| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
9,388 |
7,830 |
$2.02M |
| 99284 |
|
6,708 |
5,106 |
$1.94M |
| 99285 |
|
2,633 |
1,981 |
$986K |
| 97110 |
|
11,908 |
3,810 |
$833K |
| 74177 |
|
1,043 |
994 |
$680K |
| 99282 |
|
3,593 |
3,212 |
$444K |
| 96374 |
|
2,741 |
2,498 |
$435K |
| 97140 |
|
6,878 |
2,488 |
$303K |
| 80053 |
|
10,386 |
9,261 |
$291K |
| 96365 |
|
1,589 |
1,134 |
$257K |
| 85025 |
|
10,858 |
9,526 |
$215K |
| 87637 |
|
464 |
454 |
$183K |
| 84443 |
|
3,095 |
2,992 |
$155K |
| 93005 |
|
2,474 |
2,200 |
$135K |
| 96375 |
|
2,358 |
2,064 |
$135K |
| 87502 |
|
924 |
904 |
$128K |
| 80061 |
|
2,480 |
2,454 |
$127K |
| 97162 |
|
819 |
797 |
$123K |
| 97014 |
|
4,399 |
1,490 |
$111K |
| 99281 |
|
1,255 |
1,216 |
$109K |
| 96361 |
|
1,550 |
1,320 |
$109K |
| 36415 |
|
12,061 |
10,816 |
$104K |
| 96372 |
|
1,640 |
1,486 |
$102K |
| 70450 |
|
444 |
421 |
$81K |
| 83036 |
|
2,502 |
2,465 |
$74K |
| 71046 |
|
2,214 |
2,071 |
$73K |
| 87426 |
|
571 |
406 |
$64K |
| 36592 |
|
1,187 |
1,063 |
$61K |
| 80048 |
|
2,389 |
2,200 |
$56K |
| 80050 |
|
392 |
385 |
$53K |
| 80306 |
|
1,202 |
1,135 |
$53K |
| 84484 |
|
1,852 |
1,555 |
$50K |
| J7050 |
Normal saline solution infus |
2,071 |
1,437 |
$50K |
| 87086 |
|
1,875 |
1,743 |
$48K |
| 87635 |
|
596 |
572 |
$45K |
| G0480 |
Drug test def 1-7 classes |
978 |
887 |
$45K |
| J1885 |
Ketorolac tromethamine inj |
2,322 |
2,109 |
$40K |
| J2405 |
Ondansetron hcl injection |
2,028 |
1,781 |
$39K |
| 83690 |
|
2,051 |
1,850 |
$38K |
| 87491 |
|
443 |
435 |
$37K |
| 87591 |
|
442 |
435 |
$37K |
| J7030 |
Normal saline solution infus |
1,197 |
1,071 |
$35K |
| 81001 |
|
3,804 |
3,446 |
$35K |
| 83880 |
|
501 |
433 |
$29K |
| J7120 |
Ringers lactate infusion |
815 |
752 |
$28K |
| 73564 |
|
344 |
334 |
$27K |
| 85027 |
|
1,379 |
1,289 |
$25K |
| 77067 |
|
190 |
188 |
$25K |
| 87651 |
|
215 |
209 |
$25K |
| 86140 |
|
1,764 |
1,629 |
$24K |
| 87634 |
|
175 |
169 |
$23K |
| J2704 |
Inj, propofol, 10 mg |
587 |
466 |
$20K |
| 71045 |
|
769 |
702 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,688 |
1,586 |
$19K |
| 87641 |
|
250 |
247 |
$19K |
| J0131 |
Inj, acetaminophen (nos) |
287 |
263 |
$17K |
| 73030 |
|
313 |
297 |
$16K |
| 96360 |
|
102 |
94 |
$15K |
| 87070 |
|
494 |
487 |
$14K |
| 74176 |
|
41 |
39 |
$14K |
| 86703 |
|
282 |
280 |
$13K |
| 76705 |
|
80 |
80 |
$13K |
| 73610 |
|
228 |
221 |
$13K |
| 87801 |
|
112 |
110 |
$13K |
| 81025 |
|
458 |
437 |
$12K |
| 97010 |
|
2,156 |
825 |
$11K |
| 73630 |
|
204 |
195 |
$11K |
| 97530 |
|
127 |
66 |
$11K |
| 97026 |
|
1,165 |
427 |
$10K |
| 86803 |
|
176 |
176 |
$9K |
| 97035 |
|
470 |
200 |
$9K |
| J1170 |
Hydromorphone injection |
315 |
259 |
$8K |
| 87880 |
|
217 |
211 |
$8K |
| 82607 |
|
119 |
119 |
$8K |
| 73130 |
|
119 |
108 |
$8K |
| 85610 |
|
827 |
582 |
$7K |
| 83605 |
|
326 |
283 |
$7K |
| 80307 |
|
120 |
111 |
$7K |
| 85651 |
|
575 |
561 |
$7K |
| 73110 |
|
97 |
94 |
$6K |
| 87077 |
|
292 |
274 |
$6K |
| 84703 |
|
256 |
244 |
$6K |
| 94640 |
|
57 |
42 |
$5K |
| 72125 |
|
13 |
12 |
$5K |
| 77063 |
|
73 |
72 |
$5K |
| 97161 |
|
30 |
30 |
$5K |
| 84153 |
|
64 |
64 |
$5K |
| 76700 |
|
26 |
26 |
$5K |
| 87186 |
|
205 |
193 |
$5K |
| 81003 |
|
773 |
738 |
$4K |
| 82306 |
|
91 |
90 |
$4K |
| 87798 |
|
18 |
18 |
$4K |
| J3010 |
Fentanyl citrate injection |
197 |
163 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
166 |
147 |
$4K |
| 36416 |
|
490 |
177 |
$4K |
| 90471 |
|
82 |
75 |
$3K |
| 97112 |
|
66 |
34 |
$3K |
| J1100 |
Dexamethasone sodium phos |
127 |
120 |
$3K |
| 90715 |
|
41 |
41 |
$3K |
| 82947 |
|
263 |
129 |
$3K |
| 85379 |
|
107 |
105 |
$3K |
| G0463 |
Hospital outpt clinic visit |
31 |
13 |
$3K |
| 82570 |
|
169 |
167 |
$3K |
| 87210 |
|
173 |
168 |
$2K |
| 76801 |
|
12 |
12 |
$2K |
| 83874 |
|
78 |
71 |
$2K |
| 0241U |
|
37 |
31 |
$2K |
| 82553 |
|
77 |
71 |
$2K |
| J3490 |
Drugs unclassified injection |
19 |
12 |
$2K |
| 87220 |
|
146 |
142 |
$2K |
| 82043 |
|
111 |
110 |
$2K |
| 82550 |
|
124 |
116 |
$2K |
| 73502 |
|
29 |
28 |
$2K |
| 83735 |
|
74 |
69 |
$1K |
| 84439 |
|
51 |
51 |
$1K |
| 72100 |
|
24 |
24 |
$1K |
| J2001 |
Lidocaine injection |
135 |
114 |
$989.81 |
| 80076 |
|
32 |
31 |
$927.55 |
| 87205 |
|
62 |
59 |
$697.59 |
| 84466 |
|
14 |
13 |
$690.98 |
| 88305 |
|
12 |
12 |
$671.71 |
| G0283 |
Elec stim other than wound |
535 |
150 |
$664.80 |
| J2270 |
Morphine sulfate injection |
31 |
25 |
$554.97 |
| 74018 |
|
13 |
12 |
$398.05 |
| 83540 |
|
14 |
13 |
$389.53 |
| 84145 |
|
12 |
12 |
$369.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$279.52 |
| 86850 |
|
15 |
14 |
$258.73 |
| 86900 |
|
29 |
27 |
$220.34 |
| 82962 |
|
38 |
24 |
$188.75 |
| 86901 |
|
15 |
14 |
$101.01 |
| 85652 |
|
13 |
12 |
$82.62 |
| U0003 |
Cov-19 amp prb hgh thruput |
12 |
12 |
$20.09 |
| 93010 |
|
172 |
158 |
$3.71 |
| 96376 |
|
17 |
13 |
$0.10 |
| A9270 |
Non-covered item or service |
703 |
547 |
$0.00 |