| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
27,611 |
24,242 |
$2.61M |
| 99284 |
|
21,432 |
17,777 |
$1.97M |
| 99285 |
|
12,879 |
10,376 |
$1.49M |
| 74176 |
|
3,290 |
2,765 |
$874K |
| A4216 |
Sterile water/saline, 10 ml |
6,326 |
5,467 |
$765K |
| 74177 |
|
2,205 |
1,877 |
$582K |
| 99282 |
|
5,898 |
5,151 |
$566K |
| G0378 |
Hospital observation per hr |
10,783 |
4,059 |
$331K |
| 70450 |
|
4,131 |
3,269 |
$322K |
| 96361 |
|
6,677 |
4,741 |
$303K |
| 80053 |
|
20,666 |
15,821 |
$238K |
| 71275 |
|
798 |
678 |
$223K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,323 |
3,485 |
$179K |
| 71046 |
|
5,786 |
5,079 |
$160K |
| 76641 |
|
3,752 |
2,249 |
$129K |
| 93306 |
|
943 |
757 |
$122K |
| 77067 |
|
4,697 |
4,326 |
$111K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,416 |
1,262 |
$110K |
| 76700 |
|
1,652 |
1,510 |
$107K |
| 81001 |
|
15,825 |
13,414 |
$102K |
| 80048 |
|
8,445 |
5,626 |
$91K |
| 76536 |
|
1,297 |
1,189 |
$82K |
| S0028 |
Injection, famotidine, 20 mg |
2,499 |
1,965 |
$71K |
| U0002 |
Covid-19 lab test non-cdc |
3,674 |
3,044 |
$67K |
| A9577 |
Inj multihance |
824 |
691 |
$64K |
| 76856 |
|
1,370 |
1,270 |
$63K |
| 72148 |
|
864 |
715 |
$59K |
| 76830 |
|
1,321 |
1,231 |
$57K |
| 76705 |
|
1,371 |
1,213 |
$56K |
| 94640 |
|
3,227 |
1,805 |
$47K |
| 81025 |
|
10,514 |
9,371 |
$47K |
| 96372 |
|
6,606 |
4,842 |
$47K |
| 70486 |
|
206 |
184 |
$40K |
| 96360 |
|
1,624 |
1,369 |
$39K |
| 99281 |
|
319 |
279 |
$37K |
| 77080 |
|
880 |
771 |
$36K |
| 87070 |
|
2,637 |
2,379 |
$35K |
| 71250 |
|
602 |
475 |
$35K |
| 71045 |
|
9,227 |
7,368 |
$34K |
| 73562 |
|
1,532 |
1,186 |
$34K |
| 72100 |
|
1,310 |
1,149 |
$33K |
| A9270 |
Non-covered item or service |
6,033 |
2,818 |
$32K |
| 85025 |
|
29,501 |
20,210 |
$31K |
| 96365 |
|
2,131 |
1,708 |
$28K |
| 82962 |
|
6,899 |
2,586 |
$27K |
| 77066 |
Tomosynthesis, mammo |
667 |
576 |
$27K |
| J7050 |
Normal saline solution infus |
4,892 |
3,508 |
$26K |
| 87400 |
|
2,632 |
2,154 |
$25K |
| 93971 |
|
1,028 |
832 |
$23K |
| 77063 |
|
1,554 |
1,417 |
$23K |
| 96374 |
|
11,776 |
9,550 |
$23K |
| J2405 |
Ondansetron hcl injection |
7,022 |
5,458 |
$23K |
| 73030 |
|
1,116 |
901 |
$21K |
| J7030 |
Normal saline solution infus |
10,975 |
7,733 |
$21K |
| 70553 |
|
439 |
389 |
$21K |
| G0257 |
Unsched dialysis esrd pt hos |
98 |
37 |
$19K |
| J2250 |
Inj midazolam hydrochloride |
1,707 |
1,341 |
$18K |
| 74018 |
|
619 |
533 |
$18K |
| 77072 |
|
334 |
311 |
$18K |
| 73721 |
|
237 |
189 |
$17K |
| 72125 |
|
935 |
707 |
$17K |
| 73630 |
|
1,043 |
870 |
$17K |
| 70551 |
|
236 |
201 |
$17K |
| 93005 |
|
10,671 |
7,804 |
$16K |
| 88305 |
|
954 |
733 |
$16K |
| J8499 |
Oral prescrip drug non chemo |
626 |
256 |
$16K |
| 77065 |
Tomosynthesis, mammo |
523 |
462 |
$16K |
| J3490 |
Drugs unclassified injection |
151 |
88 |
$15K |
| 93970 |
|
446 |
366 |
$15K |
| 73610 |
|
662 |
584 |
$15K |
| J3010 |
Fentanyl citrate injection |
2,042 |
1,598 |
$14K |
| 76770 |
|
270 |
225 |
$14K |
| 72131 |
|
112 |
92 |
$14K |
| J2704 |
Inj, propofol, 10 mg |
1,821 |
1,452 |
$13K |
| 76819 |
|
118 |
87 |
$12K |
| 96375 |
|
8,341 |
6,132 |
$12K |
| 87636 |
|
4,405 |
3,997 |
$12K |
| 85610 |
|
4,281 |
3,253 |
$12K |
| 73130 |
|
604 |
521 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
1,409 |
651 |
$10K |
| J7512 |
Prednisone ir or dr oral 1mg |
901 |
801 |
$10K |
| 76817 |
|
891 |
736 |
$10K |
| 76775 |
|
169 |
155 |
$10K |
| 72040 |
|
275 |
244 |
$10K |
| 84484 |
|
8,510 |
4,789 |
$10K |
| 73502 |
|
439 |
342 |
$10K |
| 76801 |
|
740 |
653 |
$10K |
| 36415 |
|
2,212 |
1,112 |
$9K |
| 84702 |
|
1,927 |
1,459 |
$9K |
| 85730 |
|
3,728 |
2,809 |
$9K |
| 85027 |
|
1,060 |
764 |
$8K |
| J2270 |
Morphine sulfate injection |
4,855 |
3,258 |
$7K |
| 80307 |
|
1,366 |
1,062 |
$7K |
| 83735 |
|
7,953 |
5,638 |
$6K |
| J1815 |
Insulin injection |
471 |
213 |
$5K |
| 72141 |
|
75 |
65 |
$5K |
| 73110 |
|
286 |
255 |
$5K |
| J7120 |
Ringers lactate infusion |
1,708 |
1,154 |
$5K |
| 96376 |
|
3,254 |
1,709 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,145 |
1,678 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
6,450 |
5,411 |
$4K |
| 96366 |
|
349 |
213 |
$4K |
| 84703 |
|
2,321 |
2,031 |
$4K |
| 83880 |
|
2,007 |
1,548 |
$4K |
| 87040 |
|
1,492 |
763 |
$4K |
| 87086 |
|
6,133 |
5,164 |
$4K |
| 86885 |
|
1,572 |
1,268 |
$4K |
| 83690 |
|
6,083 |
4,989 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,368 |
1,154 |
$3K |
| 82550 |
|
3,937 |
2,371 |
$3K |
| J0690 |
Cefazolin sodium injection |
644 |
454 |
$3K |
| 86901 |
|
2,437 |
2,002 |
$3K |
| 80061 |
|
421 |
326 |
$3K |
| 59025 |
|
519 |
382 |
$2K |
| 86900 |
|
1,585 |
1,278 |
$2K |
| 76805 |
|
58 |
56 |
$2K |
| 84443 |
|
1,363 |
1,086 |
$2K |
| J1650 |
Inj enoxaparin sodium |
483 |
241 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,239 |
1,046 |
$2K |
| 87210 |
|
719 |
637 |
$2K |
| 87591 |
|
831 |
751 |
$2K |
| J7040 |
Normal saline solution infus |
859 |
679 |
$2K |
| 87430 |
|
2,716 |
2,515 |
$1K |
| 99001 |
|
4,774 |
4,242 |
$1K |
| 87088 |
|
1,371 |
1,139 |
$1K |
| 83605 |
|
1,160 |
742 |
$1K |
| 87491 |
|
930 |
833 |
$1K |
| 80076 |
|
573 |
489 |
$1K |
| 87186 |
|
1,391 |
1,130 |
$1K |
| 29125 |
|
65 |
56 |
$975.47 |
| J2930 |
Methylprednisolone injection |
339 |
267 |
$936.01 |
| C1769 |
Guide wire |
20 |
12 |
$903.76 |
| 76882 |
|
16 |
12 |
$897.52 |
| 84100 |
|
415 |
287 |
$865.00 |
| 82150 |
|
1,286 |
1,068 |
$823.40 |
| 85379 |
|
732 |
643 |
$739.87 |
| 87420 |
|
492 |
474 |
$719.57 |
| 87632 |
|
12 |
12 |
$645.18 |
| 97162 |
|
192 |
133 |
$618.93 |
| J1200 |
Diphenhydramine hcl injectio |
1,334 |
1,049 |
$606.07 |
| 93880 |
|
14 |
12 |
$567.73 |
| 83036 |
|
189 |
146 |
$535.09 |
| 76870 |
|
14 |
13 |
$517.10 |
| 97161 |
|
54 |
42 |
$445.56 |
| J1170 |
Hydromorphone injection |
466 |
301 |
$411.86 |
| J2060 |
Lorazepam injection |
438 |
322 |
$311.93 |
| J2795 |
Ropivacaine hcl injection |
35 |
27 |
$250.44 |
| 88342 |
|
120 |
92 |
$167.15 |
| 10060 |
|
44 |
36 |
$154.94 |
| 73080 |
|
16 |
12 |
$154.87 |
| J0780 |
Prochlorperazine injection |
99 |
84 |
$148.68 |
| 87077 |
|
882 |
724 |
$121.81 |
| 81003 |
|
19 |
15 |
$120.00 |
| 71260 |
|
16 |
12 |
$86.98 |
| 73140 |
|
26 |
25 |
$62.20 |
| 90715 |
|
220 |
198 |
$61.15 |
| 86140 |
|
85 |
67 |
$6.61 |
| U0005 |
Infec agen detec ampli probe |
414 |
364 |
$4.64 |
| J0360 |
Hydralazine hcl injection |
171 |
127 |
$0.00 |
| 85651 |
|
155 |
127 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
78 |
60 |
$0.00 |
| J2360 |
Orphenadrine injection |
59 |
55 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
46 |
38 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
15 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
36 |
31 |
$0.00 |
| 88307 |
|
15 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
38 |
25 |
$0.00 |
| 90471 |
|
18 |
12 |
$0.00 |
| 74022 |
|
15 |
15 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
72 |
50 |
$0.00 |
| G8978 |
Mobility current status |
18 |
16 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
14 |
12 |
$0.00 |
| 97116 |
|
30 |
12 |
$0.00 |
| 99218 |
|
106 |
38 |
$0.00 |
| G8979 |
Mobility goal status |
18 |
16 |
$0.00 |
| 94664 |
|
162 |
138 |
$0.00 |
| 82947 |
|
15 |
14 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
35 |
29 |
$0.00 |