| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
29,512 |
25,076 |
$4.41M |
| 99285 |
|
19,473 |
16,567 |
$3.64M |
| 99283 |
|
29,827 |
26,105 |
$3.14M |
| 74177 |
|
4,147 |
3,661 |
$2.28M |
| 0241U |
|
5,453 |
5,029 |
$854K |
| 70450 |
|
3,832 |
3,239 |
$597K |
| 74176 |
|
1,513 |
1,335 |
$564K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,861 |
5,478 |
$428K |
| G0382 |
Lev 3 hosp type b ed visit |
6,422 |
5,768 |
$424K |
| 99282 |
|
7,046 |
5,931 |
$389K |
| 96374 |
|
14,399 |
12,223 |
$389K |
| 41899 |
|
1,459 |
1,257 |
$345K |
| 93005 |
|
18,707 |
15,052 |
$329K |
| 80053 |
|
42,964 |
35,181 |
$325K |
| 96375 |
|
8,912 |
7,097 |
$309K |
| 85025 |
|
47,246 |
38,285 |
$305K |
| 71045 |
|
10,482 |
9,040 |
$233K |
| 72125 |
|
1,345 |
1,112 |
$205K |
| 71046 |
|
5,108 |
4,607 |
$187K |
| 71275 |
|
496 |
452 |
$181K |
| 87591 |
|
4,386 |
3,949 |
$132K |
| 87491 |
|
4,386 |
3,949 |
$132K |
| 96372 |
|
6,564 |
5,719 |
$114K |
| 96361 |
|
5,407 |
4,610 |
$109K |
| G0383 |
Lev 4 hosp type b ed visit |
976 |
893 |
$107K |
| 76816 |
|
1,898 |
1,571 |
$95K |
| 84484 |
|
13,757 |
8,248 |
$94K |
| 96413 |
|
2,276 |
1,361 |
$86K |
| 36415 |
|
44,476 |
35,261 |
$80K |
| 99291 |
|
257 |
227 |
$77K |
| G0330 |
Facility svs dental rehab |
195 |
187 |
$76K |
| 73630 |
|
1,600 |
1,419 |
$76K |
| 76805 |
|
965 |
820 |
$75K |
| 76801 |
|
811 |
651 |
$73K |
| 87651 |
|
1,972 |
1,807 |
$70K |
| 73610 |
|
1,259 |
1,131 |
$66K |
| 96365 |
|
2,427 |
1,492 |
$63K |
| 76819 |
|
1,481 |
577 |
$62K |
| 0240U |
|
428 |
388 |
$60K |
| 81001 |
|
18,731 |
15,888 |
$59K |
| 81025 |
|
7,925 |
6,978 |
$58K |
| G0381 |
Lev 2 hosp type b ed visit |
1,373 |
1,261 |
$58K |
| 87400 |
|
4,135 |
2,575 |
$58K |
| 83690 |
|
8,299 |
7,150 |
$55K |
| J1439 |
Inj ferric carboxymaltos 1mg |
139 |
92 |
$51K |
| J7030 |
Normal saline solution infus |
9,153 |
7,524 |
$49K |
| 96360 |
|
1,135 |
981 |
$47K |
| J2405 |
Ondansetron hcl injection |
8,031 |
6,932 |
$44K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,378 |
4,706 |
$44K |
| 83735 |
|
7,738 |
6,571 |
$42K |
| 73130 |
|
841 |
740 |
$40K |
| 94640 |
|
2,236 |
1,857 |
$40K |
| 73030 |
|
907 |
792 |
$40K |
| 87633 |
|
166 |
137 |
$39K |
| 99215 |
Prolong outpt/office vis |
525 |
432 |
$38K |
| 80306 |
|
1,857 |
1,561 |
$36K |
| 87430 |
|
2,555 |
2,421 |
$36K |
| J1885 |
Ketorolac tromethamine inj |
5,722 |
5,047 |
$34K |
| 76856 |
|
251 |
233 |
$34K |
| J1100 |
Dexamethasone sodium phos |
5,674 |
4,839 |
$32K |
| 83880 |
|
1,126 |
1,012 |
$29K |
| 87635 |
|
636 |
572 |
$29K |
| 97597 |
|
2,210 |
967 |
$28K |
| 84702 |
|
2,615 |
2,082 |
$27K |
| 99281 |
|
821 |
724 |
$26K |
| J3490 |
Drugs unclassified injection |
3,012 |
2,456 |
$24K |
| 11042 |
|
394 |
214 |
$23K |
| A0427 |
Als1-emergency |
554 |
487 |
$23K |
| A0429 |
Bls-emergency |
1,331 |
968 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,346 |
893 |
$22K |
| 73564 |
|
520 |
439 |
$21K |
| 76705 |
|
194 |
170 |
$21K |
| 73110 |
|
452 |
401 |
$21K |
| 77067 |
|
514 |
473 |
$19K |
| 87210 |
|
4,032 |
3,603 |
$19K |
| 87502 |
|
292 |
210 |
$18K |
| 84703 |
|
1,799 |
1,585 |
$17K |
| U0005 |
Infec agen detec ampli probe |
629 |
595 |
$17K |
| J2001 |
Lidocaine injection |
3,232 |
2,781 |
$16K |
| 87081 |
|
2,297 |
2,149 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
2,302 |
2,076 |
$15K |
| J7120 |
Ringers lactate infusion |
1,830 |
1,602 |
$14K |
| 99212 |
|
1,767 |
1,492 |
$13K |
| 87086 |
|
1,618 |
1,436 |
$13K |
| 82728 |
|
1,263 |
1,163 |
$13K |
| 73560 |
|
287 |
254 |
$12K |
| J2270 |
Morphine sulfate injection |
2,067 |
1,698 |
$12K |
| 72100 |
|
277 |
240 |
$10K |
| 96376 |
|
331 |
233 |
$10K |
| 81003 |
|
3,899 |
3,462 |
$9K |
| J7050 |
Normal saline solution infus |
2,854 |
1,715 |
$9K |
| J3010 |
Fentanyl citrate injection |
1,488 |
1,305 |
$9K |
| 93971 |
|
128 |
107 |
$8K |
| 99211 |
|
1,052 |
940 |
$8K |
| 88305 |
|
159 |
107 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
1,193 |
1,041 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
310 |
290 |
$7K |
| 83550 |
|
944 |
874 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
1,248 |
983 |
$6K |
| 90715 |
|
161 |
139 |
$6K |
| 87420 |
|
440 |
418 |
$6K |
| 84443 |
|
453 |
391 |
$6K |
| J2272 |
Inj, morphine (fresenius) |
445 |
386 |
$5K |
| A0425 |
Ground mileage |
3,401 |
2,560 |
$5K |
| 83540 |
|
956 |
886 |
$5K |
| 83036 |
|
460 |
414 |
$5K |
| 86901 |
|
1,251 |
1,090 |
$4K |
| 82306 |
|
115 |
106 |
$4K |
| 85379 |
|
301 |
277 |
$3K |
| 84439 |
|
345 |
295 |
$3K |
| 00170 |
|
58 |
42 |
$3K |
| J2550 |
Promethazine hcl injection |
524 |
468 |
$3K |
| G0378 |
Hospital observation per hr |
190 |
128 |
$3K |
| 83605 |
|
315 |
281 |
$3K |
| 80048 |
|
477 |
412 |
$3K |
| J0461 |
Atropine sulfate injection |
472 |
388 |
$3K |
| 87088 |
|
316 |
281 |
$3K |
| 82575 |
|
495 |
226 |
$3K |
| G0380 |
Lev 1 hosp type b ed visit |
110 |
102 |
$3K |
| 12001 |
|
80 |
74 |
$2K |
| 73502 |
|
87 |
77 |
$2K |
| 90471 |
|
313 |
239 |
$2K |
| 73590 |
|
40 |
37 |
$2K |
| 99213 |
|
197 |
163 |
$2K |
| J2469 |
Palonosetron hcl |
136 |
87 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,487 |
1,561 |
$2K |
| 73140 |
|
43 |
43 |
$2K |
| J2930 |
Methylprednisolone injection |
375 |
322 |
$2K |
| 11045 |
|
14 |
12 |
$2K |
| J2765 |
Metoclopramide hcl injection |
338 |
302 |
$2K |
| 87040 |
|
162 |
98 |
$1K |
| 80051 |
|
185 |
177 |
$1K |
| 74018 |
|
31 |
28 |
$1K |
| J7040 |
Normal saline solution infus |
315 |
282 |
$1K |
| 97598 |
|
44 |
26 |
$1K |
| 73080 |
|
30 |
27 |
$1K |
| 76642 |
|
61 |
55 |
$1K |
| 96415 |
|
80 |
55 |
$1K |
| 10060 |
|
33 |
29 |
$1K |
| 84156 |
|
497 |
226 |
$1K |
| 80061 |
|
72 |
68 |
$1K |
| A4565 |
Slings |
253 |
225 |
$1K |
| 99202 |
|
127 |
114 |
$970.64 |
| J2919 |
Inj, methylpred sod succ 5mg |
94 |
84 |
$867.65 |
| 82378 |
|
58 |
53 |
$775.70 |
| 87186 |
|
89 |
79 |
$729.06 |
| 85610 |
|
242 |
202 |
$693.62 |
| G0480 |
Drug test def 1-7 classes |
13 |
13 |
$666.09 |
| 73090 |
|
14 |
12 |
$611.76 |
| 96417 |
|
21 |
12 |
$547.97 |
| 85730 |
|
120 |
101 |
$538.61 |
| 29125 |
|
26 |
24 |
$504.51 |
| 72040 |
|
15 |
12 |
$502.03 |
| 80320 |
|
149 |
118 |
$447.84 |
| 82565 |
|
164 |
158 |
$373.84 |
| V2632 |
Post chmbr intraocular lens |
65 |
31 |
$359.00 |
| 84520 |
|
150 |
146 |
$336.71 |
| 96366 |
|
26 |
12 |
$315.14 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
53 |
52 |
$311.24 |
| A9579 |
Gad-base mr contrast nos,1ml |
31 |
25 |
$269.82 |
| 29505 |
|
13 |
13 |
$179.89 |
| A0398 |
Als routine disposble suppls |
190 |
135 |
$160.06 |
| 86900 |
|
43 |
37 |
$156.44 |
| 87070 |
|
42 |
36 |
$138.92 |
| J3420 |
Vitamin b12 injection |
16 |
12 |
$133.00 |
| 83883 |
|
12 |
12 |
$129.28 |
| 82310 |
|
12 |
12 |
$82.44 |
| 82784 |
|
13 |
13 |
$81.20 |
| 87205 |
|
42 |
36 |
$68.95 |
| J2250 |
Inj midazolam hydrochloride |
63 |
30 |
$59.85 |
| 85027 |
|
20 |
12 |
$59.29 |
| 84165 |
|
14 |
14 |
$52.78 |
| J7060 |
5% dextrose/water |
47 |
29 |
$48.40 |
| 84460 |
|
134 |
130 |
$42.71 |
| 84100 |
|
25 |
25 |
$41.37 |
| J3370 |
Vancomycin hcl injection |
62 |
29 |
$35.20 |
| 96523 |
|
27 |
24 |
$22.53 |
| 82947 |
|
119 |
117 |
$6.81 |