| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
48,873 |
41,508 |
$5.72M |
| 99284 |
|
62,901 |
54,711 |
$4.73M |
| 99283 |
|
82,475 |
69,978 |
$3.98M |
| 74176 |
|
12,331 |
10,833 |
$1.74M |
| 74177 |
|
4,572 |
4,027 |
$1.05M |
| 80307 |
|
38,585 |
32,448 |
$1.04M |
| 70450 |
|
13,385 |
11,663 |
$838K |
| 99291 |
|
3,913 |
3,289 |
$554K |
| 87426 |
|
27,009 |
23,499 |
$519K |
| 71275 |
|
1,943 |
1,676 |
$516K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,944 |
8,152 |
$513K |
| G0480 |
Drug test def 1-7 classes |
12,153 |
9,974 |
$502K |
| 96374 |
|
25,710 |
21,807 |
$480K |
| 96372 |
|
40,139 |
28,328 |
$453K |
| 72125 |
|
3,059 |
2,727 |
$431K |
| G0378 |
Hospital observation per hr |
5,568 |
3,250 |
$415K |
| G0481 |
Drug test def 8-14 classes |
3,777 |
3,183 |
$313K |
| 71045 |
|
43,408 |
36,682 |
$301K |
| 80053 |
|
67,268 |
55,069 |
$301K |
| 96375 |
|
23,200 |
19,023 |
$289K |
| 96361 |
|
21,003 |
17,426 |
$266K |
| 85025 |
|
78,419 |
62,930 |
$259K |
| 70486 |
|
1,656 |
1,510 |
$231K |
| 96365 |
|
10,103 |
8,661 |
$217K |
| 87804 |
|
34,447 |
16,131 |
$215K |
| 78452 |
|
716 |
564 |
$200K |
| 72131 |
|
1,357 |
1,202 |
$187K |
| 93005 |
|
36,401 |
29,479 |
$156K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,285 |
7,402 |
$154K |
| 71046 |
|
10,198 |
9,203 |
$150K |
| 73564 |
|
3,625 |
3,037 |
$145K |
| 90715 |
|
4,151 |
3,698 |
$137K |
| 0450 |
|
3,169 |
2,813 |
$130K |
| 83690 |
|
44,200 |
37,233 |
$129K |
| 81025 |
|
39,466 |
33,857 |
$126K |
| 84484 |
|
35,286 |
23,747 |
$126K |
| 73130 |
|
3,911 |
3,405 |
$124K |
| 76801 |
|
1,968 |
1,736 |
$119K |
| 76856 |
|
1,488 |
1,372 |
$116K |
| 73630 |
|
3,718 |
3,224 |
$113K |
| 96360 |
|
5,454 |
4,842 |
$108K |
| 76817 |
|
1,462 |
1,272 |
$108K |
| C9803 |
Hopd covid-19 spec collect |
18,345 |
16,555 |
$106K |
| 87591 |
|
5,802 |
5,257 |
$104K |
| 87491 |
|
5,809 |
5,261 |
$104K |
| 87086 |
|
25,008 |
22,035 |
$96K |
| 36415 |
|
86,719 |
66,235 |
$90K |
| 99281 |
|
5,444 |
4,855 |
$88K |
| 83880 |
|
7,639 |
6,368 |
$84K |
| J7030 |
Normal saline solution infus |
35,826 |
28,444 |
$82K |
| 93306 |
|
1,067 |
883 |
$80K |
| 76830 |
|
1,046 |
962 |
$77K |
| 76705 |
|
1,413 |
1,261 |
$77K |
| 43239 |
|
352 |
293 |
$74K |
| 71250 |
|
886 |
778 |
$69K |
| 93971 |
|
1,581 |
1,375 |
$67K |
| 94640 |
|
7,106 |
5,331 |
$67K |
| A9500 |
Tc99m sestamibi |
749 |
570 |
$66K |
| 96366 |
|
3,510 |
2,729 |
$65K |
| 73030 |
|
2,591 |
2,226 |
$65K |
| 87040 |
|
16,820 |
7,326 |
$60K |
| 73610 |
|
2,454 |
2,165 |
$60K |
| 73110 |
|
1,674 |
1,476 |
$58K |
| 99214 |
|
1,291 |
433 |
$58K |
| 80048 |
|
16,499 |
13,288 |
$57K |
| 84702 |
|
7,769 |
6,749 |
$55K |
| 90471 |
|
4,180 |
3,722 |
$53K |
| 81001 |
|
40,750 |
35,586 |
$51K |
| 93970 |
|
676 |
599 |
$48K |
| 99282 |
|
1,517 |
1,382 |
$48K |
| J0696 |
Ceftriaxone sodium injection |
12,361 |
9,271 |
$47K |
| 87880 |
|
7,003 |
6,507 |
$45K |
| 74018 |
|
2,918 |
2,649 |
$40K |
| 10060 |
|
573 |
523 |
$39K |
| J2785 |
Regadenoson injection |
647 |
507 |
$38K |
| 94644 |
|
1,821 |
1,546 |
$38K |
| 83605 |
|
10,035 |
7,314 |
$37K |
| J0561 |
Penicillin g benzathine inj |
244 |
194 |
$36K |
| 82550 |
|
14,470 |
11,999 |
$36K |
| U0005 |
Infec agen detec ampli probe |
6,250 |
5,698 |
$36K |
| 29125 |
|
1,342 |
1,201 |
$34K |
| J3490 |
Drugs unclassified injection |
9,117 |
6,765 |
$33K |
| 87070 |
|
9,416 |
8,422 |
$33K |
| 72100 |
|
1,960 |
1,775 |
$29K |
| 76805 |
|
310 |
270 |
$28K |
| 87186 |
|
7,826 |
6,577 |
$28K |
| 96376 |
|
3,834 |
2,587 |
$26K |
| 85730 |
|
13,281 |
10,784 |
$26K |
| 12001 |
|
810 |
741 |
$26K |
| J1885 |
Ketorolac tromethamine inj |
23,018 |
14,756 |
$24K |
| 84443 |
|
3,748 |
3,153 |
$23K |
| 87077 |
|
5,713 |
4,841 |
$22K |
| 70491 |
|
142 |
112 |
$22K |
| J2270 |
Morphine sulfate injection |
12,479 |
9,338 |
$22K |
| 85610 |
|
16,325 |
13,348 |
$21K |
| 73080 |
|
907 |
804 |
$21K |
| 12002 |
|
524 |
478 |
$20K |
| 81003 |
|
23,348 |
20,278 |
$19K |
| 73590 |
|
709 |
599 |
$19K |
| 87420 |
|
2,375 |
2,267 |
$17K |
| 87088 |
|
4,387 |
3,819 |
$16K |
| J0500 |
Dicyclomine injection |
637 |
531 |
$16K |
| 85379 |
|
3,696 |
3,140 |
$15K |
| 84145 |
|
1,534 |
1,254 |
$14K |
| 74022 |
|
526 |
491 |
$14K |
| 87635 |
|
535 |
488 |
$14K |
| Q0144 |
Azithromycin dihydrate, oral |
1,126 |
936 |
$13K |
| Q0162 |
Ondansetron oral |
9,514 |
8,542 |
$13K |
| 73502 |
|
889 |
771 |
$13K |
| 83735 |
|
5,901 |
3,951 |
$12K |
| J2930 |
Methylprednisolone injection |
3,214 |
2,599 |
$12K |
| J1100 |
Dexamethasone sodium phos |
12,693 |
9,335 |
$11K |
| 84703 |
|
3,204 |
2,862 |
$11K |
| 85027 |
|
5,292 |
3,822 |
$10K |
| 94762 |
|
1,751 |
1,464 |
$10K |
| G0463 |
Hospital outpt clinic visit |
1,602 |
530 |
$10K |
| 73090 |
|
408 |
370 |
$9K |
| 93017 |
|
707 |
554 |
$9K |
| J2543 |
Piperacillin/tazobactam |
2,708 |
1,436 |
$8K |
| 12011 |
|
199 |
186 |
$8K |
| 71101 |
|
373 |
331 |
$8K |
| J2405 |
Ondansetron hcl injection |
19,507 |
15,470 |
$8K |
| 80076 |
|
2,944 |
2,195 |
$8K |
| 96367 |
|
720 |
613 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
8,295 |
6,345 |
$7K |
| 72040 |
|
456 |
415 |
$7K |
| C9113 |
Inj pantoprazole sodium, via |
3,921 |
2,938 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
178 |
168 |
$6K |
| 86901 |
|
4,611 |
4,018 |
$6K |
| 29515 |
|
175 |
145 |
$6K |
| 86900 |
|
4,610 |
4,015 |
$6K |
| 0270 |
|
378 |
200 |
$6K |
| J7510 |
Prednisolone oral per 5 mg |
859 |
795 |
$5K |
| J0360 |
Hydralazine hcl injection |
1,213 |
909 |
$5K |
| J7512 |
Prednisone ir or dr oral 1mg |
5,485 |
4,671 |
$5K |
| J3370 |
Vancomycin hcl injection |
1,025 |
608 |
$5K |
| 76700 |
|
62 |
55 |
$5K |
| J1630 |
Haloperidol injection |
3,877 |
2,819 |
$5K |
| 86140 |
|
2,547 |
1,927 |
$5K |
| 80061 |
|
1,267 |
1,070 |
$5K |
| 86703 |
|
839 |
707 |
$5K |
| 84439 |
|
1,445 |
1,242 |
$5K |
| J2060 |
Lorazepam injection |
6,208 |
4,631 |
$4K |
| 82962 |
|
11,108 |
3,962 |
$4K |
| A4223 |
Infusion supplies w/o pump |
95 |
88 |
$4K |
| 83036 |
|
1,037 |
885 |
$4K |
| 96368 |
|
467 |
385 |
$4K |
| J7060 |
5% dextrose/water |
2,585 |
2,015 |
$4K |
| 87299 |
|
640 |
553 |
$4K |
| J3475 |
Inj magnesium sulfate |
1,128 |
918 |
$4K |
| 87210 |
|
1,586 |
1,449 |
$3K |
| 0250 |
|
661 |
425 |
$3K |
| 64721 |
|
14 |
14 |
$3K |
| Z7502 |
|
84 |
75 |
$3K |
| 85007 |
|
2,692 |
2,230 |
$3K |
| 80329 |
|
544 |
238 |
$3K |
| J1815 |
Insulin injection |
4,171 |
2,080 |
$3K |
| J1170 |
Hydromorphone injection |
1,725 |
1,163 |
$3K |
| 76870 |
|
95 |
82 |
$3K |
| J7050 |
Normal saline solution infus |
2,523 |
1,898 |
$3K |
| J7040 |
Normal saline solution infus |
2,149 |
1,744 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
2,964 |
1,132 |
$2K |
| J2765 |
Metoclopramide hcl injection |
2,940 |
2,377 |
$2K |
| J3480 |
Inj potassium chloride |
598 |
301 |
$2K |
| 87641 |
|
189 |
150 |
$2K |
| 88305 |
|
55 |
40 |
$2K |
| 86803 |
|
251 |
228 |
$2K |
| 94645 |
|
132 |
112 |
$2K |
| 80074 |
|
102 |
82 |
$2K |
| 99070 |
|
354 |
178 |
$2K |
| 82010 |
|
427 |
353 |
$1K |
| 82947 |
|
1,919 |
711 |
$1K |
| 85651 |
|
937 |
802 |
$1K |
| 86850 |
|
1,179 |
901 |
$1K |
| J0780 |
Prochlorperazine injection |
306 |
246 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
244 |
178 |
$1K |
| 0272 |
|
216 |
160 |
$1K |
| 74230 |
|
31 |
25 |
$980.66 |
| J2212 |
Methylnaltrexone injection |
20 |
14 |
$974.41 |
| J2919 |
Inj, methylpred sod succ 5mg |
283 |
158 |
$888.41 |
| 73140 |
|
27 |
25 |
$734.48 |
| 82805 |
|
76 |
62 |
$674.99 |
| 71111 |
|
31 |
24 |
$531.96 |
| 82728 |
|
138 |
91 |
$524.27 |
| 73562 |
|
16 |
14 |
$511.35 |
| J2470 |
Inj pantoprazole sodium 40mg |
210 |
166 |
$496.21 |
| J1953 |
Levetiracetam injection |
151 |
89 |
$485.05 |
| J8540 |
Oral dexamethasone |
400 |
363 |
$471.78 |
| 86592 |
|
208 |
187 |
$434.32 |
| 72070 |
|
14 |
14 |
$380.06 |
| J0456 |
Azithromycin |
149 |
96 |
$355.07 |
| 29130 |
|
15 |
13 |
$324.33 |
| 85652 |
|
266 |
223 |
$304.27 |
| 80320 |
|
5,240 |
4,485 |
$299.73 |
| A4208 |
3 cc sterile syringe&needle |
248 |
228 |
$284.44 |
| J3411 |
Thiamine hcl 100 mg |
124 |
92 |
$274.24 |
| Q0163 |
Diphenhydramine hcl 50mg |
2,606 |
1,899 |
$260.84 |
| J1940 |
Furosemide injection |
182 |
122 |
$258.80 |
| 0271 |
|
33 |
30 |
$251.46 |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,671 |
1,399 |
$247.45 |
| Z7610 |
|
27 |
13 |
$244.31 |
| J3010 |
Fentanyl citrate injection |
1,051 |
697 |
$238.23 |
| J0171 |
Adrenalin epinephrine inject |
46 |
26 |
$222.08 |
| 84100 |
|
185 |
111 |
$215.54 |
| 82607 |
|
44 |
39 |
$215.19 |
| S0020 |
Injection, bupivicaine hydro |
221 |
180 |
$215.02 |
| J0690 |
Cefazolin sodium injection |
348 |
231 |
$202.52 |
| J1650 |
Inj enoxaparin sodium |
93 |
55 |
$193.77 |
| J1644 |
Inj heparin sodium per 1000u |
369 |
154 |
$165.18 |
| J1956 |
Levofloxacin injection |
19 |
13 |
$122.73 |
| 99406 |
|
43 |
42 |
$122.54 |
| A6449 |
Lt compres band >=3" <5"/yd |
133 |
121 |
$110.49 |
| 90732 |
|
29 |
28 |
$107.75 |
| 90686 |
|
46 |
43 |
$105.00 |
| 88300 |
|
338 |
206 |
$87.24 |
| G0009 |
Admin pneumococcal vaccine |
15 |
14 |
$66.40 |
| 87205 |
|
44 |
40 |
$52.20 |
| A4556 |
Electrodes, pair |
30 |
24 |
$28.26 |
| A6255 |
Absorpt drg >16<=48 in w/bdr |
12 |
12 |
$16.52 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
300 |
247 |
$15.78 |
| 80069 |
|
29 |
12 |
$5.87 |
| A4206 |
1 cc sterile syringe&needle |
17 |
14 |
$5.85 |
| A4215 |
Sterile needle |
27 |
25 |
$5.14 |
| J2250 |
Inj midazolam hydrochloride |
22 |
12 |
$3.03 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
15 |
12 |
$2.56 |
| G0008 |
Admin influenza virus vac |
55 |
52 |
$0.00 |
| Q4139 |
Amnio or biodmatrix, inj 1cc |
18 |
14 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
83 |
63 |
$0.00 |