| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
120,645 |
110,448 |
$10.40M |
| 99284 |
|
59,967 |
51,829 |
$3.62M |
| 99282 |
|
17,083 |
16,188 |
$1.50M |
| 74177 |
|
7,011 |
6,298 |
$1.24M |
| 70450 |
|
10,909 |
9,016 |
$813K |
| J7030 |
Normal saline solution infus |
22,794 |
19,052 |
$779K |
| 99281 |
|
7,142 |
6,735 |
$767K |
| 74176 |
|
5,820 |
5,137 |
$759K |
| 99285 |
|
10,344 |
7,510 |
$576K |
| 80048 |
|
27,308 |
22,418 |
$525K |
| 71275 |
|
3,395 |
3,007 |
$438K |
| 80053 |
|
25,722 |
20,880 |
$386K |
| 72125 |
|
5,116 |
4,094 |
$208K |
| 93306 |
|
1,097 |
987 |
$188K |
| 78452 |
|
637 |
555 |
$188K |
| 87804 |
|
17,345 |
16,523 |
$172K |
| G0378 |
Hospital observation per hr |
7,585 |
3,935 |
$169K |
| G0382 |
Lev 3 hosp type b ed visit |
1,944 |
1,836 |
$165K |
| 81003 |
|
31,785 |
28,183 |
$151K |
| 96361 |
|
3,035 |
2,726 |
$137K |
| 85027 |
|
59,416 |
45,946 |
$113K |
| 71045 |
|
22,145 |
18,712 |
$97K |
| 73130 |
|
2,100 |
1,889 |
$86K |
| 76856 |
|
917 |
876 |
$84K |
| 87070 |
|
9,614 |
9,216 |
$79K |
| 71046 |
|
7,301 |
6,647 |
$66K |
| A9270 |
Non-covered item or service |
16,128 |
4,540 |
$65K |
| 87880 |
|
14,982 |
14,399 |
$65K |
| 12001 |
|
957 |
887 |
$62K |
| 96372 |
|
10,058 |
9,100 |
$60K |
| 10060 |
|
808 |
746 |
$54K |
| 72131 |
|
1,554 |
1,354 |
$54K |
| 93971 |
|
1,229 |
1,091 |
$53K |
| 74174 |
|
586 |
517 |
$52K |
| 96365 |
|
1,782 |
1,587 |
$44K |
| 73610 |
|
2,064 |
1,900 |
$44K |
| 73630 |
|
2,662 |
2,439 |
$41K |
| 12011 |
|
527 |
498 |
$40K |
| 84702 |
|
4,801 |
4,097 |
$40K |
| 94640 |
|
1,475 |
1,128 |
$39K |
| 87086 |
|
3,089 |
2,804 |
$38K |
| 80047 |
|
1,267 |
1,120 |
$35K |
| 73562 |
|
2,693 |
2,324 |
$32K |
| 80307 |
|
5,880 |
5,093 |
$31K |
| 76705 |
|
1,257 |
1,155 |
$31K |
| 93005 |
|
28,279 |
20,734 |
$31K |
| 86850 |
|
2,108 |
1,809 |
$30K |
| 70491 |
|
116 |
109 |
$30K |
| 85610 |
|
13,607 |
11,062 |
$30K |
| J2250 |
Inj midazolam hydrochloride |
2,833 |
1,968 |
$30K |
| 96360 |
|
1,130 |
1,029 |
$30K |
| 73110 |
|
1,667 |
1,507 |
$29K |
| 73030 |
|
2,141 |
1,829 |
$29K |
| 70496 |
|
287 |
248 |
$25K |
| 70486 |
|
768 |
657 |
$24K |
| J7050 |
Normal saline solution infus |
1,566 |
1,261 |
$22K |
| 86900 |
|
3,079 |
2,694 |
$20K |
| 84484 |
|
17,790 |
11,983 |
$19K |
| 85730 |
|
11,855 |
9,740 |
$19K |
| 87491 |
|
2,796 |
2,651 |
$19K |
| 93970 |
|
383 |
336 |
$18K |
| 12002 |
|
359 |
328 |
$18K |
| 73590 |
|
601 |
507 |
$18K |
| 76830 |
|
568 |
548 |
$18K |
| 72129 |
|
298 |
280 |
$17K |
| 80076 |
|
11,053 |
10,067 |
$17K |
| 81025 |
|
4,767 |
4,408 |
$16K |
| 71250 |
|
553 |
468 |
$16K |
| 73080 |
|
932 |
837 |
$16K |
| 96374 |
|
26,639 |
22,534 |
$14K |
| 72128 |
|
475 |
404 |
$14K |
| 87635 |
|
3,235 |
2,823 |
$14K |
| 97597 |
|
392 |
161 |
$13K |
| 88305 |
|
908 |
772 |
$13K |
| J3010 |
Fentanyl citrate injection |
2,052 |
1,679 |
$13K |
| 81001 |
|
2,497 |
2,152 |
$13K |
| 74018 |
|
736 |
681 |
$12K |
| J7040 |
Normal saline solution infus |
1,787 |
1,533 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,735 |
2,207 |
$11K |
| 72100 |
|
727 |
671 |
$11K |
| 93458 |
|
73 |
62 |
$11K |
| 73140 |
|
404 |
379 |
$10K |
| 83735 |
|
14,716 |
11,104 |
$10K |
| J2405 |
Ondansetron hcl injection |
13,181 |
10,667 |
$10K |
| J1100 |
Dexamethasone sodium phos |
5,500 |
3,987 |
$9K |
| 72170 |
|
1,015 |
756 |
$9K |
| 73090 |
|
660 |
611 |
$9K |
| J1170 |
Hydromorphone injection |
4,007 |
2,873 |
$8K |
| C1769 |
Guide wire |
797 |
658 |
$8K |
| 93017 |
|
629 |
549 |
$8K |
| G0480 |
Drug test def 1-7 classes |
617 |
454 |
$7K |
| J7120 |
Ringers lactate infusion |
2,205 |
1,720 |
$7K |
| 74022 |
|
159 |
144 |
$6K |
| 97162 |
|
334 |
292 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
11,606 |
9,940 |
$6K |
| 87210 |
|
689 |
634 |
$6K |
| 87591 |
|
2,826 |
2,681 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
1,172 |
922 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
2,950 |
2,439 |
$6K |
| 80069 |
|
362 |
230 |
$5K |
| 85379 |
|
3,933 |
3,468 |
$5K |
| 86901 |
|
2,980 |
2,600 |
$5K |
| 83880 |
|
3,595 |
2,971 |
$5K |
| J0690 |
Cefazolin sodium injection |
1,095 |
699 |
$5K |
| 83605 |
|
6,729 |
5,370 |
$5K |
| 87426 |
|
8,005 |
7,603 |
$5K |
| 87807 |
|
907 |
883 |
$5K |
| 96375 |
|
9,759 |
8,110 |
$5K |
| G0381 |
Lev 2 hosp type b ed visit |
39 |
39 |
$4K |
| J2270 |
Morphine sulfate injection |
4,683 |
3,625 |
$4K |
| 84703 |
|
4,067 |
3,709 |
$4K |
| 73502 |
|
312 |
279 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
7,830 |
6,313 |
$3K |
| 90471 |
|
1,830 |
1,574 |
$3K |
| 72132 |
|
329 |
302 |
$3K |
| 88304 |
|
129 |
112 |
$3K |
| C1894 |
Intro/sheath, non-laser |
392 |
332 |
$3K |
| J0360 |
Hydralazine hcl injection |
627 |
423 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,599 |
3,264 |
$3K |
| 90715 |
|
1,684 |
1,477 |
$3K |
| J1815 |
Insulin injection |
1,759 |
932 |
$3K |
| 83690 |
|
12,415 |
10,643 |
$3K |
| G0383 |
Lev 4 hosp type b ed visit |
63 |
59 |
$2K |
| 71101 |
|
65 |
60 |
$2K |
| 72050 |
|
43 |
40 |
$2K |
| J3370 |
Vancomycin hcl injection |
817 |
578 |
$2K |
| 80061 |
|
956 |
818 |
$2K |
| 72040 |
|
98 |
85 |
$2K |
| 80306 |
|
375 |
332 |
$2K |
| 70498 |
|
162 |
136 |
$2K |
| 82803 |
|
58 |
42 |
$2K |
| 73060 |
|
41 |
38 |
$2K |
| 76870 |
|
26 |
26 |
$2K |
| 76801 |
|
593 |
529 |
$2K |
| J7999 |
Compounded drug, noc |
76 |
57 |
$2K |
| 82248 |
|
4,234 |
3,018 |
$1K |
| 72192 |
|
38 |
25 |
$1K |
| 76817 |
|
354 |
320 |
$1K |
| 80143 |
|
665 |
589 |
$1K |
| J3490 |
Drugs unclassified injection |
894 |
795 |
$1K |
| 82550 |
|
985 |
787 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
49 |
42 |
$1K |
| G0463 |
Hospital outpt clinic visit |
312 |
140 |
$1K |
| 87040 |
|
3,428 |
2,539 |
$1K |
| J2930 |
Methylprednisolone injection |
2,216 |
1,927 |
$1K |
| 76805 |
|
185 |
174 |
$970.54 |
| J1650 |
Inj enoxaparin sodium |
1,101 |
598 |
$848.96 |
| 82077 |
|
1,126 |
945 |
$836.74 |
| 86140 |
|
894 |
799 |
$722.73 |
| 84443 |
|
2,101 |
1,811 |
$718.07 |
| J2060 |
Lorazepam injection |
1,985 |
1,522 |
$684.35 |
| 84100 |
|
1,201 |
911 |
$670.42 |
| 72110 |
|
16 |
14 |
$649.63 |
| A9502 |
Tc99m tetrofosmin |
453 |
386 |
$581.67 |
| 83036 |
|
821 |
711 |
$564.21 |
| J3475 |
Inj magnesium sulfate |
1,066 |
845 |
$490.24 |
| G1003 |
Cdsm medicalis |
657 |
470 |
$475.48 |
| 73552 |
|
40 |
29 |
$427.74 |
| 73560 |
|
16 |
13 |
$403.08 |
| 73650 |
|
15 |
13 |
$316.90 |
| 74019 |
|
29 |
28 |
$315.10 |
| 70360 |
|
14 |
13 |
$312.54 |
| Q0162 |
Ondansetron oral |
2,357 |
2,186 |
$275.62 |
| 72070 |
|
13 |
13 |
$252.66 |
| J2765 |
Metoclopramide hcl injection |
2,109 |
1,879 |
$246.90 |
| 29125 |
|
159 |
148 |
$222.09 |
| 97163 |
|
16 |
15 |
$214.22 |
| J0330 |
Succinycholine chloride inj |
42 |
37 |
$151.73 |
| 87400 |
|
1,739 |
1,652 |
$146.70 |
| J2360 |
Orphenadrine injection |
967 |
875 |
$140.16 |
| 82800 |
|
246 |
193 |
$128.23 |
| J2785 |
Regadenoson injection |
224 |
187 |
$120.00 |
| 80179 |
|
656 |
579 |
$109.47 |
| 96376 |
|
1,191 |
977 |
$102.92 |
| J8540 |
Oral dexamethasone |
507 |
466 |
$75.42 |
| 87430 |
|
1,116 |
1,077 |
$72.38 |
| 76881 |
|
12 |
12 |
$71.05 |
| J0561 |
Penicillin g benzathine inj |
66 |
65 |
$67.30 |
| J2550 |
Promethazine hcl injection |
711 |
530 |
$48.24 |
| 82553 |
|
48 |
27 |
$30.33 |
| 86141 |
|
142 |
117 |
$18.21 |
| 97530 |
|
92 |
54 |
$12.40 |
| 85651 |
|
140 |
126 |
$6.15 |
| S0119 |
Ondansetron 4 mg |
930 |
904 |
$0.00 |
| J0780 |
Prochlorperazine injection |
225 |
196 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
1,157 |
1,038 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
193 |
135 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
160 |
82 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
42 |
38 |
$0.00 |
| 82009 |
|
86 |
78 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
29 |
25 |
$0.00 |
| J2800 |
Methocarbamol injection |
32 |
27 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
73 |
68 |
$0.00 |
| S0030 |
Injection, metronidazole |
14 |
13 |
$0.00 |
| 36600 |
|
12 |
12 |
$0.00 |
| 99152 |
|
13 |
12 |
$0.00 |
| 84439 |
|
15 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
264 |
215 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
74 |
66 |
$0.00 |
| J0456 |
Azithromycin |
336 |
282 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
130 |
92 |
$0.00 |
| 82150 |
|
13 |
12 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 97166 |
|
43 |
39 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
28 |
24 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
16 |
12 |
$0.00 |
| 00790 |
|
15 |
12 |
$0.00 |