| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
37,729 |
31,168 |
$2.89M |
| 99285 |
|
25,574 |
20,841 |
$2.71M |
| 99283 |
|
48,954 |
38,973 |
$2.23M |
| G0378 |
Hospital observation per hr |
7,156 |
3,278 |
$646K |
| 74177 |
|
3,516 |
3,035 |
$605K |
| 70450 |
|
6,011 |
5,086 |
$410K |
| 74176 |
|
3,086 |
2,761 |
$371K |
| 96374 |
|
15,236 |
12,085 |
$263K |
| G0480 |
Drug test def 1-7 classes |
6,413 |
4,856 |
$223K |
| 97110 |
|
6,507 |
1,958 |
$209K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,681 |
3,956 |
$193K |
| 80307 |
|
9,867 |
6,587 |
$189K |
| 96365 |
|
9,122 |
3,281 |
$175K |
| 93306 |
|
2,667 |
2,282 |
$168K |
| 71275 |
|
761 |
627 |
$165K |
| 85025 |
|
57,583 |
43,173 |
$150K |
| 78452 |
|
799 |
619 |
$150K |
| 97140 |
|
4,597 |
1,457 |
$139K |
| 80053 |
|
39,175 |
30,017 |
$139K |
| 96372 |
|
17,103 |
12,113 |
$133K |
| 96375 |
|
12,335 |
9,353 |
$129K |
| 93005 |
|
30,589 |
23,339 |
$126K |
| 76700 |
|
2,090 |
1,794 |
$121K |
| 72125 |
|
1,659 |
1,418 |
$120K |
| 0450 |
|
2,427 |
2,045 |
$107K |
| 99281 |
|
5,924 |
5,024 |
$106K |
| 96361 |
|
9,000 |
6,865 |
$98K |
| 71045 |
|
17,754 |
14,561 |
$94K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,875 |
6,130 |
$93K |
| 76830 |
|
1,320 |
1,136 |
$84K |
| 71046 |
|
6,708 |
5,963 |
$77K |
| 93971 |
|
1,587 |
1,369 |
$63K |
| 87635 |
|
3,137 |
2,618 |
$61K |
| 10060 |
|
973 |
834 |
$58K |
| 76801 |
|
971 |
801 |
$55K |
| 59025 |
|
1,839 |
1,198 |
$55K |
| 80048 |
|
18,821 |
15,213 |
$54K |
| 99282 |
|
1,764 |
1,546 |
$53K |
| 36415 |
|
58,675 |
42,562 |
$51K |
| 96360 |
|
2,740 |
1,960 |
$41K |
| 83690 |
|
14,965 |
12,068 |
$37K |
| 87804 |
|
6,801 |
3,010 |
$37K |
| J0696 |
Ceftriaxone sodium injection |
4,431 |
2,909 |
$36K |
| 70486 |
|
372 |
328 |
$36K |
| 84484 |
|
12,581 |
8,859 |
$34K |
| A9502 |
Tc99m tetrofosmin |
801 |
620 |
$32K |
| 99291 |
|
184 |
151 |
$32K |
| 87086 |
|
10,822 |
8,907 |
$32K |
| 72110 |
|
1,779 |
1,547 |
$32K |
| 90715 |
|
1,611 |
1,341 |
$32K |
| 83880 |
|
3,726 |
3,049 |
$31K |
| 87491 |
|
1,984 |
1,654 |
$31K |
| 87591 |
|
1,984 |
1,654 |
$31K |
| 73130 |
|
1,877 |
1,587 |
$28K |
| 84703 |
|
9,049 |
7,641 |
$28K |
| 73630 |
|
1,989 |
1,684 |
$27K |
| 73610 |
|
1,618 |
1,399 |
$26K |
| 97597 |
|
2,456 |
987 |
$25K |
| 94640 |
|
3,584 |
2,535 |
$24K |
| 73564 |
|
1,532 |
1,277 |
$24K |
| J7030 |
Normal saline solution infus |
14,795 |
10,415 |
$24K |
| C9803 |
Hopd covid-19 spec collect |
4,469 |
3,767 |
$23K |
| 96366 |
|
1,122 |
741 |
$22K |
| 87400 |
|
3,820 |
1,814 |
$22K |
| U0005 |
Infec agen detec ampli probe |
4,220 |
3,555 |
$21K |
| J3490 |
Drugs unclassified injection |
10,950 |
5,247 |
$20K |
| 73110 |
|
1,139 |
961 |
$20K |
| 90471 |
|
1,733 |
1,398 |
$19K |
| 96376 |
|
3,419 |
2,380 |
$19K |
| 73030 |
|
1,543 |
1,268 |
$18K |
| 81001 |
|
15,524 |
12,658 |
$17K |
| 29125 |
|
732 |
627 |
$16K |
| 87880 |
|
2,626 |
2,367 |
$15K |
| 71250 |
|
202 |
179 |
$15K |
| 87637 |
|
299 |
286 |
$15K |
| 84443 |
|
3,211 |
2,715 |
$14K |
| 87040 |
|
4,165 |
1,909 |
$14K |
| 84702 |
|
2,145 |
1,673 |
$13K |
| 82040 |
|
8,257 |
7,049 |
$13K |
| 93970 |
|
177 |
156 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
14,162 |
9,894 |
$12K |
| J2270 |
Morphine sulfate injection |
5,582 |
4,036 |
$11K |
| 97530 |
|
320 |
155 |
$11K |
| 74021 |
|
804 |
679 |
$10K |
| 83605 |
|
3,113 |
2,436 |
$10K |
| 93017 |
|
961 |
757 |
$10K |
| J2785 |
Regadenoson injection |
502 |
381 |
$10K |
| 87186 |
|
3,098 |
2,527 |
$8K |
| 76770 |
|
139 |
119 |
$8K |
| 87081 |
|
2,817 |
2,355 |
$8K |
| 87077 |
|
3,160 |
2,543 |
$8K |
| 73502 |
|
542 |
455 |
$7K |
| 71260 |
|
76 |
63 |
$7K |
| 81025 |
|
3,407 |
2,845 |
$7K |
| 77067 |
|
155 |
139 |
$7K |
| 81003 |
|
7,962 |
6,756 |
$6K |
| 85379 |
|
1,547 |
1,343 |
$6K |
| J1170 |
Hydromorphone injection |
4,149 |
2,756 |
$6K |
| 74018 |
|
549 |
454 |
$5K |
| 76705 |
|
100 |
83 |
$5K |
| 84145 |
|
620 |
493 |
$5K |
| 97162 |
|
113 |
96 |
$4K |
| 86756 |
|
576 |
516 |
$4K |
| 99199 |
|
81 |
70 |
$4K |
| 74019 |
|
316 |
275 |
$4K |
| 73562 |
|
276 |
229 |
$4K |
| 83735 |
|
2,373 |
1,632 |
$4K |
| 99406 |
|
2,918 |
2,479 |
$4K |
| Q0162 |
Ondansetron oral |
6,241 |
5,214 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
214 |
136 |
$4K |
| Z7502 |
|
90 |
76 |
$3K |
| 72072 |
|
243 |
213 |
$3K |
| 87420 |
|
512 |
462 |
$3K |
| 74022 |
|
211 |
185 |
$3K |
| J2405 |
Ondansetron hcl injection |
13,547 |
9,773 |
$3K |
| 85027 |
|
1,430 |
1,125 |
$3K |
| 85610 |
|
3,488 |
2,705 |
$3K |
| J0690 |
Cefazolin sodium injection |
3,523 |
2,034 |
$3K |
| 85730 |
|
1,964 |
1,604 |
$3K |
| J3010 |
Fentanyl citrate injection |
6,186 |
3,338 |
$2K |
| A9585 |
Gadobutrol injection |
63 |
56 |
$2K |
| J7120 |
Ringers lactate infusion |
4,128 |
2,642 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,591 |
1,298 |
$2K |
| 82962 |
|
5,519 |
2,653 |
$2K |
| 87808 |
|
439 |
390 |
$2K |
| J1100 |
Dexamethasone sodium phos |
5,597 |
3,219 |
$2K |
| 86703 |
|
357 |
320 |
$2K |
| J0780 |
Prochlorperazine injection |
564 |
440 |
$2K |
| 73080 |
|
144 |
123 |
$2K |
| 70553 |
|
13 |
13 |
$2K |
| 76856 |
|
34 |
27 |
$2K |
| 80299 |
|
677 |
533 |
$2K |
| 87807 |
|
287 |
241 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
2,796 |
1,990 |
$2K |
| 72050 |
|
88 |
81 |
$2K |
| 71101 |
|
121 |
108 |
$2K |
| 10061 |
|
12 |
12 |
$2K |
| 99211 |
|
701 |
466 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
5,637 |
2,966 |
$2K |
| 97163 |
|
38 |
37 |
$2K |
| 86141 |
|
445 |
253 |
$2K |
| J2550 |
Promethazine hcl injection |
953 |
733 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
44 |
27 |
$1K |
| 83036 |
|
838 |
690 |
$1K |
| J2060 |
Lorazepam injection |
2,539 |
1,907 |
$1K |
| 86900 |
|
1,745 |
1,142 |
$1K |
| 85007 |
|
1,156 |
946 |
$1K |
| 76815 |
|
30 |
24 |
$1K |
| 85651 |
|
1,329 |
781 |
$1K |
| 86901 |
|
1,234 |
982 |
$1K |
| 12001 |
|
45 |
40 |
$1K |
| 80061 |
|
754 |
649 |
$1K |
| G0463 |
Hospital outpt clinic visit |
111 |
59 |
$1K |
| 87210 |
|
720 |
616 |
$1K |
| 77063 |
|
57 |
50 |
$1K |
| 99156 |
|
154 |
110 |
$1K |
| J7060 |
5% dextrose/water |
1,542 |
788 |
$1K |
| 99152 |
|
79 |
59 |
$1K |
| J8540 |
Oral dexamethasone |
694 |
614 |
$1K |
| 84439 |
|
407 |
348 |
$971.29 |
| 86140 |
|
662 |
356 |
$946.07 |
| 86850 |
|
1,022 |
735 |
$921.21 |
| J3486 |
Ziprasidone mesylate |
142 |
89 |
$904.66 |
| 99157 |
|
93 |
63 |
$900.53 |
| 87147 |
|
350 |
298 |
$856.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,620 |
2,135 |
$772.39 |
| 86592 |
|
327 |
243 |
$709.70 |
| T1999 |
Noc retail items andsupplies |
43 |
27 |
$704.28 |
| 29515 |
|
38 |
25 |
$665.56 |
| 11042 |
|
20 |
12 |
$662.54 |
| 73590 |
|
70 |
56 |
$643.49 |
| C1769 |
Guide wire |
336 |
240 |
$637.15 |
| J7050 |
Normal saline solution infus |
530 |
390 |
$625.92 |
| J7040 |
Normal saline solution infus |
108 |
71 |
$548.50 |
| 82947 |
|
590 |
397 |
$540.92 |
| 99201 |
|
46 |
41 |
$463.60 |
| 93356 |
|
116 |
92 |
$460.24 |
| S0020 |
Injection, bupivicaine hydro |
524 |
389 |
$411.93 |
| 76642 |
|
12 |
12 |
$402.78 |
| 29505 |
|
17 |
14 |
$380.96 |
| J2250 |
Inj midazolam hydrochloride |
4,177 |
2,667 |
$374.62 |
| 87581 |
|
22 |
17 |
$335.16 |
| 87486 |
|
22 |
17 |
$335.16 |
| 87798 |
|
22 |
17 |
$335.16 |
| J1815 |
Insulin injection |
161 |
74 |
$311.57 |
| 82010 |
|
102 |
79 |
$283.62 |
| 96367 |
|
52 |
24 |
$240.26 |
| 84550 |
|
189 |
124 |
$239.70 |
| G0379 |
Direct refer hospital observ |
430 |
284 |
$235.15 |
| J1644 |
Inj heparin sodium per 1000u |
707 |
267 |
$234.11 |
| 70360 |
|
14 |
12 |
$223.20 |
| 80076 |
|
73 |
67 |
$217.78 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
66 |
30 |
$186.81 |
| J3480 |
Inj potassium chloride |
75 |
39 |
$185.14 |
| J3360 |
Diazepam injection |
52 |
25 |
$175.96 |
| J0330 |
Succinycholine chloride inj |
936 |
613 |
$162.36 |
| 82550 |
|
81 |
48 |
$151.05 |
| 82728 |
|
31 |
26 |
$147.70 |
| U0001 |
2019-ncov diagnostic p |
172 |
130 |
$144.31 |
| 99070 |
|
13 |
12 |
$139.21 |
| J3370 |
Vancomycin hcl injection |
49 |
26 |
$130.42 |
| 87070 |
|
87 |
62 |
$117.60 |
| 87205 |
|
123 |
83 |
$113.61 |
| J0171 |
Adrenalin epinephrine inject |
922 |
549 |
$104.30 |
| 84100 |
|
75 |
56 |
$90.47 |
| 87806 |
|
25 |
24 |
$65.52 |
| J1790 |
Droperidol injection |
17 |
12 |
$65.44 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
64 |
44 |
$48.70 |
| J2930 |
Methylprednisolone injection |
34 |
12 |
$48.36 |
| J0360 |
Hydralazine hcl injection |
19 |
12 |
$38.16 |
| 83615 |
|
16 |
14 |
$32.48 |
| 82009 |
|
13 |
12 |
$30.80 |
| Q0163 |
Diphenhydramine hcl 50mg |
899 |
708 |
$28.23 |
| 82565 |
|
31 |
24 |
$28.00 |
| 80143 |
|
24 |
24 |
$27.96 |
| J1650 |
Inj enoxaparin sodium |
103 |
37 |
$21.92 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
495 |
316 |
$21.85 |
| C9113 |
Inj pantoprazole sodium, via |
26 |
15 |
$19.51 |
| 80179 |
|
12 |
12 |
$18.64 |
| J2175 |
Meperidine hydrochl /100 mg |
20 |
12 |
$16.56 |
| 80329 |
|
811 |
694 |
$13.67 |
| J2710 |
Neostigmine methylslfte inj |
298 |
192 |
$11.65 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
181 |
146 |
$5.76 |
| Q0177 |
Hydroxyzine pamoate 25mg |
179 |
145 |
$2.55 |
| J2001 |
Lidocaine injection |
267 |
140 |
$1.52 |
| 0011A |
|
15 |
12 |
$0.00 |
| A4930 |
Sterile, gloves per pair |
41 |
30 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
57 |
42 |
$0.00 |
| A4618 |
Breathing circuits |
19 |
13 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
122 |
85 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
42 |
29 |
$0.00 |
| 87633 |
|
23 |
18 |
$0.00 |