| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
18,183 |
16,200 |
$4.49M |
| 99283 |
|
20,531 |
19,109 |
$4.40M |
| 99285 |
|
6,945 |
5,937 |
$2.02M |
| 74177 |
|
3,201 |
2,971 |
$2.01M |
| 74176 |
|
2,894 |
2,672 |
$1.47M |
| 99282 |
|
7,855 |
7,494 |
$1.05M |
| 70450 |
|
3,433 |
3,147 |
$922K |
| 11042 |
|
1,215 |
492 |
$382K |
| 97110 |
|
5,226 |
1,645 |
$364K |
| 72125 |
|
771 |
723 |
$310K |
| 99281 |
|
2,262 |
2,076 |
$229K |
| 71046 |
|
6,052 |
5,779 |
$221K |
| 97112 |
|
2,114 |
733 |
$175K |
| G0378 |
Hospital observation per hr |
1,053 |
503 |
$173K |
| 77067 |
|
1,438 |
1,407 |
$136K |
| 72100 |
|
1,619 |
1,568 |
$128K |
| 92507 |
|
2,326 |
703 |
$126K |
| 80307 |
|
8,547 |
6,654 |
$90K |
| 96365 |
|
6,748 |
4,736 |
$82K |
| 71275 |
|
413 |
381 |
$76K |
| 73562 |
|
1,735 |
1,342 |
$69K |
| 72148 |
|
607 |
583 |
$67K |
| 72141 |
|
274 |
259 |
$62K |
| 73030 |
|
1,370 |
1,180 |
$47K |
| 76700 |
|
367 |
352 |
$41K |
| 80053 |
|
22,519 |
18,114 |
$38K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,079 |
4,646 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,251 |
3,094 |
$35K |
| 71250 |
|
309 |
296 |
$34K |
| 70551 |
|
272 |
260 |
$31K |
| J3010 |
Fentanyl citrate injection |
2,745 |
2,401 |
$30K |
| 70553 |
|
82 |
78 |
$29K |
| 93005 |
|
10,095 |
8,640 |
$27K |
| 73130 |
|
1,770 |
1,356 |
$25K |
| 74019 |
|
390 |
366 |
$25K |
| 93971 |
|
249 |
237 |
$22K |
| 96374 |
|
9,474 |
8,320 |
$21K |
| 74018 |
|
1,161 |
1,104 |
$20K |
| 73630 |
|
1,641 |
1,433 |
$19K |
| 97530 |
|
923 |
364 |
$19K |
| 71045 |
|
8,521 |
7,426 |
$19K |
| 87636 |
|
2,081 |
1,987 |
$19K |
| 76641 |
|
147 |
144 |
$18K |
| 76805 |
|
374 |
366 |
$17K |
| 72040 |
|
449 |
429 |
$17K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
30 |
26 |
$16K |
| 73610 |
|
831 |
774 |
$16K |
| 76856 |
|
359 |
346 |
$15K |
| 96375 |
|
8,696 |
7,390 |
$15K |
| 85025 |
|
25,061 |
19,648 |
$14K |
| 97140 |
|
468 |
180 |
$13K |
| 72131 |
|
54 |
52 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
555 |
529 |
$10K |
| 84030 |
|
793 |
786 |
$9K |
| 87428 |
|
2,106 |
2,017 |
$9K |
| 97161 |
|
419 |
390 |
$9K |
| 76811 |
|
103 |
101 |
$8K |
| 96361 |
|
7,112 |
6,116 |
$7K |
| 77080 |
|
72 |
69 |
$7K |
| 76830 |
|
162 |
160 |
$6K |
| 73502 |
|
435 |
345 |
$6K |
| 73110 |
|
265 |
238 |
$6K |
| 96372 |
|
5,601 |
5,123 |
$6K |
| 84484 |
|
6,940 |
5,402 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
4,578 |
4,322 |
$6K |
| 76705 |
|
248 |
232 |
$6K |
| 72050 |
|
38 |
36 |
$6K |
| 71271 |
|
152 |
145 |
$5K |
| 0450 |
|
112 |
97 |
$5K |
| 96360 |
|
1,718 |
1,576 |
$5K |
| 76815 |
|
100 |
98 |
$4K |
| Z7502 |
|
124 |
121 |
$4K |
| 87430 |
|
3,129 |
3,040 |
$4K |
| 84443 |
|
2,433 |
2,182 |
$4K |
| 96366 |
|
1,877 |
1,284 |
$3K |
| J7030 |
Normal saline solution infus |
6,695 |
5,499 |
$3K |
| 83880 |
|
3,282 |
2,534 |
$3K |
| 83690 |
|
6,518 |
5,765 |
$3K |
| 87420 |
|
1,641 |
1,588 |
$3K |
| 76770 |
|
58 |
57 |
$3K |
| 73721 |
|
31 |
26 |
$2K |
| 81025 |
|
4,594 |
4,299 |
$2K |
| 94640 |
|
2,893 |
2,179 |
$2K |
| J2930 |
Methylprednisolone injection |
746 |
573 |
$2K |
| 59025 |
|
107 |
86 |
$2K |
| J1815 |
Insulin injection |
526 |
387 |
$2K |
| 85730 |
|
3,926 |
3,421 |
$2K |
| 85610 |
|
8,129 |
6,920 |
$2K |
| 81001 |
|
7,024 |
6,361 |
$2K |
| 85379 |
|
1,259 |
1,140 |
$2K |
| 83605 |
|
2,372 |
2,000 |
$2K |
| 72114 |
|
17 |
16 |
$2K |
| 87070 |
|
972 |
898 |
$2K |
| 87040 |
|
1,420 |
1,127 |
$2K |
| 76801 |
|
12 |
12 |
$2K |
| 87088 |
|
5,663 |
5,058 |
$2K |
| 84703 |
|
1,920 |
1,802 |
$1K |
| 76536 |
|
25 |
25 |
$1K |
| 84702 |
|
434 |
359 |
$1K |
| 81003 |
|
8,941 |
8,192 |
$1K |
| 87276 |
|
3,054 |
2,886 |
$1K |
| 80048 |
|
2,056 |
1,602 |
$1K |
| 82962 |
|
3,747 |
2,498 |
$1K |
| 87186 |
|
1,320 |
1,194 |
$1K |
| G0297 |
Ldct for lung ca screen |
36 |
36 |
$1K |
| J1100 |
Dexamethasone sodium phos |
3,860 |
3,541 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,851 |
2,364 |
$986.69 |
| 10060 |
|
13 |
12 |
$961.67 |
| 80061 |
|
1,251 |
1,125 |
$931.35 |
| 77063 |
|
721 |
706 |
$915.88 |
| 90715 |
|
504 |
488 |
$876.19 |
| 87081 |
|
1,861 |
1,814 |
$850.30 |
| 83735 |
|
2,258 |
1,687 |
$840.01 |
| 99070 |
|
132 |
118 |
$795.44 |
| 87275 |
|
3,055 |
2,886 |
$766.09 |
| 82803 |
|
180 |
146 |
$705.14 |
| J1170 |
Hydromorphone injection |
3,301 |
2,592 |
$703.00 |
| Z7610 |
|
51 |
50 |
$671.93 |
| 72110 |
|
14 |
12 |
$658.24 |
| 82553 |
|
1,468 |
1,079 |
$600.71 |
| 86850 |
|
1,351 |
1,065 |
$580.68 |
| J2405 |
Ondansetron hcl injection |
7,865 |
6,624 |
$574.38 |
| 74022 |
|
44 |
40 |
$549.05 |
| 72170 |
|
54 |
44 |
$513.25 |
| J2270 |
Morphine sulfate injection |
2,515 |
2,039 |
$482.64 |
| J1885 |
Ketorolac tromethamine inj |
6,701 |
6,060 |
$464.89 |
| 82550 |
|
1,460 |
1,057 |
$358.29 |
| 73560 |
|
16 |
13 |
$326.16 |
| 87426 |
|
295 |
282 |
$300.70 |
| 82150 |
|
1,196 |
1,092 |
$278.16 |
| 87077 |
|
1,306 |
1,182 |
$267.73 |
| U0005 |
Infec agen detec ampli probe |
3,089 |
2,936 |
$229.08 |
| 87491 |
|
71 |
70 |
$212.09 |
| 96376 |
|
1,396 |
1,148 |
$211.46 |
| J1200 |
Diphenhydramine hcl injectio |
2,056 |
1,828 |
$189.22 |
| 86901 |
|
1,356 |
1,056 |
$128.32 |
| J2060 |
Lorazepam injection |
1,606 |
1,321 |
$125.97 |
| J2001 |
Lidocaine injection |
4,488 |
2,674 |
$108.47 |
| 96368 |
|
187 |
119 |
$104.26 |
| 86140 |
|
284 |
228 |
$88.77 |
| 86900 |
|
1,357 |
1,056 |
$88.19 |
| 36415 |
|
8,254 |
6,212 |
$86.71 |
| C9113 |
Inj pantoprazole sodium, via |
953 |
799 |
$82.84 |
| 90471 |
|
497 |
478 |
$79.17 |
| J2550 |
Promethazine hcl injection |
857 |
707 |
$69.85 |
| J0780 |
Prochlorperazine injection |
316 |
300 |
$63.15 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$51.28 |
| 84100 |
|
304 |
160 |
$49.84 |
| J0360 |
Hydralazine hcl injection |
122 |
82 |
$39.31 |
| A9585 |
Gadobutrol injection |
430 |
416 |
$33.12 |
| J0690 |
Cefazolin sodium injection |
420 |
325 |
$33.06 |
| J2765 |
Metoclopramide hcl injection |
773 |
691 |
$31.21 |
| J7512 |
Prednisone ir or dr oral 1mg |
905 |
848 |
$29.24 |
| J2470 |
Inj pantoprazole sodium 40mg |
74 |
65 |
$26.86 |
| J2704 |
Inj, propofol, 10 mg |
1,641 |
1,458 |
$22.60 |
| 73590 |
|
13 |
12 |
$22.36 |
| 85027 |
|
119 |
105 |
$21.50 |
| 83036 |
|
48 |
42 |
$18.33 |
| 85652 |
|
161 |
140 |
$16.81 |
| J1940 |
Furosemide injection |
101 |
81 |
$16.37 |
| 82728 |
|
32 |
30 |
$13.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
12 |
$11.53 |
| J7040 |
Normal saline solution infus |
273 |
222 |
$7.97 |
| J3475 |
Inj magnesium sulfate |
60 |
53 |
$6.60 |
| 83615 |
|
12 |
12 |
$6.39 |
| 85007 |
|
63 |
52 |
$5.45 |
| J7050 |
Normal saline solution infus |
40 |
32 |
$4.93 |
| J7120 |
Ringers lactate infusion |
341 |
242 |
$4.49 |
| J2543 |
Piperacillin/tazobactam |
45 |
37 |
$4.26 |
| 87205 |
|
101 |
78 |
$3.41 |
| J7510 |
Prednisolone oral per 5 mg |
166 |
160 |
$1.31 |
| J2250 |
Inj midazolam hydrochloride |
454 |
392 |
$0.32 |
| J8540 |
Oral dexamethasone |
66 |
64 |
$0.30 |
| 29125 |
|
50 |
50 |
$0.00 |
| 51702 |
|
31 |
24 |
$0.00 |
| 36600 |
|
99 |
78 |
$0.00 |
| 82009 |
|
15 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
110 |
101 |
$0.00 |
| 97116 |
|
33 |
24 |
$0.00 |
| 36416 |
|
434 |
418 |
$0.00 |
| 88305 |
|
17 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
13 |
13 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
20 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
17 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
36 |
24 |
$0.00 |
| J2360 |
Orphenadrine injection |
57 |
56 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
18 |
14 |
$0.00 |