| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
21,390 |
18,237 |
$2.97M |
| 99283 |
|
18,229 |
16,154 |
$1.56M |
| 99285 |
|
3,038 |
2,665 |
$946K |
| 58662 |
|
962 |
736 |
$441K |
| 74177 |
|
503 |
439 |
$424K |
| G0481 |
Drug test def 8-14 classes |
3,787 |
3,164 |
$376K |
| 70450 |
|
1,223 |
1,014 |
$293K |
| 87635 |
|
7,204 |
6,212 |
$261K |
| 41899 |
|
408 |
369 |
$243K |
| 71045 |
|
7,858 |
6,635 |
$230K |
| 93005 |
|
6,506 |
5,434 |
$208K |
| 97110 |
|
7,251 |
1,834 |
$187K |
| 87502 |
|
2,569 |
2,218 |
$172K |
| 80053 |
|
25,123 |
20,912 |
$171K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,980 |
1,533 |
$158K |
| 59025 |
|
1,573 |
955 |
$144K |
| 85025 |
|
29,636 |
24,173 |
$142K |
| 99282 |
|
1,914 |
1,716 |
$124K |
| 0202U |
|
271 |
249 |
$83K |
| 96372 |
|
3,259 |
2,344 |
$73K |
| 87651 |
|
2,571 |
2,015 |
$60K |
| J7030 |
Normal saline solution infus |
5,404 |
3,991 |
$52K |
| 96374 |
|
2,066 |
1,634 |
$51K |
| 80061 |
|
4,454 |
4,065 |
$50K |
| 87491 |
|
1,624 |
1,415 |
$46K |
| 87591 |
|
1,632 |
1,415 |
$46K |
| 96375 |
|
1,450 |
1,094 |
$40K |
| 80050 |
|
948 |
874 |
$39K |
| 80081 |
|
540 |
472 |
$34K |
| C9399 |
Unclassified drugs or biolog |
8,948 |
3,539 |
$33K |
| 81001 |
|
18,343 |
14,743 |
$33K |
| G0378 |
Hospital observation per hr |
516 |
326 |
$32K |
| 71046 |
|
870 |
702 |
$32K |
| 87798 |
|
986 |
769 |
$30K |
| 96365 |
|
1,404 |
1,020 |
$28K |
| 99213 |
|
1,551 |
601 |
$26K |
| 84702 |
|
2,865 |
2,338 |
$24K |
| 87086 |
|
4,665 |
3,753 |
$24K |
| 87581 |
|
921 |
745 |
$24K |
| 87486 |
|
912 |
745 |
$24K |
| 84484 |
|
3,538 |
2,975 |
$22K |
| 93306 |
|
71 |
63 |
$22K |
| J2405 |
Ondansetron hcl injection |
3,339 |
2,632 |
$22K |
| 92507 |
|
669 |
224 |
$22K |
| 81025 |
|
3,384 |
2,930 |
$22K |
| 87661 |
|
694 |
601 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
3,487 |
2,846 |
$18K |
| 87804 |
|
1,360 |
1,223 |
$16K |
| 97161 |
|
337 |
328 |
$16K |
| 82553 |
|
3,101 |
2,557 |
$16K |
| 87389 |
|
785 |
697 |
$15K |
| 94760 |
|
6,549 |
4,352 |
$15K |
| 73564 |
|
216 |
124 |
$15K |
| 87633 |
|
1,281 |
872 |
$14K |
| 96361 |
|
1,077 |
705 |
$14K |
| 87480 |
|
1,006 |
835 |
$14K |
| 87510 |
|
1,006 |
835 |
$14K |
| 82550 |
|
3,799 |
3,151 |
$13K |
| 11042 |
|
76 |
43 |
$12K |
| 83036 |
|
1,588 |
1,414 |
$12K |
| 84443 |
|
987 |
847 |
$12K |
| 83735 |
|
3,332 |
2,789 |
$11K |
| 85730 |
|
3,920 |
3,244 |
$11K |
| 87880 |
|
844 |
774 |
$11K |
| 72110 |
|
155 |
146 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
353 |
292 |
$9K |
| 85610 |
|
4,056 |
3,415 |
$9K |
| 83880 |
|
440 |
389 |
$7K |
| 80306 |
|
675 |
564 |
$7K |
| 87088 |
|
1,263 |
1,016 |
$7K |
| 87070 |
|
879 |
793 |
$7K |
| 83690 |
|
1,370 |
1,193 |
$7K |
| 93010 |
|
2,748 |
1,942 |
$7K |
| 72050 |
|
88 |
85 |
$6K |
| 97597 |
|
433 |
177 |
$6K |
| 78452 |
|
12 |
12 |
$5K |
| 82652 |
|
373 |
307 |
$5K |
| 99281 |
|
145 |
136 |
$5K |
| 87631 |
|
934 |
736 |
$5K |
| 87634 |
|
1,198 |
845 |
$5K |
| 87660 |
|
283 |
234 |
$4K |
| 94640 |
|
113 |
92 |
$4K |
| A6021 |
Collagen dressing <=16 sq in |
920 |
456 |
$4K |
| 82607 |
|
298 |
275 |
$4K |
| 74018 |
|
137 |
125 |
$4K |
| 73721 |
|
17 |
15 |
$4K |
| G0379 |
Direct refer hospital observ |
28 |
27 |
$4K |
| 81003 |
|
2,515 |
1,991 |
$3K |
| 86592 |
|
887 |
769 |
$3K |
| 94060 |
|
41 |
40 |
$3K |
| 82306 |
|
124 |
105 |
$3K |
| G0480 |
Drug test def 1-7 classes |
71 |
58 |
$3K |
| 85660 |
|
578 |
495 |
$2K |
| J2785 |
Regadenoson injection |
12 |
12 |
$2K |
| A9500 |
Tc99m sestamibi |
12 |
12 |
$2K |
| 84439 |
|
298 |
265 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
419 |
303 |
$2K |
| 81220 |
|
17 |
17 |
$2K |
| 99212 |
|
174 |
76 |
$2K |
| A6453 |
Self-adher band w <3"/yd |
1,686 |
1,327 |
$2K |
| 84481 |
|
139 |
129 |
$2K |
| 94726 |
|
41 |
40 |
$2K |
| 80305 |
|
165 |
143 |
$2K |
| 85651 |
|
460 |
389 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,732 |
2,168 |
$1K |
| J1100 |
Dexamethasone sodium phos |
649 |
504 |
$1K |
| 96360 |
|
28 |
26 |
$1K |
| 94729 |
|
41 |
40 |
$1K |
| 80048 |
|
190 |
176 |
$1K |
| J2270 |
Morphine sulfate injection |
225 |
166 |
$1K |
| 86140 |
|
305 |
247 |
$1K |
| J7120 |
Ringers lactate infusion |
293 |
180 |
$1K |
| 87807 |
|
86 |
84 |
$1K |
| 72100 |
|
14 |
13 |
$1K |
| 87077 |
|
197 |
176 |
$1K |
| 93041 |
|
40 |
24 |
$978.22 |
| 73565 |
|
33 |
32 |
$831.32 |
| 29581 |
|
132 |
12 |
$815.58 |
| 87150 |
|
27 |
25 |
$807.08 |
| 84466 |
|
72 |
67 |
$803.88 |
| J3010 |
Fentanyl citrate injection |
2,678 |
1,992 |
$798.66 |
| 82150 |
|
180 |
160 |
$780.13 |
| 83540 |
|
129 |
122 |
$764.27 |
| 82105 |
|
48 |
46 |
$746.11 |
| J1170 |
Hydromorphone injection |
48 |
38 |
$577.39 |
| 73502 |
|
16 |
12 |
$559.68 |
| 73110 |
|
16 |
12 |
$533.00 |
| 86038 |
|
52 |
43 |
$507.78 |
| 87186 |
|
137 |
116 |
$506.15 |
| 87340 |
|
72 |
64 |
$489.29 |
| 81015 |
|
1,950 |
1,387 |
$479.66 |
| 73630 |
|
14 |
14 |
$434.88 |
| 82043 |
|
83 |
78 |
$433.12 |
| 82677 |
|
19 |
19 |
$422.81 |
| 82728 |
|
51 |
43 |
$412.31 |
| 80299 |
|
39 |
30 |
$410.08 |
| G0463 |
Hospital outpt clinic visit |
808 |
277 |
$397.13 |
| 83550 |
|
137 |
122 |
$391.96 |
| 99203 |
|
15 |
13 |
$390.66 |
| 84100 |
|
87 |
84 |
$368.40 |
| 84403 |
|
15 |
14 |
$361.34 |
| J7040 |
Normal saline solution infus |
101 |
55 |
$355.13 |
| 85379 |
|
42 |
41 |
$346.12 |
| 86762 |
|
36 |
31 |
$280.76 |
| 86336 |
|
19 |
19 |
$272.56 |
| 86431 |
|
46 |
43 |
$232.47 |
| J2704 |
Inj, propofol, 10 mg |
2,013 |
1,645 |
$224.56 |
| 84145 |
|
15 |
14 |
$193.26 |
| 87015 |
|
42 |
27 |
$187.04 |
| 86850 |
|
54 |
47 |
$183.01 |
| 87081 |
|
27 |
27 |
$165.19 |
| 87040 |
|
20 |
12 |
$137.64 |
| J2175 |
Meperidine hydrochl /100 mg |
269 |
246 |
$112.43 |
| 83605 |
|
17 |
15 |
$104.13 |
| J2710 |
Neostigmine methylslfte inj |
120 |
90 |
$83.58 |
| J0690 |
Cefazolin sodium injection |
472 |
329 |
$80.00 |
| 86900 |
|
41 |
34 |
$64.32 |
| 86901 |
|
41 |
34 |
$64.32 |
| 84550 |
|
15 |
13 |
$55.37 |
| 82947 |
|
24 |
15 |
$55.02 |
| 82950 |
|
13 |
12 |
$49.37 |
| 36000 |
|
120 |
72 |
$46.05 |
| J2001 |
Lidocaine injection |
249 |
129 |
$36.00 |
| U0002 |
Covid-19 lab test non-cdc |
150 |
119 |
$9.44 |
| 84156 |
|
22 |
16 |
$3.67 |
| A6402 |
Sterile gauze <= 16 sq in |
1,325 |
998 |
$2.39 |
| J2550 |
Promethazine hcl injection |
12 |
12 |
$0.00 |
| 58120 |
|
279 |
144 |
$0.00 |
| 82570 |
|
21 |
15 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
49 |
44 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
19 |
14 |
$0.00 |
| 70320 |
|
379 |
339 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
147 |
55 |
$0.00 |
| A6455 |
Self-adher band >=5"/yd |
13 |
12 |
$0.00 |