| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
49,350 |
46,801 |
$6.34M |
| 99284 |
|
50,537 |
47,030 |
$6.10M |
| 99285 |
|
15,412 |
13,924 |
$1.73M |
| 80053 |
|
65,282 |
58,129 |
$1.06M |
| 99282 |
|
7,655 |
7,263 |
$715K |
| 87631 |
|
7,726 |
7,187 |
$535K |
| 96361 |
|
2,354 |
2,158 |
$519K |
| 43239 |
|
1,276 |
1,176 |
$378K |
| 70450 |
|
1,708 |
1,582 |
$304K |
| 74177 |
|
1,513 |
1,448 |
$301K |
| 87635 |
|
5,083 |
4,870 |
$255K |
| 80320 |
|
4,117 |
3,583 |
$250K |
| 87636 |
|
10,833 |
10,407 |
$193K |
| G0378 |
Hospital observation per hr |
2,110 |
942 |
$142K |
| 82306 |
|
3,723 |
3,483 |
$141K |
| J8597 |
Antiemetic drug oral nos |
3,109 |
2,943 |
$141K |
| 83036 |
|
7,206 |
6,572 |
$130K |
| 97110 |
|
5,239 |
1,505 |
$114K |
| 87651 |
|
5,484 |
5,303 |
$111K |
| 85025 |
|
61,362 |
54,280 |
$108K |
| 84443 |
|
11,273 |
10,536 |
$105K |
| 96365 |
|
483 |
450 |
$97K |
| 80061 |
|
7,795 |
6,965 |
$97K |
| 82043 |
|
1,392 |
1,358 |
$76K |
| J3490 |
Drugs unclassified injection |
43,614 |
31,026 |
$72K |
| 84484 |
|
4,426 |
3,289 |
$70K |
| 80307 |
|
1,006 |
865 |
$65K |
| 80048 |
|
3,658 |
3,318 |
$65K |
| 11042 |
|
730 |
482 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
889 |
869 |
$57K |
| 86140 |
|
2,865 |
2,572 |
$52K |
| 87389 |
|
2,153 |
2,098 |
$52K |
| 87510 |
|
856 |
818 |
$43K |
| 87340 |
|
1,486 |
1,448 |
$36K |
| 45378 |
|
55 |
54 |
$36K |
| 83605 |
|
1,760 |
1,562 |
$35K |
| 81001 |
|
16,392 |
15,322 |
$34K |
| 84439 |
|
3,060 |
2,689 |
$32K |
| 82728 |
|
1,426 |
1,393 |
$31K |
| 86762 |
|
776 |
758 |
$29K |
| 74176 |
|
146 |
134 |
$29K |
| 87480 |
|
856 |
818 |
$27K |
| 87502 |
|
683 |
662 |
$27K |
| 76816 |
|
243 |
235 |
$23K |
| 45380 |
|
62 |
55 |
$23K |
| 86803 |
|
1,464 |
1,429 |
$23K |
| A0429 |
Bls-emergency |
1,456 |
1,239 |
$22K |
| 87660 |
|
856 |
818 |
$21K |
| 83880 |
|
412 |
375 |
$20K |
| 99212 |
|
187 |
173 |
$18K |
| 42820 |
|
12 |
12 |
$18K |
| 83540 |
|
1,406 |
1,380 |
$15K |
| S0028 |
Injection, famotidine, 20 mg |
1,756 |
1,606 |
$15K |
| A0427 |
Als1-emergency |
1,399 |
1,253 |
$15K |
| 85027 |
|
5,656 |
5,093 |
$15K |
| 83735 |
|
3,896 |
3,493 |
$15K |
| 96413 |
|
491 |
257 |
$15K |
| 80076 |
|
605 |
580 |
$14K |
| 80074 |
|
527 |
513 |
$14K |
| 97140 |
|
1,911 |
567 |
$13K |
| 84702 |
|
1,201 |
932 |
$12K |
| 85652 |
|
1,721 |
1,462 |
$12K |
| 86850 |
|
947 |
925 |
$11K |
| 82607 |
|
1,393 |
1,277 |
$10K |
| U0005 |
Infec agen detec ampli probe |
795 |
775 |
$10K |
| 70553 |
|
36 |
28 |
$10K |
| 96374 |
|
25,092 |
23,152 |
$9K |
| A0425 |
Ground mileage |
3,887 |
3,201 |
$9K |
| 83690 |
|
11,619 |
10,767 |
$8K |
| A0428 |
Bls |
473 |
431 |
$8K |
| 84153 |
|
452 |
431 |
$8K |
| 76805 |
|
85 |
80 |
$7K |
| 83550 |
|
1,068 |
1,048 |
$7K |
| 84403 |
|
588 |
562 |
$7K |
| 99211 |
|
113 |
80 |
$7K |
| 94640 |
|
97 |
76 |
$7K |
| 83001 |
|
512 |
494 |
$6K |
| 96360 |
|
27 |
26 |
$6K |
| 82670 |
|
359 |
338 |
$6K |
| 88305 |
|
3,047 |
2,181 |
$6K |
| J7120 |
Ringers lactate infusion |
3,381 |
3,064 |
$5K |
| 84481 |
|
1,382 |
1,088 |
$5K |
| 80306 |
|
3,766 |
3,348 |
$5K |
| 86431 |
|
210 |
207 |
$5K |
| 85610 |
|
1,643 |
1,468 |
$5K |
| 84156 |
|
306 |
255 |
$5K |
| 45385 |
|
12 |
12 |
$5K |
| 86900 |
|
969 |
943 |
$4K |
| 82247 |
|
492 |
270 |
$4K |
| 93005 |
|
12,648 |
10,392 |
$4K |
| 86769 |
|
93 |
92 |
$4K |
| 81003 |
|
2,906 |
2,709 |
$4K |
| 84146 |
|
340 |
321 |
$3K |
| 86706 |
|
197 |
193 |
$3K |
| 82950 |
|
736 |
729 |
$3K |
| 85379 |
|
217 |
205 |
$3K |
| 96375 |
|
13,978 |
12,750 |
$3K |
| 36591 |
|
1,596 |
804 |
$2K |
| 82746 |
|
161 |
154 |
$2K |
| 86703 |
|
395 |
392 |
$2K |
| 90715 |
|
24 |
24 |
$2K |
| 71045 |
|
9,743 |
9,140 |
$2K |
| J3010 |
Fentanyl citrate injection |
2,180 |
1,754 |
$2K |
| 77336 |
|
35 |
15 |
$2K |
| 86901 |
|
969 |
943 |
$2K |
| J2405 |
Ondansetron hcl injection |
7,869 |
7,185 |
$2K |
| 80050 |
|
553 |
302 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
236 |
223 |
$2K |
| G0463 |
Hospital outpt clinic visit |
222 |
139 |
$2K |
| 72141 |
|
14 |
12 |
$2K |
| 84703 |
|
4,487 |
4,220 |
$2K |
| 83970 |
|
71 |
70 |
$2K |
| 97165 |
|
15 |
14 |
$1K |
| 76801 |
|
14 |
14 |
$1K |
| 95819 |
|
15 |
12 |
$1K |
| 80329 |
|
33 |
27 |
$1K |
| J8540 |
Oral dexamethasone |
24 |
24 |
$1K |
| 84550 |
|
434 |
399 |
$1K |
| 84466 |
|
222 |
219 |
$1K |
| 82951 |
|
43 |
41 |
$1K |
| 87591 |
|
31 |
29 |
$1K |
| 82150 |
|
38 |
38 |
$988.92 |
| J8499 |
Oral prescrip drug non chemo |
53,874 |
40,003 |
$896.74 |
| 36415 |
|
955 |
678 |
$844.51 |
| J1100 |
Dexamethasone sodium phos |
1,097 |
1,010 |
$742.16 |
| 84480 |
|
77 |
76 |
$621.07 |
| 83002 |
|
86 |
77 |
$601.02 |
| 82248 |
|
31 |
27 |
$579.31 |
| 84144 |
|
44 |
42 |
$534.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,770 |
4,502 |
$521.19 |
| 86704 |
|
32 |
32 |
$495.12 |
| 97530 |
|
24 |
12 |
$415.55 |
| 83525 |
|
28 |
27 |
$378.97 |
| 82565 |
|
83 |
66 |
$360.19 |
| 87086 |
|
2,691 |
2,522 |
$355.83 |
| J1885 |
Ketorolac tromethamine inj |
7,035 |
6,674 |
$332.67 |
| 83615 |
|
100 |
88 |
$297.54 |
| J7030 |
Normal saline solution infus |
12,502 |
11,692 |
$285.37 |
| 81025 |
|
788 |
743 |
$271.51 |
| J2250 |
Inj midazolam hydrochloride |
554 |
512 |
$240.72 |
| 96372 |
|
2,095 |
1,957 |
$212.78 |
| 88312 |
|
483 |
441 |
$209.55 |
| 86038 |
|
23 |
23 |
$198.88 |
| 71046 |
|
2,124 |
1,985 |
$195.30 |
| J0171 |
Adrenalin epinephrine inject |
69 |
63 |
$193.20 |
| 82952 |
|
14 |
13 |
$178.44 |
| 85014 |
|
46 |
38 |
$131.40 |
| 84100 |
|
56 |
52 |
$119.81 |
| 74021 |
|
116 |
107 |
$113.67 |
| 85046 |
|
15 |
12 |
$83.11 |
| 82310 |
|
40 |
39 |
$78.38 |
| 85018 |
|
46 |
38 |
$65.70 |
| 82550 |
|
13 |
12 |
$51.94 |
| 82330 |
|
83 |
66 |
$49.36 |
| 82570 |
|
16 |
15 |
$48.71 |
| 84460 |
|
13 |
12 |
$46.30 |
| 85730 |
|
189 |
174 |
$41.44 |
| J2704 |
Inj, propofol, 10 mg |
5,071 |
4,486 |
$39.41 |
| 84436 |
|
19 |
15 |
$38.52 |
| 82977 |
|
13 |
12 |
$35.28 |
| 82947 |
|
540 |
307 |
$29.12 |
| 82435 |
|
83 |
66 |
$26.74 |
| A9585 |
Gadobutrol injection |
36 |
28 |
$21.09 |
| 87088 |
|
204 |
183 |
$18.90 |
| J2001 |
Lidocaine injection |
914 |
858 |
$17.67 |
| J2765 |
Metoclopramide hcl injection |
1,333 |
1,249 |
$14.18 |
| 84520 |
|
83 |
66 |
$13.31 |
| 84295 |
|
83 |
66 |
$13.31 |
| 84132 |
|
83 |
66 |
$13.31 |
| J2270 |
Morphine sulfate injection |
1,117 |
1,025 |
$8.99 |
| J1200 |
Diphenhydramine hcl injectio |
1,205 |
1,113 |
$8.80 |
| A9270 |
Non-covered item or service |
215 |
133 |
$2.28 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
102 |
80 |
$1.51 |
| 87186 |
|
13 |
13 |
$0.00 |
| 87491 |
|
31 |
29 |
$0.00 |
| 72100 |
|
15 |
15 |
$0.00 |
| J7040 |
Normal saline solution infus |
128 |
123 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
223 |
209 |
$0.00 |
| 72125 |
|
12 |
12 |
$0.00 |
| 73562 |
|
12 |
12 |
$0.00 |
| 88313 |
|
14 |
13 |
$0.00 |
| 84145 |
|
29 |
27 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
30 |
26 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
13 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
12 |
$0.00 |
| 74018 |
|
13 |
13 |
$0.00 |
| 87880 |
|
14 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,393 |
486 |
$0.00 |
| 87807 |
|
318 |
314 |
$0.00 |
| A0120 |
Noner transport mini-bus |
162 |
152 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
202 |
155 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
115 |
110 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
56 |
53 |
$0.00 |
| 87077 |
|
14 |
14 |
$0.00 |
| 74022 |
|
46 |
38 |
$0.00 |
| J1630 |
Haloperidol injection |
12 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
26 |
26 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
82 |
79 |
$0.00 |
| A0426 |
Als 1 |
100 |
92 |
$0.00 |
| J2060 |
Lorazepam injection |
58 |
49 |
$0.00 |
| J1790 |
Droperidol injection |
63 |
61 |
$0.00 |
| 72040 |
|
24 |
24 |
$0.00 |
| J1170 |
Hydromorphone injection |
58 |
41 |
$0.00 |
| 88300 |
|
12 |
12 |
$0.00 |