| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,859 |
13,601 |
$1.46M |
| 99285 |
|
7,914 |
6,700 |
$1.14M |
| 97110 |
|
23,435 |
8,565 |
$1.00M |
| 74177 |
|
3,075 |
2,791 |
$531K |
| 99283 |
|
9,680 |
8,590 |
$486K |
| G0378 |
Hospital observation per hr |
2,152 |
1,749 |
$324K |
| 97112 |
|
7,157 |
2,840 |
$242K |
| 96374 |
|
8,584 |
7,166 |
$159K |
| 97162 |
|
2,546 |
2,440 |
$138K |
| 93306 |
|
1,383 |
1,314 |
$123K |
| 97161 |
|
2,152 |
2,048 |
$115K |
| 96375 |
|
7,373 |
5,675 |
$89K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,895 |
1,689 |
$77K |
| 70450 |
|
1,780 |
1,585 |
$72K |
| 80053 |
|
19,610 |
15,859 |
$69K |
| 74176 |
|
897 |
795 |
$65K |
| 97530 |
|
1,656 |
768 |
$64K |
| 99282 |
|
1,739 |
1,606 |
$56K |
| 85025 |
|
19,829 |
15,790 |
$49K |
| 76705 |
|
864 |
793 |
$48K |
| 71275 |
|
333 |
302 |
$46K |
| 96365 |
|
2,016 |
1,712 |
$41K |
| 96372 |
|
3,988 |
2,710 |
$40K |
| 97140 |
|
2,674 |
1,205 |
$35K |
| 80307 |
|
1,585 |
1,402 |
$33K |
| 76856 |
|
494 |
459 |
$32K |
| 71045 |
|
6,180 |
5,370 |
$32K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,039 |
929 |
$32K |
| 93005 |
|
8,308 |
6,669 |
$31K |
| 97014 |
|
2,940 |
1,306 |
$29K |
| 76830 |
|
396 |
370 |
$29K |
| 87502 |
|
570 |
501 |
$20K |
| 71260 |
|
250 |
238 |
$19K |
| 36415 |
|
21,858 |
17,504 |
$19K |
| 97163 |
|
323 |
313 |
$19K |
| 83690 |
|
7,236 |
6,116 |
$18K |
| 84443 |
|
2,959 |
2,631 |
$18K |
| 0241U |
|
2,184 |
1,973 |
$17K |
| 82306 |
|
942 |
879 |
$17K |
| 84484 |
|
5,868 |
3,941 |
$17K |
| 97535 |
|
875 |
563 |
$15K |
| 96376 |
|
2,654 |
1,644 |
$15K |
| 71046 |
|
1,316 |
1,178 |
$15K |
| 84703 |
|
4,466 |
3,874 |
$13K |
| 97116 |
|
786 |
281 |
$13K |
| J7030 |
Normal saline solution infus |
7,978 |
5,055 |
$13K |
| 70553 |
|
69 |
65 |
$13K |
| 87491 |
|
752 |
678 |
$12K |
| 87591 |
|
752 |
678 |
$12K |
| 94060 |
|
295 |
282 |
$11K |
| 87651 |
|
647 |
597 |
$11K |
| 77067 |
|
120 |
110 |
$11K |
| 83605 |
|
2,928 |
2,015 |
$10K |
| 93971 |
|
199 |
175 |
$9K |
| 80048 |
|
4,076 |
3,303 |
$9K |
| 83880 |
|
1,067 |
939 |
$8K |
| C1776 |
Joint device (implantable) |
27 |
25 |
$8K |
| 80061 |
|
1,984 |
1,802 |
$8K |
| 99281 |
|
432 |
407 |
$7K |
| 87040 |
|
2,299 |
1,076 |
$7K |
| 97165 |
|
206 |
187 |
$7K |
| 94726 |
|
228 |
219 |
$6K |
| 94640 |
|
484 |
389 |
$6K |
| 81001 |
|
5,254 |
4,534 |
$6K |
| 83036 |
|
2,241 |
2,044 |
$6K |
| J7120 |
Ringers lactate infusion |
5,404 |
4,610 |
$5K |
| 72100 |
|
293 |
261 |
$5K |
| 94729 |
|
212 |
204 |
$5K |
| 64447 |
|
173 |
156 |
$5K |
| J1170 |
Hydromorphone injection |
2,863 |
1,936 |
$5K |
| 85027 |
|
3,268 |
2,685 |
$5K |
| 87086 |
|
1,629 |
1,436 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
7,532 |
4,773 |
$4K |
| 81025 |
|
2,000 |
1,809 |
$4K |
| J2270 |
Morphine sulfate injection |
2,321 |
1,766 |
$4K |
| J3490 |
Drugs unclassified injection |
2,150 |
1,741 |
$3K |
| 73030 |
|
266 |
223 |
$3K |
| 74018 |
|
232 |
209 |
$3K |
| 76700 |
|
42 |
39 |
$3K |
| J3010 |
Fentanyl citrate injection |
5,089 |
4,091 |
$3K |
| 94760 |
|
3,539 |
2,246 |
$3K |
| 87426 |
|
478 |
392 |
$3K |
| 85379 |
|
800 |
712 |
$3K |
| 70551 |
|
25 |
25 |
$3K |
| 81003 |
|
3,680 |
3,276 |
$3K |
| 87880 |
|
471 |
428 |
$3K |
| 83735 |
|
1,657 |
1,201 |
$3K |
| 87389 |
|
207 |
188 |
$3K |
| 84702 |
|
422 |
361 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,205 |
957 |
$3K |
| 85730 |
|
1,589 |
1,387 |
$2K |
| J8597 |
Antiemetic drug oral nos |
1,644 |
1,416 |
$2K |
| 73630 |
|
171 |
147 |
$2K |
| 82077 |
|
497 |
434 |
$2K |
| 84439 |
|
1,126 |
1,017 |
$2K |
| 0450 |
|
57 |
49 |
$2K |
| 85610 |
|
2,443 |
2,022 |
$2K |
| 73610 |
|
119 |
105 |
$2K |
| J1100 |
Dexamethasone sodium phos |
4,997 |
3,916 |
$2K |
| J2405 |
Ondansetron hcl injection |
9,237 |
6,976 |
$2K |
| 76817 |
|
46 |
39 |
$2K |
| 72148 |
|
13 |
12 |
$2K |
| 73721 |
|
14 |
13 |
$2K |
| 97012 |
|
205 |
111 |
$2K |
| 77063 |
|
120 |
110 |
$2K |
| 86780 |
|
271 |
246 |
$2K |
| 82962 |
|
3,277 |
1,482 |
$2K |
| 86140 |
|
897 |
777 |
$2K |
| 76801 |
|
28 |
24 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
3,006 |
2,675 |
$1K |
| 71250 |
|
16 |
13 |
$1K |
| 87077 |
|
550 |
423 |
$1K |
| 87641 |
|
117 |
110 |
$1K |
| U0004 |
Cov-19 test non-cdc hgh thru |
59 |
51 |
$1K |
| J0690 |
Cefazolin sodium injection |
3,447 |
2,549 |
$1K |
| 99152 |
|
305 |
254 |
$1K |
| J2795 |
Ropivacaine hcl injection |
564 |
432 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
380 |
323 |
$1K |
| 76536 |
|
13 |
12 |
$1K |
| 87081 |
|
328 |
300 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,794 |
1,363 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
3,587 |
3,200 |
$965.17 |
| 86901 |
|
707 |
582 |
$735.52 |
| 96366 |
|
40 |
26 |
$723.22 |
| 87186 |
|
247 |
206 |
$655.26 |
| 73562 |
|
31 |
26 |
$641.64 |
| 85652 |
|
766 |
662 |
$634.77 |
| 86900 |
|
154 |
121 |
$614.40 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
587 |
530 |
$611.24 |
| 82607 |
|
149 |
136 |
$583.22 |
| J2765 |
Metoclopramide hcl injection |
853 |
701 |
$523.53 |
| 96361 |
|
15 |
15 |
$522.70 |
| 73130 |
|
33 |
25 |
$515.49 |
| 76775 |
|
19 |
17 |
$486.88 |
| 87640 |
|
101 |
94 |
$486.15 |
| 73110 |
|
30 |
27 |
$481.29 |
| 84145 |
|
74 |
52 |
$479.59 |
| J0780 |
Prochlorperazine injection |
118 |
98 |
$463.73 |
| 86803 |
|
88 |
80 |
$453.94 |
| 80305 |
|
117 |
106 |
$441.56 |
| J2060 |
Lorazepam injection |
828 |
630 |
$421.56 |
| 64415 |
|
14 |
12 |
$399.70 |
| 72040 |
|
27 |
25 |
$365.42 |
| 90471 |
|
44 |
37 |
$288.86 |
| J0171 |
Adrenalin epinephrine inject |
161 |
95 |
$228.55 |
| 82728 |
|
42 |
38 |
$225.92 |
| J2250 |
Inj midazolam hydrochloride |
4,217 |
3,083 |
$199.83 |
| J7512 |
Prednisone ir or dr oral 1mg |
298 |
163 |
$199.63 |
| 82570 |
|
184 |
147 |
$179.31 |
| J1630 |
Haloperidol injection |
198 |
167 |
$171.29 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
28 |
12 |
$149.92 |
| J1650 |
Inj enoxaparin sodium |
99 |
39 |
$147.29 |
| 83540 |
|
80 |
67 |
$143.93 |
| G0283 |
Elec stim other than wound |
99 |
39 |
$139.47 |
| 96367 |
|
25 |
13 |
$133.45 |
| Q0111 |
Wet mounts/ w preparations |
127 |
115 |
$111.45 |
| 86850 |
|
62 |
54 |
$88.63 |
| 84100 |
|
82 |
63 |
$81.56 |
| J3370 |
Vancomycin hcl injection |
42 |
36 |
$78.49 |
| 87070 |
|
14 |
12 |
$59.18 |
| 87400 |
|
50 |
48 |
$48.71 |
| 83550 |
|
27 |
25 |
$47.80 |
| 82043 |
|
57 |
55 |
$47.40 |
| 84481 |
|
12 |
12 |
$42.85 |
| J3475 |
Inj magnesium sulfate |
56 |
39 |
$42.24 |
| J3301 |
Triamcinolone acet inj nos |
15 |
13 |
$37.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
71 |
51 |
$36.80 |
| 88305 |
|
158 |
83 |
$34.04 |
| 82550 |
|
19 |
15 |
$26.44 |
| J2370 |
Phenylephrine hcl injection |
52 |
46 |
$22.02 |
| 81002 |
|
46 |
38 |
$19.66 |
| 85007 |
|
15 |
14 |
$15.87 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
173 |
152 |
$5.91 |
| U0005 |
Infec agen detec ampli probe |
1,225 |
1,090 |
$2.57 |
| A9270 |
Non-covered item or service |
15,523 |
1,902 |
$1.50 |
| J2001 |
Lidocaine injection |
101 |
78 |
$0.60 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.20 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
45 |
41 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
40 |
36 |
$0.00 |
| G1004 |
Cdsm ndsc |
489 |
361 |
$0.00 |
| G8978 |
Mobility current status |
133 |
129 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
44 |
42 |
$0.00 |
| G8979 |
Mobility goal status |
165 |
153 |
$0.00 |