| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
26,335 |
23,889 |
$2.68M |
| 99284 |
|
17,569 |
14,861 |
$904K |
| 80053 |
|
16,014 |
12,773 |
$434K |
| 74177 |
|
2,273 |
1,961 |
$425K |
| 99282 |
|
3,725 |
3,516 |
$409K |
| 70450 |
|
2,340 |
1,944 |
$254K |
| 99281 |
|
1,170 |
1,079 |
$117K |
| 87070 |
|
3,959 |
3,736 |
$111K |
| 99285 |
|
2,435 |
1,931 |
$108K |
| 74176 |
|
640 |
562 |
$96K |
| 87400 |
|
7,711 |
7,175 |
$73K |
| 71275 |
|
111 |
103 |
$51K |
| 87635 |
|
6,621 |
6,124 |
$41K |
| 81025 |
|
6,532 |
5,887 |
$39K |
| G0480 |
Drug test def 1-7 classes |
1,478 |
1,174 |
$36K |
| 72125 |
|
408 |
339 |
$34K |
| 80048 |
|
2,273 |
1,621 |
$33K |
| 96372 |
|
3,561 |
2,890 |
$32K |
| A9270 |
Non-covered item or service |
6,663 |
1,402 |
$30K |
| 87040 |
|
1,823 |
1,153 |
$22K |
| 84484 |
|
5,393 |
3,461 |
$22K |
| J7030 |
Normal saline solution infus |
7,009 |
5,418 |
$21K |
| 87426 |
|
732 |
587 |
$21K |
| 81001 |
|
6,716 |
5,757 |
$20K |
| 93005 |
|
5,905 |
4,560 |
$20K |
| J2405 |
Ondansetron hcl injection |
4,187 |
3,139 |
$20K |
| 71045 |
|
4,908 |
4,093 |
$19K |
| J3490 |
Drugs unclassified injection |
939 |
616 |
$17K |
| J7512 |
Prednisone ir or dr oral 1mg |
293 |
261 |
$17K |
| 85027 |
|
18,393 |
14,054 |
$16K |
| 96374 |
|
9,872 |
8,192 |
$16K |
| 71046 |
|
1,814 |
1,633 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
1,529 |
1,224 |
$13K |
| 76830 |
|
114 |
106 |
$12K |
| 80307 |
|
2,700 |
2,290 |
$11K |
| G0378 |
Hospital observation per hr |
1,856 |
898 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
3,884 |
2,677 |
$11K |
| 87880 |
|
4,859 |
4,658 |
$8K |
| 87086 |
|
600 |
486 |
$7K |
| 81003 |
|
3,484 |
3,098 |
$7K |
| 85610 |
|
3,549 |
2,805 |
$6K |
| 87491 |
|
1,078 |
1,017 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
187 |
126 |
$4K |
| 11042 |
|
69 |
24 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,006 |
644 |
$4K |
| 87210 |
|
669 |
620 |
$4K |
| 73630 |
|
285 |
254 |
$4K |
| 87081 |
|
22 |
13 |
$4K |
| 83605 |
|
1,500 |
1,157 |
$3K |
| 72131 |
|
33 |
26 |
$3K |
| 83690 |
|
4,326 |
3,582 |
$3K |
| 85730 |
|
2,922 |
2,312 |
$3K |
| 73130 |
|
109 |
97 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,602 |
2,106 |
$3K |
| 94640 |
|
219 |
158 |
$3K |
| Q0162 |
Ondansetron oral |
1,270 |
1,148 |
$2K |
| 84703 |
|
1,280 |
1,147 |
$2K |
| 73564 |
|
162 |
136 |
$2K |
| J3010 |
Fentanyl citrate injection |
375 |
264 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
169 |
103 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
475 |
393 |
$1K |
| 73110 |
|
45 |
41 |
$1K |
| 85379 |
|
861 |
745 |
$1K |
| 84702 |
|
549 |
480 |
$1K |
| 93306 |
|
49 |
40 |
$1K |
| 87591 |
|
1,085 |
1,024 |
$1K |
| 96375 |
|
3,614 |
2,769 |
$971.11 |
| 83735 |
|
2,210 |
1,600 |
$864.92 |
| J2270 |
Morphine sulfate injection |
2,035 |
1,515 |
$795.28 |
| 73030 |
|
50 |
39 |
$756.21 |
| 76376 |
|
125 |
88 |
$735.67 |
| 90471 |
|
204 |
185 |
$668.24 |
| 73610 |
|
123 |
106 |
$661.71 |
| 87420 |
|
1,013 |
973 |
$649.08 |
| J2250 |
Inj midazolam hydrochloride |
189 |
84 |
$611.36 |
| J2930 |
Methylprednisolone injection |
84 |
70 |
$547.76 |
| 82150 |
|
1,593 |
1,349 |
$457.58 |
| 86900 |
|
674 |
523 |
$399.53 |
| 83880 |
|
824 |
660 |
$376.42 |
| 84443 |
|
573 |
471 |
$330.96 |
| J7050 |
Normal saline solution infus |
284 |
187 |
$222.86 |
| J1200 |
Diphenhydramine hcl injectio |
1,239 |
915 |
$164.37 |
| 96376 |
|
727 |
486 |
$73.30 |
| 83036 |
|
32 |
26 |
$62.25 |
| 87186 |
|
151 |
116 |
$56.36 |
| 80061 |
|
90 |
71 |
$42.58 |
| 90714 |
|
28 |
28 |
$31.76 |
| J2765 |
Metoclopramide hcl injection |
140 |
127 |
$31.06 |
| 82550 |
|
109 |
92 |
$6.00 |
| 86901 |
|
661 |
511 |
$4.40 |
| 84100 |
|
69 |
37 |
$1.66 |
| J1170 |
Hydromorphone injection |
138 |
62 |
$0.61 |
| 88305 |
|
84 |
56 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 87205 |
|
96 |
66 |
$0.00 |
| J2060 |
Lorazepam injection |
548 |
420 |
$0.00 |
| J1815 |
Insulin injection |
163 |
64 |
$0.00 |
| 86850 |
|
305 |
220 |
$0.00 |
| 96361 |
|
16 |
13 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
19 |
13 |
$0.00 |
| G1003 |
Cdsm medicalis |
77 |
58 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
77 |
63 |
$0.00 |
| 81002 |
|
32 |
29 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
16 |
14 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
33 |
12 |
$0.00 |
| 90715 |
|
15 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
37 |
13 |
$0.00 |
| 97163 |
|
16 |
12 |
$0.00 |