| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
20,480 |
18,523 |
$3.76M |
| 99285 |
|
9,659 |
8,552 |
$2.48M |
| 99283 |
|
20,004 |
18,360 |
$2.26M |
| 74176 |
|
1,643 |
1,458 |
$1.25M |
| 74177 |
|
743 |
678 |
$701K |
| 93005 |
|
11,238 |
9,462 |
$675K |
| 70450 |
|
1,675 |
1,473 |
$532K |
| 71045 |
|
9,674 |
8,515 |
$405K |
| 58662 |
|
791 |
514 |
$394K |
| G0481 |
Drug test def 8-14 classes |
2,220 |
1,856 |
$247K |
| 87428 |
|
8,345 |
7,533 |
$246K |
| G0378 |
Hospital observation per hr |
915 |
713 |
$246K |
| 80053 |
|
30,164 |
25,359 |
$217K |
| 85025 |
|
33,994 |
28,541 |
$180K |
| 80050 |
|
4,049 |
3,753 |
$164K |
| 93306 |
|
421 |
391 |
$150K |
| 88305 |
|
2,461 |
2,130 |
$134K |
| 96372 |
|
6,238 |
4,759 |
$100K |
| 43239 |
|
332 |
295 |
$82K |
| 93017 |
|
289 |
263 |
$81K |
| 80061 |
|
6,538 |
6,051 |
$77K |
| 87636 |
|
719 |
623 |
$74K |
| 94060 |
|
269 |
257 |
$69K |
| 59025 |
|
505 |
206 |
$64K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
998 |
905 |
$59K |
| 84484 |
|
7,637 |
5,981 |
$55K |
| 80307 |
|
998 |
902 |
$50K |
| 83880 |
|
2,347 |
2,015 |
$49K |
| 99282 |
|
738 |
683 |
$49K |
| 71046 |
|
1,073 |
1,001 |
$48K |
| 88312 |
|
1,390 |
1,264 |
$46K |
| 87591 |
|
1,373 |
1,215 |
$42K |
| 87880 |
|
3,000 |
2,741 |
$42K |
| 81001 |
|
18,644 |
16,342 |
$42K |
| 87491 |
|
1,276 |
1,152 |
$39K |
| 83036 |
|
4,527 |
4,184 |
$39K |
| 96361 |
|
923 |
749 |
$38K |
| 96365 |
|
652 |
552 |
$38K |
| 82306 |
|
1,525 |
1,379 |
$37K |
| 73721 |
|
64 |
61 |
$36K |
| 87661 |
|
1,199 |
1,089 |
$36K |
| 96375 |
|
1,024 |
870 |
$36K |
| 81025 |
|
4,867 |
4,406 |
$34K |
| J1885 |
Ketorolac tromethamine inj |
9,013 |
8,080 |
$30K |
| 36415 |
|
16,498 |
13,664 |
$29K |
| 88142 |
|
1,630 |
1,509 |
$29K |
| 84439 |
|
3,710 |
3,379 |
$29K |
| 76856 |
|
142 |
132 |
$26K |
| 82553 |
|
4,388 |
3,465 |
$26K |
| 94729 |
|
300 |
281 |
$24K |
| 94726 |
|
291 |
273 |
$23K |
| 85730 |
|
6,038 |
5,288 |
$23K |
| 87086 |
|
3,511 |
3,087 |
$21K |
| 96374 |
|
835 |
766 |
$21K |
| 82550 |
|
5,293 |
4,246 |
$20K |
| 83735 |
|
4,489 |
3,619 |
$20K |
| 83690 |
|
3,838 |
3,430 |
$20K |
| 93880 |
|
117 |
109 |
$19K |
| 87426 |
|
525 |
496 |
$19K |
| 73562 |
|
205 |
190 |
$19K |
| 83721 |
|
2,584 |
2,126 |
$18K |
| 93970 |
|
77 |
68 |
$18K |
| 85610 |
|
6,503 |
5,727 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
2,663 |
2,389 |
$17K |
| 87389 |
|
754 |
699 |
$16K |
| 87804 |
|
1,136 |
1,063 |
$15K |
| 72110 |
|
143 |
138 |
$15K |
| 93976 |
|
610 |
536 |
$15K |
| 84443 |
|
987 |
918 |
$14K |
| 81514 |
|
70 |
63 |
$14K |
| 93925 |
|
46 |
40 |
$12K |
| 88112 |
|
469 |
401 |
$11K |
| 87624 |
|
365 |
340 |
$11K |
| 64721 |
|
40 |
26 |
$11K |
| 73630 |
|
183 |
153 |
$10K |
| 73130 |
|
205 |
164 |
$9K |
| 99281 |
|
212 |
199 |
$9K |
| 78452 |
|
19 |
17 |
$9K |
| 72141 |
|
16 |
15 |
$9K |
| 94664 |
|
270 |
224 |
$9K |
| C1760 |
Closure dev, vasc |
90 |
66 |
$8K |
| 76805 |
|
33 |
28 |
$8K |
| M0243 |
Casirivi and imdevi inj |
49 |
23 |
$8K |
| 87807 |
|
649 |
582 |
$7K |
| 29880 |
|
13 |
13 |
$7K |
| 72125 |
|
13 |
12 |
$7K |
| 76830 |
|
73 |
68 |
$7K |
| 99213 |
|
397 |
350 |
$7K |
| 49322 |
|
43 |
31 |
$7K |
| Q0162 |
Ondansetron oral |
387 |
362 |
$7K |
| G0480 |
Drug test def 1-7 classes |
68 |
65 |
$7K |
| 82746 |
|
530 |
479 |
$7K |
| 87040 |
|
999 |
577 |
$6K |
| 80074 |
|
158 |
141 |
$6K |
| 82607 |
|
501 |
452 |
$6K |
| 87635 |
|
119 |
108 |
$5K |
| 80048 |
|
1,374 |
1,230 |
$5K |
| J2360 |
Orphenadrine injection |
520 |
468 |
$5K |
| 85576 |
|
741 |
531 |
$5K |
| 85027 |
|
818 |
768 |
$5K |
| 94618 |
|
86 |
80 |
$4K |
| 72050 |
|
45 |
45 |
$4K |
| 71250 |
|
14 |
12 |
$4K |
| 76815 |
|
48 |
38 |
$4K |
| 93015 |
|
14 |
13 |
$4K |
| J1100 |
Dexamethasone sodium phos |
3,153 |
2,823 |
$3K |
| 45384 |
|
12 |
12 |
$3K |
| 87400 |
|
271 |
226 |
$3K |
| 84703 |
|
353 |
328 |
$3K |
| 73030 |
|
41 |
36 |
$3K |
| 72084 |
|
14 |
14 |
$3K |
| 87088 |
|
359 |
319 |
$3K |
| 86592 |
|
694 |
631 |
$3K |
| 84702 |
|
255 |
201 |
$3K |
| 86140 |
|
589 |
539 |
$3K |
| 96376 |
|
82 |
38 |
$3K |
| J2405 |
Ondansetron hcl injection |
5,810 |
5,111 |
$2K |
| 45378 |
|
13 |
12 |
$2K |
| 82150 |
|
419 |
376 |
$2K |
| 73560 |
|
41 |
26 |
$2K |
| J0780 |
Prochlorperazine injection |
184 |
170 |
$2K |
| 76000 |
|
284 |
257 |
$2K |
| A9500 |
Tc99m sestamibi |
19 |
17 |
$2K |
| 85379 |
|
282 |
253 |
$2K |
| 96366 |
|
26 |
12 |
$2K |
| 76817 |
|
13 |
12 |
$2K |
| 99214 |
|
69 |
46 |
$2K |
| 86850 |
|
476 |
357 |
$2K |
| 83874 |
|
194 |
115 |
$2K |
| 87186 |
|
274 |
150 |
$2K |
| 87077 |
|
680 |
511 |
$2K |
| 86787 |
|
145 |
131 |
$2K |
| 83605 |
|
261 |
189 |
$2K |
| 87529 |
|
38 |
28 |
$1K |
| 73110 |
|
43 |
28 |
$1K |
| 85652 |
|
609 |
549 |
$1K |
| 82728 |
|
114 |
105 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
71 |
66 |
$1K |
| J0500 |
Dicyclomine injection |
44 |
39 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
299 |
104 |
$1K |
| 86900 |
|
530 |
426 |
$1K |
| 73564 |
|
15 |
13 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
521 |
477 |
$1K |
| 84100 |
|
384 |
228 |
$982.84 |
| U0003 |
Cov-19 amp prb hgh thruput |
15 |
15 |
$975.00 |
| 83550 |
|
134 |
120 |
$945.77 |
| 86901 |
|
431 |
345 |
$887.95 |
| 84481 |
|
69 |
68 |
$874.19 |
| J2795 |
Ropivacaine hcl injection |
1,202 |
1,060 |
$815.87 |
| 94760 |
|
55 |
27 |
$811.62 |
| 87797 |
|
31 |
29 |
$791.41 |
| G0463 |
Hospital outpt clinic visit |
20 |
19 |
$788.31 |
| 99391 |
|
31 |
25 |
$763.80 |
| J2270 |
Morphine sulfate injection |
1,031 |
839 |
$749.93 |
| J7120 |
Ringers lactate infusion |
509 |
434 |
$704.92 |
| 83540 |
|
134 |
120 |
$700.15 |
| 94640 |
|
31 |
25 |
$687.18 |
| 80069 |
|
83 |
78 |
$659.55 |
| 84134 |
|
102 |
93 |
$619.33 |
| 86703 |
|
43 |
39 |
$560.43 |
| 82677 |
|
26 |
25 |
$551.44 |
| 80305 |
|
47 |
46 |
$511.48 |
| J0690 |
Cefazolin sodium injection |
2,639 |
1,966 |
$503.41 |
| 73090 |
|
14 |
12 |
$479.10 |
| 85018 |
|
265 |
248 |
$417.79 |
| J0153 |
Adenosine inj 1mg |
31 |
27 |
$415.40 |
| J2704 |
Inj, propofol, 10 mg |
7,067 |
5,640 |
$388.75 |
| 82105 |
|
26 |
25 |
$382.45 |
| 86336 |
|
26 |
25 |
$355.54 |
| 86762 |
|
29 |
25 |
$346.99 |
| 84403 |
|
13 |
13 |
$283.91 |
| 84402 |
|
13 |
13 |
$280.17 |
| J1170 |
Hydromorphone injection |
529 |
415 |
$269.47 |
| 84270 |
|
13 |
13 |
$239.03 |
| 87340 |
|
28 |
25 |
$238.77 |
| 88304 |
|
755 |
702 |
$212.46 |
| 85378 |
|
43 |
40 |
$200.46 |
| 84153 |
|
12 |
12 |
$185.74 |
| C9113 |
Inj pantoprazole sodium, via |
21 |
15 |
$183.26 |
| 87481 |
|
67 |
57 |
$182.47 |
| 87081 |
|
29 |
26 |
$179.01 |
| 86738 |
|
13 |
13 |
$161.52 |
| 83655 |
|
14 |
13 |
$158.64 |
| 90961 |
|
12 |
12 |
$156.58 |
| 80320 |
|
13 |
12 |
$156.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
100 |
95 |
$148.21 |
| 82950 |
|
33 |
29 |
$138.26 |
| J3010 |
Fentanyl citrate injection |
4,314 |
3,771 |
$137.67 |
| 87070 |
|
19 |
15 |
$137.41 |
| 86039 |
|
14 |
12 |
$136.16 |
| 76937 |
|
85 |
72 |
$113.11 |
| J2250 |
Inj midazolam hydrochloride |
4,848 |
4,157 |
$84.11 |
| 82948 |
|
47 |
41 |
$77.58 |
| 84550 |
|
28 |
27 |
$76.84 |
| 82043 |
|
17 |
15 |
$57.80 |
| 82947 |
|
18 |
12 |
$55.41 |
| J2765 |
Metoclopramide hcl injection |
139 |
119 |
$52.11 |
| 82570 |
|
17 |
15 |
$51.80 |
| 82610 |
|
12 |
12 |
$50.48 |
| J2550 |
Promethazine hcl injection |
45 |
39 |
$39.20 |
| J0171 |
Adrenalin epinephrine inject |
414 |
272 |
$38.78 |
| J2001 |
Lidocaine injection |
2,093 |
1,687 |
$35.68 |
| J1030 |
Methylprednisolone 40 mg inj |
322 |
298 |
$27.09 |
| J2710 |
Neostigmine methylslfte inj |
411 |
351 |
$13.49 |
| J2060 |
Lorazepam injection |
16 |
13 |
$7.05 |
| 74420 |
|
31 |
24 |
$0.00 |
| 00000 |
|
30 |
28 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
54 |
50 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
52 |
28 |
$0.00 |