| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
10,031 |
7,676 |
$3.31M |
| 99285 |
|
16,862 |
14,545 |
$2.67M |
| 99284 |
|
17,548 |
14,732 |
$2.52M |
| 99283 |
|
17,452 |
15,142 |
$2.45M |
| G0378 |
Hospital observation per hr |
3,012 |
2,468 |
$682K |
| 74177 |
|
3,028 |
2,730 |
$599K |
| 70450 |
|
3,300 |
2,934 |
$596K |
| 93306 |
|
1,833 |
1,645 |
$516K |
| 99213 |
|
3,067 |
2,711 |
$419K |
| 96365 |
|
3,939 |
2,982 |
$415K |
| G0463 |
Hospital outpt clinic visit |
6,132 |
4,637 |
$409K |
| 96360 |
|
2,905 |
2,468 |
$370K |
| 99282 |
|
2,536 |
2,288 |
$330K |
| 96413 |
|
1,652 |
872 |
$295K |
| 0241U |
|
5,096 |
4,784 |
$282K |
| 96366 |
|
1,060 |
656 |
$228K |
| 99212 |
|
1,436 |
1,285 |
$199K |
| 74176 |
|
889 |
792 |
$170K |
| 94640 |
|
1,868 |
1,120 |
$168K |
| 80307 |
|
4,599 |
3,948 |
$165K |
| 71275 |
|
681 |
633 |
$158K |
| 80053 |
|
31,241 |
23,954 |
$152K |
| 99214 |
|
1,416 |
1,220 |
$132K |
| 59025 |
|
739 |
521 |
$125K |
| 93971 |
|
870 |
780 |
$96K |
| 99281 |
|
913 |
849 |
$84K |
| J2469 |
Palonosetron hcl |
500 |
261 |
$75K |
| 93017 |
|
291 |
266 |
$63K |
| 76705 |
|
660 |
590 |
$61K |
| 87635 |
|
2,543 |
2,117 |
$52K |
| 71046 |
|
10,114 |
8,668 |
$42K |
| 93005 |
|
11,318 |
9,431 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,134 |
1,037 |
$38K |
| 76856 |
|
512 |
471 |
$33K |
| 83880 |
|
2,284 |
1,930 |
$27K |
| 80048 |
|
5,527 |
4,182 |
$25K |
| 80329 |
|
1,646 |
1,117 |
$23K |
| 87591 |
|
1,500 |
1,307 |
$21K |
| 70496 |
|
72 |
65 |
$21K |
| 99211 |
|
135 |
130 |
$20K |
| G0480 |
Drug test def 1-7 classes |
994 |
793 |
$18K |
| 93246 |
|
262 |
253 |
$18K |
| Q9957 |
Inj perflutren lip micros,ml |
746 |
594 |
$17K |
| 85025 |
|
28,413 |
21,180 |
$17K |
| 84484 |
|
11,315 |
8,234 |
$14K |
| 93000 |
|
6,635 |
5,388 |
$13K |
| 87040 |
|
1,298 |
849 |
$13K |
| 72125 |
|
963 |
881 |
$11K |
| 78452 |
|
13 |
12 |
$11K |
| 85380 |
|
1,534 |
1,387 |
$10K |
| 74018 |
|
623 |
537 |
$10K |
| 93325 |
|
247 |
230 |
$9K |
| 90715 |
|
529 |
492 |
$9K |
| 93320 |
|
29 |
24 |
$9K |
| 70498 |
|
174 |
148 |
$9K |
| 99291 |
|
40 |
38 |
$9K |
| 80061 |
|
1,477 |
1,396 |
$9K |
| 96367 |
|
1,512 |
820 |
$9K |
| 76801 |
|
128 |
109 |
$8K |
| J3490 |
Drugs unclassified injection |
3,533 |
1,711 |
$8K |
| 36415 |
|
14,445 |
10,311 |
$8K |
| 84443 |
|
5,383 |
4,680 |
$7K |
| 97161 |
|
196 |
173 |
$7K |
| 80047 |
|
1,374 |
1,190 |
$7K |
| 85027 |
|
8,891 |
7,170 |
$6K |
| 76641 |
|
56 |
54 |
$5K |
| 71045 |
|
2,350 |
2,024 |
$5K |
| 0296T |
|
367 |
311 |
$5K |
| A0425 |
Ground mileage |
273 |
228 |
$5K |
| 87086 |
|
5,968 |
5,149 |
$4K |
| 80320 |
|
2,926 |
2,441 |
$4K |
| 0002A |
|
110 |
110 |
$4K |
| 82962 |
|
6,752 |
3,130 |
$3K |
| 81001 |
|
18,705 |
15,554 |
$3K |
| 0001A |
|
126 |
124 |
$3K |
| 93242 |
|
35 |
30 |
$3K |
| 96372 |
|
5,789 |
4,122 |
$3K |
| 83036 |
|
1,628 |
1,498 |
$3K |
| 72100 |
|
552 |
495 |
$3K |
| 71260 |
|
141 |
134 |
$3K |
| 99203 |
|
38 |
36 |
$2K |
| 93010 |
|
559 |
491 |
$2K |
| 90471 |
|
763 |
677 |
$2K |
| 99070 |
|
521 |
397 |
$2K |
| 83605 |
|
3,056 |
2,403 |
$2K |
| 85610 |
|
3,888 |
3,121 |
$2K |
| 93970 |
|
15 |
14 |
$2K |
| G2066 |
Inter devc remote 30d |
117 |
96 |
$2K |
| 93296 |
|
93 |
81 |
$2K |
| 73030 |
|
592 |
516 |
$2K |
| 76770 |
|
12 |
12 |
$2K |
| 77066 |
Tomosynthesis, mammo |
50 |
45 |
$2K |
| 87491 |
|
1,509 |
1,308 |
$2K |
| 86900 |
|
1,166 |
1,032 |
$2K |
| 83690 |
|
7,373 |
6,151 |
$2K |
| 96374 |
|
10,815 |
8,946 |
$2K |
| 86850 |
|
684 |
605 |
$2K |
| 83735 |
|
3,985 |
2,833 |
$1K |
| J7040 |
Normal saline solution infus |
10,257 |
6,644 |
$1K |
| 73610 |
|
581 |
512 |
$1K |
| 87081 |
|
3,048 |
2,734 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,870 |
5,935 |
$1K |
| 97116 |
|
19 |
12 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,638 |
3,899 |
$1K |
| 73630 |
|
542 |
458 |
$1K |
| 90686 |
|
58 |
51 |
$1K |
| 73564 |
|
502 |
409 |
$920.91 |
| 86901 |
|
1,165 |
1,031 |
$886.35 |
| 82306 |
|
87 |
82 |
$854.51 |
| 84702 |
|
1,187 |
1,018 |
$850.99 |
| A0427 |
Als1-emergency |
15 |
13 |
$818.48 |
| 82803 |
|
1,914 |
1,527 |
$788.86 |
| 86140 |
|
672 |
582 |
$749.39 |
| 73130 |
|
364 |
320 |
$748.50 |
| 96375 |
|
9,265 |
6,965 |
$737.41 |
| 84145 |
|
58 |
55 |
$683.02 |
| J1885 |
Ketorolac tromethamine inj |
6,563 |
5,487 |
$681.95 |
| 87804 |
|
2,891 |
2,441 |
$680.67 |
| 82607 |
|
79 |
75 |
$665.44 |
| 10060 |
|
18 |
13 |
$655.36 |
| 85007 |
|
1,235 |
892 |
$639.88 |
| 82565 |
|
405 |
356 |
$609.71 |
| 87880 |
|
4,374 |
3,919 |
$596.31 |
| A0429 |
Bls-emergency |
15 |
13 |
$546.70 |
| 93976 |
|
131 |
118 |
$485.54 |
| 85014 |
|
1,385 |
1,167 |
$458.10 |
| U0005 |
Infec agen detec ampli probe |
216 |
173 |
$451.49 |
| J1100 |
Dexamethasone sodium phos |
4,242 |
2,938 |
$449.62 |
| 72070 |
|
14 |
14 |
$444.79 |
| G0008 |
Admin influenza virus vac |
49 |
42 |
$437.42 |
| 87186 |
|
1,589 |
1,351 |
$426.75 |
| J2270 |
Morphine sulfate injection |
3,663 |
2,662 |
$424.23 |
| 94664 |
|
324 |
248 |
$423.48 |
| 87077 |
|
590 |
486 |
$411.39 |
| J7120 |
Ringers lactate infusion |
3,505 |
2,787 |
$369.14 |
| 87210 |
|
1,186 |
1,033 |
$364.48 |
| A0428 |
Bls |
42 |
36 |
$329.76 |
| 84439 |
|
181 |
158 |
$324.33 |
| 83615 |
|
2,108 |
1,361 |
$319.78 |
| 85730 |
|
762 |
665 |
$289.17 |
| 81025 |
|
1,545 |
1,408 |
$287.37 |
| J3010 |
Fentanyl citrate injection |
2,464 |
1,876 |
$263.72 |
| Q0162 |
Ondansetron oral |
1,380 |
1,129 |
$250.57 |
| J1170 |
Hydromorphone injection |
2,108 |
1,409 |
$207.89 |
| 85651 |
|
445 |
401 |
$193.89 |
| J2060 |
Lorazepam injection |
1,231 |
771 |
$192.98 |
| J1200 |
Diphenhydramine hcl injectio |
1,561 |
1,268 |
$189.63 |
| 87807 |
|
677 |
588 |
$176.37 |
| 74022 |
|
75 |
64 |
$171.48 |
| J0696 |
Ceftriaxone sodium injection |
1,630 |
1,267 |
$159.39 |
| 87147 |
|
733 |
642 |
$158.64 |
| 82550 |
|
404 |
337 |
$148.92 |
| Q0163 |
Diphenhydramine hcl 50mg |
998 |
657 |
$142.97 |
| 81015 |
|
159 |
148 |
$136.18 |
| J2550 |
Promethazine hcl injection |
920 |
699 |
$135.86 |
| J7030 |
Normal saline solution infus |
2,799 |
2,161 |
$133.52 |
| J1815 |
Insulin injection |
924 |
376 |
$133.09 |
| 87088 |
|
562 |
497 |
$112.12 |
| J2250 |
Inj midazolam hydrochloride |
1,100 |
952 |
$110.78 |
| 73110 |
|
85 |
71 |
$108.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
938 |
720 |
$99.43 |
| 87389 |
|
43 |
42 |
$97.87 |
| 84703 |
|
108 |
101 |
$96.63 |
| S0028 |
Injection, famotidine, 20 mg |
104 |
62 |
$91.48 |
| 73590 |
|
34 |
24 |
$89.86 |
| J0690 |
Cefazolin sodium injection |
736 |
598 |
$68.59 |
| J3475 |
Inj magnesium sulfate |
490 |
290 |
$62.84 |
| 82947 |
|
77 |
73 |
$59.01 |
| J1644 |
Inj heparin sodium per 1000u |
442 |
178 |
$57.97 |
| 73502 |
|
47 |
38 |
$57.88 |
| J2001 |
Lidocaine injection |
459 |
363 |
$55.50 |
| 81003 |
|
140 |
126 |
$54.71 |
| J2765 |
Metoclopramide hcl injection |
418 |
325 |
$54.10 |
| 36600 |
|
14 |
12 |
$52.16 |
| J0780 |
Prochlorperazine injection |
356 |
315 |
$49.62 |
| J7050 |
Normal saline solution infus |
431 |
253 |
$48.87 |
| 86803 |
|
27 |
27 |
$36.33 |
| J2930 |
Methylprednisolone injection |
290 |
230 |
$33.37 |
| 84100 |
|
188 |
152 |
$33.06 |
| 84132 |
|
170 |
122 |
$26.59 |
| 80143 |
|
108 |
82 |
$26.58 |
| 87340 |
|
25 |
25 |
$26.09 |
| 86592 |
|
44 |
42 |
$26.09 |
| J3480 |
Inj potassium chloride |
129 |
70 |
$23.88 |
| J1790 |
Droperidol injection |
164 |
143 |
$22.72 |
| J1650 |
Inj enoxaparin sodium |
346 |
162 |
$21.65 |
| 87184 |
|
104 |
93 |
$21.46 |
| S0164 |
Injection pantroprazole |
90 |
54 |
$16.69 |
| 85652 |
|
16 |
15 |
$15.68 |
| J7620 |
Albuterol ipratrop non-comp |
94 |
77 |
$14.26 |
| 80179 |
|
108 |
82 |
$13.30 |
| J7613 |
Albuterol non-comp unit |
65 |
55 |
$11.86 |
| 82570 |
|
14 |
12 |
$10.84 |
| 87205 |
|
120 |
93 |
$8.71 |
| 87070 |
|
83 |
68 |
$8.70 |
| J1630 |
Haloperidol injection |
46 |
30 |
$6.25 |
| C9113 |
Inj pantoprazole sodium, via |
52 |
34 |
$5.29 |
| 96376 |
|
2,849 |
1,906 |
$1.66 |
| A4216 |
Sterile water/saline, 10 ml |
2,328 |
983 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
18 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
18 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
231 |
205 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
46 |
30 |
$0.00 |
| 87811 |
|
28 |
25 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
27 |
24 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
13 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
17 |
12 |
$0.00 |
| 84295 |
|
15 |
14 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,340 |
1,111 |
$0.00 |
| 87661 |
|
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
182 |
163 |
$0.00 |
| 82330 |
|
16 |
15 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
20 |
12 |
$0.00 |
| G1011 |
Cdsm qualified nos |
15 |
13 |
$0.00 |