| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,912 |
16,541 |
$2.04M |
| 99284 |
|
14,842 |
13,021 |
$1.55M |
| 97110 |
|
11,209 |
2,744 |
$1.34M |
| 92507 |
|
6,558 |
1,320 |
$1.13M |
| 96361 |
|
4,208 |
3,591 |
$717K |
| 99285 |
|
6,577 |
5,670 |
$614K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,618 |
3,176 |
$512K |
| 74177 |
|
2,119 |
1,916 |
$479K |
| 97530 |
|
5,420 |
1,437 |
$415K |
| 70450 |
|
2,903 |
2,496 |
$396K |
| 74176 |
|
1,726 |
1,489 |
$358K |
| 99282 |
|
2,648 |
2,501 |
$298K |
| 80053 |
|
16,355 |
13,575 |
$286K |
| 96360 |
|
1,116 |
1,001 |
$252K |
| 96372 |
|
3,309 |
2,822 |
$200K |
| 96375 |
|
4,079 |
3,283 |
$189K |
| 96365 |
|
1,745 |
1,192 |
$167K |
| 81025 |
|
3,753 |
3,400 |
$141K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,311 |
1,160 |
$131K |
| 96374 |
|
5,991 |
5,130 |
$125K |
| 88305 |
|
1,156 |
900 |
$97K |
| 71045 |
|
7,926 |
6,903 |
$93K |
| 80048 |
|
4,771 |
3,896 |
$84K |
| 85025 |
|
20,263 |
16,163 |
$83K |
| 97112 |
|
1,284 |
545 |
$82K |
| 81001 |
|
9,777 |
8,594 |
$72K |
| 94640 |
|
1,328 |
1,145 |
$72K |
| 82947 |
|
3,511 |
1,579 |
$71K |
| 80307 |
|
1,437 |
1,267 |
$70K |
| 71046 |
|
1,434 |
1,312 |
$62K |
| 87880 |
|
1,082 |
1,054 |
$59K |
| J7030 |
Normal saline solution infus |
6,335 |
4,580 |
$58K |
| 87631 |
|
326 |
308 |
$57K |
| 71275 |
|
234 |
208 |
$57K |
| 93005 |
|
7,636 |
6,398 |
$56K |
| 84484 |
|
5,818 |
4,126 |
$55K |
| 87636 |
|
2,594 |
2,406 |
$54K |
| 87502 |
|
471 |
438 |
$49K |
| G0378 |
Hospital observation per hr |
2,251 |
850 |
$46K |
| 87637 |
|
2,590 |
2,455 |
$46K |
| 93306 |
|
521 |
454 |
$43K |
| 87804 |
|
2,466 |
1,296 |
$43K |
| 99281 |
|
446 |
403 |
$42K |
| 72125 |
|
304 |
258 |
$41K |
| 87807 |
|
234 |
230 |
$37K |
| 36415 |
|
4,097 |
3,195 |
$36K |
| 74018 |
|
744 |
721 |
$35K |
| 97161 |
|
160 |
155 |
$34K |
| J2405 |
Ondansetron hcl injection |
4,514 |
3,550 |
$33K |
| 43239 |
|
530 |
477 |
$33K |
| J7120 |
Ringers lactate infusion |
1,810 |
1,494 |
$32K |
| 73630 |
|
552 |
511 |
$29K |
| 73610 |
|
467 |
432 |
$29K |
| 86901 |
|
810 |
718 |
$28K |
| 81003 |
|
2,463 |
2,227 |
$27K |
| 87086 |
|
3,966 |
3,509 |
$27K |
| 85610 |
|
5,277 |
4,360 |
$27K |
| 83605 |
|
3,038 |
2,412 |
$27K |
| 97162 |
|
153 |
143 |
$23K |
| 01999 |
|
1,307 |
1,233 |
$22K |
| 83690 |
|
4,262 |
3,675 |
$22K |
| 96376 |
|
1,301 |
803 |
$21K |
| 80050 |
|
576 |
550 |
$20K |
| 85730 |
|
3,968 |
3,446 |
$20K |
| 87186 |
|
1,377 |
1,168 |
$19K |
| 97140 |
|
901 |
298 |
$19K |
| 80061 |
|
4,472 |
3,969 |
$19K |
| J3010 |
Fentanyl citrate injection |
707 |
584 |
$18K |
| 73130 |
|
382 |
333 |
$17K |
| 73564 |
|
513 |
434 |
$17K |
| 87040 |
|
2,438 |
1,525 |
$16K |
| 71260 |
|
140 |
125 |
$16K |
| J2270 |
Morphine sulfate injection |
2,872 |
2,181 |
$15K |
| 83735 |
|
2,960 |
2,418 |
$14K |
| 72100 |
|
308 |
280 |
$14K |
| 92523 |
|
63 |
62 |
$12K |
| 84702 |
|
837 |
649 |
$12K |
| 76856 |
|
202 |
177 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
2,970 |
2,556 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
639 |
478 |
$10K |
| 0202U |
|
44 |
44 |
$10K |
| 73030 |
|
404 |
341 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
370 |
300 |
$10K |
| 84443 |
|
3,693 |
3,288 |
$10K |
| 83516 |
|
70 |
65 |
$9K |
| 84703 |
|
1,820 |
1,690 |
$9K |
| G1010 |
Cdsm stanson |
528 |
291 |
$9K |
| 99291 |
|
31 |
29 |
$8K |
| 45380 |
|
121 |
101 |
$8K |
| 73110 |
|
201 |
180 |
$8K |
| 87077 |
|
1,554 |
1,276 |
$7K |
| 76377 |
|
243 |
207 |
$7K |
| U0005 |
Infec agen detec ampli probe |
61 |
44 |
$6K |
| 83880 |
|
1,409 |
1,186 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,446 |
1,099 |
$6K |
| 77067 |
|
124 |
115 |
$5K |
| 72131 |
|
37 |
35 |
$5K |
| 93971 |
|
222 |
198 |
$5K |
| J7050 |
Normal saline solution infus |
440 |
288 |
$4K |
| 86900 |
|
813 |
718 |
$4K |
| 87491 |
|
510 |
472 |
$4K |
| 87634 |
|
72 |
69 |
$4K |
| 86850 |
|
200 |
177 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,095 |
952 |
$4K |
| 82306 |
|
1,345 |
1,215 |
$4K |
| 83036 |
|
3,061 |
2,721 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
245 |
195 |
$4K |
| 87591 |
|
497 |
466 |
$3K |
| 76705 |
|
104 |
98 |
$3K |
| 78452 |
|
14 |
12 |
$3K |
| J7040 |
Normal saline solution infus |
127 |
108 |
$2K |
| 93010 |
|
635 |
543 |
$2K |
| 97535 |
|
12 |
12 |
$2K |
| 97166 |
|
15 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
217 |
153 |
$2K |
| 85379 |
|
647 |
578 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
332 |
271 |
$1K |
| 85027 |
|
572 |
502 |
$1K |
| 76801 |
|
157 |
131 |
$1K |
| 82607 |
|
1,257 |
1,116 |
$1K |
| 82728 |
|
530 |
472 |
$1K |
| 80076 |
|
208 |
191 |
$1K |
| G0463 |
Hospital outpt clinic visit |
159 |
141 |
$1K |
| 73140 |
|
42 |
38 |
$1K |
| 84481 |
|
114 |
105 |
$973.93 |
| 84100 |
|
172 |
139 |
$970.46 |
| G0480 |
Drug test def 1-7 classes |
14 |
13 |
$948.76 |
| 93017 |
|
14 |
12 |
$813.29 |
| 86140 |
|
336 |
289 |
$806.13 |
| 84439 |
|
1,549 |
1,448 |
$746.31 |
| 77063 |
|
59 |
54 |
$722.29 |
| 97150 |
|
104 |
51 |
$673.12 |
| 76830 |
|
43 |
40 |
$659.57 |
| 82746 |
|
393 |
359 |
$582.74 |
| J2785 |
Regadenoson injection |
14 |
12 |
$576.58 |
| A9500 |
Tc99m sestamibi |
14 |
12 |
$576.58 |
| 94760 |
|
134 |
90 |
$573.75 |
| 80069 |
|
18 |
16 |
$569.52 |
| 84155 |
|
88 |
83 |
$538.31 |
| 82247 |
|
99 |
87 |
$521.24 |
| 84460 |
|
98 |
91 |
$516.14 |
| 82040 |
|
85 |
81 |
$516.14 |
| 84075 |
|
84 |
81 |
$516.14 |
| 87651 |
|
810 |
789 |
$495.85 |
| 97116 |
|
40 |
25 |
$443.34 |
| 83540 |
|
641 |
557 |
$404.51 |
| 82077 |
|
332 |
276 |
$342.87 |
| 85652 |
|
501 |
440 |
$304.47 |
| J2360 |
Orphenadrine injection |
191 |
173 |
$297.17 |
| 84550 |
|
100 |
95 |
$221.88 |
| 84466 |
|
411 |
366 |
$197.89 |
| 82565 |
|
111 |
99 |
$176.60 |
| 76817 |
|
29 |
25 |
$173.08 |
| 82550 |
|
90 |
78 |
$158.84 |
| J2930 |
Methylprednisolone injection |
109 |
98 |
$150.66 |
| J2765 |
Metoclopramide hcl injection |
77 |
65 |
$121.82 |
| 82043 |
|
138 |
126 |
$107.48 |
| 83550 |
|
55 |
46 |
$86.80 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
31 |
29 |
$65.95 |
| 82570 |
|
316 |
281 |
$65.30 |
| 84480 |
|
14 |
14 |
$59.87 |
| J7512 |
Prednisone ir or dr oral 1mg |
32 |
27 |
$43.86 |
| 90715 |
|
77 |
71 |
$43.57 |
| 84436 |
|
31 |
31 |
$24.19 |
| 86038 |
|
13 |
13 |
$23.39 |
| 82248 |
|
115 |
106 |
$21.54 |
| 87070 |
|
14 |
12 |
$8.35 |
| 85018 |
|
19 |
13 |
$5.64 |
| 87210 |
|
13 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
90 |
62 |
$0.00 |
| 87798 |
|
32 |
32 |
$0.00 |
| 83525 |
|
29 |
28 |
$0.00 |
| 85007 |
|
47 |
47 |
$0.00 |
| 87633 |
|
19 |
19 |
$0.00 |
| J2060 |
Lorazepam injection |
66 |
55 |
$0.00 |
| J1790 |
Droperidol injection |
12 |
12 |
$0.00 |
| 87486 |
|
32 |
32 |
$0.00 |
| 83527 |
|
26 |
25 |
$0.00 |
| 94762 |
|
48 |
43 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
17 |
14 |
$0.00 |