| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
105,161 |
101,948 |
$62.93M |
| 99285 |
|
39,976 |
37,696 |
$26.26M |
| 99283 |
|
113,773 |
111,842 |
$9.10M |
| G0378 |
Hospital observation per hr |
3,945 |
3,578 |
$3.23M |
| 87426 |
|
44,136 |
43,332 |
$2.06M |
| 87804 |
|
84,312 |
42,046 |
$1.89M |
| 74177 |
|
3,792 |
3,603 |
$1.37M |
| C9803 |
Hopd covid-19 spec collect |
61,380 |
60,093 |
$1.34M |
| 93005 |
|
17,907 |
16,103 |
$1.27M |
| 87651 |
|
20,866 |
20,564 |
$1.15M |
| 96361 |
|
2,485 |
1,989 |
$1.08M |
| 71045 |
|
26,317 |
25,007 |
$827K |
| 80053 |
|
61,378 |
57,083 |
$744K |
| 80050 |
|
1,926 |
1,893 |
$713K |
| 85025 |
|
80,706 |
74,238 |
$701K |
| 99282 |
|
10,591 |
10,477 |
$699K |
| 80307 |
|
8,904 |
8,293 |
$631K |
| 70450 |
|
5,162 |
4,927 |
$612K |
| 87430 |
|
26,055 |
25,628 |
$603K |
| 74176 |
|
2,456 |
2,363 |
$452K |
| 87507 |
|
749 |
728 |
$409K |
| J1885 |
Ketorolac tromethamine inj |
12,224 |
11,220 |
$340K |
| 87070 |
|
26,676 |
26,062 |
$309K |
| 76705 |
|
2,033 |
1,940 |
$260K |
| 71046 |
|
4,946 |
4,816 |
$258K |
| 99281 |
|
4,696 |
4,642 |
$253K |
| 81025 |
|
22,353 |
21,403 |
$249K |
| 74018 |
|
5,251 |
5,123 |
$245K |
| 76801 |
|
2,054 |
1,858 |
$240K |
| 81001 |
|
61,582 |
58,774 |
$236K |
| J0696 |
Ceftriaxone sodium injection |
4,173 |
3,388 |
$216K |
| 94640 |
|
3,888 |
3,729 |
$212K |
| 83690 |
|
20,336 |
19,241 |
$161K |
| 72125 |
|
1,564 |
1,513 |
$146K |
| 84484 |
|
17,695 |
11,056 |
$144K |
| 11042 |
|
1,141 |
503 |
$138K |
| 87086 |
|
14,441 |
13,759 |
$137K |
| 87633 |
|
406 |
379 |
$134K |
| 76805 |
|
818 |
769 |
$109K |
| 87420 |
|
5,077 |
5,010 |
$103K |
| 87040 |
|
9,211 |
7,212 |
$103K |
| 80048 |
|
11,751 |
10,527 |
$101K |
| 83880 |
|
5,119 |
4,689 |
$100K |
| 70551 |
|
242 |
240 |
$82K |
| J2405 |
Ondansetron hcl injection |
18,030 |
16,590 |
$75K |
| 84702 |
|
4,579 |
4,196 |
$72K |
| 76856 |
|
456 |
425 |
$61K |
| 76775 |
|
559 |
558 |
$59K |
| 86850 |
|
1,556 |
1,422 |
$58K |
| S0164 |
Injection pantroprazole |
728 |
642 |
$56K |
| 12001 |
|
180 |
175 |
$55K |
| J0360 |
Hydralazine hcl injection |
1,441 |
1,210 |
$52K |
| 96360 |
|
859 |
801 |
$51K |
| 74022 |
|
699 |
683 |
$50K |
| 82306 |
|
1,338 |
1,318 |
$49K |
| 71260 |
|
344 |
337 |
$49K |
| 80061 |
|
3,870 |
3,799 |
$48K |
| 97110 |
|
1,363 |
241 |
$47K |
| J1100 |
Dexamethasone sodium phos |
6,202 |
5,873 |
$46K |
| 73610 |
|
874 |
830 |
$42K |
| 74019 |
|
720 |
697 |
$42K |
| 42820 |
|
15 |
15 |
$41K |
| 83605 |
|
4,100 |
3,585 |
$39K |
| 86140 |
|
5,972 |
5,568 |
$38K |
| 73630 |
|
900 |
857 |
$38K |
| 73130 |
|
809 |
773 |
$37K |
| 96365 |
|
990 |
923 |
$36K |
| 85730 |
|
9,284 |
8,498 |
$35K |
| 73564 |
|
773 |
711 |
$32K |
| 90471 |
|
1,162 |
1,112 |
$31K |
| G0463 |
Hospital outpt clinic visit |
1,223 |
947 |
$28K |
| G0379 |
Direct refer hospital observ |
260 |
251 |
$28K |
| 85610 |
|
10,092 |
9,186 |
$28K |
| 72100 |
|
755 |
724 |
$27K |
| U0003 |
Cov-19 amp prb hgh thruput |
576 |
552 |
$26K |
| J2270 |
Morphine sulfate injection |
4,023 |
3,273 |
$24K |
| 70486 |
|
242 |
229 |
$24K |
| 83735 |
|
5,506 |
4,864 |
$24K |
| U0001 |
2019-ncov diagnostic p |
549 |
516 |
$23K |
| J2930 |
Methylprednisolone injection |
588 |
518 |
$23K |
| 82550 |
|
4,295 |
3,880 |
$23K |
| 59025 |
|
171 |
142 |
$22K |
| 99213 |
|
165 |
152 |
$21K |
| 90715 |
|
619 |
596 |
$21K |
| 73030 |
|
677 |
644 |
$20K |
| 93306 |
|
37 |
37 |
$19K |
| 81003 |
|
7,354 |
7,062 |
$19K |
| 84443 |
|
2,601 |
2,518 |
$19K |
| 0202U |
|
14,907 |
14,476 |
$19K |
| 82607 |
|
907 |
897 |
$18K |
| 73110 |
|
364 |
345 |
$18K |
| 82746 |
|
902 |
897 |
$18K |
| 87186 |
|
2,997 |
2,558 |
$18K |
| 76770 |
|
91 |
91 |
$17K |
| 96374 |
|
5,360 |
4,885 |
$17K |
| 87077 |
|
3,082 |
2,603 |
$17K |
| 71275 |
|
100 |
97 |
$16K |
| 87798 |
|
569 |
379 |
$16K |
| 36415 |
|
99,301 |
85,763 |
$16K |
| 70553 |
|
26 |
25 |
$16K |
| J2543 |
Piperacillin/tazobactam |
252 |
157 |
$15K |
| J0690 |
Cefazolin sodium injection |
1,081 |
829 |
$15K |
| 88305 |
|
260 |
227 |
$14K |
| 96375 |
|
3,745 |
3,264 |
$14K |
| 77067 |
|
219 |
219 |
$13K |
| 85027 |
|
2,316 |
1,989 |
$13K |
| J1200 |
Diphenhydramine hcl injectio |
1,578 |
1,442 |
$13K |
| 83520 |
|
523 |
496 |
$13K |
| 73090 |
|
398 |
365 |
$13K |
| 83036 |
|
1,753 |
1,723 |
$13K |
| 0241U |
|
24,698 |
24,232 |
$12K |
| 87581 |
|
406 |
379 |
$12K |
| 87486 |
|
406 |
379 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
1,245 |
616 |
$10K |
| 80076 |
|
1,049 |
1,019 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
987 |
896 |
$10K |
| 82803 |
|
430 |
327 |
$8K |
| 85379 |
|
997 |
945 |
$8K |
| 72040 |
|
166 |
158 |
$7K |
| 69436 |
|
26 |
26 |
$7K |
| J2765 |
Metoclopramide hcl injection |
952 |
882 |
$6K |
| 72170 |
|
365 |
350 |
$6K |
| 93971 |
|
78 |
77 |
$6K |
| 86900 |
|
2,733 |
2,499 |
$6K |
| 86901 |
|
2,732 |
2,499 |
$6K |
| 82150 |
|
958 |
914 |
$6K |
| 73590 |
|
181 |
173 |
$6K |
| 90714 |
|
231 |
217 |
$6K |
| 73080 |
|
152 |
149 |
$6K |
| 82140 |
|
594 |
499 |
$5K |
| 96372 |
|
1,284 |
1,107 |
$5K |
| 99211 |
|
215 |
192 |
$4K |
| 12011 |
|
14 |
14 |
$4K |
| 82784 |
|
260 |
76 |
$3K |
| J2060 |
Lorazepam injection |
288 |
258 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,146 |
1,029 |
$3K |
| 86738 |
|
197 |
92 |
$3K |
| 86317 |
|
154 |
93 |
$3K |
| 86003 |
|
81 |
25 |
$3K |
| 84146 |
|
120 |
120 |
$3K |
| 74230 |
|
12 |
12 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,166 |
4,871 |
$3K |
| J1650 |
Inj enoxaparin sodium |
47 |
25 |
$3K |
| 76641 |
|
26 |
25 |
$3K |
| 87184 |
|
323 |
297 |
$3K |
| 71250 |
|
52 |
51 |
$3K |
| 87205 |
|
841 |
722 |
$2K |
| 36600 |
|
75 |
64 |
$2K |
| 84436 |
|
424 |
415 |
$2K |
| 82785 |
|
104 |
88 |
$2K |
| 87075 |
|
327 |
287 |
$2K |
| 70260 |
|
32 |
32 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
827 |
799 |
$2K |
| 83883 |
|
118 |
74 |
$2K |
| 93970 |
|
13 |
13 |
$2K |
| 99212 |
|
89 |
81 |
$2K |
| 84439 |
|
252 |
242 |
$2K |
| 85652 |
|
667 |
612 |
$2K |
| 85007 |
|
353 |
335 |
$2K |
| 76700 |
|
12 |
12 |
$2K |
| 83525 |
|
80 |
80 |
$1K |
| J1170 |
Hydromorphone injection |
204 |
162 |
$1K |
| 73140 |
|
30 |
25 |
$1K |
| 76817 |
|
13 |
12 |
$1K |
| 86141 |
|
67 |
62 |
$1K |
| 82787 |
|
117 |
74 |
$1K |
| 96366 |
|
20 |
14 |
$1K |
| J2470 |
Inj pantoprazole sodium 40mg |
60 |
53 |
$1K |
| 84100 |
|
351 |
312 |
$995.20 |
| 82570 |
|
124 |
114 |
$975.69 |
| 88304 |
|
14 |
13 |
$893.94 |
| 84480 |
|
39 |
39 |
$799.35 |
| 92611 |
|
12 |
12 |
$631.95 |
| 84145 |
|
164 |
148 |
$598.18 |
| 77063 |
|
12 |
12 |
$590.14 |
| 84156 |
|
92 |
90 |
$570.39 |
| J0131 |
Inj, acetaminophen (nos) |
93 |
85 |
$519.28 |
| 84132 |
|
178 |
143 |
$516.06 |
| J2920 |
Methylprednisolone injection |
16 |
12 |
$504.51 |
| 87641 |
|
30 |
26 |
$502.74 |
| 73060 |
|
26 |
25 |
$488.17 |
| J2001 |
Lidocaine injection |
2,418 |
2,200 |
$459.14 |
| 96376 |
|
427 |
316 |
$442.71 |
| 84479 |
|
80 |
80 |
$428.81 |
| 87635 |
|
114 |
106 |
$412.69 |
| 90686 |
|
66 |
66 |
$392.73 |
| 82947 |
|
68 |
68 |
$389.73 |
| J1940 |
Furosemide injection |
121 |
87 |
$348.57 |
| 82962 |
|
7,943 |
3,572 |
$345.27 |
| 82270 |
|
82 |
79 |
$239.88 |
| J2919 |
Inj, methylpred sod succ 5mg |
112 |
97 |
$230.59 |
| J2704 |
Inj, propofol, 10 mg |
1,518 |
1,384 |
$221.78 |
| J1920 |
Inj, labetalol hcl, 5mg |
13 |
13 |
$196.26 |
| 85018 |
|
126 |
99 |
$176.38 |
| 82010 |
|
12 |
12 |
$123.20 |
| 77080 |
|
13 |
13 |
$70.55 |
| A9270 |
Non-covered item or service |
5,021 |
3,253 |
$61.68 |
| 82565 |
|
41 |
40 |
$59.97 |
| J0456 |
Azithromycin |
12 |
12 |
$53.40 |
| 85014 |
|
37 |
27 |
$39.03 |
| 82043 |
|
39 |
39 |
$37.20 |
| 84520 |
|
26 |
26 |
$30.74 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$27.21 |
| C9113 |
Inj pantoprazole sodium, via |
244 |
165 |
$21.79 |
| 84550 |
|
14 |
13 |
$19.30 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
28 |
28 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
26 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
48 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
13 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
28 |
23 |
$0.00 |