| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
90,616 |
85,369 |
$3.39M |
| 99284 |
|
49,607 |
46,416 |
$3.12M |
| 87636 |
|
19,827 |
18,690 |
$2.04M |
| 99285 |
|
7,548 |
7,009 |
$1.77M |
| 80053 |
|
61,655 |
53,945 |
$577K |
| 85025 |
|
63,303 |
54,795 |
$477K |
| 99282 |
|
13,233 |
11,408 |
$355K |
| 11043 |
|
2,805 |
1,188 |
$296K |
| 87651 |
|
7,973 |
7,532 |
$279K |
| 87804 |
|
12,781 |
12,352 |
$276K |
| D9420 |
|
1,000 |
966 |
$255K |
| G0463 |
Hospital outpt clinic visit |
12,740 |
10,948 |
$254K |
| 87880 |
|
14,546 |
13,946 |
$205K |
| 71046 |
|
17,101 |
16,152 |
$174K |
| 81001 |
|
43,126 |
40,200 |
$164K |
| 70450 |
|
1,911 |
1,760 |
$163K |
| 93005 |
|
13,915 |
12,883 |
$150K |
| 93010 |
|
56,099 |
41,428 |
$150K |
| G0330 |
Facility svs dental rehab |
124 |
123 |
$147K |
| 87631 |
|
1,453 |
1,384 |
$108K |
| 87635 |
|
2,710 |
2,544 |
$105K |
| 96413 |
|
1,820 |
1,018 |
$100K |
| 87426 |
|
3,289 |
3,148 |
$77K |
| 87081 |
|
7,815 |
7,481 |
$69K |
| 62323 |
|
746 |
507 |
$57K |
| 81025 |
|
17,673 |
16,411 |
$56K |
| 87634 |
|
952 |
892 |
$56K |
| 88142 |
|
2,235 |
2,174 |
$53K |
| 84466 |
|
5,549 |
5,015 |
$53K |
| 87086 |
|
5,155 |
4,894 |
$52K |
| 87801 |
|
2,233 |
2,103 |
$49K |
| 71045 |
|
8,025 |
7,494 |
$45K |
| 83690 |
|
6,493 |
6,067 |
$43K |
| 87591 |
|
1,277 |
1,190 |
$42K |
| 82607 |
|
4,216 |
3,750 |
$38K |
| J2505 |
Injection, pegfilgrastim 6mg |
15 |
12 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
828 |
776 |
$33K |
| 84484 |
|
3,777 |
3,430 |
$33K |
| 80306 |
|
2,740 |
2,520 |
$33K |
| 11042 |
|
725 |
363 |
$32K |
| 82553 |
|
2,049 |
1,853 |
$32K |
| 82728 |
|
5,532 |
4,999 |
$32K |
| 69436 |
|
240 |
120 |
$30K |
| 82746 |
|
4,183 |
3,720 |
$28K |
| 87807 |
|
2,006 |
1,924 |
$23K |
| 86592 |
|
3,832 |
3,667 |
$23K |
| 80307 |
|
694 |
621 |
$22K |
| 83540 |
|
5,550 |
5,016 |
$22K |
| 82550 |
|
2,474 |
2,222 |
$21K |
| 83735 |
|
3,352 |
2,948 |
$20K |
| 82077 |
|
1,824 |
1,629 |
$20K |
| 80055 |
|
369 |
228 |
$19K |
| 87661 |
|
983 |
941 |
$19K |
| 83970 |
|
313 |
309 |
$16K |
| 87389 |
|
631 |
601 |
$16K |
| 85027 |
|
3,589 |
3,310 |
$14K |
| 85045 |
|
4,592 |
4,125 |
$14K |
| 59025 |
|
2,566 |
2,045 |
$13K |
| 85610 |
|
3,335 |
3,131 |
$12K |
| 59020 |
|
261 |
209 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
6,666 |
6,266 |
$10K |
| 0001A |
|
357 |
346 |
$9K |
| 86703 |
|
537 |
510 |
$9K |
| 86850 |
|
1,241 |
1,161 |
$8K |
| 80048 |
|
1,178 |
858 |
$8K |
| 80061 |
|
503 |
478 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
9,211 |
8,207 |
$8K |
| J7030 |
Normal saline solution infus |
4,102 |
3,461 |
$8K |
| 86803 |
|
380 |
366 |
$8K |
| 96367 |
|
475 |
255 |
$7K |
| 86762 |
|
286 |
273 |
$7K |
| 94640 |
|
539 |
500 |
$7K |
| 87340 |
|
433 |
414 |
$7K |
| 96372 |
|
31,917 |
28,292 |
$7K |
| 42820 |
|
12 |
12 |
$7K |
| 85730 |
|
3,291 |
3,092 |
$6K |
| 83036 |
|
433 |
412 |
$6K |
| 95811 |
|
29 |
25 |
$6K |
| 83655 |
|
283 |
277 |
$4K |
| 99281 |
|
106 |
98 |
$4K |
| G0378 |
Hospital observation per hr |
73 |
52 |
$3K |
| 84100 |
|
994 |
953 |
$3K |
| 82306 |
|
401 |
390 |
$3K |
| 74177 |
|
16 |
15 |
$3K |
| 84702 |
|
262 |
235 |
$3K |
| 96365 |
|
2,660 |
1,782 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,105 |
1,094 |
$3K |
| 95819 |
|
12 |
12 |
$3K |
| J2270 |
Morphine sulfate injection |
1,258 |
1,149 |
$2K |
| 81003 |
|
1,032 |
970 |
$2K |
| 82150 |
|
421 |
396 |
$2K |
| 86900 |
|
690 |
644 |
$2K |
| 86901 |
|
691 |
644 |
$2K |
| J1100 |
Dexamethasone sodium phos |
3,824 |
3,158 |
$2K |
| J2405 |
Ondansetron hcl injection |
7,761 |
6,866 |
$2K |
| 87624 |
|
109 |
107 |
$2K |
| J7050 |
Normal saline solution infus |
9,800 |
3,180 |
$2K |
| 72125 |
|
29 |
24 |
$2K |
| 96375 |
|
3,553 |
2,882 |
$2K |
| 87502 |
|
28 |
27 |
$2K |
| J1170 |
Hydromorphone injection |
854 |
666 |
$2K |
| 96374 |
|
13,330 |
12,415 |
$1K |
| 86140 |
|
634 |
622 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
1,176 |
1,123 |
$1K |
| 83880 |
|
27 |
26 |
$978.60 |
| 74022 |
|
40 |
39 |
$860.99 |
| 76801 |
|
34 |
31 |
$806.30 |
| 80050 |
|
16 |
14 |
$766.50 |
| 84439 |
|
87 |
81 |
$756.75 |
| 83021 |
|
12 |
12 |
$585.84 |
| 84443 |
|
27 |
27 |
$497.81 |
| 84156 |
|
69 |
50 |
$348.29 |
| U0005 |
Infec agen detec ampli probe |
97 |
97 |
$332.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
50 |
50 |
$331.40 |
| 83020 |
|
12 |
12 |
$300.84 |
| 82570 |
|
32 |
24 |
$230.62 |
| 82803 |
|
12 |
12 |
$228.24 |
| 82105 |
|
14 |
13 |
$227.07 |
| 72100 |
|
12 |
12 |
$219.23 |
| 84481 |
|
14 |
12 |
$171.70 |
| 82378 |
|
15 |
12 |
$161.52 |
| J1040 |
Methylprednisolone 80 mg inj |
2,072 |
1,496 |
$155.87 |
| 83605 |
|
26 |
26 |
$145.73 |
| J2550 |
Promethazine hcl injection |
93 |
85 |
$139.25 |
| 74018 |
|
12 |
12 |
$136.08 |
| 85660 |
|
12 |
12 |
$85.08 |
| J2800 |
Methocarbamol injection |
1,855 |
1,328 |
$77.26 |
| 87210 |
|
12 |
12 |
$66.55 |
| 96361 |
|
2,215 |
2,079 |
$60.88 |
| J1650 |
Inj enoxaparin sodium |
18 |
12 |
$50.64 |
| J2765 |
Metoclopramide hcl injection |
53 |
50 |
$40.39 |
| J2920 |
Methylprednisolone injection |
12 |
12 |
$34.72 |
| 36415 |
|
9,333 |
7,837 |
$32.91 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
43 |
29 |
$10.50 |
| J2250 |
Inj midazolam hydrochloride |
2,847 |
1,808 |
$8.72 |
| J2001 |
Lidocaine injection |
3,449 |
3,089 |
$3.87 |
| 87491 |
|
1,277 |
1,190 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
49 |
29 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
359 |
341 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
150 |
132 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
379 |
283 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
250 |
194 |
$0.00 |
| 11046 |
|
509 |
39 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
36 |
25 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |