| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
69,433 |
63,727 |
$13.45M |
| 99284 |
|
38,846 |
34,965 |
$8.78M |
| 99282 |
|
22,520 |
21,210 |
$1.67M |
| 99285 |
|
4,837 |
4,159 |
$1.15M |
| 0241U |
|
5,643 |
5,349 |
$1.04M |
| J3490 |
Drugs unclassified injection |
189,181 |
78,940 |
$598K |
| G0463 |
Hospital outpt clinic visit |
29,333 |
23,578 |
$597K |
| 93005 |
|
12,066 |
10,543 |
$581K |
| 88305 |
|
3,757 |
2,370 |
$499K |
| 43239 |
|
2,451 |
2,320 |
$479K |
| 80053 |
|
43,092 |
37,844 |
$458K |
| 85025 |
|
56,851 |
49,185 |
$452K |
| 0202U |
|
2,217 |
1,786 |
$427K |
| C9803 |
Hopd covid-19 spec collect |
7,803 |
6,999 |
$254K |
| 71046 |
|
4,394 |
4,160 |
$230K |
| 96374 |
|
4,905 |
4,563 |
$159K |
| J2704 |
Inj, propofol, 10 mg |
6,492 |
5,928 |
$140K |
| 80307 |
|
2,041 |
1,707 |
$138K |
| 70450 |
|
603 |
555 |
$124K |
| J2323 |
Natalizumab injection |
52 |
49 |
$117K |
| Q0138 |
Ferumoxytol, non-esrd |
235 |
213 |
$116K |
| 71045 |
|
2,163 |
2,029 |
$94K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,226 |
996 |
$93K |
| J1100 |
Dexamethasone sodium phos |
6,335 |
5,655 |
$89K |
| 96365 |
|
1,125 |
813 |
$83K |
| 87430 |
|
5,339 |
5,058 |
$83K |
| 96375 |
|
1,614 |
1,389 |
$79K |
| 82728 |
|
3,926 |
3,617 |
$70K |
| 94640 |
|
1,782 |
1,702 |
$70K |
| 96361 |
|
1,331 |
1,248 |
$63K |
| 54300 |
|
199 |
181 |
$63K |
| 87070 |
|
5,133 |
4,897 |
$62K |
| J1439 |
Inj ferric carboxymaltos 1mg |
127 |
83 |
$55K |
| J3010 |
Fentanyl citrate injection |
3,012 |
2,657 |
$55K |
| J2405 |
Ondansetron hcl injection |
5,355 |
4,675 |
$51K |
| J7120 |
Ringers lactate infusion |
8,945 |
8,028 |
$44K |
| 87086 |
|
3,947 |
3,635 |
$43K |
| 81001 |
|
11,353 |
10,540 |
$42K |
| 74018 |
|
721 |
677 |
$40K |
| J1885 |
Ketorolac tromethamine inj |
2,633 |
2,383 |
$39K |
| G0378 |
Hospital observation per hr |
345 |
192 |
$36K |
| 95810 |
|
47 |
43 |
$36K |
| 80299 |
|
1,644 |
1,321 |
$33K |
| U0005 |
Infec agen detec ampli probe |
1,176 |
937 |
$32K |
| 81025 |
|
3,769 |
3,465 |
$31K |
| D2930 |
|
345 |
337 |
$30K |
| 83550 |
|
2,491 |
2,315 |
$28K |
| 96413 |
|
553 |
432 |
$28K |
| 87502 |
|
427 |
409 |
$27K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
14 |
13 |
$26K |
| 87633 |
|
109 |
100 |
$24K |
| 87804 |
|
1,069 |
996 |
$23K |
| 82607 |
|
1,128 |
1,050 |
$22K |
| 74177 |
|
37 |
36 |
$22K |
| U0004 |
Cov-19 test non-cdc hgh thru |
260 |
217 |
$21K |
| 83540 |
|
2,494 |
2,317 |
$21K |
| 80143 |
|
2,787 |
681 |
$20K |
| 84703 |
|
1,943 |
1,785 |
$19K |
| J7030 |
Normal saline solution infus |
3,348 |
3,060 |
$18K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
747 |
714 |
$18K |
| 80179 |
|
2,781 |
680 |
$18K |
| 84484 |
|
1,503 |
1,008 |
$16K |
| 85045 |
|
3,209 |
2,920 |
$15K |
| 82746 |
|
813 |
750 |
$15K |
| 54304 |
|
56 |
52 |
$15K |
| J7050 |
Normal saline solution infus |
3,793 |
1,923 |
$14K |
| 96372 |
|
628 |
475 |
$14K |
| D2392 |
|
184 |
177 |
$12K |
| 83735 |
|
1,929 |
1,711 |
$11K |
| 80048 |
|
1,026 |
884 |
$11K |
| 36415 |
|
3,592 |
2,877 |
$10K |
| 83021 |
|
268 |
249 |
$9K |
| 83690 |
|
1,066 |
999 |
$8K |
| 87636 |
|
37 |
35 |
$7K |
| 77336 |
|
78 |
36 |
$7K |
| 83020 |
|
341 |
311 |
$7K |
| J1756 |
Iron sucrose injection |
120 |
54 |
$7K |
| 82306 |
|
140 |
136 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
674 |
593 |
$6K |
| 54161 |
|
32 |
26 |
$5K |
| J0690 |
Cefazolin sodium injection |
264 |
221 |
$5K |
| 70553 |
|
12 |
12 |
$5K |
| D3220 |
|
70 |
70 |
$4K |
| 81003 |
|
1,216 |
1,154 |
$4K |
| 54360 |
|
12 |
12 |
$4K |
| 93798 |
|
175 |
24 |
$4K |
| 14040 |
|
14 |
14 |
$4K |
| 64483 |
|
52 |
52 |
$4K |
| 83921 |
|
147 |
137 |
$4K |
| J1010 |
Inj, methylpred acetate 1 mg |
132 |
123 |
$3K |
| 93296 |
|
1,441 |
1,430 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
427 |
346 |
$3K |
| 87798 |
|
109 |
100 |
$3K |
| 87581 |
|
109 |
100 |
$3K |
| 87486 |
|
109 |
100 |
$3K |
| 85660 |
|
326 |
284 |
$3K |
| 99215 |
Prolong outpt/office vis |
57 |
37 |
$3K |
| D0272 |
|
39 |
39 |
$3K |
| 99213 |
|
169 |
120 |
$3K |
| 86140 |
|
340 |
321 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
124 |
118 |
$3K |
| D7140 |
|
42 |
42 |
$3K |
| J3535 |
Metered dose inhaler drug |
688 |
659 |
$2K |
| 83615 |
|
353 |
296 |
$2K |
| J8597 |
Antiemetic drug oral nos |
7,839 |
7,110 |
$2K |
| 64450 |
|
13 |
12 |
$2K |
| D1351 |
|
28 |
25 |
$2K |
| 92567 |
|
122 |
117 |
$2K |
| Q3014 |
Telehealth facility fee |
147 |
129 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
39 |
38 |
$2K |
| 93306 |
|
1,366 |
1,356 |
$1K |
| 36591 |
|
109 |
70 |
$1K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
41 |
38 |
$1K |
| 78452 |
|
55 |
55 |
$1K |
| 11042 |
|
14 |
13 |
$896.57 |
| U0002 |
Covid-19 lab test non-cdc |
41 |
37 |
$809.20 |
| 96415 |
|
18 |
13 |
$787.34 |
| D2393 |
|
17 |
17 |
$786.98 |
| 87635 |
|
13 |
12 |
$784.47 |
| 80076 |
|
99 |
90 |
$702.40 |
| 82657 |
|
20 |
12 |
$632.84 |
| 84443 |
|
62 |
42 |
$624.92 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
279 |
271 |
$591.71 |
| 99281 |
|
12 |
12 |
$507.06 |
| 86304 |
|
27 |
25 |
$456.52 |
| 99199 |
|
62 |
62 |
$395.00 |
| 88300 |
|
26 |
24 |
$379.08 |
| J8499 |
Oral prescrip drug non chemo |
2,376 |
1,143 |
$378.36 |
| J1170 |
Hydromorphone injection |
25 |
25 |
$368.16 |
| 84439 |
|
62 |
42 |
$345.83 |
| 87491 |
|
12 |
12 |
$336.16 |
| 87591 |
|
12 |
12 |
$336.16 |
| J2270 |
Morphine sulfate injection |
16 |
12 |
$304.96 |
| 82668 |
|
13 |
13 |
$304.46 |
| 84100 |
|
72 |
38 |
$243.36 |
| 82610 |
|
13 |
13 |
$220.22 |
| A9585 |
Gadobutrol injection |
24 |
24 |
$207.32 |
| J8540 |
Oral dexamethasone |
920 |
773 |
$204.78 |
| 93010 |
|
47 |
27 |
$196.83 |
| Q9969 |
Non-heu tc-99m add-on/dose |
58 |
58 |
$192.04 |
| 84311 |
|
23 |
12 |
$191.62 |
| J2930 |
Methylprednisolone injection |
19 |
13 |
$171.90 |
| 85027 |
|
38 |
25 |
$168.68 |
| 85379 |
|
12 |
12 |
$168.18 |
| 82962 |
|
41 |
31 |
$164.27 |
| 85610 |
|
26 |
25 |
$109.57 |
| 82043 |
|
12 |
12 |
$86.52 |
| 83036 |
|
15 |
15 |
$84.64 |
| 85652 |
|
25 |
24 |
$79.15 |
| 82570 |
|
12 |
12 |
$77.40 |
| J1642 |
Inj heparin sodium per 10 u |
280 |
123 |
$44.51 |
| J7510 |
Prednisolone oral per 5 mg |
24 |
24 |
$0.00 |
| G2066 |
Inter devc remote 30d |
53 |
53 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
90 |
85 |
$0.00 |
| P9612 |
Catheterize for urine spec |
31 |
29 |
$0.00 |