| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,977 |
23,111 |
$9.07M |
| 99283 |
|
29,054 |
26,952 |
$8.59M |
| G0378 |
Hospital observation per hr |
3,169 |
2,723 |
$2.92M |
| 99285 |
|
5,978 |
5,494 |
$1.58M |
| 99282 |
|
7,998 |
7,597 |
$1.47M |
| 96413 |
|
1,377 |
765 |
$1.25M |
| 43239 |
|
1,097 |
1,043 |
$927K |
| 97110 |
|
20,339 |
4,475 |
$887K |
| 96375 |
|
10,770 |
8,739 |
$579K |
| 93306 |
|
548 |
532 |
$498K |
| 97140 |
|
10,638 |
2,668 |
$427K |
| 93005 |
|
16,281 |
14,245 |
$404K |
| 96365 |
|
3,742 |
3,138 |
$372K |
| 74177 |
|
4,235 |
4,000 |
$362K |
| 96374 |
|
13,304 |
11,677 |
$312K |
| G0283 |
Elec stim other than wound |
5,147 |
1,313 |
$264K |
| 92507 |
|
3,847 |
1,288 |
$250K |
| 99281 |
|
1,732 |
1,628 |
$235K |
| 70450 |
|
5,484 |
5,115 |
$217K |
| 45380 |
|
327 |
310 |
$216K |
| 96361 |
|
8,679 |
7,776 |
$200K |
| 80053 |
|
37,469 |
30,136 |
$192K |
| 99291 |
|
409 |
376 |
$185K |
| 87635 |
|
4,144 |
3,974 |
$169K |
| OP370 |
|
2,973 |
2,765 |
$166K |
| 96360 |
|
2,754 |
2,477 |
$157K |
| 96372 |
|
6,436 |
5,041 |
$131K |
| 74176 |
|
2,131 |
2,041 |
$125K |
| 85025 |
|
39,667 |
31,148 |
$125K |
| 71046 |
|
8,162 |
7,768 |
$109K |
| 0241U |
|
6,711 |
6,314 |
$104K |
| 71045 |
|
9,625 |
8,904 |
$86K |
| 95819 |
|
117 |
116 |
$85K |
| OP272 |
|
4,491 |
4,079 |
$82K |
| OP250 |
|
47,956 |
29,438 |
$80K |
| 80307 |
|
7,901 |
6,309 |
$79K |
| 92587 |
|
398 |
387 |
$79K |
| 88305 |
|
2,137 |
1,998 |
$79K |
| 93971 |
|
777 |
736 |
$73K |
| 97162 |
|
1,204 |
1,158 |
$67K |
| OP710 |
|
1,229 |
1,161 |
$65K |
| 92567 |
|
574 |
560 |
$59K |
| 90791 |
|
3,953 |
3,354 |
$57K |
| 97010 |
|
12,793 |
3,020 |
$55K |
| 0202U |
|
1,052 |
1,010 |
$48K |
| 97112 |
|
1,113 |
369 |
$45K |
| 76705 |
|
1,519 |
1,458 |
$45K |
| 96366 |
|
1,111 |
942 |
$45K |
| 92557 |
|
153 |
151 |
$43K |
| 36415 |
|
34,289 |
27,610 |
$42K |
| 94640 |
|
4,096 |
3,563 |
$42K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,680 |
5,099 |
$35K |
| 84484 |
|
9,313 |
7,365 |
$34K |
| 76830 |
|
796 |
766 |
$28K |
| J1439 |
Inj ferric carboxymaltos 1mg |
19 |
12 |
$25K |
| 81025 |
|
13,898 |
12,586 |
$25K |
| OP279 |
|
2,328 |
2,198 |
$25K |
| 95886 |
|
90 |
89 |
$25K |
| 71275 |
|
440 |
420 |
$25K |
| 96376 |
|
2,269 |
1,842 |
$24K |
| 88313 |
|
1,078 |
1,017 |
$24K |
| U0002 |
Covid-19 lab test non-cdc |
3,283 |
3,006 |
$21K |
| 81003 |
|
13,090 |
11,952 |
$21K |
| G0480 |
Drug test def 1-7 classes |
1,118 |
1,013 |
$21K |
| 83690 |
|
10,372 |
9,343 |
$20K |
| 82077 |
|
5,123 |
4,437 |
$19K |
| 96367 |
|
124 |
100 |
$19K |
| 72125 |
|
619 |
569 |
$19K |
| 73630 |
|
1,860 |
1,789 |
$18K |
| 80048 |
|
3,497 |
2,771 |
$18K |
| 83735 |
|
6,781 |
5,208 |
$18K |
| 76819 |
|
263 |
214 |
$17K |
| 73610 |
|
1,617 |
1,557 |
$15K |
| 84443 |
|
4,064 |
3,673 |
$14K |
| OP258 |
|
22,087 |
15,526 |
$14K |
| 85610 |
|
5,989 |
5,355 |
$14K |
| 83880 |
|
2,254 |
2,069 |
$13K |
| 36591 |
|
114 |
70 |
$13K |
| 88312 |
|
1,005 |
961 |
$13K |
| 73130 |
|
1,466 |
1,408 |
$13K |
| 74019 |
|
1,329 |
1,240 |
$11K |
| 81001 |
|
10,480 |
9,385 |
$10K |
| 73030 |
|
1,149 |
1,090 |
$10K |
| 0012A |
|
365 |
365 |
$10K |
| J1170 |
Hydromorphone injection |
2,415 |
1,632 |
$10K |
| 85730 |
|
3,679 |
3,338 |
$10K |
| 99213 |
|
76 |
39 |
$10K |
| J2405 |
Ondansetron hcl injection |
8,079 |
6,508 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
1,600 |
1,270 |
$9K |
| 76816 |
|
194 |
171 |
$9K |
| 86901 |
|
1,896 |
1,520 |
$9K |
| 86900 |
|
1,876 |
1,518 |
$9K |
| 0011A |
|
349 |
349 |
$9K |
| 82962 |
|
4,845 |
3,234 |
$9K |
| OP259 |
|
6,807 |
5,012 |
$8K |
| 87070 |
|
3,036 |
2,895 |
$8K |
| OP379 |
|
298 |
295 |
$8K |
| 82550 |
|
2,963 |
2,728 |
$8K |
| 45385 |
|
16 |
14 |
$8K |
| 86885 |
|
1,319 |
1,030 |
$8K |
| 73562 |
|
843 |
800 |
$8K |
| 85027 |
|
2,194 |
1,781 |
$8K |
| 74018 |
|
885 |
845 |
$8K |
| 73110 |
|
703 |
663 |
$8K |
| 99211 |
|
201 |
178 |
$7K |
| 97163 |
|
108 |
102 |
$7K |
| 87086 |
|
3,936 |
3,618 |
$7K |
| 80143 |
|
1,976 |
1,759 |
$7K |
| 80179 |
|
1,899 |
1,693 |
$6K |
| J1100 |
Dexamethasone sodium phos |
6,079 |
5,115 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
3,269 |
2,554 |
$6K |
| 87040 |
|
847 |
777 |
$6K |
| 97161 |
|
111 |
111 |
$6K |
| 84100 |
|
3,013 |
2,559 |
$6K |
| 90715 |
|
620 |
596 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
2,089 |
1,747 |
$6K |
| 85379 |
|
2,326 |
2,186 |
$6K |
| 83605 |
|
2,287 |
2,008 |
$6K |
| 80061 |
|
1,617 |
1,471 |
$6K |
| 59025 |
|
16 |
12 |
$5K |
| 73502 |
|
401 |
366 |
$5K |
| 72110 |
|
369 |
353 |
$5K |
| J2060 |
Lorazepam injection |
2,557 |
2,062 |
$5K |
| 87880 |
|
3,831 |
3,677 |
$5K |
| J2270 |
Morphine sulfate injection |
2,670 |
2,046 |
$4K |
| G0463 |
Hospital outpt clinic visit |
231 |
174 |
$4K |
| 0064A |
|
126 |
122 |
$4K |
| J3490 |
Drugs unclassified injection |
1,165 |
950 |
$4K |
| 71250 |
|
55 |
51 |
$4K |
| 77067 |
|
41 |
41 |
$4K |
| 87804 |
|
1,810 |
1,767 |
$4K |
| J2930 |
Methylprednisolone injection |
536 |
494 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
7,849 |
6,637 |
$3K |
| 72100 |
|
312 |
299 |
$3K |
| 76856 |
|
81 |
80 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
1,045 |
504 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,198 |
1,067 |
$3K |
| 87088 |
|
852 |
816 |
$3K |
| J7050 |
Normal saline solution infus |
347 |
221 |
$3K |
| 80306 |
|
1,124 |
1,009 |
$3K |
| 73564 |
|
153 |
150 |
$3K |
| 84702 |
|
728 |
629 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,604 |
1,485 |
$3K |
| J2272 |
Inj, morphine (fresenius) |
1,092 |
821 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,739 |
1,240 |
$2K |
| 0002A |
|
62 |
62 |
$2K |
| 82728 |
|
545 |
458 |
$2K |
| 76770 |
|
70 |
62 |
$2K |
| OP270 |
|
1,084 |
1,016 |
$2K |
| 80320 |
|
396 |
363 |
$2K |
| 0004A |
|
51 |
51 |
$2K |
| 74021 |
|
210 |
208 |
$2K |
| 71260 |
|
13 |
12 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| M0243 |
Casirivi and imdevi inj |
39 |
39 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,328 |
1,001 |
$2K |
| 93970 |
|
15 |
15 |
$1K |
| 97035 |
|
538 |
121 |
$1K |
| 83789 |
|
747 |
656 |
$1K |
| 84145 |
|
220 |
208 |
$1K |
| 87636 |
|
117 |
115 |
$1K |
| G1004 |
Cdsm ndsc |
539 |
402 |
$1K |
| 87633 |
|
30 |
30 |
$1K |
| 90471 |
|
752 |
660 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
403 |
305 |
$1K |
| 83550 |
|
520 |
435 |
$1K |
| 87077 |
|
681 |
604 |
$1K |
| 87186 |
|
362 |
334 |
$1K |
| J3360 |
Diazepam injection |
529 |
457 |
$1K |
| 83036 |
|
1,047 |
963 |
$1K |
| G8978 |
Mobility current status |
15 |
14 |
$1K |
| G8979 |
Mobility goal status |
15 |
14 |
$1K |
| C9290 |
Inj, bupivacaine liposome |
37 |
37 |
$1K |
| 83540 |
|
540 |
449 |
$1K |
| 73080 |
|
122 |
119 |
$1K |
| 0071A |
|
25 |
25 |
$996.05 |
| 82248 |
|
277 |
232 |
$915.43 |
| J1642 |
Inj heparin sodium per 10 u |
355 |
158 |
$802.69 |
| 97530 |
|
53 |
26 |
$733.45 |
| 76775 |
|
29 |
29 |
$726.48 |
| 87591 |
|
134 |
130 |
$711.26 |
| 87491 |
|
134 |
130 |
$702.30 |
| 88304 |
|
124 |
113 |
$628.39 |
| 12001 |
|
29 |
28 |
$620.15 |
| 29515 |
|
61 |
55 |
$554.16 |
| 90792 |
|
32 |
31 |
$522.17 |
| J7030 |
Normal saline solution infus |
243 |
132 |
$513.20 |
| 73590 |
|
41 |
39 |
$508.86 |
| 74220 |
|
17 |
12 |
$475.82 |
| J2765 |
Metoclopramide hcl injection |
1,034 |
870 |
$453.63 |
| 72052 |
|
27 |
27 |
$407.86 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
28 |
25 |
$357.68 |
| 87999 |
|
229 |
225 |
$347.52 |
| 87420 |
|
211 |
206 |
$333.68 |
| 85651 |
|
206 |
191 |
$327.30 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
236 |
214 |
$327.08 |
| J7620 |
Albuterol ipratrop non-comp |
258 |
234 |
$305.89 |
| 80164 |
|
46 |
41 |
$288.75 |
| M0245 |
Bamlan and etesev infusion |
18 |
18 |
$287.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,790 |
1,559 |
$258.64 |
| 82306 |
|
39 |
38 |
$253.55 |
| 82607 |
|
87 |
80 |
$247.35 |
| 29125 |
|
69 |
67 |
$228.61 |
| A9585 |
Gadobutrol injection |
13 |
13 |
$216.49 |
| 72040 |
|
12 |
12 |
$175.49 |
| 87798 |
|
39 |
38 |
$158.88 |
| 87581 |
|
30 |
30 |
$152.00 |
| 87486 |
|
30 |
30 |
$152.00 |
| J3486 |
Ziprasidone mesylate |
14 |
12 |
$142.94 |
| 84439 |
|
211 |
187 |
$140.07 |
| 83615 |
|
68 |
49 |
$139.77 |
| J3475 |
Inj magnesium sulfate |
46 |
42 |
$138.83 |
| 73090 |
|
27 |
26 |
$132.14 |
| J7510 |
Prednisolone oral per 5 mg |
652 |
630 |
$132.11 |
| 85378 |
|
133 |
133 |
$127.09 |
| 82378 |
|
21 |
12 |
$119.32 |
| J0690 |
Cefazolin sodium injection |
174 |
148 |
$112.39 |
| 82150 |
|
129 |
126 |
$108.47 |
| J0689 |
Inj cefazolin sodium, baxter |
38 |
33 |
$95.71 |
| 82570 |
|
104 |
84 |
$93.62 |
| 86618 |
|
13 |
13 |
$91.14 |
| J0137 |
Inj, acetaminophen (hikma) |
119 |
94 |
$89.56 |
| 86308 |
|
141 |
130 |
$82.17 |
| 87205 |
|
54 |
54 |
$81.20 |
| 82247 |
|
17 |
12 |
$80.03 |
| J2919 |
Inj, methylpred sod succ 5mg |
134 |
106 |
$78.46 |
| 86140 |
|
69 |
60 |
$74.12 |
| 82140 |
|
25 |
24 |
$72.64 |
| J1650 |
Inj enoxaparin sodium |
83 |
42 |
$69.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
135 |
119 |
$67.70 |
| J1790 |
Droperidol injection |
50 |
38 |
$66.80 |
| J3480 |
Inj potassium chloride |
60 |
38 |
$65.68 |
| 82803 |
|
14 |
13 |
$53.65 |
| OP637 |
|
8,525 |
1,579 |
$44.73 |
| J1630 |
Haloperidol injection |
107 |
89 |
$41.95 |
| 84703 |
|
27 |
27 |
$35.67 |
| 80076 |
|
33 |
32 |
$35.12 |
| J2710 |
Neostigmine methylslfte inj |
29 |
28 |
$33.80 |
| J2470 |
Inj pantoprazole sodium 40mg |
129 |
102 |
$13.10 |
| J3590 |
Unclassified biologics |
64 |
63 |
$12.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
32 |
24 |
$5.06 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
18 |
15 |
$3.35 |
| 87147 |
|
12 |
12 |
$3.00 |
| 91306 |
|
123 |
118 |
$1.00 |
| 91300 |
|
180 |
169 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
39 |
37 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
18 |
17 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
13 |
12 |
$0.00 |
| J1815 |
Insulin injection |
26 |
12 |
$0.00 |
| 91301 |
|
632 |
624 |
$0.00 |
| 91307 |
|
69 |
64 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
118 |
101 |
$0.00 |