| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
18,655 |
17,543 |
$4.11M |
| 99283 |
|
17,554 |
16,394 |
$3.28M |
| G0378 |
Hospital observation per hr |
1,422 |
864 |
$1.28M |
| 96361 |
|
8,250 |
7,386 |
$1.21M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
722 |
622 |
$821K |
| 74177 |
|
3,122 |
3,050 |
$626K |
| 99282 |
|
3,688 |
3,531 |
$574K |
| 36415 |
|
78,744 |
29,223 |
$553K |
| 70450 |
|
2,610 |
2,561 |
$523K |
| 99285 |
|
2,015 |
1,971 |
$390K |
| 74176 |
|
1,581 |
1,545 |
$335K |
| C1776 |
Joint device (implantable) |
106 |
87 |
$314K |
| 76700 |
|
1,408 |
1,396 |
$304K |
| 80053 |
|
21,396 |
19,661 |
$282K |
| 93976 |
|
1,088 |
1,068 |
$256K |
| 96365 |
|
2,401 |
1,978 |
$223K |
| 97110 |
|
5,166 |
1,785 |
$193K |
| 96360 |
|
1,485 |
1,462 |
$156K |
| 71275 |
|
710 |
704 |
$147K |
| 87502 |
|
4,476 |
4,320 |
$146K |
| 76856 |
|
483 |
478 |
$140K |
| 99213 |
|
3,056 |
2,953 |
$111K |
| 80048 |
|
7,148 |
6,389 |
$103K |
| 93010 |
|
12,906 |
12,056 |
$94K |
| 99214 |
|
1,792 |
1,747 |
$92K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,565 |
1,519 |
$83K |
| 97161 |
|
1,348 |
1,334 |
$73K |
| 96366 |
|
544 |
421 |
$63K |
| G0463 |
Hospital outpt clinic visit |
797 |
722 |
$59K |
| 77067 |
|
978 |
977 |
$55K |
| 96374 |
|
16,880 |
12,112 |
$54K |
| 87491 |
|
1,403 |
1,370 |
$41K |
| 96372 |
|
3,721 |
3,074 |
$39K |
| 80307 |
|
1,860 |
1,660 |
$38K |
| 87651 |
|
1,437 |
1,419 |
$37K |
| 87631 |
|
901 |
886 |
$35K |
| 82306 |
|
1,292 |
1,290 |
$35K |
| 83880 |
|
1,675 |
1,611 |
$34K |
| 86850 |
|
1,642 |
1,620 |
$28K |
| 97010 |
|
1,587 |
585 |
$25K |
| 87635 |
|
2,458 |
2,398 |
$24K |
| 93975 |
|
77 |
77 |
$24K |
| 84443 |
|
2,900 |
2,879 |
$22K |
| 76830 |
|
929 |
915 |
$22K |
| 81025 |
|
8,548 |
8,061 |
$20K |
| 87591 |
|
1,191 |
1,159 |
$19K |
| 93005 |
|
11,430 |
10,608 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,769 |
3,894 |
$19K |
| 99396 |
|
217 |
213 |
$17K |
| 93971 |
|
405 |
398 |
$17K |
| 99393 |
|
258 |
257 |
$17K |
| 80061 |
|
2,883 |
2,868 |
$17K |
| 71046 |
|
3,362 |
3,321 |
$16K |
| G2023 |
Specimen collect covid-19 |
1,248 |
1,200 |
$16K |
| 86900 |
|
1,718 |
1,632 |
$16K |
| 99392 |
|
227 |
227 |
$16K |
| 85025 |
|
26,106 |
23,883 |
$15K |
| 83036 |
|
1,738 |
1,728 |
$14K |
| U0005 |
Infec agen detec ampli probe |
716 |
703 |
$14K |
| 82803 |
|
780 |
702 |
$13K |
| 12001 |
|
27 |
26 |
$9K |
| 99281 |
|
68 |
65 |
$9K |
| 84439 |
|
1,223 |
1,213 |
$9K |
| 71045 |
|
6,719 |
6,411 |
$9K |
| 80076 |
|
1,077 |
1,067 |
$9K |
| 82607 |
|
793 |
790 |
$9K |
| 72125 |
|
305 |
299 |
$8K |
| 99394 |
|
117 |
116 |
$8K |
| 99391 |
|
139 |
139 |
$8K |
| 90471 |
|
801 |
799 |
$8K |
| 85610 |
|
6,384 |
6,089 |
$8K |
| 85730 |
|
5,797 |
5,634 |
$7K |
| 97162 |
|
113 |
113 |
$7K |
| 99211 |
|
275 |
264 |
$5K |
| 10060 |
|
30 |
29 |
$5K |
| 81001 |
|
8,984 |
8,553 |
$5K |
| 86901 |
|
361 |
296 |
$4K |
| 72131 |
|
25 |
25 |
$4K |
| 87086 |
|
3,405 |
3,284 |
$4K |
| 70551 |
|
12 |
12 |
$4K |
| 85027 |
|
2,825 |
2,537 |
$4K |
| 82948 |
|
2,568 |
1,368 |
$4K |
| 86701 |
|
402 |
394 |
$3K |
| 96375 |
|
8,210 |
7,335 |
$3K |
| 97165 |
|
51 |
51 |
$3K |
| 87389 |
|
814 |
805 |
$3K |
| 99395 |
|
40 |
40 |
$3K |
| 82746 |
|
287 |
286 |
$3K |
| 76641 |
|
90 |
90 |
$3K |
| 99000 |
|
252 |
247 |
$3K |
| 87798 |
|
94 |
94 |
$3K |
| 93306 |
|
24 |
24 |
$3K |
| 84702 |
|
893 |
867 |
$2K |
| 73630 |
|
779 |
761 |
$2K |
| 90714 |
|
93 |
93 |
$2K |
| 90472 |
|
335 |
335 |
$2K |
| 72100 |
|
404 |
388 |
$2K |
| 87661 |
|
148 |
146 |
$2K |
| 81003 |
|
4,275 |
4,144 |
$2K |
| 83735 |
|
5,878 |
5,308 |
$2K |
| 94640 |
|
1,511 |
1,345 |
$2K |
| 71271 |
|
53 |
53 |
$2K |
| 73030 |
|
399 |
388 |
$1K |
| 99212 |
|
13 |
13 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,128 |
6,329 |
$1K |
| 99385 |
|
15 |
15 |
$1K |
| 82043 |
|
271 |
271 |
$1K |
| 76536 |
|
39 |
39 |
$1K |
| 84484 |
|
8,782 |
5,891 |
$1K |
| 72110 |
|
139 |
138 |
$1K |
| 93979 |
|
17 |
17 |
$869.36 |
| 73562 |
|
211 |
208 |
$767.31 |
| 88304 |
|
65 |
65 |
$764.04 |
| 83690 |
|
7,897 |
7,290 |
$747.08 |
| 73130 |
|
429 |
418 |
$685.60 |
| 87040 |
|
2,407 |
1,241 |
$645.69 |
| 73610 |
|
472 |
459 |
$634.38 |
| 87660 |
|
571 |
552 |
$625.82 |
| J1170 |
Hydromorphone injection |
3,866 |
2,911 |
$616.38 |
| 97140 |
|
78 |
28 |
$612.74 |
| 73564 |
|
150 |
148 |
$611.96 |
| J3490 |
Drugs unclassified injection |
1,556 |
1,280 |
$547.38 |
| 82150 |
|
3,261 |
3,069 |
$521.66 |
| 76817 |
|
14 |
13 |
$517.45 |
| 73502 |
|
238 |
230 |
$512.67 |
| 87077 |
|
1,333 |
1,162 |
$503.88 |
| 93041 |
|
1,683 |
1,642 |
$490.24 |
| 90686 |
|
35 |
35 |
$475.59 |
| 87186 |
|
1,189 |
1,084 |
$459.79 |
| 85652 |
|
406 |
392 |
$437.32 |
| 83605 |
|
2,275 |
2,010 |
$432.92 |
| 99406 |
|
41 |
40 |
$421.22 |
| 87070 |
|
627 |
580 |
$386.59 |
| J0690 |
Cefazolin sodium injection |
1,641 |
1,339 |
$341.87 |
| J7030 |
Normal saline solution infus |
7,420 |
6,742 |
$338.12 |
| 90715 |
|
15 |
15 |
$317.02 |
| J7120 |
Ringers lactate infusion |
2,159 |
1,915 |
$314.23 |
| 72040 |
|
54 |
52 |
$270.91 |
| 97116 |
|
18 |
12 |
$248.00 |
| 85379 |
|
1,471 |
1,452 |
$246.79 |
| 87081 |
|
539 |
528 |
$217.86 |
| 87563 |
|
14 |
14 |
$217.63 |
| 86140 |
|
81 |
72 |
$216.77 |
| 90658 |
|
16 |
16 |
$194.88 |
| 84153 |
|
12 |
12 |
$186.45 |
| C9803 |
Hopd covid-19 spec collect |
376 |
261 |
$176.65 |
| 82570 |
|
42 |
41 |
$161.10 |
| J2704 |
Inj, propofol, 10 mg |
1,578 |
1,544 |
$160.72 |
| 85007 |
|
848 |
748 |
$153.19 |
| 86803 |
|
89 |
88 |
$151.90 |
| J7050 |
Normal saline solution infus |
803 |
611 |
$139.01 |
| J3370 |
Vancomycin hcl injection |
251 |
161 |
$134.00 |
| 73110 |
|
56 |
54 |
$120.15 |
| 96376 |
|
1,592 |
1,212 |
$114.29 |
| 97535 |
|
14 |
14 |
$100.15 |
| A9270 |
Non-covered item or service |
9,757 |
8,116 |
$99.23 |
| 82550 |
|
139 |
129 |
$91.44 |
| 86780 |
|
13 |
13 |
$89.34 |
| 81015 |
|
629 |
585 |
$86.91 |
| J1885 |
Ketorolac tromethamine inj |
7,615 |
7,184 |
$83.05 |
| C9113 |
Inj pantoprazole sodium, via |
798 |
694 |
$80.56 |
| 83550 |
|
14 |
14 |
$61.06 |
| 84460 |
|
14 |
14 |
$60.82 |
| 84450 |
|
13 |
13 |
$58.04 |
| J2930 |
Methylprednisolone injection |
353 |
335 |
$55.45 |
| J1100 |
Dexamethasone sodium phos |
2,637 |
2,488 |
$50.83 |
| 87205 |
|
458 |
423 |
$50.71 |
| J2270 |
Morphine sulfate injection |
1,400 |
1,236 |
$38.03 |
| J3010 |
Fentanyl citrate injection |
1,723 |
1,704 |
$37.30 |
| J2765 |
Metoclopramide hcl injection |
1,309 |
1,203 |
$32.31 |
| J2250 |
Inj midazolam hydrochloride |
1,771 |
1,735 |
$26.83 |
| 95806 |
|
12 |
12 |
$25.67 |
| 80320 |
|
509 |
481 |
$25.10 |
| 73590 |
|
14 |
13 |
$24.24 |
| J0696 |
Ceftriaxone sodium injection |
1,377 |
1,254 |
$23.79 |
| J3475 |
Inj magnesium sulfate |
434 |
406 |
$21.20 |
| J1200 |
Diphenhydramine hcl injectio |
1,816 |
1,690 |
$15.11 |
| J2795 |
Ropivacaine hcl injection |
123 |
122 |
$9.30 |
| J7060 |
5% dextrose/water |
226 |
136 |
$9.07 |
| 94760 |
|
127 |
96 |
$6.89 |
| 86308 |
|
14 |
13 |
$4.73 |
| J2001 |
Lidocaine injection |
527 |
497 |
$3.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
720 |
648 |
$2.49 |
| J2060 |
Lorazepam injection |
461 |
417 |
$2.00 |
| J1644 |
Inj heparin sodium per 1000u |
231 |
130 |
$1.77 |
| J7040 |
Normal saline solution infus |
31 |
31 |
$1.27 |
| J0131 |
Inj, acetaminophen (nos) |
55 |
55 |
$0.20 |
| 80179 |
|
64 |
64 |
$0.00 |
| 99080 |
|
1,225 |
1,203 |
$0.00 |
| 82010 |
|
27 |
24 |
$0.00 |
| J0132 |
Acetylcysteine injection |
144 |
134 |
$0.00 |
| 81513 |
|
17 |
17 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
15 |
$0.00 |
| 90734 |
|
18 |
18 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
61 |
57 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| J0780 |
Prochlorperazine injection |
41 |
40 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
128 |
97 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
14 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
81 |
74 |
$0.00 |
| 80329 |
|
187 |
155 |
$0.00 |
| 87590 |
|
17 |
17 |
$0.00 |
| 90620 |
|
35 |
35 |
$0.00 |