| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
19,786 |
16,527 |
$4.01M |
| 99283 |
|
14,477 |
12,295 |
$2.24M |
| 99285 |
|
5,511 |
4,740 |
$2.18M |
| G0381 |
Lev 2 hosp type b ed visit |
13,073 |
11,373 |
$1.19M |
| 96374 |
|
6,008 |
5,247 |
$841K |
| 74177 |
|
2,811 |
2,504 |
$539K |
| 99282 |
|
13,004 |
11,564 |
$495K |
| 11042 |
|
1,841 |
990 |
$298K |
| 71046 |
|
4,012 |
3,632 |
$238K |
| 96361 |
|
4,622 |
3,876 |
$237K |
| 43239 |
|
519 |
491 |
$210K |
| 45385 |
|
302 |
275 |
$196K |
| 96375 |
|
4,296 |
3,539 |
$192K |
| 11043 |
|
629 |
351 |
$174K |
| 27447 |
|
25 |
24 |
$172K |
| 96360 |
|
1,179 |
1,040 |
$152K |
| 15275 |
|
106 |
46 |
$149K |
| G0463 |
Hospital outpt clinic visit |
1,956 |
1,264 |
$142K |
| 72125 |
|
1,164 |
1,037 |
$115K |
| 96365 |
|
1,039 |
899 |
$111K |
| U0002 |
Covid-19 lab test non-cdc |
3,002 |
2,664 |
$110K |
| 74176 |
|
837 |
737 |
$109K |
| 0241U |
|
1,190 |
1,040 |
$105K |
| 71045 |
|
2,249 |
2,030 |
$102K |
| 87636 |
|
880 |
817 |
$96K |
| 70450 |
|
2,371 |
2,092 |
$82K |
| 71260 |
|
530 |
483 |
$81K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,973 |
1,724 |
$76K |
| 72148 |
|
524 |
428 |
$67K |
| 76830 |
|
669 |
623 |
$66K |
| 45380 |
|
91 |
82 |
$55K |
| 11044 |
|
55 |
29 |
$51K |
| G0382 |
Lev 3 hosp type b ed visit |
292 |
263 |
$47K |
| 76705 |
|
478 |
430 |
$42K |
| 87637 |
|
389 |
362 |
$40K |
| 93971 |
|
607 |
526 |
$39K |
| 93976 |
|
393 |
356 |
$37K |
| 87635 |
|
860 |
778 |
$32K |
| 82947 |
|
10,079 |
8,161 |
$31K |
| 97530 |
|
1,071 |
432 |
$26K |
| 71250 |
|
536 |
510 |
$25K |
| 70498 |
|
105 |
102 |
$25K |
| U0005 |
Infec agen detec ampli probe |
1,904 |
1,677 |
$24K |
| 70553 |
|
116 |
111 |
$24K |
| 29581 |
|
254 |
111 |
$23K |
| 97161 |
|
678 |
612 |
$20K |
| 71275 |
|
164 |
142 |
$19K |
| 74183 |
|
139 |
123 |
$19K |
| 97165 |
|
426 |
395 |
$16K |
| G0383 |
Lev 4 hosp type b ed visit |
82 |
78 |
$16K |
| 72141 |
|
67 |
63 |
$16K |
| 73700 |
|
262 |
245 |
$15K |
| 73721 |
|
72 |
68 |
$13K |
| 87631 |
|
4,788 |
4,297 |
$13K |
| 86900 |
|
785 |
703 |
$12K |
| 76536 |
|
153 |
146 |
$11K |
| 76770 |
|
165 |
154 |
$10K |
| 97116 |
|
348 |
214 |
$10K |
| 72197 |
|
29 |
26 |
$8K |
| 76700 |
|
90 |
82 |
$8K |
| 99291 |
|
13 |
13 |
$7K |
| 93005 |
|
6,930 |
5,942 |
$6K |
| 85025 |
|
13,333 |
10,375 |
$5K |
| 96366 |
|
190 |
147 |
$5K |
| 72100 |
|
701 |
637 |
$5K |
| 73630 |
|
1,104 |
997 |
$4K |
| 84443 |
|
951 |
856 |
$4K |
| 10060 |
|
30 |
25 |
$4K |
| 99213 |
|
467 |
354 |
$3K |
| 70486 |
|
130 |
118 |
$3K |
| 73560 |
|
1,253 |
1,107 |
$3K |
| 82247 |
|
7,770 |
6,617 |
$3K |
| 73030 |
|
837 |
735 |
$3K |
| 82040 |
|
7,793 |
6,633 |
$2K |
| 36415 |
|
8,145 |
5,997 |
$2K |
| G0380 |
Lev 1 hosp type b ed visit |
40 |
35 |
$2K |
| 73610 |
|
890 |
795 |
$2K |
| 70491 |
|
16 |
13 |
$2K |
| 82310 |
|
10,088 |
8,167 |
$2K |
| 82306 |
|
97 |
93 |
$2K |
| 73130 |
|
635 |
573 |
$2K |
| 83036 |
|
536 |
498 |
$2K |
| 87502 |
|
1,326 |
1,194 |
$2K |
| 80053 |
|
3,880 |
3,073 |
$1K |
| 93970 |
|
16 |
12 |
$1K |
| 96372 |
|
3,689 |
3,079 |
$1K |
| 83735 |
|
6,144 |
4,881 |
$1K |
| 93010 |
|
1,026 |
899 |
$1K |
| 87651 |
|
1,108 |
1,014 |
$1K |
| 73502 |
|
243 |
220 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
649 |
573 |
$997.04 |
| 82374 |
|
10,079 |
8,159 |
$906.77 |
| 80307 |
|
639 |
571 |
$888.48 |
| 83718 |
|
142 |
127 |
$750.72 |
| 86140 |
|
446 |
362 |
$696.54 |
| 85027 |
|
2,351 |
2,046 |
$659.60 |
| G0378 |
Hospital observation per hr |
6,523 |
5,626 |
$655.21 |
| 87491 |
|
845 |
734 |
$605.79 |
| 87086 |
|
3,339 |
2,918 |
$601.30 |
| 73110 |
|
492 |
438 |
$574.40 |
| 73140 |
|
167 |
155 |
$571.82 |
| 87880 |
|
2,168 |
1,956 |
$571.80 |
| 87591 |
|
833 |
736 |
$489.82 |
| 83880 |
|
637 |
548 |
$458.20 |
| 82607 |
|
65 |
61 |
$446.09 |
| 85652 |
|
396 |
302 |
$410.22 |
| 76870 |
|
16 |
12 |
$355.38 |
| 99214 |
|
71 |
63 |
$345.30 |
| 81001 |
|
4,308 |
3,734 |
$338.64 |
| 80048 |
|
1,853 |
1,270 |
$329.34 |
| 85610 |
|
1,437 |
1,254 |
$298.19 |
| 84146 |
|
17 |
17 |
$296.16 |
| 82746 |
|
23 |
23 |
$294.84 |
| 85007 |
|
1,999 |
1,739 |
$290.70 |
| 81025 |
|
4,242 |
3,682 |
$287.35 |
| 87077 |
|
1,231 |
1,117 |
$270.27 |
| G0480 |
Drug test def 1-7 classes |
610 |
540 |
$262.95 |
| 87389 |
|
255 |
245 |
$253.00 |
| J2272 |
Inj, morphine (fresenius) |
203 |
165 |
$244.02 |
| 87186 |
|
1,129 |
1,020 |
$239.67 |
| 88305 |
|
1,048 |
974 |
$224.76 |
| 84480 |
|
16 |
16 |
$216.64 |
| 11056 |
|
15 |
12 |
$211.61 |
| 82248 |
|
523 |
406 |
$210.39 |
| 70496 |
|
106 |
103 |
$194.21 |
| 84439 |
|
25 |
25 |
$180.81 |
| 82728 |
|
39 |
37 |
$169.13 |
| 86850 |
|
754 |
676 |
$162.77 |
| 94640 |
|
1,176 |
906 |
$137.49 |
| J3490 |
Drugs unclassified injection |
27,269 |
10,843 |
$129.39 |
| 81003 |
|
2,682 |
2,414 |
$121.77 |
| 84478 |
|
160 |
144 |
$118.26 |
| 83540 |
|
42 |
40 |
$117.42 |
| J1100 |
Dexamethasone sodium phos |
1,261 |
1,094 |
$113.14 |
| 83690 |
|
3,711 |
3,213 |
$111.18 |
| 90715 |
|
363 |
330 |
$110.32 |
| 73080 |
|
89 |
82 |
$96.05 |
| 83550 |
|
25 |
24 |
$91.85 |
| 87070 |
|
1,910 |
1,708 |
$81.50 |
| 87040 |
|
835 |
385 |
$80.01 |
| 86901 |
|
785 |
703 |
$72.32 |
| 84484 |
|
5,468 |
2,873 |
$60.12 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,274 |
3,749 |
$58.27 |
| 82962 |
|
3,988 |
2,151 |
$57.30 |
| J3360 |
Diazepam injection |
50 |
38 |
$41.46 |
| 84702 |
|
315 |
262 |
$33.42 |
| 85730 |
|
29 |
26 |
$28.65 |
| J1885 |
Ketorolac tromethamine inj |
6,023 |
5,035 |
$24.54 |
| 87088 |
|
167 |
152 |
$23.57 |
| 83605 |
|
1,065 |
768 |
$20.40 |
| 81002 |
|
1,122 |
1,007 |
$20.23 |
| 96376 |
|
1,261 |
845 |
$18.59 |
| 87075 |
|
26 |
25 |
$18.08 |
| 87205 |
|
555 |
475 |
$16.28 |
| 84520 |
|
10,290 |
8,337 |
$15.08 |
| 84460 |
|
7,770 |
6,622 |
$10.10 |
| J7120 |
Ringers lactate infusion |
2,843 |
2,241 |
$10.00 |
| 85379 |
|
842 |
749 |
$9.72 |
| 84100 |
|
280 |
183 |
$9.04 |
| 82565 |
|
10,294 |
8,341 |
$6.49 |
| 87081 |
|
56 |
55 |
$6.34 |
| 82550 |
|
35 |
28 |
$6.22 |
| J2270 |
Morphine sulfate injection |
1,724 |
1,380 |
$6.04 |
| 84450 |
|
7,761 |
6,613 |
$4.94 |
| 84132 |
|
10,079 |
8,152 |
$4.39 |
| J2405 |
Ondansetron hcl injection |
3,838 |
3,152 |
$4.35 |
| 84155 |
|
7,761 |
6,613 |
$3.50 |
| 82435 |
|
10,084 |
8,162 |
$3.41 |
| J1200 |
Diphenhydramine hcl injectio |
914 |
793 |
$2.88 |
| J8597 |
Antiemetic drug oral nos |
343 |
306 |
$1.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
627 |
252 |
$0.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
861 |
641 |
$0.00 |
| J7999 |
Compounded drug, noc |
337 |
253 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
80 |
74 |
$0.00 |
| 84075 |
|
7,762 |
6,614 |
$0.00 |
| 72170 |
|
95 |
79 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
940 |
794 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,442 |
1,069 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,110 |
999 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,787 |
805 |
$0.00 |
| J2060 |
Lorazepam injection |
221 |
183 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
990 |
921 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
56 |
53 |
$0.00 |
| J1170 |
Hydromorphone injection |
76 |
63 |
$0.00 |
| C1889 |
Implant/insert device, noc |
197 |
191 |
$0.00 |
| Q4196 |
Puraply am 1 sq cm |
146 |
63 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
110 |
100 |
$0.00 |
| 12001 |
|
100 |
83 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
147 |
132 |
$0.00 |
| 87661 |
|
59 |
52 |
$0.00 |
| 74019 |
|
46 |
41 |
$0.00 |
| J8540 |
Oral dexamethasone |
76 |
25 |
$0.00 |
| 71101 |
|
45 |
41 |
$0.00 |
| J1790 |
Droperidol injection |
12 |
12 |
$0.00 |
| 82803 |
|
14 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
351 |
333 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,026 |
872 |
$0.00 |
| 84295 |
|
10,085 |
8,162 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,079 |
816 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
474 |
409 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
77 |
65 |
$0.00 |
| 84145 |
|
65 |
58 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
250 |
231 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
316 |
250 |
$0.00 |
| 64999 |
|
41 |
38 |
$0.00 |
| 82465 |
|
145 |
129 |
$0.00 |
| J2930 |
Methylprednisolone injection |
82 |
69 |
$0.00 |
| 81513 |
|
27 |
26 |
$0.00 |
| 86618 |
|
42 |
41 |
$0.00 |
| 64447 |
|
58 |
53 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
59 |
27 |
$0.00 |
| 73590 |
|
29 |
28 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
14 |
$0.00 |