| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,875 |
12,432 |
$1.85M |
| 74177 |
|
2,420 |
2,136 |
$1.68M |
| 99283 |
|
15,853 |
13,704 |
$1.43M |
| 99285 |
|
7,728 |
6,119 |
$1.15M |
| 80053 |
|
28,373 |
22,858 |
$978K |
| 85025 |
|
29,697 |
23,406 |
$862K |
| 80307 |
|
7,902 |
5,813 |
$810K |
| 74176 |
|
1,440 |
1,285 |
$807K |
| 96374 |
|
7,886 |
6,438 |
$642K |
| 96361 |
|
4,966 |
3,733 |
$568K |
| 70450 |
|
2,360 |
2,113 |
$534K |
| 93005 |
|
10,013 |
8,099 |
$532K |
| 71045 |
|
6,081 |
5,003 |
$410K |
| 96365 |
|
3,355 |
2,547 |
$396K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,364 |
3,077 |
$356K |
| 96375 |
|
6,254 |
4,787 |
$332K |
| 87086 |
|
9,491 |
8,116 |
$313K |
| 87637 |
|
2,027 |
1,833 |
$258K |
| 71275 |
|
468 |
400 |
$258K |
| 36415 |
|
17,898 |
14,339 |
$252K |
| G0480 |
Drug test def 1-7 classes |
3,663 |
2,421 |
$246K |
| 87651 |
|
4,097 |
3,702 |
$239K |
| 81001 |
|
9,840 |
8,305 |
$238K |
| 84484 |
|
6,500 |
4,972 |
$235K |
| 84443 |
|
5,654 |
5,218 |
$198K |
| 71046 |
|
2,240 |
2,004 |
$187K |
| 83690 |
|
5,130 |
4,298 |
$159K |
| 87502 |
|
1,510 |
1,348 |
$157K |
| 99282 |
|
2,407 |
2,212 |
$157K |
| 80061 |
|
3,800 |
3,574 |
$152K |
| J2405 |
Ondansetron hcl injection |
5,243 |
4,110 |
$137K |
| 85610 |
|
5,635 |
4,624 |
$135K |
| 85730 |
|
4,823 |
4,018 |
$131K |
| 88305 |
|
673 |
560 |
$130K |
| 72125 |
|
404 |
361 |
$113K |
| 83036 |
|
3,715 |
3,443 |
$111K |
| 77067 |
|
540 |
490 |
$109K |
| 96360 |
|
1,204 |
1,021 |
$105K |
| 83605 |
|
3,002 |
2,367 |
$105K |
| 76805 |
|
380 |
336 |
$104K |
| 84702 |
|
2,872 |
2,411 |
$102K |
| 76830 |
|
445 |
403 |
$101K |
| 96376 |
|
1,662 |
1,074 |
$101K |
| G0378 |
Hospital observation per hr |
670 |
272 |
$100K |
| 82306 |
|
1,255 |
1,145 |
$95K |
| 96372 |
|
3,303 |
2,376 |
$95K |
| J1885 |
Ketorolac tromethamine inj |
4,503 |
3,760 |
$91K |
| 0241U |
|
803 |
717 |
$91K |
| 76705 |
|
399 |
359 |
$90K |
| 94640 |
|
1,515 |
1,035 |
$89K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,584 |
2,349 |
$84K |
| 0202U |
|
359 |
292 |
$82K |
| 87186 |
|
2,525 |
2,255 |
$81K |
| 99212 |
|
4,109 |
3,518 |
$80K |
| 87491 |
|
2,475 |
2,008 |
$79K |
| 93971 |
|
249 |
227 |
$78K |
| 87591 |
|
2,483 |
2,013 |
$78K |
| J2250 |
Inj midazolam hydrochloride |
1,017 |
803 |
$78K |
| 83880 |
|
2,462 |
1,964 |
$77K |
| 81025 |
|
1,616 |
1,407 |
$75K |
| J1100 |
Dexamethasone sodium phos |
754 |
602 |
$70K |
| 80048 |
|
2,196 |
1,808 |
$68K |
| 86803 |
|
1,219 |
1,044 |
$63K |
| 82607 |
|
1,121 |
1,028 |
$63K |
| J0690 |
Cefazolin sodium injection |
538 |
363 |
$61K |
| 87040 |
|
1,455 |
1,075 |
$60K |
| 84439 |
|
870 |
803 |
$59K |
| 76801 |
|
201 |
173 |
$55K |
| 71250 |
|
173 |
157 |
$54K |
| 96366 |
|
482 |
309 |
$51K |
| 87077 |
|
1,489 |
1,317 |
$50K |
| 86850 |
|
1,271 |
1,068 |
$49K |
| 93306 |
|
73 |
71 |
$48K |
| 87389 |
|
1,330 |
1,147 |
$47K |
| J2270 |
Morphine sulfate injection |
1,577 |
1,141 |
$47K |
| 82728 |
|
688 |
634 |
$47K |
| 83735 |
|
2,031 |
1,612 |
$43K |
| 85379 |
|
812 |
704 |
$42K |
| 86901 |
|
1,432 |
1,184 |
$41K |
| 94760 |
|
1,162 |
709 |
$39K |
| 87070 |
|
988 |
833 |
$39K |
| 87624 |
|
1,056 |
716 |
$39K |
| 88142 |
|
1,545 |
1,181 |
$38K |
| 87340 |
|
942 |
786 |
$37K |
| 76817 |
|
139 |
121 |
$34K |
| U0005 |
Infec agen detec ampli probe |
1,270 |
1,131 |
$33K |
| 86140 |
|
1,407 |
1,226 |
$32K |
| 81003 |
|
1,508 |
1,322 |
$31K |
| J2550 |
Promethazine hcl injection |
270 |
218 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
647 |
573 |
$31K |
| 73721 |
|
43 |
39 |
$31K |
| 84703 |
|
427 |
389 |
$30K |
| 72110 |
|
184 |
173 |
$29K |
| G0463 |
Hospital outpt clinic visit |
659 |
570 |
$28K |
| 71260 |
|
57 |
51 |
$28K |
| 86900 |
|
1,432 |
1,184 |
$27K |
| 87661 |
|
718 |
558 |
$27K |
| 73562 |
|
285 |
248 |
$27K |
| 84145 |
|
616 |
532 |
$25K |
| 82570 |
|
730 |
679 |
$25K |
| 85027 |
|
488 |
411 |
$25K |
| 76856 |
|
101 |
98 |
$24K |
| 99291 |
|
162 |
138 |
$23K |
| 73630 |
|
224 |
206 |
$22K |
| 87088 |
|
571 |
499 |
$21K |
| 73610 |
|
214 |
207 |
$20K |
| 74018 |
|
185 |
171 |
$20K |
| 84466 |
|
334 |
312 |
$19K |
| 90471 |
|
899 |
741 |
$19K |
| 80179 |
|
224 |
198 |
$18K |
| 86780 |
|
802 |
649 |
$18K |
| 99211 |
|
856 |
734 |
$17K |
| 87801 |
|
244 |
224 |
$16K |
| 77063 |
|
297 |
271 |
$15K |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$15K |
| J1650 |
Inj enoxaparin sodium |
458 |
237 |
$15K |
| 73030 |
|
149 |
134 |
$15K |
| 85007 |
|
324 |
259 |
$14K |
| 83540 |
|
373 |
347 |
$14K |
| J2765 |
Metoclopramide hcl injection |
174 |
150 |
$14K |
| 82803 |
|
254 |
200 |
$12K |
| J2930 |
Methylprednisolone injection |
812 |
641 |
$11K |
| 87633 |
|
68 |
64 |
$11K |
| 72131 |
|
26 |
24 |
$11K |
| 94644 |
|
150 |
126 |
$11K |
| 86762 |
|
289 |
221 |
$10K |
| 94664 |
|
214 |
167 |
$9K |
| 73130 |
|
101 |
94 |
$9K |
| 82043 |
|
285 |
273 |
$9K |
| 87205 |
|
378 |
325 |
$8K |
| 72148 |
|
13 |
12 |
$8K |
| 85652 |
|
474 |
428 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
842 |
595 |
$8K |
| 43239 |
|
26 |
26 |
$8K |
| 90472 |
|
325 |
231 |
$7K |
| 87147 |
|
296 |
257 |
$7K |
| 80050 |
|
82 |
78 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
471 |
331 |
$7K |
| 99281 |
|
142 |
136 |
$7K |
| 82746 |
|
126 |
115 |
$7K |
| 86618 |
|
194 |
99 |
$6K |
| 87653 |
|
153 |
144 |
$6K |
| 83615 |
|
222 |
180 |
$5K |
| G0475 |
Hiv combination assay |
120 |
101 |
$5K |
| 96367 |
|
140 |
113 |
$5K |
| 36600 |
|
197 |
131 |
$4K |
| 45380 |
|
16 |
16 |
$4K |
| 87210 |
|
132 |
108 |
$4K |
| 85651 |
|
156 |
143 |
$4K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
30 |
24 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
383 |
314 |
$4K |
| Q3014 |
Telehealth facility fee |
110 |
103 |
$3K |
| 82550 |
|
89 |
67 |
$3K |
| 74019 |
|
42 |
37 |
$3K |
| 84550 |
|
90 |
73 |
$2K |
| 87081 |
|
85 |
82 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
432 |
305 |
$2K |
| 96127 |
|
85 |
45 |
$2K |
| 99392 |
|
89 |
62 |
$2K |
| 82274 |
|
77 |
76 |
$2K |
| 84156 |
|
49 |
39 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
41 |
28 |
$2K |
| 99391 |
|
78 |
58 |
$2K |
| 82950 |
|
69 |
68 |
$2K |
| 86706 |
|
46 |
43 |
$2K |
| 73110 |
|
16 |
14 |
$2K |
| 59025 |
|
18 |
12 |
$2K |
| 99393 |
|
69 |
58 |
$2K |
| 92551 |
|
101 |
80 |
$1K |
| 88175 |
|
38 |
28 |
$1K |
| 99173 |
|
86 |
70 |
$1K |
| J7060 |
5% dextrose/water |
140 |
81 |
$1K |
| 86038 |
|
43 |
38 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
256 |
198 |
$1K |
| 87635 |
|
33 |
29 |
$1K |
| 73502 |
|
18 |
18 |
$1K |
| Q0162 |
Ondansetron oral |
165 |
146 |
$1K |
| 82248 |
|
31 |
28 |
$1K |
| 80143 |
|
130 |
118 |
$1K |
| J3490 |
Drugs unclassified injection |
1,763 |
1,053 |
$988.40 |
| J2060 |
Lorazepam injection |
223 |
159 |
$932.91 |
| 93010 |
|
123 |
113 |
$887.99 |
| 84100 |
|
37 |
28 |
$728.10 |
| 80076 |
|
17 |
17 |
$591.65 |
| 90710 |
|
19 |
13 |
$488.11 |
| 90715 |
|
12 |
12 |
$478.36 |
| 82565 |
|
13 |
13 |
$469.85 |
| 84520 |
|
13 |
13 |
$446.64 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$391.06 |
| 90686 |
|
79 |
60 |
$377.77 |
| 90671 |
|
63 |
43 |
$298.04 |
| 86431 |
|
14 |
12 |
$246.51 |
| 99202 |
|
13 |
13 |
$202.61 |
| 86617 |
|
14 |
14 |
$151.54 |
| J3010 |
Fentanyl citrate injection |
214 |
167 |
$147.33 |
| J0688 |
Inj cefazolin sodium, hikma |
15 |
13 |
$43.42 |
| 90648 |
|
50 |
40 |
$21.38 |
| J3370 |
Vancomycin hcl injection |
18 |
12 |
$19.17 |
| G1010 |
Cdsm stanson |
13 |
12 |
$0.02 |
| 90723 |
|
46 |
31 |
$0.00 |
| 90680 |
|
16 |
13 |
$0.00 |