| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,288 |
16,120 |
$7.80M |
| 99283 |
|
21,714 |
19,237 |
$4.35M |
| 74177 |
|
2,213 |
1,947 |
$1.88M |
| 99285 |
|
1,968 |
1,635 |
$1.25M |
| 70450 |
|
2,264 |
2,030 |
$822K |
| 93005 |
|
7,084 |
5,939 |
$791K |
| 74176 |
|
843 |
766 |
$653K |
| G0378 |
Hospital observation per hr |
1,142 |
855 |
$648K |
| 96361 |
|
9,005 |
7,443 |
$610K |
| 96374 |
|
11,223 |
9,119 |
$531K |
| 71046 |
|
5,314 |
4,730 |
$480K |
| 99282 |
|
4,674 |
4,285 |
$422K |
| 96375 |
|
5,061 |
4,196 |
$343K |
| 96360 |
|
2,337 |
2,037 |
$264K |
| 80307 |
|
4,787 |
3,914 |
$249K |
| 71045 |
|
3,497 |
3,039 |
$243K |
| 72125 |
|
545 |
501 |
$203K |
| 87631 |
|
1,621 |
1,458 |
$202K |
| 80053 |
|
18,851 |
14,998 |
$176K |
| J0696 |
Ceftriaxone sodium injection |
1,801 |
1,541 |
$169K |
| J1885 |
Ketorolac tromethamine inj |
4,085 |
3,519 |
$157K |
| 99281 |
|
2,661 |
2,451 |
$150K |
| 96365 |
|
1,206 |
928 |
$142K |
| 85027 |
|
23,353 |
18,192 |
$132K |
| 96372 |
|
4,858 |
4,229 |
$128K |
| 71275 |
|
496 |
439 |
$124K |
| G0480 |
Drug test def 1-7 classes |
1,124 |
933 |
$91K |
| J2405 |
Ondansetron hcl injection |
3,359 |
2,883 |
$90K |
| 70486 |
|
202 |
178 |
$88K |
| 96376 |
|
1,573 |
1,269 |
$86K |
| 10060 |
|
506 |
481 |
$78K |
| 73564 |
|
460 |
410 |
$76K |
| 73610 |
|
806 |
716 |
$63K |
| 87591 |
|
1,752 |
1,603 |
$60K |
| 87491 |
|
1,750 |
1,601 |
$60K |
| 73030 |
|
637 |
568 |
$51K |
| 84443 |
|
3,353 |
2,872 |
$48K |
| 76705 |
|
415 |
364 |
$48K |
| 87635 |
|
1,004 |
954 |
$46K |
| 83880 |
|
1,466 |
1,248 |
$44K |
| J2060 |
Lorazepam injection |
1,016 |
848 |
$44K |
| 83690 |
|
6,988 |
5,828 |
$44K |
| J3010 |
Fentanyl citrate injection |
917 |
767 |
$44K |
| 94640 |
|
1,107 |
926 |
$44K |
| 73630 |
|
537 |
480 |
$43K |
| 72100 |
|
517 |
474 |
$41K |
| U0002 |
Covid-19 lab test non-cdc |
916 |
855 |
$41K |
| 84484 |
|
3,907 |
2,713 |
$39K |
| 84703 |
|
5,444 |
4,694 |
$37K |
| 93971 |
|
260 |
232 |
$35K |
| J7030 |
Normal saline solution infus |
4,367 |
3,850 |
$33K |
| 73130 |
|
374 |
343 |
$32K |
| J7120 |
Ringers lactate infusion |
4,194 |
3,607 |
$30K |
| C1769 |
Guide wire |
112 |
82 |
$28K |
| 76856 |
|
201 |
182 |
$28K |
| J1170 |
Hydromorphone injection |
1,347 |
1,056 |
$27K |
| J2270 |
Morphine sulfate injection |
1,446 |
1,133 |
$27K |
| 12001 |
|
203 |
185 |
$27K |
| 80048 |
|
3,757 |
3,097 |
$27K |
| 87040 |
|
2,480 |
1,216 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,956 |
1,817 |
$22K |
| 73110 |
|
259 |
221 |
$21K |
| 81001 |
|
6,533 |
5,610 |
$19K |
| J1200 |
Diphenhydramine hcl injectio |
1,079 |
936 |
$19K |
| 87086 |
|
2,509 |
2,188 |
$18K |
| J0780 |
Prochlorperazine injection |
725 |
662 |
$18K |
| 71260 |
|
44 |
38 |
$17K |
| J2710 |
Neostigmine methylslfte inj |
53 |
51 |
$17K |
| 86141 |
|
1,289 |
1,104 |
$14K |
| 43239 |
|
46 |
38 |
$13K |
| 83735 |
|
2,313 |
1,864 |
$13K |
| 87633 |
|
44 |
35 |
$13K |
| 85379 |
|
1,302 |
1,167 |
$12K |
| 85610 |
|
2,942 |
2,574 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
231 |
203 |
$10K |
| 84702 |
|
731 |
601 |
$10K |
| 90715 |
|
564 |
545 |
$10K |
| 70553 |
|
15 |
12 |
$10K |
| 12011 |
|
72 |
68 |
$10K |
| 85730 |
|
1,815 |
1,592 |
$10K |
| 73080 |
|
85 |
76 |
$9K |
| 83605 |
|
949 |
768 |
$9K |
| 87077 |
|
1,096 |
952 |
$9K |
| 86850 |
|
1,285 |
1,065 |
$9K |
| 87651 |
|
248 |
231 |
$8K |
| 96366 |
|
147 |
125 |
$8K |
| G0383 |
Lev 4 hosp type b ed visit |
29 |
26 |
$8K |
| 74018 |
|
93 |
76 |
$8K |
| Q0111 |
Wet mounts/ w preparations |
714 |
653 |
$8K |
| J1630 |
Haloperidol injection |
617 |
459 |
$8K |
| 76801 |
|
116 |
93 |
$8K |
| 76830 |
|
96 |
87 |
$7K |
| 87186 |
|
937 |
823 |
$7K |
| 73502 |
|
101 |
83 |
$7K |
| J1100 |
Dexamethasone sodium phos |
286 |
265 |
$7K |
| J0690 |
Cefazolin sodium injection |
147 |
113 |
$7K |
| 82550 |
|
1,108 |
936 |
$7K |
| 93306 |
|
29 |
29 |
$6K |
| J3475 |
Inj magnesium sulfate |
296 |
266 |
$6K |
| 87070 |
|
780 |
666 |
$6K |
| 90714 |
|
266 |
244 |
$6K |
| 72040 |
|
56 |
51 |
$6K |
| 12002 |
|
44 |
44 |
$6K |
| 76700 |
|
30 |
28 |
$6K |
| 84439 |
|
677 |
608 |
$5K |
| 36415 |
|
6,154 |
4,961 |
$4K |
| J2765 |
Metoclopramide hcl injection |
109 |
102 |
$4K |
| 82553 |
|
425 |
333 |
$4K |
| 83615 |
|
905 |
659 |
$4K |
| 86900 |
|
1,591 |
1,337 |
$4K |
| 86901 |
|
1,591 |
1,338 |
$4K |
| 73140 |
|
70 |
64 |
$4K |
| 80076 |
|
484 |
447 |
$4K |
| J2560 |
Phenobarbital sodium inj |
96 |
88 |
$4K |
| 87205 |
|
968 |
797 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
492 |
455 |
$4K |
| J8540 |
Oral dexamethasone |
168 |
162 |
$4K |
| 85651 |
|
1,069 |
923 |
$3K |
| S0119 |
Ondansetron 4 mg |
1,490 |
1,367 |
$3K |
| 81003 |
|
1,461 |
1,326 |
$3K |
| 80074 |
|
53 |
52 |
$3K |
| J2930 |
Methylprednisolone injection |
93 |
83 |
$3K |
| 76817 |
|
28 |
27 |
$2K |
| 73590 |
|
31 |
26 |
$2K |
| J2550 |
Promethazine hcl injection |
840 |
707 |
$2K |
| 80061 |
|
154 |
148 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
132 |
120 |
$2K |
| 83036 |
|
257 |
234 |
$2K |
| 73120 |
|
28 |
26 |
$2K |
| 82728 |
|
191 |
170 |
$2K |
| 76000 |
|
16 |
13 |
$2K |
| 74022 |
|
15 |
13 |
$2K |
| 87798 |
|
47 |
36 |
$1K |
| J7050 |
Normal saline solution infus |
196 |
160 |
$1K |
| 71101 |
|
12 |
12 |
$1K |
| 87486 |
|
45 |
35 |
$1K |
| 87581 |
|
45 |
35 |
$1K |
| 82150 |
|
144 |
128 |
$930.82 |
| 29125 |
|
12 |
12 |
$900.10 |
| 73090 |
|
14 |
12 |
$782.88 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
48 |
41 |
$775.89 |
| 87181 |
|
212 |
183 |
$709.13 |
| J3411 |
Thiamine hcl 100 mg |
29 |
24 |
$611.23 |
| 85007 |
|
171 |
141 |
$585.86 |
| J0561 |
Penicillin g benzathine inj |
47 |
45 |
$555.00 |
| 86592 |
|
132 |
129 |
$509.45 |
| 83970 |
|
12 |
12 |
$484.10 |
| C9113 |
Inj pantoprazole sodium, via |
14 |
12 |
$373.53 |
| 87389 |
|
14 |
14 |
$363.78 |
| J0515 |
Inj benztropine mesylate |
20 |
14 |
$341.76 |
| 83540 |
|
80 |
70 |
$316.49 |
| 83550 |
|
61 |
55 |
$311.46 |
| J3490 |
Drugs unclassified injection |
15 |
13 |
$270.44 |
| J2370 |
Phenylephrine hcl injection |
17 |
13 |
$208.77 |
| 82248 |
|
13 |
13 |
$60.24 |
| 0241U |
|
22 |
22 |
$35.99 |
| J0330 |
Succinycholine chloride inj |
17 |
15 |
$24.11 |
| 90471 |
|
914 |
853 |
$0.00 |
| 80320 |
|
1,127 |
998 |
$0.00 |
| S2900 |
Robotic surgical system |
63 |
38 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
29 |
24 |
$0.00 |
| 80329 |
|
32 |
19 |
$0.00 |
| G0435 |
Oral hiv-1/hiv-2 screen |
187 |
176 |
$0.00 |