| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,620 |
12,742 |
$4.18M |
| 99284 |
|
8,504 |
7,204 |
$3.72M |
| 74177 |
|
2,213 |
2,017 |
$3.19M |
| G0378 |
Hospital observation per hr |
2,483 |
1,979 |
$2.59M |
| 99285 |
|
4,317 |
3,698 |
$2.57M |
| 70450 |
|
2,818 |
2,474 |
$1.74M |
| 93005 |
|
10,028 |
7,379 |
$1.04M |
| 99282 |
|
5,962 |
5,226 |
$950K |
| 96365 |
|
4,991 |
3,495 |
$912K |
| 96375 |
|
5,994 |
4,651 |
$722K |
| 96374 |
|
5,586 |
4,753 |
$609K |
| 72125 |
|
1,023 |
900 |
$600K |
| 97530 |
|
4,168 |
1,430 |
$576K |
| 71046 |
|
4,207 |
3,723 |
$573K |
| 93306 |
|
587 |
546 |
$421K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,716 |
2,680 |
$418K |
| 0241U |
|
4,246 |
3,785 |
$349K |
| 87635 |
|
7,789 |
5,688 |
$349K |
| 92507 |
|
3,307 |
1,016 |
$294K |
| G0480 |
Drug test def 1-7 classes |
4,449 |
3,533 |
$261K |
| 71045 |
|
2,095 |
1,799 |
$242K |
| 96376 |
|
1,936 |
1,601 |
$175K |
| 97112 |
|
1,187 |
366 |
$168K |
| 99291 |
|
298 |
266 |
$165K |
| U0005 |
Infec agen detec ampli probe |
6,853 |
4,904 |
$151K |
| J3490 |
Drugs unclassified injection |
10,299 |
4,307 |
$148K |
| 96372 |
|
2,675 |
2,100 |
$140K |
| 94640 |
|
881 |
607 |
$140K |
| 88305 |
|
865 |
795 |
$139K |
| 96366 |
|
960 |
493 |
$138K |
| 74176 |
|
105 |
98 |
$129K |
| 87631 |
|
1,103 |
987 |
$125K |
| 96361 |
|
1,800 |
1,506 |
$111K |
| 85025 |
|
19,124 |
14,529 |
$103K |
| 76705 |
|
426 |
394 |
$90K |
| 71275 |
|
83 |
79 |
$87K |
| 80053 |
|
10,211 |
7,943 |
$76K |
| 80047 |
|
7,140 |
5,766 |
$60K |
| 99281 |
|
610 |
555 |
$55K |
| 84484 |
|
6,765 |
4,318 |
$49K |
| J2704 |
Inj, propofol, 10 mg |
3,637 |
2,369 |
$42K |
| 80307 |
|
765 |
640 |
$42K |
| 96360 |
|
286 |
263 |
$34K |
| 83880 |
|
1,577 |
1,359 |
$33K |
| 80076 |
|
6,196 |
5,234 |
$32K |
| 83690 |
|
6,545 |
5,394 |
$32K |
| 84443 |
|
2,582 |
2,308 |
$31K |
| J7030 |
Normal saline solution infus |
1,782 |
1,305 |
$29K |
| J3010 |
Fentanyl citrate injection |
3,769 |
2,368 |
$28K |
| J1885 |
Ketorolac tromethamine inj |
3,764 |
2,968 |
$28K |
| 84703 |
|
4,454 |
3,868 |
$28K |
| 83735 |
|
6,095 |
4,748 |
$28K |
| J3475 |
Inj magnesium sulfate |
1,758 |
1,258 |
$27K |
| 97140 |
|
342 |
108 |
$27K |
| 83605 |
|
3,533 |
2,774 |
$26K |
| J1170 |
Hydromorphone injection |
3,123 |
1,745 |
$23K |
| 80305 |
|
2,542 |
2,218 |
$23K |
| 96367 |
|
341 |
250 |
$21K |
| J2405 |
Ondansetron hcl injection |
3,316 |
2,527 |
$20K |
| J1100 |
Dexamethasone sodium phos |
2,409 |
1,715 |
$19K |
| 73610 |
|
115 |
103 |
$18K |
| 80048 |
|
2,734 |
2,294 |
$15K |
| 97535 |
|
272 |
167 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
2,173 |
1,646 |
$15K |
| 87040 |
|
1,431 |
994 |
$15K |
| 81001 |
|
6,376 |
5,514 |
$14K |
| 76857 |
|
73 |
64 |
$14K |
| J2060 |
Lorazepam injection |
1,657 |
1,199 |
$14K |
| 87086 |
|
2,243 |
2,004 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
662 |
501 |
$13K |
| 82803 |
|
786 |
662 |
$12K |
| 90471 |
|
308 |
291 |
$11K |
| 73030 |
|
70 |
63 |
$11K |
| 45380 |
|
27 |
24 |
$11K |
| 59050 |
|
38 |
27 |
$11K |
| 73630 |
|
82 |
70 |
$11K |
| 71260 |
|
18 |
13 |
$10K |
| 87651 |
|
301 |
284 |
$9K |
| J0690 |
Cefazolin sodium injection |
558 |
408 |
$9K |
| J2550 |
Promethazine hcl injection |
1,422 |
974 |
$9K |
| G0379 |
Direct refer hospital observ |
39 |
29 |
$9K |
| 73562 |
|
48 |
44 |
$9K |
| 87491 |
|
226 |
211 |
$8K |
| 87591 |
|
226 |
211 |
$8K |
| 82805 |
|
173 |
129 |
$7K |
| 87186 |
|
1,019 |
955 |
$7K |
| G0463 |
Hospital outpt clinic visit |
83 |
37 |
$7K |
| 86141 |
|
630 |
525 |
$7K |
| 82310 |
|
1,956 |
1,769 |
$6K |
| J7050 |
Normal saline solution infus |
326 |
144 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
17 |
12 |
$6K |
| 82962 |
|
2,479 |
1,481 |
$6K |
| 85610 |
|
2,099 |
1,751 |
$6K |
| 73130 |
|
30 |
25 |
$5K |
| 36415 |
|
9,440 |
7,122 |
$4K |
| 80051 |
|
833 |
722 |
$4K |
| 86318 |
|
242 |
232 |
$3K |
| J2560 |
Phenobarbital sodium inj |
688 |
311 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
313 |
254 |
$3K |
| 82565 |
|
869 |
749 |
$3K |
| 86140 |
|
776 |
638 |
$3K |
| 81003 |
|
1,803 |
1,606 |
$3K |
| 85027 |
|
585 |
461 |
$3K |
| 82947 |
|
852 |
740 |
$2K |
| 84520 |
|
868 |
749 |
$2K |
| 85379 |
|
313 |
292 |
$2K |
| 97110 |
|
50 |
28 |
$2K |
| 73110 |
|
14 |
12 |
$2K |
| 87070 |
|
272 |
244 |
$2K |
| 97162 |
|
44 |
40 |
$2K |
| 90715 |
|
69 |
66 |
$2K |
| 86850 |
|
283 |
241 |
$1K |
| 83036 |
|
208 |
180 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
106 |
65 |
$1K |
| 94664 |
|
16 |
14 |
$1K |
| J2270 |
Morphine sulfate injection |
249 |
159 |
$1K |
| 12001 |
|
14 |
13 |
$1K |
| 80061 |
|
108 |
97 |
$1K |
| 10060 |
|
13 |
12 |
$957.96 |
| 86901 |
|
487 |
413 |
$891.97 |
| J2001 |
Lidocaine injection |
224 |
182 |
$819.47 |
| G9035 |
Oseltamivir phosp, brand |
21 |
17 |
$654.94 |
| 86900 |
|
332 |
283 |
$584.02 |
| 82306 |
|
33 |
27 |
$500.87 |
| 87205 |
|
144 |
123 |
$493.38 |
| 84439 |
|
68 |
64 |
$431.65 |
| J2765 |
Metoclopramide hcl injection |
72 |
58 |
$408.23 |
| 85651 |
|
128 |
116 |
$381.41 |
| 84702 |
|
16 |
12 |
$286.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
29 |
$244.37 |
| 87077 |
|
30 |
26 |
$169.68 |
| J1200 |
Diphenhydramine hcl injectio |
18 |
16 |
$153.92 |
| J3480 |
Inj potassium chloride |
25 |
12 |
$130.28 |
| J8499 |
Oral prescrip drug non chemo |
3,903 |
3,034 |
$124.25 |
| 87147 |
|
27 |
25 |
$121.41 |
| 85730 |
|
34 |
28 |
$101.87 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
31 |
29 |
$98.40 |
| 82374 |
|
24 |
23 |
$92.31 |
| 84295 |
|
24 |
23 |
$90.95 |
| U0003 |
Cov-19 amp prb hgh thruput |
41 |
38 |
$90.07 |
| 84436 |
|
15 |
14 |
$88.14 |
| 84132 |
|
24 |
23 |
$86.87 |
| 82435 |
|
24 |
23 |
$86.87 |
| J7512 |
Prednisone ir or dr oral 1mg |
51 |
36 |
$77.61 |
| 84479 |
|
14 |
13 |
$76.10 |
| 82248 |
|
16 |
14 |
$72.41 |
| A9270 |
Non-covered item or service |
50,617 |
15,965 |
$63.93 |
| 87210 |
|
14 |
13 |
$52.09 |
| 87088 |
|
12 |
12 |
$49.95 |
| J0330 |
Succinycholine chloride inj |
17 |
12 |
$18.16 |
| G1004 |
Cdsm ndsc |
40 |
37 |
$0.00 |
| 0353U |
|
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
174 |
156 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
41 |
27 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
95 |
86 |
$0.00 |
| 80320 |
|
22 |
16 |
$0.00 |
| J7999 |
Compounded drug, noc |
47 |
27 |
$0.00 |