| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
36,046 |
30,573 |
$5.81M |
| 99283 |
|
32,317 |
28,546 |
$5.75M |
| 99285 |
|
18,353 |
15,390 |
$2.70M |
| 71045 |
|
15,350 |
12,594 |
$1.98M |
| 93005 |
|
21,930 |
17,830 |
$1.44M |
| 0241U |
|
9,395 |
8,544 |
$1.14M |
| 97110 |
|
14,870 |
2,687 |
$1.08M |
| 45380 |
|
511 |
400 |
$1.07M |
| C9803 |
Hopd covid-19 spec collect |
11,802 |
10,173 |
$812K |
| 71046 |
|
5,876 |
5,041 |
$787K |
| 43239 |
|
691 |
513 |
$682K |
| 99211 |
|
7,552 |
4,203 |
$633K |
| 99282 |
|
3,215 |
2,932 |
$519K |
| 99232 |
|
1,711 |
562 |
$514K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,306 |
1,915 |
$497K |
| 80050 |
|
2,889 |
2,662 |
$436K |
| 70450 |
|
3,319 |
2,782 |
$384K |
| 96413 |
|
2,549 |
1,003 |
$350K |
| 76816 |
|
2,039 |
1,743 |
$313K |
| 96361 |
|
5,863 |
4,416 |
$309K |
| 74177 |
|
716 |
602 |
$269K |
| 85025 |
|
58,449 |
42,572 |
$237K |
| 80053 |
|
41,263 |
30,230 |
$233K |
| 96372 |
|
14,267 |
9,323 |
$231K |
| 87631 |
|
2,947 |
2,730 |
$223K |
| 36415 |
|
104,616 |
70,968 |
$205K |
| 90899 |
|
1,622 |
243 |
$198K |
| 96374 |
|
15,194 |
12,564 |
$187K |
| 87591 |
|
5,405 |
4,855 |
$157K |
| 87491 |
|
5,386 |
4,841 |
$156K |
| 99281 |
|
886 |
813 |
$156K |
| 97140 |
|
10,042 |
1,935 |
$128K |
| 87635 |
|
3,460 |
2,707 |
$124K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,659 |
1,527 |
$121K |
| 82306 |
|
6,966 |
6,258 |
$120K |
| 80061 |
|
14,293 |
12,830 |
$117K |
| 87651 |
|
4,262 |
3,909 |
$111K |
| 80048 |
|
25,207 |
17,427 |
$107K |
| 81025 |
|
19,332 |
16,663 |
$105K |
| 74176 |
|
485 |
329 |
$102K |
| 84484 |
|
10,176 |
7,792 |
$89K |
| 92557 |
|
801 |
669 |
$88K |
| G0463 |
Hospital outpt clinic visit |
2,498 |
1,132 |
$82K |
| 11042 |
|
82 |
42 |
$75K |
| 93306 |
|
258 |
210 |
$69K |
| 76805 |
|
307 |
281 |
$67K |
| 95810 |
|
29 |
24 |
$64K |
| 84443 |
|
7,128 |
6,328 |
$63K |
| 81001 |
|
29,924 |
25,123 |
$58K |
| 85027 |
|
14,323 |
10,068 |
$53K |
| 83036 |
|
9,160 |
7,997 |
$53K |
| 45385 |
|
48 |
38 |
$49K |
| 99220 |
|
300 |
79 |
$46K |
| 87637 |
|
311 |
305 |
$43K |
| 83735 |
|
12,213 |
6,952 |
$39K |
| 96375 |
|
9,541 |
6,842 |
$37K |
| 87624 |
|
1,456 |
1,311 |
$37K |
| 97112 |
|
6,756 |
1,404 |
$36K |
| 83690 |
|
10,221 |
8,360 |
$35K |
| 99213 |
|
380 |
101 |
$33K |
| 95811 |
|
21 |
14 |
$32K |
| 92567 |
|
1,318 |
1,125 |
$29K |
| 87086 |
|
4,835 |
3,960 |
$26K |
| 87804 |
|
1,803 |
995 |
$25K |
| 80076 |
|
5,476 |
4,693 |
$24K |
| 88142 |
|
2,207 |
1,980 |
$24K |
| 76818 |
|
253 |
115 |
$22K |
| U0005 |
Infec agen detec ampli probe |
1,048 |
976 |
$22K |
| 73560 |
|
637 |
455 |
$20K |
| 96365 |
|
849 |
501 |
$20K |
| 96523 |
|
386 |
252 |
$17K |
| 87389 |
|
807 |
771 |
$17K |
| 80307 |
|
836 |
451 |
$17K |
| 83880 |
|
856 |
677 |
$14K |
| 72125 |
|
87 |
61 |
$14K |
| 73564 |
|
255 |
177 |
$14K |
| 90853 |
|
1,238 |
218 |
$14K |
| 88305 |
|
1,747 |
1,406 |
$13K |
| 77067 |
|
76 |
72 |
$13K |
| 86780 |
|
989 |
927 |
$12K |
| 83970 |
|
684 |
574 |
$12K |
| 83655 |
|
949 |
884 |
$12K |
| 97010 |
|
650 |
114 |
$11K |
| 82728 |
|
1,457 |
1,146 |
$11K |
| 82607 |
|
983 |
914 |
$11K |
| 94640 |
|
920 |
506 |
$10K |
| 84439 |
|
1,195 |
1,100 |
$10K |
| 97530 |
|
1,549 |
427 |
$10K |
| M0243 |
Casirivi and imdevi inj |
63 |
54 |
$9K |
| 82043 |
|
2,343 |
2,134 |
$9K |
| 97161 |
|
150 |
103 |
$8K |
| 80074 |
|
167 |
161 |
$7K |
| 96376 |
|
2,323 |
774 |
$7K |
| 87150 |
|
228 |
213 |
$7K |
| 83550 |
|
1,445 |
1,129 |
$7K |
| 73630 |
|
172 |
124 |
$7K |
| 87880 |
|
669 |
453 |
$7K |
| 85610 |
|
3,518 |
2,572 |
$7K |
| 85730 |
|
2,242 |
1,774 |
$6K |
| 83540 |
|
1,507 |
1,187 |
$5K |
| 82570 |
|
1,376 |
1,284 |
$5K |
| 86850 |
|
834 |
758 |
$5K |
| 86762 |
|
360 |
334 |
$5K |
| 87340 |
|
565 |
531 |
$4K |
| 96417 |
|
52 |
24 |
$3K |
| 70486 |
|
14 |
12 |
$3K |
| 77063 |
|
61 |
60 |
$3K |
| 84702 |
|
374 |
316 |
$3K |
| 93017 |
|
32 |
26 |
$3K |
| 87807 |
|
211 |
90 |
$3K |
| 99212 |
|
24 |
12 |
$3K |
| 96366 |
|
120 |
42 |
$2K |
| 82077 |
|
213 |
166 |
$2K |
| Q5106 |
Inj retacrit non-esrd use |
261 |
98 |
$2K |
| 84100 |
|
945 |
815 |
$2K |
| 86901 |
|
807 |
735 |
$2K |
| 86900 |
|
780 |
708 |
$2K |
| 86140 |
|
721 |
648 |
$2K |
| 82947 |
|
626 |
503 |
$2K |
| 97162 |
|
16 |
13 |
$2K |
| 97535 |
|
30 |
13 |
$2K |
| 87502 |
|
38 |
26 |
$1K |
| 73030 |
|
34 |
29 |
$1K |
| 85652 |
|
735 |
663 |
$1K |
| 96367 |
|
61 |
24 |
$1K |
| 73502 |
|
17 |
17 |
$937.33 |
| 74022 |
|
13 |
12 |
$914.60 |
| 87040 |
|
72 |
52 |
$854.50 |
| 87808 |
|
90 |
79 |
$769.62 |
| 80069 |
|
173 |
150 |
$761.86 |
| 83605 |
|
96 |
85 |
$739.10 |
| 70360 |
|
12 |
12 |
$680.04 |
| 85379 |
|
119 |
93 |
$665.46 |
| 72100 |
|
28 |
25 |
$656.02 |
| 88175 |
|
58 |
54 |
$615.76 |
| 97116 |
|
81 |
36 |
$559.38 |
| 84145 |
|
30 |
25 |
$540.32 |
| 87081 |
|
86 |
80 |
$503.92 |
| 84550 |
|
155 |
141 |
$441.82 |
| 92588 |
|
12 |
12 |
$372.92 |
| 87210 |
|
134 |
120 |
$323.31 |
| 84153 |
|
26 |
24 |
$284.65 |
| 82950 |
|
62 |
56 |
$283.83 |
| J1453 |
Fosaprepitant injection |
40 |
12 |
$277.50 |
| 82962 |
|
226 |
159 |
$250.48 |
| 84156 |
|
90 |
84 |
$228.27 |
| 83615 |
|
77 |
52 |
$205.85 |
| 90471 |
|
13 |
13 |
$198.45 |
| 82565 |
|
111 |
101 |
$188.95 |
| 82105 |
|
12 |
12 |
$186.46 |
| 85018 |
|
210 |
164 |
$174.89 |
| J1650 |
Inj enoxaparin sodium |
3,096 |
1,089 |
$170.50 |
| J2704 |
Inj, propofol, 10 mg |
1,289 |
962 |
$88.58 |
| 84207 |
|
15 |
12 |
$70.74 |
| 82550 |
|
16 |
16 |
$70.20 |
| 87077 |
|
27 |
13 |
$58.98 |
| 82746 |
|
17 |
13 |
$56.43 |
| 87186 |
|
26 |
12 |
$54.50 |
| 86592 |
|
41 |
37 |
$51.63 |
| G0378 |
Hospital observation per hr |
85 |
25 |
$17.14 |
| 85014 |
|
142 |
96 |
$13.73 |
| J1885 |
Ketorolac tromethamine inj |
6,575 |
5,442 |
$6.07 |
| J2405 |
Ondansetron hcl injection |
5,323 |
3,872 |
$4.82 |
| J2270 |
Morphine sulfate injection |
1,301 |
897 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
956 |
508 |
$0.00 |
| G1004 |
Cdsm ndsc |
81 |
64 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
49 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
272 |
243 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$0.00 |
| 77003 |
|
15 |
14 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
170 |
98 |
$0.00 |
| C1760 |
Closure dev, vasc |
54 |
24 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
26 |
25 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
16 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
480 |
260 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
663 |
532 |
$0.00 |
| J3420 |
Vitamin b12 injection |
279 |
195 |
$0.00 |
| C1769 |
Guide wire |
56 |
37 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
412 |
328 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
34 |
34 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
403 |
177 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
40 |
27 |
$0.00 |
| J0500 |
Dicyclomine injection |
71 |
54 |
$0.00 |
| 36591 |
|
22 |
12 |
$0.00 |
| 84703 |
|
44 |
24 |
$0.00 |