| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,928 |
9,887 |
$1.49M |
| 96361 |
|
5,288 |
3,972 |
$1.44M |
| 99283 |
|
9,684 |
8,948 |
$1.26M |
| 99285 |
|
7,495 |
6,256 |
$843K |
| 99212 |
|
15,174 |
11,983 |
$829K |
| 0202U |
|
3,770 |
3,354 |
$532K |
| 97110 |
|
6,252 |
1,727 |
$337K |
| 74177 |
|
1,110 |
916 |
$326K |
| 70450 |
|
1,256 |
1,111 |
$318K |
| 96366 |
|
1,212 |
739 |
$318K |
| 74176 |
|
824 |
729 |
$270K |
| 96365 |
|
3,114 |
2,327 |
$221K |
| 80053 |
|
22,412 |
18,776 |
$195K |
| 94640 |
|
1,934 |
1,116 |
$159K |
| 97140 |
|
1,902 |
704 |
$131K |
| 80061 |
|
4,836 |
4,442 |
$120K |
| 84443 |
|
4,601 |
4,163 |
$118K |
| G0378 |
Hospital observation per hr |
1,842 |
859 |
$105K |
| 99213 |
|
4,411 |
3,478 |
$99K |
| 92507 |
|
1,108 |
403 |
$98K |
| 85025 |
|
24,899 |
19,948 |
$93K |
| 99214 |
|
1,972 |
1,676 |
$89K |
| 93306 |
|
377 |
343 |
$88K |
| 97530 |
|
1,266 |
551 |
$81K |
| 96360 |
|
386 |
336 |
$74K |
| 99282 |
|
578 |
542 |
$72K |
| 82306 |
|
2,723 |
2,511 |
$72K |
| 83036 |
|
4,171 |
3,880 |
$66K |
| 71046 |
|
1,297 |
1,144 |
$49K |
| 87631 |
|
841 |
779 |
$48K |
| 97112 |
|
1,549 |
651 |
$47K |
| 80307 |
|
2,958 |
2,491 |
$47K |
| 20610 |
|
649 |
401 |
$46K |
| 11721 |
|
3,111 |
2,144 |
$46K |
| 36415 |
|
22,904 |
17,371 |
$45K |
| 71275 |
|
137 |
101 |
$34K |
| 97750 |
|
405 |
367 |
$32K |
| 11056 |
|
807 |
401 |
$30K |
| 87635 |
|
3,227 |
2,849 |
$30K |
| 97162 |
|
368 |
331 |
$26K |
| 97161 |
|
243 |
222 |
$24K |
| 71045 |
|
7,168 |
5,789 |
$23K |
| 73630 |
|
920 |
692 |
$22K |
| 43239 |
|
69 |
58 |
$22K |
| 84439 |
|
1,479 |
1,341 |
$21K |
| 72100 |
|
409 |
366 |
$21K |
| 87086 |
|
2,096 |
1,855 |
$18K |
| 97035 |
|
384 |
129 |
$18K |
| 71250 |
|
230 |
204 |
$17K |
| 73562 |
|
418 |
349 |
$17K |
| 80048 |
|
3,449 |
2,506 |
$17K |
| 95886 |
|
166 |
108 |
$16K |
| 99204 |
|
370 |
335 |
$16K |
| 82607 |
|
1,230 |
1,129 |
$15K |
| 77067 |
|
309 |
272 |
$15K |
| 73610 |
|
487 |
413 |
$15K |
| 73030 |
|
605 |
508 |
$14K |
| 76705 |
|
114 |
106 |
$14K |
| 83615 |
|
1,051 |
768 |
$13K |
| 97014 |
|
451 |
179 |
$12K |
| 93005 |
|
7,208 |
5,694 |
$11K |
| 99203 |
|
423 |
375 |
$11K |
| 87798 |
|
962 |
891 |
$11K |
| 99281 |
|
85 |
85 |
$11K |
| 73130 |
|
431 |
341 |
$10K |
| 82746 |
|
997 |
902 |
$10K |
| 85027 |
|
1,371 |
1,144 |
$10K |
| 73564 |
|
498 |
375 |
$10K |
| 82728 |
|
632 |
545 |
$9K |
| 84484 |
|
5,499 |
3,832 |
$8K |
| 81001 |
|
9,156 |
7,949 |
$8K |
| 99232 |
|
1,070 |
369 |
$7K |
| 74018 |
|
160 |
139 |
$7K |
| 99222 |
|
285 |
239 |
$7K |
| 99239 |
|
461 |
375 |
$7K |
| 73110 |
|
224 |
179 |
$6K |
| 73502 |
|
212 |
189 |
$6K |
| 87491 |
|
168 |
154 |
$6K |
| 83540 |
|
590 |
530 |
$6K |
| 84153 |
|
346 |
319 |
$5K |
| 83735 |
|
937 |
773 |
$5K |
| 86140 |
|
637 |
535 |
$5K |
| 83550 |
|
549 |
495 |
$5K |
| 87581 |
|
841 |
780 |
$5K |
| 87486 |
|
841 |
780 |
$5K |
| 85610 |
|
4,674 |
3,965 |
$4K |
| 72131 |
|
45 |
37 |
$4K |
| 87186 |
|
586 |
530 |
$4K |
| 86803 |
|
154 |
149 |
$4K |
| 83690 |
|
8,241 |
7,006 |
$4K |
| 83880 |
|
1,277 |
1,016 |
$4K |
| 76856 |
|
12 |
12 |
$4K |
| 88305 |
|
359 |
300 |
$4K |
| 87801 |
|
69 |
64 |
$4K |
| 85652 |
|
621 |
506 |
$4K |
| 72125 |
|
104 |
95 |
$4K |
| 77063 |
|
309 |
272 |
$3K |
| 76700 |
|
16 |
12 |
$3K |
| 82378 |
|
249 |
229 |
$3K |
| 87591 |
|
168 |
154 |
$3K |
| 82043 |
|
413 |
388 |
$3K |
| 96376 |
|
1,765 |
857 |
$3K |
| 82570 |
|
321 |
308 |
$3K |
| 85730 |
|
4,360 |
3,707 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
12 |
12 |
$3K |
| 93971 |
|
28 |
26 |
$3K |
| 99215 |
Prolong outpt/office vis |
34 |
31 |
$2K |
| 87502 |
|
501 |
432 |
$2K |
| J3490 |
Drugs unclassified injection |
1,442 |
915 |
$2K |
| 86038 |
|
113 |
106 |
$2K |
| 93270 |
|
41 |
36 |
$2K |
| 96372 |
|
1,953 |
1,669 |
$2K |
| 11042 |
|
54 |
13 |
$2K |
| 85379 |
|
1,188 |
1,022 |
$2K |
| 82803 |
|
1,966 |
1,503 |
$2K |
| 87661 |
|
71 |
65 |
$2K |
| 87389 |
|
92 |
84 |
$2K |
| 76642 |
|
14 |
14 |
$2K |
| 83605 |
|
1,632 |
1,304 |
$2K |
| 84550 |
|
229 |
204 |
$2K |
| 87902 |
|
15 |
12 |
$1K |
| 96367 |
|
382 |
287 |
$1K |
| 87651 |
|
789 |
683 |
$1K |
| 84145 |
|
1,439 |
1,207 |
$1K |
| 93017 |
|
18 |
15 |
$1K |
| 82550 |
|
1,178 |
927 |
$1K |
| 87040 |
|
1,171 |
853 |
$1K |
| 84703 |
|
787 |
658 |
$1K |
| 96375 |
|
5,697 |
4,563 |
$996.58 |
| 80076 |
|
111 |
96 |
$974.21 |
| 86850 |
|
34 |
26 |
$934.05 |
| 73590 |
|
31 |
25 |
$931.02 |
| 99217 |
|
76 |
62 |
$889.20 |
| 72040 |
|
13 |
13 |
$819.36 |
| 86900 |
|
52 |
39 |
$766.74 |
| 87070 |
|
64 |
54 |
$743.62 |
| 99223 |
Prolong inpt eval add15 m |
58 |
38 |
$702.00 |
| 88175 |
|
31 |
31 |
$695.37 |
| 97116 |
|
30 |
16 |
$665.36 |
| 11720 |
|
34 |
13 |
$654.94 |
| 73080 |
|
35 |
30 |
$586.17 |
| 84481 |
|
51 |
44 |
$575.00 |
| 80074 |
|
45 |
39 |
$573.78 |
| 36600 |
|
326 |
243 |
$572.01 |
| 83970 |
|
33 |
32 |
$568.74 |
| 84100 |
|
107 |
99 |
$532.25 |
| 83026 |
|
40 |
40 |
$503.27 |
| 80069 |
|
57 |
53 |
$493.62 |
| 96374 |
|
5,205 |
4,520 |
$434.75 |
| 99219 |
|
16 |
15 |
$410.06 |
| 81025 |
|
638 |
542 |
$356.25 |
| 84403 |
|
30 |
26 |
$322.40 |
| J1030 |
Methylprednisolone 40 mg inj |
114 |
92 |
$321.70 |
| J7050 |
Normal saline solution infus |
10,755 |
6,939 |
$295.86 |
| 94644 |
|
40 |
38 |
$271.82 |
| 90715 |
|
14 |
14 |
$260.70 |
| 87522 |
Neg quan hep c or qual rna |
17 |
12 |
$224.29 |
| 84156 |
|
39 |
38 |
$214.86 |
| 0002A |
|
64 |
63 |
$195.79 |
| 0001A |
|
74 |
68 |
$174.27 |
| 86901 |
|
64 |
51 |
$152.58 |
| 82553 |
|
133 |
106 |
$151.66 |
| 82150 |
|
22 |
17 |
$130.08 |
| 82565 |
|
32 |
31 |
$123.98 |
| 82010 |
|
134 |
105 |
$120.80 |
| 0011A |
|
27 |
26 |
$117.17 |
| 80051 |
|
15 |
14 |
$114.84 |
| 51702 |
|
107 |
97 |
$88.22 |
| 82310 |
|
12 |
12 |
$84.92 |
| 82784 |
|
13 |
13 |
$67.53 |
| 84520 |
|
16 |
15 |
$53.38 |
| 87640 |
|
19 |
17 |
$46.23 |
| J2704 |
Inj, propofol, 10 mg |
747 |
614 |
$46.18 |
| J2919 |
Inj, methylpred sod succ 5mg |
240 |
210 |
$43.50 |
| J1885 |
Ketorolac tromethamine inj |
3,198 |
2,752 |
$42.52 |
| 0012A |
|
34 |
33 |
$37.98 |
| J2930 |
Methylprednisolone injection |
581 |
478 |
$35.77 |
| J1100 |
Dexamethasone sodium phos |
984 |
803 |
$34.76 |
| J7120 |
Ringers lactate infusion |
819 |
674 |
$33.44 |
| J2543 |
Piperacillin/tazobactam |
26 |
24 |
$29.06 |
| J1815 |
Insulin injection |
27 |
15 |
$26.46 |
| J3370 |
Vancomycin hcl injection |
170 |
136 |
$21.20 |
| J0696 |
Ceftriaxone sodium injection |
1,038 |
863 |
$17.98 |
| J2405 |
Ondansetron hcl injection |
3,829 |
3,237 |
$16.51 |
| J0690 |
Cefazolin sodium injection |
137 |
112 |
$9.23 |
| J3010 |
Fentanyl citrate injection |
390 |
320 |
$9.05 |
| J2060 |
Lorazepam injection |
111 |
96 |
$5.90 |
| J2765 |
Metoclopramide hcl injection |
384 |
320 |
$4.69 |
| J2250 |
Inj midazolam hydrochloride |
468 |
382 |
$2.93 |
| J7620 |
Albuterol ipratrop non-comp |
858 |
723 |
$1.52 |
| Q0162 |
Ondansetron oral |
730 |
672 |
$1.51 |
| J7510 |
Prednisolone oral per 5 mg |
62 |
61 |
$0.72 |
| J7512 |
Prednisone ir or dr oral 1mg |
413 |
363 |
$0.62 |
| 80305 |
|
252 |
234 |
$0.00 |
| J2270 |
Morphine sulfate injection |
460 |
388 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,834 |
1,816 |
$0.00 |
| 94664 |
|
40 |
37 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
56 |
52 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
15 |
$0.00 |
| Q9954 |
Oral mr contrast, 100 ml |
103 |
88 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
56 |
44 |
$0.00 |
| J0780 |
Prochlorperazine injection |
40 |
30 |
$0.00 |
| 00731 |
|
18 |
17 |
$0.00 |
| J1956 |
Levofloxacin injection |
56 |
50 |
$0.00 |
| J1940 |
Furosemide injection |
192 |
125 |
$0.00 |
| 99024 |
|
57 |
53 |
$0.00 |
| 94760 |
|
497 |
163 |
$0.00 |
| J7611 |
Albuterol non-comp con |
76 |
69 |
$0.00 |