| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
44,255 |
41,298 |
$14.60M |
| 99283 |
|
86,677 |
83,927 |
$14.60M |
| 99282 |
|
8,523 |
8,361 |
$1.24M |
| 80053 |
|
41,316 |
35,171 |
$734K |
| 74177 |
|
2,676 |
2,553 |
$723K |
| 99285 |
|
3,674 |
3,323 |
$592K |
| 74176 |
|
2,346 |
2,206 |
$452K |
| 70450 |
|
4,197 |
3,896 |
$451K |
| G0378 |
Hospital observation per hr |
1,360 |
1,102 |
$424K |
| 96374 |
|
23,236 |
21,323 |
$415K |
| 93306 |
|
1,863 |
1,734 |
$308K |
| 99281 |
|
2,705 |
2,520 |
$285K |
| 93005 |
|
10,938 |
9,850 |
$272K |
| 71045 |
|
15,492 |
14,310 |
$256K |
| 85027 |
|
49,433 |
41,326 |
$252K |
| 71046 |
|
3,540 |
3,408 |
$147K |
| 81001 |
|
23,440 |
21,927 |
$128K |
| 83690 |
|
10,893 |
9,695 |
$126K |
| 76705 |
|
1,156 |
1,111 |
$119K |
| 87070 |
|
14,885 |
14,621 |
$118K |
| 84484 |
|
9,860 |
8,021 |
$109K |
| 72125 |
|
1,074 |
996 |
$102K |
| 96372 |
|
10,380 |
9,250 |
$89K |
| 87804 |
|
16,164 |
15,897 |
$87K |
| 96375 |
|
6,799 |
5,760 |
$85K |
| 84702 |
|
2,459 |
2,160 |
$84K |
| 87430 |
|
11,957 |
11,804 |
$83K |
| 76801 |
|
829 |
738 |
$71K |
| 96361 |
|
3,677 |
3,298 |
$70K |
| 84703 |
|
4,199 |
3,954 |
$70K |
| 36415 |
|
18,379 |
15,320 |
$66K |
| 80048 |
|
3,677 |
2,964 |
$54K |
| 76856 |
|
563 |
526 |
$51K |
| 94640 |
|
788 |
637 |
$49K |
| 11042 |
|
437 |
233 |
$48K |
| 78452 |
|
307 |
293 |
$46K |
| 80307 |
|
2,424 |
2,178 |
$46K |
| 81025 |
|
2,394 |
2,314 |
$46K |
| 73030 |
|
635 |
604 |
$38K |
| 73562 |
|
775 |
737 |
$37K |
| 87086 |
|
3,777 |
3,410 |
$34K |
| 73610 |
|
484 |
468 |
$32K |
| 74018 |
|
441 |
425 |
$31K |
| 88305 |
|
555 |
518 |
$31K |
| 90715 |
|
202 |
201 |
$29K |
| J7040 |
Normal saline solution infus |
1,076 |
987 |
$29K |
| 93017 |
|
383 |
366 |
$28K |
| 76817 |
|
359 |
328 |
$26K |
| 76830 |
|
169 |
159 |
$25K |
| 85730 |
|
4,185 |
3,755 |
$25K |
| G0463 |
Hospital outpt clinic visit |
1,900 |
1,066 |
$25K |
| 72100 |
|
347 |
331 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
3,844 |
3,637 |
$24K |
| J0696 |
Ceftriaxone sodium injection |
3,720 |
3,067 |
$23K |
| 85610 |
|
5,105 |
4,508 |
$23K |
| 96365 |
|
636 |
384 |
$23K |
| 87186 |
|
1,574 |
1,450 |
$21K |
| 83880 |
|
2,391 |
2,170 |
$21K |
| 80047 |
|
426 |
414 |
$21K |
| 87040 |
|
1,566 |
1,284 |
$20K |
| A9500 |
Tc99m sestamibi |
317 |
300 |
$19K |
| 87077 |
|
1,966 |
1,833 |
$19K |
| 87635 |
|
3,889 |
3,781 |
$18K |
| 73630 |
|
397 |
381 |
$17K |
| 84443 |
|
1,472 |
1,347 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,975 |
3,375 |
$17K |
| 86850 |
|
1,253 |
1,144 |
$16K |
| 96360 |
|
335 |
320 |
$14K |
| 86900 |
|
2,772 |
2,526 |
$13K |
| 86901 |
|
2,774 |
2,528 |
$13K |
| 81003 |
|
3,175 |
2,980 |
$13K |
| 87426 |
|
1,890 |
1,787 |
$12K |
| 73110 |
|
195 |
190 |
$12K |
| 83605 |
|
1,930 |
1,572 |
$12K |
| 71275 |
|
136 |
129 |
$11K |
| 87491 |
|
357 |
346 |
$10K |
| 83735 |
|
3,987 |
2,836 |
$10K |
| 87591 |
|
356 |
345 |
$10K |
| J2270 |
Morphine sulfate injection |
6,149 |
4,467 |
$9K |
| 86756 |
|
820 |
804 |
$9K |
| G0383 |
Lev 4 hosp type b ed visit |
37 |
32 |
$8K |
| 73130 |
|
158 |
156 |
$7K |
| 80061 |
|
1,064 |
961 |
$7K |
| 85014 |
|
438 |
425 |
$7K |
| 82150 |
|
223 |
209 |
$6K |
| 70486 |
|
49 |
49 |
$5K |
| 83036 |
|
1,167 |
1,052 |
$5K |
| 90471 |
|
658 |
614 |
$5K |
| 84100 |
|
1,805 |
1,175 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
10,697 |
7,575 |
$4K |
| 97530 |
|
123 |
49 |
$4K |
| 93970 |
|
101 |
95 |
$4K |
| 99212 |
|
124 |
121 |
$4K |
| 97110 |
|
79 |
29 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,246 |
1,051 |
$4K |
| 71250 |
|
52 |
49 |
$3K |
| 96376 |
|
1,083 |
773 |
$3K |
| 87420 |
|
176 |
174 |
$3K |
| 93971 |
|
103 |
100 |
$3K |
| 87880 |
|
2,798 |
2,752 |
$3K |
| 97163 |
|
293 |
265 |
$3K |
| 83013 |
|
29 |
29 |
$3K |
| 97167 |
|
281 |
254 |
$3K |
| 72170 |
|
103 |
92 |
$2K |
| 97116 |
|
136 |
79 |
$2K |
| 82565 |
|
222 |
217 |
$2K |
| 85379 |
|
312 |
293 |
$2K |
| J2405 |
Ondansetron hcl injection |
9,224 |
7,875 |
$2K |
| 76700 |
|
13 |
13 |
$2K |
| 82306 |
|
199 |
183 |
$2K |
| 76815 |
|
42 |
41 |
$2K |
| 86140 |
|
409 |
357 |
$2K |
| 72131 |
|
29 |
25 |
$2K |
| C1769 |
Guide wire |
217 |
196 |
$2K |
| J0360 |
Hydralazine hcl injection |
527 |
402 |
$2K |
| 99202 |
|
12 |
12 |
$2K |
| 99211 |
|
29 |
25 |
$1K |
| 73590 |
|
45 |
40 |
$1K |
| J2060 |
Lorazepam injection |
433 |
360 |
$1K |
| 12001 |
|
16 |
16 |
$1K |
| 87276 |
|
1,164 |
1,153 |
$960.71 |
| J1170 |
Hydromorphone injection |
604 |
483 |
$951.12 |
| 87205 |
|
62 |
54 |
$885.78 |
| J7120 |
Ringers lactate infusion |
1,231 |
998 |
$758.43 |
| 83970 |
|
56 |
52 |
$733.45 |
| 82140 |
|
33 |
25 |
$643.81 |
| 80197 |
|
358 |
163 |
$612.74 |
| J0500 |
Dicyclomine injection |
315 |
295 |
$592.41 |
| J3010 |
Fentanyl citrate injection |
1,108 |
959 |
$549.11 |
| J1200 |
Diphenhydramine hcl injectio |
1,212 |
1,090 |
$509.39 |
| 73502 |
|
12 |
12 |
$470.34 |
| A9270 |
Non-covered item or service |
4,160 |
1,857 |
$431.05 |
| J1650 |
Inj enoxaparin sodium |
128 |
74 |
$428.41 |
| 80143 |
|
59 |
52 |
$395.49 |
| 73090 |
|
14 |
14 |
$343.17 |
| J2765 |
Metoclopramide hcl injection |
760 |
712 |
$338.90 |
| 83014 |
|
29 |
29 |
$317.45 |
| J2704 |
Inj, propofol, 10 mg |
727 |
657 |
$287.25 |
| 84439 |
|
89 |
79 |
$259.44 |
| 82570 |
|
158 |
134 |
$254.93 |
| J1815 |
Insulin injection |
1,580 |
627 |
$233.74 |
| J2550 |
Promethazine hcl injection |
360 |
316 |
$228.82 |
| J0690 |
Cefazolin sodium injection |
94 |
64 |
$207.27 |
| 87210 |
|
39 |
37 |
$171.09 |
| C1894 |
Intro/sheath, non-laser |
111 |
100 |
$169.86 |
| 82550 |
|
80 |
76 |
$168.24 |
| J2785 |
Regadenoson injection |
98 |
89 |
$130.53 |
| 87340 |
|
15 |
12 |
$127.96 |
| J1630 |
Haloperidol injection |
126 |
111 |
$112.16 |
| J7050 |
Normal saline solution infus |
95 |
64 |
$101.08 |
| 84550 |
|
26 |
24 |
$95.01 |
| 85651 |
|
14 |
14 |
$92.75 |
| 84156 |
|
48 |
41 |
$78.59 |
| J2250 |
Inj midazolam hydrochloride |
402 |
352 |
$57.77 |
| J2919 |
Inj, methylpred sod succ 5mg |
36 |
28 |
$57.40 |
| J2930 |
Methylprednisolone injection |
122 |
107 |
$53.57 |
| 82607 |
|
15 |
12 |
$42.54 |
| 84520 |
|
21 |
18 |
$39.35 |
| S0028 |
Injection, famotidine, 20 mg |
36 |
34 |
$34.62 |
| 82009 |
|
14 |
12 |
$31.36 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
33 |
$4.48 |
| 80076 |
|
31 |
31 |
$0.00 |
| G1003 |
Cdsm medicalis |
255 |
249 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
15 |
14 |
$0.00 |