|
4,092 |
3,877 |
$154K |
| G0480 |
Drug test def 1-7 classes |
1,974 |
1,788 |
$138K |
| 84703 |
|
7,475 |
7,079 |
$133K |
| 96365 |
|
1,416 |
1,365 |
$131K |
| 76856 |
|
1,213 |
1,200 |
$128K |
| 77067 |
|
1,093 |
1,090 |
$123K |
| 97140 |
|
3,555 |
1,529 |
$121K |
| 83690 |
|
6,988 |
6,449 |
$112K |
| D1351 |
|
879 |
372 |
$106K |
| 87086 |
|
5,948 |
5,634 |
$106K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
266 |
260 |
$100K |
| 45380 |
|
306 |
303 |
$98K |
| 36415 |
|
23,435 |
20,490 |
$97K |
| 94640 |
|
931 |
763 |
$95K |
| 76830 |
|
933 |
918 |
$90K |
| 81001 |
|
10,831 |
10,114 |
$88K |
| 76705 |
|
974 |
941 |
$88K |
| 84484 |
|
4,797 |
3,834 |
$79K |
| D0240 |
|
393 |
301 |
$78K |
| 87651 |
|
3,011 |
2,949 |
$74K |
| 73562 |
|
959 |
906 |
$71K |
| 99281 |
|
1,242 |
1,204 |
$70K |
| 73610 |
|
885 |
848 |
$69K |
| 73030 |
|
877 |
794 |
$65K |
| 73630 |
|
1,004 |
954 |
$64K |
| 97530 |
|
1,049 |
647 |
$61K |
| 87040 |
|
1,862 |
1,064 |
$60K |
| 77063 |
|
1,015 |
1,012 |
$59K |
| 73130 |
|
988 |
918 |
$57K |
| 80048 |
|
2,552 |
2,321 |
$56K |
| 42820 |
|
38 |
38 |
$52K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,320 |
4,170 |
$51K |
| J7120 |
Ringers lactate infusion |
9,564 |
9,125 |
$51K |
| 59025 |
|
490 |
397 |
$49K |
| 83605 |
|
2,009 |
1,640 |
$49K |
| 96376 |
|
1,746 |
1,352 |
$47K |
| D2331 |
|
166 |
150 |
$43K |
| 93976 |
|
410 |
403 |
$42K |
| 83735 |
|
3,571 |
2,832 |
$41K |
| 96360 |
|
523 |
507 |
$40K |
| D1510 |
|
180 |
150 |
$36K |
| 73110 |
|
573 |
531 |
$34K |
| D2392 |
|
197 |
138 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
6,372 |
6,202 |
$32K |
| 82962 |
|
3,356 |
2,158 |
$31K |
| J7030 |
Normal saline solution infus |
5,515 |
4,885 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
661 |
653 |
$30K |
| 94760 |
|
1,530 |
1,275 |
$29K |
| 84702 |
|
1,095 |
984 |
$26K |
| D9971 |
|
186 |
97 |
$23K |
| 97161 |
|
483 |
475 |
$22K |
| 87634 |
|
502 |
495 |
$21K |
| 74018 |
|
362 |
351 |
$20K |
| 43235 |
|
57 |
57 |
$19K |
| 87491 |
|
541 |
528 |
$19K |
| 87591 |
|
541 |
528 |
$19K |
| 84443 |
|
883 |
854 |
$18K |
| 87186 |
|
1,011 |
941 |
$17K |
| 87077 |
|
1,383 |
1,288 |
$17K |
| 69436 |
|
20 |
12 |
$17K |
| G0399 |
Home sleep test/type 3 porta |
86 |
86 |
$17K |
| G0283 |
Elec stim other than wound |
743 |
355 |
$16K |
| 85379 |
|
925 |
884 |
$15K |
| D0150 |
|
83 |
83 |
$14K |
| 81003 |
|
3,812 |
3,679 |
$14K |
| 83880 |
|
463 |
428 |
$14K |
| 76801 |
|
151 |
136 |
$13K |
| 76536 |
|
132 |
128 |
$13K |
| 93971 |
|
152 |
148 |
$13K |
| 85610 |
|
1,390 |
1,269 |
$13K |
| 71275 |
|
42 |
41 |
$12K |
| 94664 |
|
135 |
132 |
$12K |
| J2405 |
Ondansetron hcl injection |
7,818 |
7,284 |
$11K |
| 96366 |
|
115 |
90 |
$11K |
| 87880 |
|
470 |
455 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
6,405 |
6,178 |
$11K |
| 76700 |
|
103 |
103 |
$10K |
| 87632 |
|
54 |
43 |
$10K |
| J1100 |
Dexamethasone sodium phos |
5,400 |
5,310 |
$9K |
| 97162 |
|
134 |
131 |
$8K |
| 97112 |
|
191 |
91 |
$8K |
| 90471 |
|
370 |
358 |
$7K |
| 87650 |
|
280 |
274 |
$7K |
| 87633 |
|
26 |
26 |
$7K |
| 88305 |
|
126 |
115 |
$7K |
| 72100 |
|
84 |
82 |
$6K |
| 99291 |
|
15 |
15 |
$6K |
| J3010 |
Fentanyl citrate injection |
3,521 |
3,017 |
$6K |
| D2929 |
|
14 |
14 |
$5K |
| 45378 |
|
14 |
14 |
$5K |
| 74022 |
|
72 |
71 |
$5K |
| 81025 |
|
589 |
582 |
$4K |
| 86900 |
|
580 |
540 |
$4K |
| D1208 |
|
17 |
17 |
$4K |
| 86901 |
|
580 |
540 |
$3K |
| 90715 |
|
230 |
225 |
$3K |
| 86850 |
|
211 |
197 |
$3K |
| 85730 |
|
289 |
268 |
$2K |
| 72125 |
|
13 |
13 |
$2K |
| 76817 |
|
42 |
39 |
$2K |
| 73080 |
|
35 |
34 |
$2K |
| D3330 |
|
25 |
13 |
$2K |
| 85027 |
|
282 |
252 |
$2K |
| 82553 |
|
166 |
145 |
$2K |
| 72040 |
|
28 |
28 |
$2K |
| 84100 |
|
183 |
124 |
$2K |
| J0561 |
Penicillin g benzathine inj |
28 |
27 |
$2K |
| D3240 |
|
39 |
14 |
$2K |
| 76805 |
|
14 |
12 |
$2K |
| D3230 |
|
39 |
14 |
$2K |
| 76770 |
|
27 |
26 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
163 |
158 |
$2K |
| 81002 |
|
637 |
496 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,170 |
1,136 |
$2K |
| 29125 |
|
12 |
12 |
$2K |
| 94761 |
|
73 |
53 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,052 |
978 |
$1K |
| 82550 |
|
165 |
147 |
$1K |
| J0690 |
Cefazolin sodium injection |
1,109 |
951 |
$1K |
| 10060 |
|
15 |
15 |
$1K |
| 74220 |
|
12 |
12 |
$1K |
| J7050 |
Normal saline solution infus |
311 |
190 |
$1K |
| J1170 |
Hydromorphone injection |
723 |
578 |
$1K |
| 73502 |
|
31 |
29 |
$1K |
| 80050 |
|
15 |
14 |
$1K |
| 12001 |
|
12 |
12 |
$1K |
| 76942 |
|
13 |
12 |
$1K |
| 83036 |
|
106 |
102 |
$1K |
| 80143 |
|
90 |
83 |
$1K |
| 82150 |
|
82 |
81 |
$1K |
| 80179 |
|
87 |
80 |
$1K |
| 85007 |
|
212 |
195 |
$1K |
| 86140 |
|
126 |
119 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
810 |
764 |
$1K |
| J0780 |
Prochlorperazine injection |
424 |
406 |
$948.88 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
150 |
148 |
$881.07 |
| J0330 |
Succinycholine chloride inj |
272 |
269 |
$869.50 |
| J2270 |
Morphine sulfate injection |
527 |
458 |
$833.86 |
| 87210 |
|
79 |
79 |
$805.79 |
| 84439 |
|
52 |
51 |
$786.36 |
| A4615 |
Cannula nasal |
2,309 |
2,271 |
$752.37 |
| 80061 |
|
54 |
51 |
$752.24 |
| J0171 |
Adrenalin epinephrine inject |
188 |
133 |
$693.31 |
| 88342 |
|
12 |
12 |
$675.07 |
| J2272 |
Inj, morphine (fresenius) |
486 |
430 |
$669.49 |
| 73140 |
|
13 |
12 |
$645.53 |
| 97165 |
|
13 |
13 |
$604.46 |
| 80076 |
|
31 |
29 |
$599.44 |
| J2060 |
Lorazepam injection |
375 |
335 |
$585.65 |
| J0134 |
Inj acetaminophen -fresenius |
255 |
255 |
$490.46 |
| J3475 |
Inj magnesium sulfate |
84 |
82 |
$464.91 |
| J2360 |
Orphenadrine injection |
114 |
110 |
$461.79 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
212 |
194 |
$424.32 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
245 |
242 |
$342.43 |
| J2765 |
Metoclopramide hcl injection |
202 |
191 |
$313.77 |
| J1790 |
Droperidol injection |
266 |
247 |
$304.79 |
| 84550 |
|
33 |
31 |
$304.30 |
| 85652 |
|
56 |
55 |
$304.03 |
| G0500 |
Mod sedat endo service >5yrs |
13 |
13 |
$288.08 |
| A9577 |
Inj multihance |
15 |
15 |
$258.79 |
| J0137 |
Inj, acetaminophen (hikma) |
84 |
83 |
$255.92 |
| J2004 |
Inj, lidocaine w epinephrine |
125 |
125 |
$230.36 |
| S0119 |
Ondansetron 4 mg |
342 |
331 |
$229.70 |
| A9270 |
Non-covered item or service |
644 |
287 |
$229.28 |
| 87070 |
|
15 |
12 |
$169.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
238 |
220 |
$162.37 |
| 83615 |
|
15 |
14 |
$159.11 |
| C9113 |
Inj pantoprazole sodium, via |
124 |
94 |
$158.75 |
| 87081 |
|
27 |
27 |
$157.35 |
| 82565 |
|
15 |
14 |
$153.69 |
| 84156 |
|
14 |
13 |
$134.41 |
| J0687 |
Inj cefazolin (wg crit care) |
85 |
71 |
$113.10 |
| Q0162 |
Ondansetron oral |
155 |
144 |
$111.27 |
| 87205 |
|
15 |
12 |
$81.23 |
| 85651 |
|
12 |
12 |
$75.45 |
| J3480 |
Inj potassium chloride |
14 |
12 |
$71.29 |
| J2470 |
Inj pantoprazole sodium 40mg |
68 |
60 |
$67.82 |
| J2274 |
Inj morphine pf epid ithc |
16 |
16 |
$67.57 |
| 82272 |
|
12 |
12 |
$62.25 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$59.41 |
| J2930 |
Methylprednisolone injection |
14 |
14 |
$55.09 |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$53.48 |
| J8540 |
Oral dexamethasone |
70 |
55 |
$47.55 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$19.28 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$9.32 |
| G8978 |
Mobility current status |
44 |
40 |
$0.00 |
| G8979 |
Mobility goal status |
43 |
39 |
$0.00 |