| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,704 |
12,666 |
$1.94M |
| 99284 |
|
8,927 |
7,882 |
$1.65M |
| 92507 |
|
9,736 |
3,079 |
$564K |
| 99285 |
|
2,016 |
1,804 |
$510K |
| 99282 |
|
4,075 |
3,912 |
$350K |
| 97530 |
|
4,751 |
1,721 |
$244K |
| 87502 |
|
2,768 |
2,672 |
$233K |
| 96375 |
|
2,937 |
2,460 |
$197K |
| 74177 |
|
1,513 |
1,400 |
$178K |
| 96374 |
|
6,156 |
5,317 |
$175K |
| 93005 |
|
5,049 |
4,261 |
$131K |
| 93306 |
|
472 |
446 |
$100K |
| G0480 |
Drug test def 1-7 classes |
1,299 |
1,205 |
$98K |
| 80053 |
|
13,353 |
11,516 |
$91K |
| 96372 |
|
2,123 |
1,821 |
$79K |
| 80307 |
|
1,410 |
1,313 |
$69K |
| 87651 |
|
1,828 |
1,778 |
$67K |
| 85027 |
|
16,302 |
13,195 |
$66K |
| 97110 |
|
1,815 |
695 |
$58K |
| 99281 |
|
908 |
886 |
$50K |
| 70450 |
|
1,360 |
1,247 |
$45K |
| 87491 |
|
1,095 |
1,061 |
$40K |
| 87591 |
|
1,089 |
1,055 |
$39K |
| 84443 |
|
2,975 |
2,797 |
$37K |
| 97535 |
|
1,160 |
767 |
$34K |
| 36415 |
|
16,133 |
13,286 |
$27K |
| 92523 |
|
195 |
172 |
$27K |
| 76705 |
|
675 |
621 |
$26K |
| 97112 |
|
1,074 |
645 |
$25K |
| 88305 |
|
557 |
502 |
$25K |
| 87086 |
|
3,676 |
3,337 |
$25K |
| 94664 |
|
931 |
824 |
$22K |
| 87634 |
|
298 |
290 |
$22K |
| 87633 |
|
49 |
49 |
$21K |
| 71046 |
|
1,795 |
1,679 |
$20K |
| 76856 |
|
378 |
364 |
$20K |
| 84484 |
|
3,827 |
2,698 |
$19K |
| 71275 |
|
192 |
179 |
$19K |
| 72125 |
|
354 |
335 |
$19K |
| 74176 |
|
334 |
305 |
$17K |
| 71045 |
|
3,646 |
3,293 |
$17K |
| 83690 |
|
2,902 |
2,591 |
$16K |
| 12001 |
|
102 |
100 |
$16K |
| 83880 |
|
998 |
877 |
$16K |
| 80055 |
|
300 |
290 |
$15K |
| 81001 |
|
5,725 |
5,114 |
$15K |
| 81025 |
|
2,026 |
1,900 |
$14K |
| 80048 |
|
2,615 |
2,122 |
$13K |
| 84703 |
|
1,786 |
1,658 |
$13K |
| 76830 |
|
204 |
195 |
$12K |
| 80061 |
|
1,500 |
1,427 |
$12K |
| 87430 |
|
863 |
842 |
$12K |
| 84439 |
|
1,501 |
1,417 |
$11K |
| 97162 |
|
292 |
271 |
$11K |
| 77067 |
|
272 |
251 |
$10K |
| 74018 |
|
828 |
786 |
$10K |
| 76801 |
|
179 |
155 |
$10K |
| 84702 |
|
646 |
545 |
$10K |
| 96361 |
|
285 |
215 |
$9K |
| 66984 |
|
44 |
40 |
$8K |
| 41899 |
|
37 |
12 |
$8K |
| 87150 |
|
148 |
146 |
$8K |
| 83605 |
|
1,153 |
937 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
270 |
247 |
$8K |
| 73610 |
|
502 |
487 |
$7K |
| 83036 |
|
1,216 |
1,146 |
$7K |
| 87040 |
|
975 |
520 |
$7K |
| 87653 |
|
170 |
162 |
$7K |
| 73562 |
|
427 |
406 |
$7K |
| 87186 |
|
970 |
874 |
$6K |
| 86140 |
|
1,320 |
1,225 |
$6K |
| 73110 |
|
244 |
241 |
$4K |
| 93017 |
|
58 |
52 |
$4K |
| 87081 |
|
713 |
693 |
$4K |
| 81003 |
|
2,211 |
2,030 |
$4K |
| 73630 |
|
319 |
311 |
$4K |
| 72100 |
|
340 |
305 |
$4K |
| 86701 |
|
425 |
412 |
$4K |
| 93971 |
|
58 |
56 |
$4K |
| 72148 |
|
45 |
39 |
$3K |
| 84145 |
|
225 |
194 |
$3K |
| 73130 |
|
206 |
200 |
$3K |
| V2632 |
Post chmbr intraocular lens |
96 |
82 |
$3K |
| 85610 |
|
1,049 |
913 |
$3K |
| 87798 |
|
77 |
76 |
$3K |
| 96365 |
|
79 |
49 |
$3K |
| 85379 |
|
350 |
328 |
$3K |
| 88304 |
|
74 |
72 |
$3K |
| 85730 |
|
613 |
550 |
$3K |
| 80076 |
|
462 |
425 |
$2K |
| J7030 |
Normal saline solution infus |
1,539 |
1,295 |
$2K |
| 73030 |
|
200 |
185 |
$2K |
| 82728 |
|
248 |
226 |
$2K |
| 69436 |
|
12 |
12 |
$2K |
| 87070 |
|
317 |
287 |
$2K |
| 12011 |
|
14 |
14 |
$2K |
| J2270 |
Morphine sulfate injection |
1,166 |
1,002 |
$2K |
| 87486 |
|
49 |
49 |
$2K |
| 87581 |
|
49 |
49 |
$2K |
| 83735 |
|
448 |
351 |
$2K |
| 94640 |
|
158 |
131 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
36 |
29 |
$2K |
| 85652 |
|
646 |
590 |
$1K |
| 87210 |
|
317 |
304 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
913 |
808 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,845 |
1,602 |
$1K |
| 78452 |
|
14 |
12 |
$1K |
| 87280 |
|
102 |
100 |
$1K |
| 82947 |
|
325 |
315 |
$1K |
| 73140 |
|
72 |
71 |
$1K |
| 76700 |
|
30 |
26 |
$1K |
| 85018 |
|
492 |
472 |
$1K |
| 82306 |
|
56 |
51 |
$1K |
| 90471 |
|
77 |
72 |
$1K |
| 82607 |
|
80 |
79 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,371 |
996 |
$1K |
| 99152 |
|
38 |
31 |
$992.39 |
| 71260 |
|
14 |
13 |
$918.56 |
| J2405 |
Ondansetron hcl injection |
2,551 |
2,192 |
$911.41 |
| J0500 |
Dicyclomine injection |
14 |
14 |
$879.97 |
| 76805 |
|
13 |
12 |
$836.44 |
| 83550 |
|
140 |
130 |
$820.88 |
| 83540 |
|
174 |
160 |
$780.83 |
| G0378 |
Hospital observation per hr |
482 |
398 |
$763.52 |
| 86901 |
|
297 |
254 |
$745.49 |
| 90715 |
|
36 |
36 |
$724.36 |
| 86900 |
|
237 |
199 |
$617.54 |
| 76817 |
|
13 |
12 |
$541.97 |
| 96360 |
|
16 |
13 |
$541.07 |
| J2550 |
Promethazine hcl injection |
281 |
227 |
$536.06 |
| 82550 |
|
110 |
103 |
$520.29 |
| 72110 |
|
41 |
32 |
$506.44 |
| 76642 |
|
18 |
15 |
$505.53 |
| 86850 |
|
131 |
111 |
$503.97 |
| J3010 |
Fentanyl citrate injection |
1,215 |
1,086 |
$484.67 |
| 36000 |
|
107 |
100 |
$389.10 |
| 73080 |
|
26 |
24 |
$371.60 |
| 82043 |
|
120 |
115 |
$365.83 |
| J7120 |
Ringers lactate infusion |
374 |
327 |
$316.39 |
| A9500 |
Tc99m sestamibi |
14 |
12 |
$310.00 |
| J1200 |
Diphenhydramine hcl injectio |
633 |
577 |
$286.56 |
| 84100 |
|
115 |
85 |
$232.54 |
| J2765 |
Metoclopramide hcl injection |
297 |
280 |
$222.68 |
| J1170 |
Hydromorphone injection |
128 |
95 |
$214.42 |
| J2060 |
Lorazepam injection |
426 |
370 |
$214.15 |
| 84481 |
|
12 |
12 |
$209.20 |
| G0383 |
Lev 4 hosp type b ed visit |
264 |
211 |
$192.75 |
| 73090 |
|
13 |
13 |
$184.47 |
| 73502 |
|
18 |
14 |
$180.57 |
| 73590 |
|
12 |
12 |
$169.81 |
| J2930 |
Methylprednisolone injection |
31 |
28 |
$161.70 |
| 82150 |
|
25 |
23 |
$151.90 |
| 87641 |
|
18 |
12 |
$126.18 |
| S0119 |
Ondansetron 4 mg |
1,880 |
1,811 |
$124.25 |
| J2704 |
Inj, propofol, 10 mg |
219 |
202 |
$116.11 |
| 76937 |
|
34 |
27 |
$104.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
273 |
242 |
$90.75 |
| 85014 |
|
27 |
27 |
$81.66 |
| J2250 |
Inj midazolam hydrochloride |
350 |
321 |
$77.64 |
| J7040 |
Normal saline solution infus |
82 |
76 |
$70.06 |
| 99214 |
|
81 |
62 |
$61.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,249 |
1,105 |
$49.76 |
| J7620 |
Albuterol ipratrop non-comp |
342 |
305 |
$49.01 |
| J1650 |
Inj enoxaparin sodium |
19 |
13 |
$41.12 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$40.32 |
| J7050 |
Normal saline solution infus |
89 |
61 |
$9.14 |
| G0463 |
Hospital outpt clinic visit |
26 |
14 |
$7.12 |
| 96376 |
|
908 |
702 |
$4.52 |
| J1644 |
Inj heparin sodium per 1000u |
22 |
12 |
$3.60 |
| 77063 |
|
206 |
185 |
$0.00 |
| A9270 |
Non-covered item or service |
2,844 |
1,046 |
$0.00 |
| 87635 |
|
27 |
27 |
$0.00 |
| J7999 |
Compounded drug, noc |
18 |
16 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
69 |
64 |
$0.00 |
| 87400 |
|
13 |
13 |
$0.00 |