| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
20,450 |
18,340 |
$3.58M |
| 99284 |
|
16,828 |
14,586 |
$3.02M |
| 96361 |
|
8,256 |
6,990 |
$2.38M |
| 99285 |
|
10,563 |
9,168 |
$2.00M |
| 99282 |
|
6,462 |
5,942 |
$1.04M |
| 74177 |
|
4,299 |
3,959 |
$965K |
| 97110 |
|
12,596 |
3,443 |
$675K |
| 70450 |
|
3,324 |
3,000 |
$537K |
| 0241U |
|
6,307 |
5,816 |
$422K |
| 96360 |
|
2,223 |
2,027 |
$334K |
| 74176 |
|
1,497 |
1,371 |
$286K |
| 96366 |
|
1,143 |
1,003 |
$282K |
| 71275 |
|
1,239 |
1,168 |
$255K |
| 76705 |
|
2,005 |
1,899 |
$212K |
| 96365 |
|
3,040 |
2,582 |
$205K |
| 76830 |
|
1,331 |
1,264 |
$150K |
| 97162 |
|
877 |
841 |
$137K |
| 94640 |
|
1,820 |
1,581 |
$124K |
| 72148 |
|
552 |
527 |
$123K |
| 93306 |
|
461 |
442 |
$118K |
| 77067 |
|
1,962 |
1,910 |
$108K |
| 99281 |
|
701 |
601 |
$107K |
| 80307 |
|
2,702 |
2,379 |
$105K |
| 97161 |
|
812 |
759 |
$78K |
| 80053 |
|
19,169 |
15,929 |
$71K |
| 76816 |
|
628 |
586 |
$67K |
| 99291 |
|
285 |
270 |
$62K |
| 43239 |
|
141 |
133 |
$57K |
| 71046 |
|
5,082 |
4,666 |
$51K |
| 93971 |
|
500 |
457 |
$49K |
| 99220 |
|
1,041 |
324 |
$45K |
| 71260 |
|
709 |
665 |
$38K |
| 73630 |
|
1,891 |
1,667 |
$36K |
| 76805 |
|
304 |
294 |
$35K |
| 93005 |
|
14,694 |
11,711 |
$34K |
| 45385 |
|
42 |
42 |
$32K |
| 80048 |
|
7,107 |
5,765 |
$31K |
| 96374 |
|
13,360 |
11,111 |
$29K |
| 76536 |
|
225 |
219 |
$25K |
| 97112 |
|
537 |
288 |
$22K |
| G0480 |
Drug test def 1-7 classes |
1,989 |
1,653 |
$22K |
| 74018 |
|
1,066 |
983 |
$20K |
| 94060 |
|
223 |
217 |
$20K |
| 72125 |
|
1,092 |
1,000 |
$18K |
| 70496 |
|
58 |
58 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
963 |
869 |
$16K |
| 73610 |
|
1,270 |
1,168 |
$16K |
| 71045 |
|
7,325 |
6,314 |
$16K |
| 70553 |
|
43 |
40 |
$15K |
| 83880 |
|
2,010 |
1,791 |
$15K |
| 72100 |
|
778 |
727 |
$15K |
| 71250 |
|
214 |
201 |
$14K |
| 10060 |
|
63 |
55 |
$14K |
| 93010 |
|
2,790 |
2,203 |
$14K |
| 76817 |
|
192 |
174 |
$12K |
| 84484 |
|
9,375 |
6,962 |
$11K |
| J8597 |
Antiemetic drug oral nos |
1,834 |
1,605 |
$11K |
| 87636 |
|
725 |
659 |
$11K |
| 87040 |
|
1,618 |
1,183 |
$9K |
| 80047 |
|
2,230 |
2,041 |
$7K |
| 73030 |
|
669 |
602 |
$7K |
| 96375 |
|
10,595 |
8,261 |
$7K |
| 73564 |
|
963 |
804 |
$7K |
| 94726 |
|
152 |
148 |
$7K |
| 70551 |
|
42 |
41 |
$7K |
| 87591 |
|
748 |
702 |
$7K |
| 94729 |
|
174 |
169 |
$7K |
| 73130 |
|
719 |
646 |
$7K |
| 73721 |
|
28 |
27 |
$7K |
| J3490 |
Drugs unclassified injection |
22,855 |
12,534 |
$6K |
| 72141 |
|
25 |
24 |
$6K |
| 85025 |
|
25,322 |
20,027 |
$6K |
| 90715 |
|
270 |
257 |
$5K |
| 12001 |
|
25 |
24 |
$5K |
| 82565 |
|
1,202 |
1,122 |
$5K |
| 97014 |
|
123 |
56 |
$4K |
| 70491 |
|
12 |
12 |
$4K |
| 70498 |
|
97 |
97 |
$4K |
| 85610 |
|
2,481 |
1,839 |
$3K |
| 83605 |
|
2,669 |
2,230 |
$3K |
| 99234 |
|
372 |
92 |
$3K |
| 85379 |
|
890 |
823 |
$3K |
| 96372 |
|
3,282 |
2,628 |
$3K |
| 71271 |
|
27 |
27 |
$3K |
| 36415 |
|
5,736 |
4,130 |
$2K |
| 81025 |
|
3,908 |
3,563 |
$2K |
| 97163 |
|
12 |
12 |
$2K |
| 82962 |
|
4,552 |
2,568 |
$2K |
| 90471 |
|
416 |
363 |
$2K |
| 84703 |
|
3,338 |
3,052 |
$2K |
| 81001 |
|
9,378 |
8,260 |
$1K |
| 73110 |
|
258 |
236 |
$1K |
| 87086 |
|
3,303 |
2,993 |
$1K |
| 87491 |
|
745 |
700 |
$1K |
| J2405 |
Ondansetron hcl injection |
8,789 |
7,165 |
$1K |
| 76815 |
|
13 |
13 |
$1K |
| 83036 |
|
207 |
184 |
$940.30 |
| 70486 |
|
12 |
12 |
$828.09 |
| 83690 |
|
6,100 |
5,205 |
$777.67 |
| 80076 |
|
347 |
321 |
$739.41 |
| 87635 |
|
33 |
32 |
$713.41 |
| J7030 |
Normal saline solution infus |
6,085 |
4,703 |
$691.37 |
| 88305 |
|
936 |
687 |
$603.78 |
| 83735 |
|
4,348 |
3,617 |
$548.14 |
| 84702 |
|
579 |
468 |
$544.69 |
| 85014 |
|
2,330 |
2,124 |
$531.69 |
| 80306 |
|
357 |
326 |
$490.64 |
| J7120 |
Ringers lactate infusion |
3,203 |
2,698 |
$469.57 |
| 80179 |
|
74 |
65 |
$466.28 |
| 87880 |
|
1,619 |
1,566 |
$464.74 |
| 72131 |
|
12 |
12 |
$434.26 |
| J1885 |
Ketorolac tromethamine inj |
5,607 |
4,832 |
$420.19 |
| 73590 |
|
76 |
68 |
$401.96 |
| J3010 |
Fentanyl citrate injection |
5,757 |
4,362 |
$398.15 |
| 80143 |
|
106 |
93 |
$394.23 |
| 85027 |
|
155 |
129 |
$389.61 |
| 82803 |
|
445 |
403 |
$388.78 |
| 96376 |
|
4,048 |
2,706 |
$381.59 |
| 86900 |
|
427 |
373 |
$365.15 |
| 73502 |
|
56 |
51 |
$363.43 |
| 87804 |
|
1,332 |
1,129 |
$358.86 |
| J2704 |
Inj, propofol, 10 mg |
3,634 |
3,020 |
$358.81 |
| 81003 |
|
3,568 |
3,240 |
$356.60 |
| 87186 |
|
1,515 |
1,307 |
$325.65 |
| 77063 |
|
13 |
13 |
$321.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,553 |
6,882 |
$243.86 |
| 87210 |
|
401 |
375 |
$207.33 |
| 36416 |
|
201 |
142 |
$200.81 |
| 86850 |
|
304 |
258 |
$193.93 |
| 74022 |
|
42 |
38 |
$189.30 |
| J2270 |
Morphine sulfate injection |
3,049 |
2,216 |
$189.02 |
| 87077 |
|
1,028 |
867 |
$177.09 |
| 86140 |
|
1,046 |
938 |
$164.05 |
| 84443 |
|
168 |
155 |
$155.34 |
| J1200 |
Diphenhydramine hcl injectio |
2,353 |
1,755 |
$148.72 |
| 86901 |
|
540 |
471 |
$138.71 |
| 87502 |
|
13 |
13 |
$136.97 |
| J1650 |
Inj enoxaparin sodium |
390 |
173 |
$132.82 |
| 87081 |
|
1,304 |
1,263 |
$129.63 |
| J2001 |
Lidocaine injection |
413 |
364 |
$124.16 |
| J1100 |
Dexamethasone sodium phos |
2,393 |
2,158 |
$119.09 |
| 73140 |
|
12 |
12 |
$111.91 |
| J0696 |
Ceftriaxone sodium injection |
1,985 |
1,532 |
$103.98 |
| 85652 |
|
1,033 |
935 |
$91.72 |
| 85730 |
|
501 |
452 |
$66.03 |
| J7050 |
Normal saline solution infus |
1,373 |
828 |
$64.95 |
| J2250 |
Inj midazolam hydrochloride |
907 |
772 |
$57.33 |
| J1170 |
Hydromorphone injection |
1,333 |
741 |
$52.16 |
| J8499 |
Oral prescrip drug non chemo |
15,437 |
3,962 |
$44.08 |
| G0378 |
Hospital observation per hr |
35 |
29 |
$43.82 |
| 82550 |
|
201 |
181 |
$43.08 |
| J2060 |
Lorazepam injection |
356 |
257 |
$41.06 |
| J2550 |
Promethazine hcl injection |
344 |
266 |
$39.29 |
| 87426 |
|
108 |
107 |
$37.88 |
| J2930 |
Methylprednisolone injection |
254 |
210 |
$35.16 |
| J7512 |
Prednisone ir or dr oral 1mg |
475 |
382 |
$33.87 |
| J3475 |
Inj magnesium sulfate |
929 |
794 |
$27.42 |
| A9585 |
Gadobutrol injection |
93 |
87 |
$23.10 |
| J2765 |
Metoclopramide hcl injection |
586 |
486 |
$20.24 |
| J1790 |
Droperidol injection |
765 |
656 |
$20.04 |
| J0780 |
Prochlorperazine injection |
394 |
353 |
$18.60 |
| S0164 |
Injection pantroprazole |
110 |
85 |
$9.53 |
| U0005 |
Infec agen detec ampli probe |
46 |
43 |
$9.49 |
| J1815 |
Insulin injection |
36 |
24 |
$3.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
13 |
12 |
$2.44 |
| J1630 |
Haloperidol injection |
14 |
12 |
$2.43 |
| J3411 |
Thiamine hcl 100 mg |
21 |
12 |
$1.78 |
| S0028 |
Injection, famotidine, 20 mg |
215 |
202 |
$1.78 |
| J7040 |
Normal saline solution infus |
232 |
213 |
$1.68 |
| A9579 |
Gad-base mr contrast nos,1ml |
627 |
588 |
$0.00 |
| 94644 |
|
57 |
54 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
167 |
144 |
$0.00 |
| J7999 |
Compounded drug, noc |
450 |
344 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
360 |
298 |
$0.00 |
| P9612 |
Catheterize for urine spec |
29 |
25 |
$0.00 |
| 84132 |
|
28 |
25 |
$0.00 |
| 87807 |
|
29 |
28 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
22 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
54 |
51 |
$0.00 |
| J3480 |
Inj potassium chloride |
48 |
38 |
$0.00 |
| 96368 |
|
27 |
26 |
$0.00 |
| 87088 |
|
20 |
18 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,432 |
1,882 |
$0.00 |
| G8978 |
Mobility current status |
17 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
73 |
56 |
$0.00 |
| 94664 |
|
92 |
79 |
$0.00 |
| A4649 |
Surgical supplies |
209 |
151 |
$0.00 |
| G8979 |
Mobility goal status |
22 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
93 |
60 |
$0.00 |
| 82272 |
|
14 |
12 |
$0.00 |
| 96367 |
|
14 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
13 |
$0.00 |