| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
4,305 |
3,163 |
$2.05M |
| 99283 |
|
9,381 |
7,743 |
$1.79M |
| 99282 |
|
7,497 |
6,356 |
$1.47M |
| 99284 |
|
7,225 |
5,639 |
$1.27M |
| 96365 |
|
3,647 |
1,897 |
$762K |
| 99285 |
|
3,739 |
2,918 |
$641K |
| 99211 |
|
4,340 |
2,033 |
$520K |
| 74177 |
|
1,666 |
1,479 |
$497K |
| 70450 |
|
1,700 |
1,499 |
$474K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,278 |
2,999 |
$275K |
| 99213 |
|
7,634 |
4,504 |
$231K |
| 96360 |
|
765 |
651 |
$217K |
| 99212 |
|
2,634 |
2,063 |
$215K |
| 97110 |
|
8,914 |
3,156 |
$210K |
| 92507 |
|
3,960 |
1,179 |
$161K |
| 94640 |
|
1,202 |
877 |
$140K |
| 80053 |
|
14,131 |
11,901 |
$136K |
| 93306 |
|
348 |
267 |
$135K |
| 99281 |
|
733 |
668 |
$128K |
| 87636 |
|
1,356 |
1,258 |
$119K |
| 87632 |
|
733 |
677 |
$117K |
| 87502 |
|
1,442 |
1,309 |
$113K |
| 76856 |
|
467 |
416 |
$93K |
| 73630 |
|
2,111 |
1,828 |
$81K |
| 84443 |
|
5,072 |
4,665 |
$75K |
| 85025 |
|
13,631 |
10,813 |
$72K |
| 59025 |
|
276 |
144 |
$71K |
| 96366 |
|
182 |
110 |
$68K |
| 87635 |
|
1,836 |
1,601 |
$61K |
| 74176 |
|
172 |
148 |
$56K |
| 80061 |
|
4,323 |
4,009 |
$54K |
| 76816 |
|
422 |
372 |
$54K |
| 71046 |
|
2,764 |
2,484 |
$52K |
| 87491 |
|
1,559 |
1,409 |
$49K |
| 87591 |
|
1,525 |
1,382 |
$47K |
| 99214 |
|
1,741 |
1,006 |
$46K |
| 82306 |
|
1,675 |
1,512 |
$41K |
| 87651 |
|
1,050 |
954 |
$40K |
| 73610 |
|
975 |
855 |
$37K |
| G0378 |
Hospital observation per hr |
624 |
539 |
$37K |
| 76830 |
|
222 |
207 |
$36K |
| 76801 |
|
290 |
269 |
$34K |
| 97530 |
|
1,456 |
488 |
$33K |
| 97162 |
|
976 |
878 |
$32K |
| 83036 |
|
3,625 |
3,380 |
$32K |
| 85027 |
|
5,637 |
4,891 |
$31K |
| 80048 |
|
4,817 |
3,879 |
$31K |
| 87086 |
|
3,928 |
3,372 |
$27K |
| 76805 |
|
187 |
171 |
$26K |
| 93005 |
|
7,047 |
5,698 |
$24K |
| 84484 |
|
4,003 |
2,835 |
$24K |
| 0241U |
|
732 |
685 |
$22K |
| 73562 |
|
600 |
533 |
$21K |
| 82728 |
|
1,622 |
1,452 |
$20K |
| 77067 |
|
297 |
278 |
$20K |
| 83880 |
|
1,255 |
1,108 |
$20K |
| 99202 |
|
281 |
205 |
$19K |
| 80307 |
|
395 |
225 |
$18K |
| G0480 |
Drug test def 1-7 classes |
356 |
209 |
$18K |
| 87389 |
|
865 |
794 |
$18K |
| 11721 |
|
3,837 |
1,923 |
$17K |
| 76817 |
|
284 |
240 |
$17K |
| 83690 |
|
3,396 |
2,867 |
$16K |
| 81025 |
|
2,242 |
1,970 |
$16K |
| 80050 |
|
1,014 |
950 |
$16K |
| 93356 |
|
44 |
39 |
$16K |
| 81000 |
|
4,767 |
4,016 |
$15K |
| 83605 |
|
2,778 |
2,175 |
$15K |
| 73721 |
|
56 |
49 |
$15K |
| 97112 |
|
713 |
289 |
$14K |
| 82962 |
|
2,627 |
1,290 |
$13K |
| 87077 |
|
2,091 |
1,742 |
$13K |
| 97140 |
|
783 |
347 |
$13K |
| 71275 |
|
42 |
37 |
$12K |
| 87081 |
|
1,628 |
1,502 |
$12K |
| 36415 |
|
21,398 |
16,720 |
$12K |
| 85610 |
|
2,830 |
2,027 |
$11K |
| 77063 |
|
218 |
201 |
$11K |
| 87186 |
|
1,827 |
1,555 |
$11K |
| 83735 |
|
2,575 |
2,094 |
$10K |
| 86850 |
|
1,316 |
1,182 |
$10K |
| 99203 |
|
343 |
224 |
$10K |
| 87808 |
|
764 |
658 |
$10K |
| 84702 |
|
645 |
419 |
$9K |
| 73030 |
|
273 |
243 |
$9K |
| 80306 |
|
619 |
521 |
$8K |
| 87070 |
|
908 |
785 |
$7K |
| 87905 |
|
767 |
660 |
$7K |
| 86803 |
|
596 |
556 |
$7K |
| 84703 |
|
820 |
740 |
$7K |
| 72125 |
|
71 |
60 |
$7K |
| 82077 |
|
733 |
628 |
$6K |
| 84145 |
|
536 |
466 |
$6K |
| 86618 |
|
226 |
169 |
$6K |
| 86780 |
|
576 |
532 |
$5K |
| 88305 |
|
705 |
489 |
$5K |
| 83550 |
|
736 |
679 |
$5K |
| 87040 |
|
1,025 |
613 |
$5K |
| 71045 |
|
2,957 |
2,600 |
$5K |
| 82607 |
|
392 |
363 |
$5K |
| 84439 |
|
561 |
504 |
$5K |
| 83540 |
|
810 |
743 |
$5K |
| 97535 |
|
356 |
130 |
$4K |
| 82570 |
|
934 |
841 |
$4K |
| 86140 |
|
1,062 |
849 |
$4K |
| 87220 |
|
867 |
749 |
$4K |
| 87653 |
|
101 |
92 |
$4K |
| 96374 |
|
4,963 |
4,189 |
$4K |
| 76705 |
|
28 |
25 |
$4K |
| 96372 |
|
2,834 |
2,134 |
$3K |
| 0352U |
|
320 |
290 |
$3K |
| 85379 |
|
525 |
483 |
$3K |
| 87340 |
|
326 |
305 |
$3K |
| 81001 |
|
1,350 |
1,144 |
$3K |
| 86900 |
|
1,086 |
981 |
$3K |
| 92567 |
|
57 |
55 |
$3K |
| 86901 |
|
1,087 |
982 |
$2K |
| 73502 |
|
67 |
57 |
$2K |
| 73130 |
|
74 |
64 |
$2K |
| 96375 |
|
4,336 |
3,511 |
$2K |
| 81003 |
|
1,316 |
1,144 |
$2K |
| 93017 |
|
17 |
13 |
$2K |
| 86762 |
|
150 |
138 |
$2K |
| 80076 |
|
249 |
226 |
$2K |
| 76815 |
|
14 |
12 |
$2K |
| 73110 |
|
46 |
36 |
$1K |
| 82043 |
|
306 |
288 |
$1K |
| 85730 |
|
409 |
375 |
$1K |
| 97166 |
|
37 |
34 |
$1K |
| 80179 |
|
108 |
88 |
$885.13 |
| 85651 |
|
330 |
277 |
$878.70 |
| 80143 |
|
111 |
89 |
$874.10 |
| 82803 |
|
66 |
49 |
$808.20 |
| 87801 |
|
17 |
15 |
$658.06 |
| 97163 |
|
18 |
16 |
$641.12 |
| 87205 |
|
237 |
205 |
$601.98 |
| J1885 |
Ketorolac tromethamine inj |
4,489 |
3,649 |
$551.35 |
| 97161 |
|
15 |
12 |
$528.48 |
| U0001 |
2019-ncov diagnostic p |
17 |
15 |
$502.74 |
| 84153 |
|
30 |
24 |
$447.92 |
| 82950 |
|
76 |
68 |
$446.93 |
| 84481 |
|
28 |
24 |
$415.50 |
| 36000 |
|
102 |
99 |
$395.22 |
| J2704 |
Inj, propofol, 10 mg |
1,965 |
1,744 |
$328.43 |
| J1100 |
Dexamethasone sodium phos |
2,584 |
2,260 |
$325.53 |
| 85652 |
|
208 |
165 |
$317.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,699 |
2,381 |
$308.69 |
| 86787 |
|
42 |
38 |
$277.78 |
| 87185 |
|
96 |
80 |
$268.92 |
| 93010 |
|
1,437 |
1,203 |
$230.13 |
| 93041 |
|
464 |
431 |
$212.38 |
| 81002 |
|
64 |
54 |
$190.47 |
| 83655 |
|
13 |
12 |
$182.12 |
| J3010 |
Fentanyl citrate injection |
2,808 |
2,105 |
$180.92 |
| 99204 |
|
48 |
25 |
$178.24 |
| J2405 |
Ondansetron hcl injection |
4,405 |
3,592 |
$160.01 |
| J3490 |
Drugs unclassified injection |
12 |
12 |
$150.64 |
| 84460 |
|
14 |
12 |
$139.05 |
| 96376 |
|
862 |
639 |
$137.04 |
| J1170 |
Hydromorphone injection |
993 |
743 |
$76.63 |
| J7120 |
Ringers lactate infusion |
2,224 |
1,899 |
$76.39 |
| J2250 |
Inj midazolam hydrochloride |
1,732 |
1,501 |
$52.00 |
| G0463 |
Hospital outpt clinic visit |
83 |
61 |
$51.74 |
| 80320 |
|
221 |
194 |
$25.80 |
| J0690 |
Cefazolin sodium injection |
965 |
729 |
$24.61 |
| J1200 |
Diphenhydramine hcl injectio |
545 |
478 |
$18.87 |
| J2765 |
Metoclopramide hcl injection |
293 |
256 |
$9.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
318 |
274 |
$5.14 |
| J0696 |
Ceftriaxone sodium injection |
513 |
238 |
$4.07 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
15 |
12 |
$2.16 |
| A9270 |
Non-covered item or service |
6,041 |
1,192 |
$0.00 |
| J2060 |
Lorazepam injection |
60 |
49 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
26 |
18 |
$0.00 |
| J1790 |
Droperidol injection |
28 |
27 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
13 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
15 |
12 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
13 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
79 |
70 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| A9578 |
Inj multihance multipack |
17 |
17 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
12 |
12 |
$0.00 |