| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
14,084 |
12,292 |
$2.52M |
| 96361 |
|
7,243 |
5,068 |
$2.30M |
| 99283 |
|
11,139 |
10,041 |
$1.63M |
| 99285 |
|
3,629 |
2,970 |
$685K |
| 74177 |
|
2,072 |
1,733 |
$565K |
| 70450 |
|
1,280 |
1,036 |
$323K |
| G0378 |
Hospital observation per hr |
3,334 |
1,284 |
$293K |
| 76816 |
|
1,279 |
1,157 |
$275K |
| 96360 |
|
1,140 |
939 |
$247K |
| 74176 |
|
859 |
721 |
$239K |
| 71275 |
|
860 |
695 |
$229K |
| 59025 |
|
1,135 |
570 |
$204K |
| 76811 |
|
823 |
771 |
$165K |
| 96366 |
|
924 |
461 |
$163K |
| 99282 |
|
1,376 |
1,194 |
$153K |
| 96365 |
|
1,186 |
881 |
$144K |
| 70496 |
|
382 |
318 |
$134K |
| 93976 |
|
824 |
668 |
$112K |
| 76856 |
|
531 |
436 |
$89K |
| 80053 |
|
8,435 |
6,893 |
$86K |
| 94640 |
|
603 |
448 |
$71K |
| 76642 |
|
427 |
386 |
$68K |
| 71260 |
|
321 |
267 |
$58K |
| 96374 |
|
8,901 |
7,404 |
$53K |
| 96375 |
|
5,994 |
4,397 |
$50K |
| 76705 |
|
483 |
413 |
$50K |
| 87636 |
|
2,374 |
1,967 |
$47K |
| 80048 |
|
7,171 |
5,426 |
$46K |
| 36415 |
|
21,682 |
16,396 |
$43K |
| 77063 |
|
707 |
645 |
$40K |
| 71046 |
|
1,612 |
1,411 |
$35K |
| 76817 |
|
623 |
494 |
$35K |
| 93005 |
|
7,390 |
6,138 |
$31K |
| 96372 |
|
2,270 |
1,214 |
$24K |
| 85025 |
|
22,054 |
18,222 |
$22K |
| J3490 |
Drugs unclassified injection |
2,275 |
1,254 |
$22K |
| 71045 |
|
3,358 |
2,784 |
$22K |
| 93971 |
|
262 |
213 |
$22K |
| 82805 |
|
764 |
592 |
$21K |
| 88305 |
|
765 |
564 |
$20K |
| 76830 |
|
537 |
451 |
$20K |
| 72125 |
|
550 |
459 |
$20K |
| 86900 |
|
863 |
682 |
$19K |
| 96376 |
|
1,707 |
867 |
$18K |
| 70498 |
|
368 |
313 |
$18K |
| 76536 |
|
127 |
120 |
$17K |
| 70553 |
|
63 |
49 |
$17K |
| 80307 |
|
989 |
785 |
$15K |
| 72148 |
|
67 |
63 |
$14K |
| 76819 |
|
164 |
124 |
$12K |
| 81001 |
|
11,780 |
10,169 |
$10K |
| 84484 |
|
3,109 |
2,382 |
$10K |
| 80051 |
|
2,778 |
2,347 |
$10K |
| 76801 |
|
254 |
209 |
$9K |
| J7030 |
Normal saline solution infus |
6,413 |
4,599 |
$9K |
| 86850 |
|
840 |
662 |
$9K |
| 72100 |
|
235 |
198 |
$8K |
| 77067 |
|
720 |
658 |
$8K |
| 97530 |
|
257 |
94 |
$8K |
| 71250 |
|
96 |
88 |
$7K |
| 70486 |
|
62 |
47 |
$7K |
| 70551 |
|
48 |
37 |
$7K |
| 83605 |
|
2,175 |
1,715 |
$7K |
| 93306 |
|
22 |
16 |
$7K |
| J7120 |
Ringers lactate infusion |
2,802 |
1,897 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,314 |
841 |
$6K |
| 82248 |
|
4,504 |
3,771 |
$6K |
| 87086 |
|
1,104 |
904 |
$6K |
| 73560 |
|
455 |
380 |
$6K |
| 73030 |
|
238 |
192 |
$5K |
| 84703 |
|
5,442 |
4,568 |
$5K |
| 77062 |
|
98 |
87 |
$5K |
| 82077 |
|
1,014 |
793 |
$5K |
| 85610 |
|
1,830 |
1,331 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
34 |
28 |
$5K |
| 83690 |
|
3,780 |
3,098 |
$5K |
| J2405 |
Ondansetron hcl injection |
5,797 |
3,900 |
$5K |
| J3010 |
Fentanyl citrate injection |
2,895 |
1,602 |
$5K |
| 85027 |
|
1,779 |
1,154 |
$5K |
| 73630 |
|
299 |
258 |
$5K |
| 74018 |
|
122 |
86 |
$4K |
| 86901 |
|
863 |
682 |
$4K |
| 76770 |
|
26 |
26 |
$4K |
| 87502 |
|
152 |
124 |
$4K |
| J1170 |
Hydromorphone injection |
2,463 |
1,492 |
$4K |
| 84443 |
|
1,518 |
1,226 |
$3K |
| 96367 |
|
96 |
52 |
$3K |
| 88307 |
|
17 |
12 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,406 |
2,363 |
$3K |
| 81025 |
|
522 |
378 |
$3K |
| 73130 |
|
142 |
119 |
$3K |
| 97116 |
|
113 |
73 |
$3K |
| 87651 |
|
784 |
661 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
2,294 |
1,463 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,410 |
3,653 |
$2K |
| 83880 |
|
782 |
644 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,044 |
1,400 |
$2K |
| 83735 |
|
1,129 |
747 |
$2K |
| 85730 |
|
871 |
683 |
$2K |
| 72131 |
|
18 |
16 |
$2K |
| 88304 |
|
88 |
50 |
$2K |
| 83036 |
|
274 |
215 |
$2K |
| G0463 |
Hospital outpt clinic visit |
79 |
67 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,765 |
1,271 |
$2K |
| 82375 |
|
690 |
536 |
$2K |
| 85379 |
|
587 |
489 |
$2K |
| 73610 |
|
105 |
93 |
$2K |
| 97163 |
|
49 |
39 |
$1K |
| 80076 |
|
1,105 |
908 |
$1K |
| 82330 |
|
803 |
613 |
$1K |
| 77066 |
Tomosynthesis, mammo |
125 |
113 |
$1K |
| C1769 |
Guide wire |
99 |
68 |
$1K |
| J1650 |
Inj enoxaparin sodium |
1,045 |
427 |
$1K |
| 76820 |
|
18 |
12 |
$1K |
| 87040 |
|
142 |
110 |
$1K |
| J1756 |
Iron sucrose injection |
32 |
13 |
$1K |
| J1815 |
Insulin injection |
353 |
166 |
$1K |
| 87077 |
|
250 |
206 |
$989.56 |
| 83050 |
|
690 |
536 |
$955.68 |
| 82947 |
|
3,549 |
2,945 |
$947.17 |
| J7040 |
Normal saline solution infus |
1,009 |
704 |
$947.01 |
| 84702 |
|
590 |
452 |
$928.27 |
| 82565 |
|
2,861 |
2,385 |
$856.51 |
| 87491 |
|
193 |
154 |
$826.67 |
| U0002 |
Covid-19 lab test non-cdc |
208 |
175 |
$818.36 |
| 87661 |
|
231 |
175 |
$800.98 |
| 84520 |
|
2,843 |
2,390 |
$758.76 |
| J2765 |
Metoclopramide hcl injection |
774 |
592 |
$754.46 |
| 87591 |
|
193 |
154 |
$748.40 |
| J2795 |
Ropivacaine hcl injection |
241 |
173 |
$729.17 |
| J3535 |
Metered dose inhaler drug |
88 |
71 |
$719.85 |
| J1200 |
Diphenhydramine hcl injectio |
1,018 |
763 |
$685.76 |
| 87081 |
|
44 |
41 |
$583.70 |
| 80143 |
|
129 |
101 |
$565.65 |
| 80179 |
|
109 |
88 |
$510.66 |
| 76942 |
|
20 |
13 |
$481.68 |
| 86140 |
|
69 |
54 |
$386.69 |
| 97167 |
|
17 |
12 |
$378.78 |
| 85018 |
|
832 |
613 |
$359.39 |
| 85652 |
|
133 |
96 |
$327.17 |
| 87186 |
|
175 |
146 |
$320.21 |
| 73110 |
|
15 |
13 |
$257.21 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
379 |
233 |
$249.90 |
| 82570 |
|
107 |
78 |
$248.64 |
| C9113 |
Inj pantoprazole sodium, via |
88 |
45 |
$247.94 |
| 80061 |
|
54 |
44 |
$247.01 |
| 84100 |
|
160 |
129 |
$228.80 |
| 84132 |
|
807 |
603 |
$213.08 |
| 84295 |
|
730 |
558 |
$200.12 |
| 82435 |
|
722 |
553 |
$195.26 |
| 85384 |
|
48 |
37 |
$174.22 |
| J0780 |
Prochlorperazine injection |
89 |
66 |
$170.52 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
63 |
37 |
$166.26 |
| 87210 |
|
60 |
47 |
$163.08 |
| J2060 |
Lorazepam injection |
77 |
49 |
$150.34 |
| J7050 |
Normal saline solution infus |
178 |
98 |
$134.04 |
| J3360 |
Diazepam injection |
70 |
54 |
$132.47 |
| 73502 |
|
31 |
28 |
$126.33 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
321 |
268 |
$118.88 |
| J0696 |
Ceftriaxone sodium injection |
169 |
102 |
$118.51 |
| 83615 |
|
190 |
138 |
$109.70 |
| 82607 |
|
46 |
31 |
$106.37 |
| J2270 |
Morphine sulfate injection |
129 |
105 |
$100.65 |
| 84550 |
|
178 |
126 |
$99.50 |
| 84156 |
|
76 |
49 |
$90.44 |
| 82746 |
|
42 |
29 |
$80.40 |
| 87420 |
|
13 |
13 |
$76.27 |
| 82040 |
|
14 |
14 |
$69.31 |
| J2272 |
Inj, morphine (fresenius) |
59 |
39 |
$67.68 |
| J2370 |
Phenylephrine hcl injection |
49 |
32 |
$56.46 |
| J1644 |
Inj heparin sodium per 1000u |
150 |
40 |
$44.07 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
55 |
41 |
$42.14 |
| J7512 |
Prednisone ir or dr oral 1mg |
411 |
267 |
$35.56 |
| 87880 |
|
18 |
15 |
$33.67 |
| J1790 |
Droperidol injection |
20 |
13 |
$28.11 |
| J3370 |
Vancomycin hcl injection |
58 |
41 |
$23.15 |
| 85007 |
|
51 |
39 |
$21.97 |
| C9399 |
Unclassified drugs or biolog |
15 |
14 |
$0.00 |
| 83550 |
|
16 |
12 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
16 |
12 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
71 |
56 |
$0.00 |
| 83540 |
|
16 |
12 |
$0.00 |
| 20985 |
|
14 |
12 |
$0.00 |