| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
46,746 |
41,379 |
$7.48M |
| 99282 |
|
46,528 |
41,857 |
$3.94M |
| 99284 |
|
14,205 |
12,278 |
$3.13M |
| 0241U |
|
16,683 |
14,856 |
$2.52M |
| 74177 |
|
1,472 |
1,228 |
$1.09M |
| 96374 |
|
17,594 |
14,932 |
$1.04M |
| 74176 |
|
850 |
719 |
$541K |
| 96375 |
|
11,498 |
9,514 |
$415K |
| 93005 |
|
15,619 |
10,842 |
$381K |
| 71046 |
|
8,583 |
7,438 |
$346K |
| 96361 |
|
4,154 |
3,479 |
$332K |
| 96372 |
|
13,596 |
11,526 |
$322K |
| 80307 |
|
5,220 |
4,439 |
$275K |
| 80053 |
|
32,858 |
27,631 |
$274K |
| 70450 |
|
1,252 |
1,033 |
$267K |
| 85027 |
|
30,768 |
25,488 |
$186K |
| 87880 |
|
10,918 |
10,271 |
$173K |
| 71045 |
|
5,308 |
4,531 |
$161K |
| 81025 |
|
19,250 |
17,073 |
$145K |
| 87651 |
|
4,305 |
3,788 |
$144K |
| J3490 |
Drugs unclassified injection |
43,109 |
24,856 |
$135K |
| 87400 |
|
8,076 |
5,564 |
$111K |
| 96365 |
|
1,248 |
979 |
$97K |
| 99285 |
|
377 |
283 |
$93K |
| 36415 |
|
43,696 |
34,611 |
$92K |
| 85025 |
|
11,834 |
10,074 |
$88K |
| 84484 |
|
11,048 |
7,131 |
$87K |
| 87635 |
|
1,232 |
1,111 |
$74K |
| 81001 |
|
22,508 |
19,459 |
$73K |
| 87591 |
|
2,567 |
2,300 |
$67K |
| 87491 |
|
2,566 |
2,299 |
$67K |
| 83690 |
|
9,866 |
8,496 |
$66K |
| 80048 |
|
9,361 |
7,622 |
$66K |
| G0378 |
Hospital observation per hr |
283 |
135 |
$64K |
| J1885 |
Ketorolac tromethamine inj |
14,422 |
12,073 |
$53K |
| U0003 |
Cov-19 amp prb hgh thruput |
593 |
516 |
$46K |
| 76801 |
|
169 |
156 |
$29K |
| A9270 |
Non-covered item or service |
24,119 |
10,881 |
$24K |
| J2405 |
Ondansetron hcl injection |
7,545 |
6,328 |
$21K |
| 81003 |
|
8,218 |
7,176 |
$18K |
| 84702 |
|
1,610 |
1,423 |
$17K |
| J7030 |
Normal saline solution infus |
7,671 |
6,037 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
2,243 |
1,906 |
$16K |
| 94640 |
|
330 |
274 |
$16K |
| 87070 |
|
1,364 |
1,241 |
$14K |
| 96376 |
|
204 |
128 |
$12K |
| 85730 |
|
2,534 |
2,038 |
$12K |
| 87420 |
|
858 |
827 |
$12K |
| J1100 |
Dexamethasone sodium phos |
2,748 |
2,235 |
$11K |
| 87088 |
|
1,389 |
1,213 |
$11K |
| 87389 |
|
367 |
347 |
$9K |
| 83735 |
|
1,411 |
1,129 |
$8K |
| 87210 |
|
2,070 |
1,835 |
$8K |
| 85610 |
|
2,652 |
2,154 |
$8K |
| J2270 |
Morphine sulfate injection |
2,269 |
1,720 |
$8K |
| 99291 |
|
55 |
54 |
$8K |
| 87086 |
|
1,109 |
926 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
550 |
430 |
$6K |
| 88175 |
|
192 |
178 |
$5K |
| 82553 |
|
702 |
562 |
$5K |
| 82550 |
|
1,149 |
945 |
$5K |
| 87426 |
|
236 |
212 |
$5K |
| 73562 |
|
39 |
37 |
$4K |
| 83605 |
|
365 |
251 |
$3K |
| U0005 |
Infec agen detec ampli probe |
111 |
103 |
$3K |
| 0012A |
|
58 |
58 |
$3K |
| 87040 |
|
329 |
187 |
$3K |
| 80061 |
|
196 |
192 |
$3K |
| 0353U |
|
223 |
173 |
$3K |
| J7120 |
Ringers lactate infusion |
303 |
228 |
$3K |
| 0001A |
|
35 |
35 |
$2K |
| J0561 |
Penicillin g benzathine inj |
13 |
12 |
$2K |
| J0780 |
Prochlorperazine injection |
153 |
121 |
$2K |
| Q0162 |
Ondansetron oral |
96 |
89 |
$2K |
| 82947 |
|
679 |
425 |
$2K |
| 0011A |
|
43 |
42 |
$2K |
| 96360 |
|
30 |
27 |
$2K |
| 84443 |
|
107 |
93 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
358 |
229 |
$1K |
| 73630 |
|
13 |
12 |
$1K |
| 73610 |
|
14 |
12 |
$1K |
| J2930 |
Methylprednisolone injection |
162 |
133 |
$918.60 |
| 82652 |
|
25 |
25 |
$871.89 |
| 86592 |
|
194 |
183 |
$842.92 |
| 87077 |
|
145 |
124 |
$835.93 |
| J0500 |
Dicyclomine injection |
19 |
13 |
$723.12 |
| 83880 |
|
15 |
14 |
$486.59 |
| 83021 |
|
25 |
24 |
$483.80 |
| 82077 |
|
311 |
208 |
$459.15 |
| 87340 |
|
42 |
42 |
$446.80 |
| J1630 |
Haloperidol injection |
80 |
64 |
$419.39 |
| 86900 |
|
112 |
90 |
$415.55 |
| 86901 |
|
112 |
90 |
$415.55 |
| 82306 |
|
14 |
13 |
$387.30 |
| 86140 |
|
90 |
69 |
$384.00 |
| 82150 |
|
55 |
44 |
$383.60 |
| Q0243 |
Casirivimab and imdevimab |
28 |
13 |
$363.62 |
| 81002 |
|
45 |
36 |
$295.99 |
| 94760 |
|
19 |
13 |
$293.34 |
| 85379 |
|
57 |
37 |
$286.78 |
| 80143 |
|
120 |
66 |
$236.51 |
| J1200 |
Diphenhydramine hcl injectio |
50 |
37 |
$182.28 |
| 86787 |
|
12 |
12 |
$176.55 |
| J7510 |
Prednisolone oral per 5 mg |
74 |
72 |
$176.50 |
| 82248 |
|
30 |
25 |
$143.75 |
| 83036 |
|
13 |
13 |
$123.06 |
| 86850 |
|
12 |
12 |
$110.00 |
| 80179 |
|
118 |
64 |
$104.39 |
| J2765 |
Metoclopramide hcl injection |
27 |
25 |
$96.81 |
| J7040 |
Normal saline solution infus |
30 |
26 |
$88.73 |
| 87186 |
|
14 |
12 |
$86.16 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
13 |
$78.69 |
| J2704 |
Inj, propofol, 10 mg |
16 |
12 |
$64.90 |
| J7512 |
Prednisone ir or dr oral 1mg |
76 |
65 |
$45.63 |
| 81005 |
|
16 |
13 |
$27.75 |
| G1004 |
Cdsm ndsc |
546 |
414 |
$0.00 |