| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
132,680 |
120,528 |
$11.05M |
| 99284 |
|
61,683 |
53,026 |
$4.22M |
| 99282 |
|
22,082 |
20,911 |
$1.73M |
| 74177 |
|
9,097 |
8,189 |
$1.24M |
| 80053 |
|
53,414 |
44,695 |
$1.21M |
| 70450 |
|
8,405 |
7,206 |
$735K |
| 99281 |
|
5,734 |
5,392 |
$584K |
| 99285 |
|
7,266 |
6,075 |
$340K |
| 87070 |
|
16,666 |
16,141 |
$292K |
| 74176 |
|
2,542 |
2,233 |
$256K |
| 80048 |
|
11,232 |
8,898 |
$247K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,331 |
3,217 |
$242K |
| 71275 |
|
3,206 |
2,828 |
$239K |
| 78452 |
|
1,038 |
876 |
$216K |
| 81001 |
|
47,692 |
41,846 |
$187K |
| 80306 |
|
9,930 |
8,642 |
$165K |
| 93005 |
|
35,756 |
28,097 |
$157K |
| 72125 |
|
3,029 |
2,572 |
$150K |
| 96361 |
|
3,108 |
2,752 |
$134K |
| 87430 |
|
31,156 |
29,935 |
$126K |
| 96372 |
|
17,778 |
16,112 |
$122K |
| G0378 |
Hospital observation per hr |
8,129 |
4,189 |
$110K |
| 93306 |
|
1,880 |
1,599 |
$110K |
| 87275 |
|
9,565 |
8,895 |
$102K |
| J7120 |
Ringers lactate infusion |
2,921 |
2,251 |
$101K |
| 80047 |
|
3,708 |
3,298 |
$100K |
| Q0111 |
Wet mounts/ w preparations |
7,798 |
7,205 |
$95K |
| 71045 |
|
29,438 |
25,636 |
$93K |
| 97110 |
|
1,990 |
677 |
$93K |
| 71046 |
|
13,929 |
12,770 |
$92K |
| 81025 |
|
37,089 |
33,601 |
$83K |
| 85027 |
|
71,090 |
56,386 |
$79K |
| 87086 |
|
8,936 |
7,874 |
$75K |
| 96374 |
|
36,255 |
30,837 |
$74K |
| J7050 |
Normal saline solution infus |
3,236 |
2,262 |
$71K |
| 94640 |
|
4,881 |
3,758 |
$67K |
| 87804 |
|
36,808 |
35,212 |
$62K |
| A9270 |
Non-covered item or service |
15,011 |
4,824 |
$55K |
| U0002 |
Covid-19 lab test non-cdc |
13,320 |
12,493 |
$54K |
| 73610 |
|
2,288 |
2,144 |
$48K |
| 70491 |
|
262 |
248 |
$48K |
| 84702 |
|
7,307 |
5,917 |
$47K |
| 73130 |
|
2,362 |
2,196 |
$47K |
| 81003 |
|
13,183 |
11,668 |
$46K |
| 12001 |
|
793 |
752 |
$45K |
| 72131 |
|
1,469 |
1,274 |
$44K |
| 73630 |
|
2,851 |
2,628 |
$41K |
| 96365 |
|
1,520 |
1,215 |
$40K |
| 87880 |
|
7,856 |
7,320 |
$40K |
| 73564 |
|
2,359 |
2,144 |
$39K |
| 76856 |
|
2,703 |
2,494 |
$39K |
| 00840 |
|
265 |
248 |
$37K |
| 73030 |
|
2,381 |
2,121 |
$37K |
| 12011 |
|
489 |
454 |
$35K |
| 76801 |
|
3,282 |
2,620 |
$34K |
| 10060 |
|
772 |
733 |
$34K |
| J1200 |
Diphenhydramine hcl injectio |
4,325 |
3,452 |
$32K |
| J1170 |
Hydromorphone injection |
3,246 |
2,288 |
$31K |
| 59025 |
|
1,435 |
1,151 |
$31K |
| J2543 |
Piperacillin/tazobactam |
102 |
44 |
$31K |
| 70486 |
|
754 |
674 |
$29K |
| 96375 |
|
15,317 |
12,738 |
$29K |
| J7030 |
Normal saline solution infus |
25,588 |
21,081 |
$28K |
| 96360 |
|
794 |
742 |
$27K |
| 73110 |
|
1,388 |
1,292 |
$27K |
| 93976 |
|
2,081 |
1,845 |
$27K |
| 87252 |
|
824 |
795 |
$26K |
| 76830 |
|
1,504 |
1,376 |
$26K |
| 76705 |
|
1,529 |
1,375 |
$25K |
| 71250 |
|
331 |
283 |
$24K |
| C1769 |
Guide wire |
553 |
468 |
$24K |
| 74018 |
|
1,656 |
1,547 |
$24K |
| 87490 |
|
10,317 |
9,558 |
$21K |
| Q0162 |
Ondansetron oral |
6,436 |
5,837 |
$19K |
| 71260 |
|
149 |
138 |
$19K |
| 36415 |
|
274 |
215 |
$19K |
| 72100 |
|
1,377 |
1,258 |
$18K |
| 93971 |
|
1,631 |
1,466 |
$18K |
| J3010 |
Fentanyl citrate injection |
3,013 |
2,303 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
12,721 |
10,725 |
$17K |
| 84484 |
|
27,216 |
20,027 |
$17K |
| J2270 |
Morphine sulfate injection |
7,032 |
5,290 |
$16K |
| 96376 |
|
1,678 |
1,348 |
$15K |
| J0780 |
Prochlorperazine injection |
95 |
74 |
$15K |
| 93017 |
|
1,105 |
938 |
$15K |
| G0480 |
Drug test def 1-7 classes |
762 |
623 |
$15K |
| 73140 |
|
680 |
649 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
17,645 |
14,027 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
1,943 |
1,237 |
$14K |
| 85610 |
|
13,710 |
11,346 |
$13K |
| 73080 |
|
584 |
549 |
$12K |
| 97163 |
|
173 |
154 |
$10K |
| G0383 |
Lev 4 hosp type b ed visit |
76 |
68 |
$10K |
| J2405 |
Ondansetron hcl injection |
13,292 |
10,881 |
$10K |
| 86850 |
|
1,876 |
1,560 |
$9K |
| 76805 |
|
786 |
724 |
$8K |
| 82565 |
|
411 |
345 |
$8K |
| J1100 |
Dexamethasone sodium phos |
8,078 |
5,973 |
$8K |
| 73502 |
|
768 |
674 |
$7K |
| 83735 |
|
18,093 |
15,180 |
$7K |
| 73590 |
|
745 |
673 |
$7K |
| 87590 |
|
10,313 |
9,554 |
$6K |
| 83880 |
|
5,685 |
4,834 |
$6K |
| 87426 |
|
20,874 |
19,989 |
$6K |
| 93970 |
|
491 |
425 |
$6K |
| 85730 |
|
11,849 |
9,959 |
$6K |
| 84703 |
|
3,702 |
3,334 |
$6K |
| G0463 |
Hospital outpt clinic visit |
145 |
102 |
$6K |
| 97535 |
|
213 |
140 |
$6K |
| 88305 |
|
1,071 |
898 |
$5K |
| 87807 |
|
5,682 |
5,525 |
$5K |
| 76817 |
|
1,867 |
1,499 |
$5K |
| 12002 |
|
164 |
150 |
$5K |
| 83690 |
|
17,659 |
15,178 |
$5K |
| 86140 |
|
1,116 |
965 |
$4K |
| 70496 |
|
127 |
115 |
$4K |
| 77067 |
|
167 |
151 |
$4K |
| J0561 |
Penicillin g benzathine inj |
909 |
720 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
297 |
245 |
$4K |
| 72192 |
|
85 |
65 |
$4K |
| 73552 |
|
250 |
236 |
$4K |
| 73562 |
|
460 |
426 |
$3K |
| A9500 |
Tc99m sestamibi |
1,038 |
877 |
$3K |
| 85379 |
|
3,285 |
2,987 |
$3K |
| 86901 |
|
3,249 |
2,777 |
$3K |
| 73560 |
|
100 |
86 |
$3K |
| J3490 |
Drugs unclassified injection |
784 |
663 |
$3K |
| 83036 |
|
1,861 |
1,579 |
$3K |
| 90471 |
|
1,910 |
1,660 |
$3K |
| C1894 |
Intro/sheath, non-laser |
336 |
278 |
$2K |
| 84443 |
|
2,696 |
2,296 |
$2K |
| 87040 |
|
5,278 |
4,201 |
$2K |
| 16020 |
|
20 |
13 |
$2K |
| 86308 |
|
310 |
302 |
$2K |
| 86900 |
|
1,873 |
1,558 |
$2K |
| 80061 |
|
1,742 |
1,464 |
$2K |
| 73090 |
|
360 |
337 |
$2K |
| J2930 |
Methylprednisolone injection |
2,239 |
1,884 |
$2K |
| 87276 |
|
9,569 |
8,893 |
$2K |
| 73620 |
|
121 |
112 |
$2K |
| C1887 |
Catheter, guiding |
126 |
106 |
$2K |
| 72050 |
|
59 |
50 |
$2K |
| 85007 |
|
1,406 |
1,273 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
526 |
363 |
$1K |
| 82270 |
|
148 |
120 |
$1K |
| 82550 |
|
2,822 |
2,404 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,833 |
2,344 |
$1K |
| 83605 |
|
5,146 |
4,173 |
$1K |
| J2550 |
Promethazine hcl injection |
3,654 |
2,898 |
$1K |
| 73600 |
|
56 |
51 |
$1K |
| J1815 |
Insulin injection |
2,315 |
1,345 |
$1K |
| 85014 |
|
357 |
312 |
$1K |
| 85651 |
|
705 |
591 |
$1K |
| 43235 |
|
28 |
24 |
$1K |
| A6257 |
Transparent film <= 16 sq in |
583 |
513 |
$1K |
| 80329 |
|
183 |
161 |
$1K |
| 84520 |
|
369 |
310 |
$907.75 |
| 84132 |
|
367 |
274 |
$900.50 |
| 80076 |
|
1,369 |
1,244 |
$893.81 |
| P9016 |
Rbc leukocytes reduced |
66 |
37 |
$862.35 |
| 76700 |
|
38 |
33 |
$819.93 |
| 85018 |
|
331 |
289 |
$783.55 |
| J2785 |
Regadenoson injection |
296 |
238 |
$685.21 |
| 84550 |
|
172 |
145 |
$573.05 |
| J1953 |
Levetiracetam injection |
46 |
40 |
$553.92 |
| 69209 |
|
16 |
13 |
$550.38 |
| 70498 |
|
69 |
66 |
$520.96 |
| G1003 |
Cdsm medicalis |
548 |
387 |
$506.97 |
| 72040 |
|
14 |
12 |
$388.53 |
| J7040 |
Normal saline solution infus |
1,837 |
1,583 |
$352.12 |
| J8540 |
Oral dexamethasone |
1,049 |
977 |
$326.38 |
| 43239 |
|
28 |
24 |
$310.57 |
| 87808 |
|
545 |
519 |
$308.41 |
| 82805 |
|
64 |
55 |
$281.30 |
| 82553 |
|
507 |
397 |
$263.62 |
| J2060 |
Lorazepam injection |
1,365 |
1,076 |
$238.87 |
| 72170 |
|
18 |
12 |
$235.65 |
| 82150 |
|
1,350 |
1,240 |
$221.40 |
| 72128 |
|
90 |
82 |
$219.68 |
| 82247 |
|
189 |
165 |
$206.81 |
| 74022 |
|
31 |
27 |
$166.12 |
| 72110 |
|
15 |
14 |
$163.88 |
| J2765 |
Metoclopramide hcl injection |
2,645 |
2,305 |
$146.26 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
21 |
21 |
$141.82 |
| 84439 |
|
607 |
520 |
$108.70 |
| 82077 |
|
856 |
737 |
$105.45 |
| 84075 |
|
185 |
161 |
$100.76 |
| 82040 |
|
186 |
162 |
$100.76 |
| 84155 |
|
185 |
161 |
$100.76 |
| 84450 |
|
185 |
161 |
$100.76 |
| 84460 |
|
185 |
161 |
$100.76 |
| 82009 |
|
505 |
428 |
$62.27 |
| J0456 |
Azithromycin |
660 |
581 |
$54.46 |
| 86920 |
|
336 |
242 |
$51.83 |
| 88304 |
|
156 |
140 |
$51.40 |
| J3475 |
Inj magnesium sulfate |
450 |
386 |
$47.39 |
| 82803 |
|
102 |
87 |
$43.23 |
| 87186 |
|
338 |
315 |
$41.73 |
| J0690 |
Cefazolin sodium injection |
122 |
87 |
$35.78 |
| J0360 |
Hydralazine hcl injection |
197 |
151 |
$31.98 |
| 86592 |
|
16 |
13 |
$24.14 |
| J1940 |
Furosemide injection |
200 |
117 |
$11.71 |
| 87205 |
|
52 |
45 |
$7.52 |
| 80320 |
|
660 |
573 |
$3.92 |
| J3360 |
Diazepam injection |
92 |
41 |
$0.00 |
| 73660 |
|
44 |
41 |
$0.00 |
| J1630 |
Haloperidol injection |
254 |
194 |
$0.00 |
| 88307 |
|
102 |
87 |
$0.00 |
| 36430 |
|
22 |
12 |
$0.00 |
| 82330 |
|
14 |
14 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
28 |
25 |
$0.00 |
| 73060 |
|
44 |
41 |
$0.00 |
| 87088 |
|
39 |
39 |
$0.00 |
| 96366 |
|
13 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
71 |
61 |
$0.00 |
| 83615 |
|
17 |
14 |
$0.00 |
| 87147 |
|
13 |
13 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
1,146 |
983 |
$0.00 |
| 82248 |
|
47 |
38 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
217 |
160 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
443 |
353 |
$0.00 |
| 85045 |
|
58 |
37 |
$0.00 |
| 70360 |
|
12 |
12 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
931 |
880 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
26 |
12 |
$0.00 |
| S0030 |
Injection, metronidazole |
171 |
147 |
$0.00 |
| 84100 |
|
34 |
28 |
$0.00 |
| 71100 |
|
15 |
13 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
14 |
12 |
$0.00 |
| J2800 |
Methocarbamol injection |
46 |
42 |
$0.00 |
| 86677 |
|
12 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
52 |
42 |
$0.00 |
| S5000 |
Prescription drug, generic |
19 |
19 |
$0.00 |
| 29125 |
|
40 |
38 |
$0.00 |
| 90714 |
|
13 |
13 |
$0.00 |