| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,123 |
11,764 |
$1.98M |
| 99283 |
|
8,263 |
7,629 |
$1.13M |
| 96361 |
|
3,000 |
2,566 |
$912K |
| 97110 |
|
12,855 |
2,788 |
$833K |
| 97530 |
|
10,591 |
2,350 |
$642K |
| 92507 |
|
9,500 |
1,860 |
$641K |
| 96365 |
|
4,204 |
2,579 |
$631K |
| 74177 |
|
1,726 |
1,592 |
$601K |
| 70450 |
|
1,871 |
1,705 |
$506K |
| 99282 |
|
4,003 |
3,813 |
$458K |
| G0378 |
Hospital observation per hr |
1,498 |
1,310 |
$371K |
| G0463 |
Hospital outpt clinic visit |
4,800 |
3,589 |
$277K |
| 87633 |
|
1,572 |
1,490 |
$226K |
| 99285 |
|
1,636 |
1,484 |
$215K |
| 93306 |
|
490 |
468 |
$191K |
| 11042 |
|
972 |
481 |
$152K |
| 94640 |
|
1,733 |
1,256 |
$136K |
| 71046 |
|
2,694 |
2,542 |
$127K |
| 97112 |
|
3,946 |
1,023 |
$113K |
| 99281 |
|
767 |
685 |
$110K |
| 80053 |
|
22,123 |
18,423 |
$109K |
| 0241U |
|
926 |
894 |
$106K |
| 96360 |
|
608 |
534 |
$106K |
| 71275 |
|
325 |
301 |
$106K |
| 97140 |
|
2,452 |
692 |
$92K |
| 93005 |
|
5,485 |
4,767 |
$87K |
| 88305 |
|
1,675 |
1,571 |
$74K |
| 87635 |
|
1,980 |
1,868 |
$73K |
| 84443 |
|
5,154 |
5,036 |
$64K |
| 99213 |
|
1,005 |
798 |
$64K |
| 85025 |
|
21,978 |
16,967 |
$63K |
| 87491 |
|
1,697 |
1,624 |
$59K |
| 87631 |
|
355 |
344 |
$53K |
| 96413 |
|
314 |
192 |
$53K |
| 71045 |
|
4,098 |
3,691 |
$53K |
| 76705 |
|
325 |
318 |
$51K |
| 96372 |
|
3,028 |
2,558 |
$50K |
| 87591 |
|
1,699 |
1,626 |
$50K |
| 93971 |
|
352 |
322 |
$49K |
| J7030 |
Normal saline solution infus |
5,593 |
4,253 |
$44K |
| 96375 |
|
3,439 |
2,918 |
$44K |
| J3490 |
Drugs unclassified injection |
15,708 |
6,937 |
$42K |
| 96374 |
|
3,472 |
3,077 |
$42K |
| 74176 |
|
141 |
126 |
$39K |
| 80081 |
|
464 |
459 |
$37K |
| 72148 |
|
138 |
133 |
$35K |
| C9803 |
Hopd covid-19 spec collect |
1,884 |
1,778 |
$33K |
| J7120 |
Ringers lactate infusion |
3,621 |
2,698 |
$31K |
| 84702 |
|
4,304 |
3,807 |
$27K |
| 97161 |
|
978 |
889 |
$26K |
| 74018 |
|
494 |
445 |
$25K |
| 80048 |
|
4,574 |
3,680 |
$25K |
| 82306 |
|
951 |
926 |
$25K |
| 36415 |
|
16,358 |
12,633 |
$25K |
| 81001 |
|
8,485 |
7,551 |
$24K |
| 80307 |
|
1,242 |
1,158 |
$24K |
| 76700 |
|
106 |
104 |
$23K |
| 87086 |
|
3,745 |
3,467 |
$22K |
| 77067 |
|
468 |
466 |
$22K |
| 88142 |
|
948 |
943 |
$22K |
| 87502 |
|
257 |
249 |
$22K |
| 80061 |
|
2,013 |
1,965 |
$20K |
| 82805 |
|
295 |
254 |
$18K |
| 84439 |
|
1,741 |
1,687 |
$18K |
| 73630 |
|
451 |
425 |
$17K |
| 71250 |
|
182 |
175 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
240 |
239 |
$16K |
| 73562 |
|
384 |
365 |
$15K |
| 87070 |
|
1,839 |
1,760 |
$14K |
| 83036 |
|
1,584 |
1,536 |
$13K |
| 87651 |
|
822 |
807 |
$13K |
| 73610 |
|
264 |
253 |
$13K |
| 87077 |
|
2,307 |
2,154 |
$12K |
| 97165 |
|
256 |
221 |
$12K |
| 86140 |
|
4,142 |
3,711 |
$12K |
| 92526 |
|
1,399 |
270 |
$12K |
| Q3014 |
Telehealth facility fee |
891 |
868 |
$12K |
| 87186 |
|
2,048 |
1,910 |
$12K |
| 41899 |
|
14 |
12 |
$11K |
| 83735 |
|
4,179 |
3,145 |
$11K |
| 83880 |
|
1,046 |
936 |
$10K |
| 71260 |
|
67 |
63 |
$10K |
| 97116 |
|
418 |
166 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
2,507 |
2,041 |
$10K |
| J8499 |
Oral prescrip drug non chemo |
16,842 |
5,873 |
$9K |
| 80050 |
|
853 |
811 |
$9K |
| 73721 |
|
32 |
32 |
$9K |
| 0099U |
|
59 |
56 |
$9K |
| 93017 |
|
30 |
27 |
$8K |
| 87507 |
|
26 |
26 |
$8K |
| 83690 |
|
3,665 |
3,191 |
$8K |
| 45380 |
|
13 |
13 |
$8K |
| A4216 |
Sterile water/saline, 10 ml |
8,914 |
4,648 |
$7K |
| 84484 |
|
3,227 |
2,665 |
$7K |
| J7050 |
Normal saline solution infus |
2,676 |
1,508 |
$6K |
| Q0162 |
Ondansetron oral |
1,205 |
1,070 |
$6K |
| 93970 |
|
42 |
40 |
$6K |
| A9270 |
Non-covered item or service |
777 |
442 |
$6K |
| 83605 |
|
2,074 |
1,792 |
$5K |
| 0097U |
|
40 |
37 |
$5K |
| 96367 |
|
131 |
94 |
$5K |
| J2405 |
Ondansetron hcl injection |
4,224 |
3,447 |
$5K |
| 85027 |
|
1,220 |
1,101 |
$5K |
| 82607 |
|
382 |
363 |
$4K |
| 85610 |
|
2,691 |
2,161 |
$4K |
| 87798 |
|
63 |
62 |
$4K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$4K |
| 84145 |
|
801 |
685 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
942 |
847 |
$4K |
| 85651 |
|
988 |
889 |
$4K |
| 73110 |
|
45 |
40 |
$4K |
| 82962 |
|
2,219 |
1,413 |
$3K |
| 97535 |
|
158 |
86 |
$3K |
| M0247 |
Sotrovimab infusion |
16 |
14 |
$3K |
| 82728 |
|
422 |
396 |
$3K |
| 87210 |
|
562 |
536 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,996 |
2,592 |
$3K |
| J3010 |
Fentanyl citrate injection |
2,166 |
1,944 |
$3K |
| 73030 |
|
100 |
95 |
$3K |
| J1100 |
Dexamethasone sodium phos |
2,683 |
2,107 |
$3K |
| 97166 |
|
77 |
65 |
$3K |
| 72125 |
|
170 |
152 |
$3K |
| 85730 |
|
1,063 |
969 |
$2K |
| U0005 |
Infec agen detec ampli probe |
103 |
103 |
$2K |
| 88342 |
|
233 |
210 |
$2K |
| 86900 |
|
246 |
215 |
$2K |
| 80320 |
|
800 |
714 |
$2K |
| 76536 |
|
12 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
548 |
333 |
$2K |
| J1170 |
Hydromorphone injection |
567 |
407 |
$2K |
| J2270 |
Morphine sulfate injection |
1,122 |
877 |
$2K |
| 87486 |
|
39 |
39 |
$2K |
| 87581 |
|
39 |
39 |
$2K |
| 83550 |
|
366 |
345 |
$1K |
| 82570 |
|
355 |
330 |
$1K |
| 83540 |
|
408 |
387 |
$1K |
| 84153 |
|
116 |
113 |
$1K |
| 87040 |
|
443 |
360 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,594 |
1,480 |
$1K |
| 97597 |
|
66 |
38 |
$1K |
| 94060 |
|
12 |
12 |
$852.77 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$789.21 |
| 93226 |
|
15 |
15 |
$786.47 |
| 73130 |
|
94 |
84 |
$750.23 |
| 87389 |
|
30 |
30 |
$743.13 |
| 77063 |
|
342 |
340 |
$710.20 |
| 87075 |
|
84 |
80 |
$678.02 |
| 97162 |
|
116 |
100 |
$646.80 |
| 85378 |
|
812 |
746 |
$642.69 |
| 82951 |
|
40 |
40 |
$600.64 |
| 72110 |
|
15 |
13 |
$551.09 |
| 84146 |
|
58 |
55 |
$536.50 |
| 82043 |
|
139 |
139 |
$478.90 |
| 86850 |
|
47 |
42 |
$448.55 |
| 87205 |
|
129 |
123 |
$431.73 |
| 93225 |
|
15 |
15 |
$416.91 |
| 86901 |
|
246 |
215 |
$411.63 |
| 82565 |
|
219 |
211 |
$393.14 |
| J0690 |
Cefazolin sodium injection |
1,073 |
810 |
$351.69 |
| 82550 |
|
270 |
213 |
$345.46 |
| U0002 |
Covid-19 lab test non-cdc |
12 |
12 |
$318.55 |
| 84156 |
|
157 |
141 |
$306.17 |
| 84100 |
|
131 |
82 |
$259.68 |
| 86762 |
|
15 |
15 |
$248.78 |
| 86780 |
|
17 |
17 |
$228.76 |
| G1010 |
Cdsm stanson |
1,521 |
1,288 |
$210.65 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,895 |
1,748 |
$193.31 |
| 87340 |
|
18 |
18 |
$178.50 |
| 86803 |
|
15 |
15 |
$157.80 |
| 82952 |
|
28 |
28 |
$150.45 |
| A6204 |
Composite drsg >16<=48 sq in |
952 |
896 |
$131.25 |
| 81025 |
|
15 |
14 |
$129.99 |
| 85014 |
|
35 |
27 |
$108.32 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
806 |
722 |
$97.98 |
| 80178 |
|
14 |
14 |
$81.60 |
| 82746 |
|
14 |
12 |
$71.64 |
| J7620 |
Albuterol ipratrop non-comp |
136 |
103 |
$69.84 |
| 80069 |
|
18 |
17 |
$64.32 |
| 90471 |
|
13 |
13 |
$62.91 |
| 85018 |
|
35 |
27 |
$54.16 |
| J0131 |
Inj, acetaminophen (nos) |
1,546 |
1,299 |
$46.57 |
| J2765 |
Metoclopramide hcl injection |
385 |
341 |
$45.66 |
| 80143 |
|
257 |
228 |
$36.71 |
| 80179 |
|
262 |
238 |
$27.68 |
| J3535 |
Metered dose inhaler drug |
160 |
140 |
$25.71 |
| J7613 |
Albuterol non-comp unit |
119 |
107 |
$13.44 |
| A4213 |
20+ cc syringe only |
48 |
46 |
$5.95 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
42 |
41 |
$3.48 |
| J1200 |
Diphenhydramine hcl injectio |
483 |
425 |
$2.99 |
| G8979 |
Mobility goal status |
172 |
136 |
$0.03 |
| G8978 |
Mobility current status |
145 |
124 |
$0.02 |
| J1642 |
Inj heparin sodium per 10 u |
753 |
434 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
14 |
$0.00 |
| J2060 |
Lorazepam injection |
19 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
101 |
89 |
$0.00 |
| J1815 |
Insulin injection |
52 |
29 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
36 |
32 |
$0.00 |
| 80329 |
|
49 |
40 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
69 |
41 |
$0.00 |
| 82077 |
|
39 |
36 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
43 |
39 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
248 |
198 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
16 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
18 |
13 |
$0.00 |
| 80051 |
|
13 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
252 |
184 |
$0.00 |
| J7040 |
Normal saline solution infus |
219 |
168 |
$0.00 |
| J2930 |
Methylprednisolone injection |
43 |
39 |
$0.00 |
| J0780 |
Prochlorperazine injection |
106 |
97 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
15 |
13 |
$0.00 |
| A6258 |
Transparent film >16<=48 in |
171 |
156 |
$0.00 |
| A4210 |
Nonneedle injection device |
78 |
72 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
60 |
53 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
30 |
28 |
$0.00 |
| 82310 |
|
13 |
13 |
$0.00 |
| A9577 |
Inj multihance |
12 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
15 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
31 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
76 |
26 |
$0.00 |
| J7070 |
D5w infusion |
16 |
13 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |