| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
41,860 |
38,513 |
$8.97M |
| 99283 |
|
56,822 |
52,901 |
$7.93M |
| 99285 |
|
23,323 |
21,319 |
$5.31M |
| 41899 |
|
1,901 |
1,639 |
$3.26M |
| 93005 |
|
32,393 |
26,859 |
$1.28M |
| 0241U |
|
7,133 |
6,589 |
$971K |
| 96372 |
|
8,972 |
8,168 |
$767K |
| 99282 |
|
9,369 |
8,866 |
$765K |
| 0202U |
|
8,094 |
7,080 |
$762K |
| 96374 |
|
11,572 |
10,633 |
$713K |
| G0463 |
Hospital outpt clinic visit |
9,317 |
5,773 |
$602K |
| J3490 |
Drugs unclassified injection |
92,373 |
44,723 |
$576K |
| 96375 |
|
4,301 |
3,842 |
$501K |
| 80053 |
|
58,243 |
53,068 |
$468K |
| 74177 |
|
406 |
363 |
$433K |
| 85025 |
|
59,870 |
54,514 |
$432K |
| 71046 |
|
13,665 |
12,714 |
$431K |
| T1016 |
Case management |
1,970 |
1,463 |
$417K |
| 70450 |
|
2,093 |
1,938 |
$407K |
| 80307 |
|
7,693 |
6,904 |
$376K |
| 96361 |
|
6,547 |
5,724 |
$263K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,367 |
3,075 |
$233K |
| 81001 |
|
46,819 |
42,818 |
$154K |
| 36415 |
|
68,304 |
60,505 |
$151K |
| 84484 |
|
19,164 |
15,309 |
$140K |
| 97597 |
|
2,852 |
1,790 |
$121K |
| 71045 |
|
4,940 |
4,509 |
$83K |
| 84443 |
|
3,472 |
3,168 |
$75K |
| 87150 |
|
2,070 |
1,875 |
$66K |
| G0480 |
Drug test def 1-7 classes |
2,281 |
1,996 |
$62K |
| 97110 |
|
769 |
243 |
$60K |
| 87804 |
|
3,507 |
3,173 |
$60K |
| 87086 |
|
7,245 |
6,616 |
$60K |
| U0005 |
Infec agen detec ampli probe |
2,567 |
2,348 |
$55K |
| 87491 |
|
1,675 |
1,501 |
$54K |
| 87591 |
|
1,675 |
1,501 |
$54K |
| 83690 |
|
6,295 |
5,776 |
$47K |
| 81025 |
|
5,564 |
5,169 |
$45K |
| 96365 |
|
396 |
359 |
$43K |
| J7030 |
Normal saline solution infus |
4,743 |
4,132 |
$43K |
| 84703 |
|
4,534 |
4,134 |
$42K |
| 43239 |
|
215 |
187 |
$27K |
| 29580 |
|
418 |
179 |
$26K |
| 87637 |
|
148 |
140 |
$23K |
| 69436 |
|
23 |
13 |
$20K |
| 87880 |
|
1,160 |
1,080 |
$19K |
| 82553 |
|
3,487 |
3,112 |
$19K |
| J7120 |
Ringers lactate infusion |
2,389 |
1,830 |
$18K |
| 80306 |
|
698 |
655 |
$17K |
| 94640 |
|
1,637 |
1,371 |
$17K |
| Q3014 |
Telehealth facility fee |
569 |
402 |
$17K |
| 88305 |
|
270 |
230 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
3,896 |
3,536 |
$14K |
| 81513 |
|
1,207 |
1,071 |
$14K |
| 66984 |
|
89 |
51 |
$13K |
| 82550 |
|
3,729 |
3,338 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
3,438 |
2,964 |
$12K |
| J3010 |
Fentanyl citrate injection |
2,137 |
1,767 |
$11K |
| 82306 |
|
264 |
250 |
$10K |
| 96360 |
|
123 |
114 |
$10K |
| 83605 |
|
1,347 |
1,144 |
$10K |
| 72125 |
|
36 |
36 |
$10K |
| 80061 |
|
540 |
519 |
$9K |
| 85027 |
|
1,445 |
1,342 |
$9K |
| 29581 |
|
160 |
81 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
2,015 |
1,655 |
$8K |
| 95810 |
|
12 |
12 |
$8K |
| 84439 |
|
703 |
679 |
$8K |
| 83036 |
|
662 |
633 |
$8K |
| 82962 |
|
4,152 |
3,347 |
$8K |
| J2405 |
Ondansetron hcl injection |
3,078 |
2,609 |
$7K |
| J7040 |
Normal saline solution infus |
1,987 |
1,718 |
$7K |
| 85610 |
|
2,405 |
2,163 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,813 |
1,555 |
$7K |
| 99291 |
|
15 |
12 |
$6K |
| 0012A |
|
101 |
101 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
306 |
283 |
$5K |
| 87081 |
|
603 |
566 |
$5K |
| J0330 |
Succinycholine chloride inj |
959 |
827 |
$5K |
| 87389 |
|
143 |
130 |
$5K |
| 0011A |
|
107 |
105 |
$4K |
| 94664 |
|
553 |
511 |
$4K |
| Q0162 |
Ondansetron oral |
371 |
308 |
$4K |
| 88175 |
|
136 |
121 |
$4K |
| 80051 |
|
456 |
436 |
$4K |
| 11042 |
|
69 |
52 |
$3K |
| 93303 |
|
25 |
24 |
$3K |
| 87661 |
|
123 |
113 |
$3K |
| J8597 |
Antiemetic drug oral nos |
237 |
201 |
$3K |
| 86850 |
|
183 |
167 |
$3K |
| 84702 |
|
222 |
204 |
$3K |
| 86780 |
|
132 |
120 |
$3K |
| 93320 |
|
25 |
24 |
$2K |
| 87040 |
|
189 |
149 |
$2K |
| 87088 |
|
336 |
326 |
$2K |
| 87635 |
|
46 |
45 |
$2K |
| 83735 |
|
392 |
360 |
$2K |
| 84460 |
|
459 |
450 |
$2K |
| J2001 |
Lidocaine injection |
862 |
746 |
$2K |
| 83880 |
|
115 |
104 |
$2K |
| 87186 |
|
242 |
217 |
$2K |
| 86803 |
|
109 |
103 |
$2K |
| 99281 |
|
35 |
33 |
$2K |
| J0736 |
Inj, clindamycin phosp 300mg |
69 |
59 |
$2K |
| 83615 |
|
222 |
182 |
$2K |
| 82570 |
|
222 |
182 |
$2K |
| J7050 |
Normal saline solution infus |
840 |
251 |
$1K |
| V2632 |
Post chmbr intraocular lens |
75 |
39 |
$1K |
| 93325 |
|
25 |
24 |
$1K |
| 84550 |
|
224 |
184 |
$1K |
| 80048 |
|
191 |
163 |
$1K |
| 86762 |
|
67 |
63 |
$1K |
| 84156 |
|
221 |
181 |
$1K |
| 86787 |
|
69 |
65 |
$1K |
| 85730 |
|
171 |
155 |
$941.14 |
| 86677 |
|
144 |
121 |
$914.72 |
| J2270 |
Morphine sulfate injection |
164 |
138 |
$882.01 |
| 86901 |
|
241 |
215 |
$849.58 |
| 87340 |
|
75 |
71 |
$808.38 |
| 86900 |
|
227 |
202 |
$805.05 |
| A9270 |
Non-covered item or service |
13,588 |
5,953 |
$795.70 |
| 82565 |
|
274 |
271 |
$778.37 |
| 74022 |
|
12 |
12 |
$678.98 |
| J0171 |
Adrenalin epinephrine inject |
125 |
84 |
$569.54 |
| J1097 |
Phenylep ketorolac opth soln |
13 |
12 |
$519.63 |
| 86592 |
|
106 |
101 |
$472.59 |
| J7060 |
5% dextrose/water |
62 |
56 |
$446.40 |
| 87077 |
|
62 |
59 |
$414.65 |
| 87624 |
|
18 |
12 |
$400.23 |
| 87210 |
|
94 |
81 |
$390.04 |
| 87420 |
|
27 |
27 |
$385.56 |
| J0690 |
Cefazolin sodium injection |
511 |
388 |
$364.19 |
| 97605 |
|
19 |
12 |
$357.10 |
| 83021 |
|
13 |
12 |
$329.40 |
| J2540 |
Penicillin g potassium inj |
62 |
56 |
$322.57 |
| 86696 |
|
15 |
13 |
$319.98 |
| 86701 |
|
33 |
31 |
$309.68 |
| 85660 |
|
55 |
52 |
$309.60 |
| J0696 |
Ceftriaxone sodium injection |
146 |
137 |
$297.75 |
| 86695 |
|
15 |
13 |
$217.88 |
| J7510 |
Prednisolone oral per 5 mg |
49 |
48 |
$212.80 |
| 87350 |
|
16 |
14 |
$203.29 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
32 |
28 |
$184.01 |
| C9447 |
Inj, phenylephrine ketorolac |
31 |
12 |
$171.09 |
| 86141 |
|
12 |
12 |
$137.19 |
| 82950 |
|
25 |
24 |
$124.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
39 |
$122.89 |
| 87070 |
|
30 |
27 |
$117.26 |
| J1644 |
Inj heparin sodium per 1000u |
67 |
40 |
$85.31 |
| J7620 |
Albuterol ipratrop non-comp |
29 |
29 |
$81.37 |
| J7613 |
Albuterol non-comp unit |
25 |
25 |
$77.47 |
| 84520 |
|
235 |
232 |
$62.37 |
| 86140 |
|
16 |
14 |
$47.39 |
| 82948 |
|
20 |
18 |
$46.53 |
| 87205 |
|
28 |
25 |
$44.94 |
| 93010 |
|
659 |
484 |
$5.66 |
| 80143 |
|
14 |
12 |
$0.00 |
| P9612 |
Catheterize for urine spec |
197 |
180 |
$0.00 |
| 91301 |
|
215 |
204 |
$0.00 |