| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,713 |
14,244 |
$1.17M |
| J2405 |
Ondansetron hcl injection |
4,930 |
3,987 |
$1.13M |
| 36415 |
|
27,421 |
22,187 |
$868K |
| 99284 |
|
10,454 |
9,020 |
$801K |
| S0020 |
Injection, bupivicaine hydro |
362 |
295 |
$568K |
| 8888888 |
|
4,875 |
1,309 |
$534K |
| J7050 |
Normal saline solution infus |
1,866 |
1,185 |
$434K |
| 99285 |
|
5,108 |
4,468 |
$411K |
| J2704 |
Inj, propofol, 10 mg |
1,985 |
1,656 |
$396K |
| J3010 |
Fentanyl citrate injection |
787 |
628 |
$348K |
| J1885 |
Ketorolac tromethamine inj |
2,493 |
2,102 |
$314K |
| J2270 |
Morphine sulfate injection |
2,199 |
1,733 |
$309K |
| J7030 |
Normal saline solution infus |
7,671 |
5,709 |
$295K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,210 |
1,985 |
$294K |
| C9803 |
Hopd covid-19 spec collect |
5,677 |
5,127 |
$251K |
| 87631 |
|
2,700 |
2,545 |
$238K |
| J0696 |
Ceftriaxone sodium injection |
1,993 |
870 |
$227K |
| 99282 |
|
3,254 |
2,972 |
$224K |
| S0119 |
Ondansetron 4 mg |
575 |
504 |
$182K |
| 80050 |
|
3,272 |
3,006 |
$178K |
| J2250 |
Inj midazolam hydrochloride |
1,588 |
1,326 |
$161K |
| J1100 |
Dexamethasone sodium phos |
1,648 |
1,382 |
$160K |
| J2550 |
Promethazine hcl injection |
666 |
463 |
$151K |
| A0425 |
Ground mileage |
805 |
659 |
$143K |
| A0429 |
Bls-emergency |
261 |
228 |
$143K |
| J3490 |
Drugs unclassified injection |
422 |
242 |
$142K |
| 81001 |
|
16,614 |
9,878 |
$136K |
| 96372 |
|
3,541 |
2,772 |
$134K |
| 84703 |
|
2,928 |
2,498 |
$100K |
| 71046 |
|
3,902 |
3,549 |
$96K |
| 99291 |
|
946 |
838 |
$94K |
| J1170 |
Hydromorphone injection |
804 |
567 |
$92K |
| 87502 |
|
1,333 |
1,271 |
$92K |
| 88305 |
|
2,281 |
1,683 |
$90K |
| 97110 |
|
1,712 |
655 |
$87K |
| 74177 |
|
2,159 |
1,964 |
$85K |
| 76805 |
|
1,131 |
1,008 |
$84K |
| J7613 |
Albuterol non-comp unit |
289 |
238 |
$83K |
| 87088 |
|
5,463 |
4,581 |
$81K |
| 0241U |
|
825 |
802 |
$77K |
| 80053 |
|
15,187 |
12,649 |
$76K |
| 70450 |
|
1,603 |
1,444 |
$72K |
| 76856 |
|
1,110 |
1,021 |
$71K |
| 96361 |
|
5,810 |
4,571 |
$65K |
| 73630 |
|
1,207 |
1,067 |
$56K |
| 59025 |
|
2,811 |
1,247 |
$54K |
| 96374 |
|
4,376 |
3,625 |
$54K |
| 11042 |
|
458 |
270 |
$51K |
| 85025 |
|
19,335 |
16,064 |
$45K |
| 73610 |
|
1,052 |
929 |
$44K |
| 96375 |
|
4,309 |
3,324 |
$42K |
| J7120 |
Ringers lactate infusion |
2,390 |
1,893 |
$40K |
| J1200 |
Diphenhydramine hcl injectio |
327 |
281 |
$39K |
| 87651 |
|
1,275 |
1,212 |
$39K |
| 73130 |
|
1,164 |
888 |
$36K |
| 76815 |
|
450 |
376 |
$33K |
| 73562 |
|
752 |
644 |
$29K |
| 72100 |
|
746 |
709 |
$29K |
| 88142 |
|
1,353 |
1,294 |
$28K |
| 97161 |
|
286 |
284 |
$27K |
| J0690 |
Cefazolin sodium injection |
314 |
231 |
$26K |
| 73110 |
|
558 |
484 |
$24K |
| 99238 |
|
442 |
421 |
$22K |
| 87635 |
|
4,265 |
3,892 |
$20K |
| J7620 |
Albuterol ipratrop non-comp |
68 |
64 |
$19K |
| 96365 |
|
4,648 |
2,331 |
$18K |
| 76705 |
|
340 |
324 |
$17K |
| 80307 |
|
1,844 |
1,526 |
$17K |
| Q0162 |
Ondansetron oral |
250 |
233 |
$17K |
| 82948 |
|
1,738 |
1,201 |
$17K |
| 93005 |
|
3,645 |
3,121 |
$16K |
| 73030 |
|
489 |
438 |
$16K |
| 94640 |
|
1,263 |
1,004 |
$15K |
| J2060 |
Lorazepam injection |
69 |
58 |
$14K |
| 85651 |
|
1,542 |
1,368 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
104 |
102 |
$13K |
| 83690 |
|
4,560 |
3,891 |
$12K |
| J2765 |
Metoclopramide hcl injection |
66 |
52 |
$12K |
| 83605 |
|
5,231 |
4,164 |
$11K |
| 99222 |
|
122 |
118 |
$11K |
| 87801 |
|
511 |
473 |
$11K |
| 83516 |
|
596 |
377 |
$10K |
| 87070 |
|
1,213 |
1,101 |
$10K |
| 71275 |
|
165 |
155 |
$10K |
| 71045 |
|
1,334 |
1,173 |
$9K |
| 87811 |
|
300 |
286 |
$8K |
| 87590 |
|
738 |
687 |
$8K |
| 74176 |
|
102 |
100 |
$7K |
| 87490 |
|
737 |
686 |
$7K |
| 84484 |
|
2,090 |
1,535 |
$7K |
| 73721 |
|
41 |
40 |
$7K |
| 72148 |
|
115 |
115 |
$7K |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
13 |
$6K |
| 87040 |
|
1,728 |
827 |
$6K |
| 96360 |
|
1,526 |
1,168 |
$6K |
| A4550 |
Surgical trays |
123 |
108 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
3,453 |
2,039 |
$5K |
| 73140 |
|
90 |
81 |
$5K |
| 74018 |
|
109 |
101 |
$5K |
| G0378 |
Hospital observation per hr |
766 |
512 |
$5K |
| 86803 |
|
58 |
50 |
$5K |
| 87653 |
|
687 |
669 |
$5K |
| 83880 |
|
757 |
659 |
$4K |
| 62323 |
|
12 |
12 |
$4K |
| 83540 |
|
510 |
471 |
$4K |
| 93306 |
|
13 |
12 |
$4K |
| 93010 |
|
685 |
625 |
$3K |
| 73564 |
|
71 |
56 |
$3K |
| 96366 |
|
627 |
356 |
$3K |
| 94762 |
|
19 |
14 |
$3K |
| 80048 |
|
1,694 |
1,388 |
$2K |
| 99232 |
|
71 |
42 |
$2K |
| 77067 |
|
25 |
25 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
26 |
12 |
$2K |
| 84443 |
|
2,717 |
2,525 |
$2K |
| A6219 |
Gauze <= 16 sq in w/border |
87 |
82 |
$2K |
| G0463 |
Hospital outpt clinic visit |
123 |
95 |
$2K |
| 71260 |
|
39 |
37 |
$2K |
| 73080 |
|
14 |
12 |
$2K |
| 86140 |
|
1,377 |
1,193 |
$1K |
| 88342 |
|
17 |
13 |
$1K |
| G2023 |
Specimen collect covid-19 |
41 |
36 |
$1K |
| 76816 |
|
16 |
13 |
$1K |
| 83036 |
|
2,231 |
2,087 |
$898.10 |
| 87591 |
|
18 |
16 |
$877.30 |
| 85610 |
|
1,214 |
978 |
$795.96 |
| Q0163 |
Diphenhydramine hcl 50mg |
13 |
13 |
$713.25 |
| 87491 |
|
111 |
102 |
$646.79 |
| 86592 |
|
1,025 |
925 |
$594.69 |
| 99152 |
|
43 |
42 |
$575.99 |
| 84702 |
|
948 |
680 |
$523.09 |
| 87804 |
|
13 |
13 |
$429.17 |
| 82306 |
|
614 |
567 |
$396.70 |
| 80061 |
|
2,312 |
2,172 |
$382.86 |
| G0480 |
Drug test def 1-7 classes |
1,623 |
972 |
$354.57 |
| 86769 |
|
35 |
32 |
$300.92 |
| 84550 |
|
64 |
52 |
$293.77 |
| 86703 |
|
1,300 |
1,178 |
$254.54 |
| 84481 |
|
596 |
568 |
$251.76 |
| 93971 |
|
16 |
15 |
$251.16 |
| 73502 |
|
25 |
24 |
$206.95 |
| 84439 |
|
2,385 |
2,233 |
$195.23 |
| 73100 |
|
25 |
12 |
$166.20 |
| 84403 |
|
44 |
37 |
$151.52 |
| 82043 |
|
132 |
125 |
$129.98 |
| 83735 |
|
973 |
734 |
$122.97 |
| 72125 |
|
13 |
12 |
$112.99 |
| 85378 |
|
690 |
631 |
$108.99 |
| 86901 |
|
1,200 |
1,075 |
$103.53 |
| 82550 |
|
499 |
393 |
$102.84 |
| 84460 |
|
224 |
192 |
$62.86 |
| 87045 |
|
84 |
78 |
$59.34 |
| 87624 |
|
13 |
13 |
$35.09 |
| 87177 |
|
14 |
13 |
$23.98 |
| 87340 |
|
624 |
579 |
$13.18 |
| 82607 |
|
535 |
490 |
$10.28 |
| 82950 |
|
526 |
510 |
$6.48 |
| 82565 |
|
142 |
118 |
$5.12 |
| 86900 |
|
897 |
796 |
$0.00 |
| 80074 |
|
261 |
229 |
$0.00 |
| 84450 |
|
214 |
185 |
$0.00 |
| 84520 |
|
117 |
103 |
$0.00 |
| 86431 |
|
41 |
39 |
$0.00 |
| A6530 |
Compression stocking bk18-30 |
129 |
98 |
$0.00 |
| 83970 |
|
20 |
14 |
$0.00 |
| 88312 |
|
16 |
12 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
12 |
12 |
$0.00 |
| 83525 |
|
19 |
14 |
$0.00 |
| 86038 |
|
23 |
13 |
$0.00 |
| 82728 |
|
536 |
479 |
$0.00 |
| 82553 |
|
142 |
106 |
$0.00 |
| 81511 |
|
81 |
78 |
$0.00 |
| 86850 |
|
836 |
743 |
$0.00 |
| 86762 |
|
347 |
319 |
$0.00 |
| 77063 |
|
25 |
25 |
$0.00 |
| 85730 |
|
289 |
244 |
$0.00 |
| 82150 |
|
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
53 |
26 |
$0.00 |
| 83001 |
|
68 |
63 |
$0.00 |
| 82784 |
|
26 |
25 |
$0.00 |
| 86812 |
|
13 |
12 |
$0.00 |
| 83550 |
|
30 |
26 |
$0.00 |
| 83002 |
|
18 |
17 |
$0.00 |
| 84153 |
|
57 |
52 |
$0.00 |
| G0283 |
Elec stim other than wound |
22 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
29 |
29 |
$0.00 |