| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,251 |
22,805 |
$1.74M |
| 99283 |
|
30,569 |
28,045 |
$1.54M |
| 99285 |
|
4,733 |
4,192 |
$379K |
| 71046 |
|
5,421 |
4,979 |
$270K |
| 87637 |
|
2,597 |
2,371 |
$261K |
| 85025 |
|
40,112 |
35,110 |
$222K |
| 80053 |
|
28,828 |
24,986 |
$205K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,844 |
2,680 |
$191K |
| 70450 |
|
1,319 |
1,170 |
$169K |
| 99282 |
|
3,953 |
3,718 |
$167K |
| 93005 |
|
6,690 |
5,998 |
$154K |
| 74177 |
|
473 |
421 |
$151K |
| 87591 |
|
3,188 |
2,929 |
$106K |
| 96374 |
|
4,765 |
3,678 |
$98K |
| 87491 |
|
2,915 |
2,668 |
$95K |
| 96372 |
|
7,045 |
5,544 |
$74K |
| 84443 |
|
4,989 |
4,506 |
$71K |
| 36415 |
|
26,784 |
23,695 |
$67K |
| G0378 |
Hospital observation per hr |
481 |
372 |
$53K |
| 71045 |
|
2,125 |
1,878 |
$50K |
| 80307 |
|
1,091 |
907 |
$48K |
| 87086 |
|
6,434 |
5,855 |
$45K |
| 69436 |
|
97 |
87 |
$36K |
| 96375 |
|
2,893 |
2,112 |
$33K |
| 84484 |
|
4,597 |
3,728 |
$29K |
| 81025 |
|
5,125 |
4,572 |
$28K |
| 82306 |
|
1,346 |
1,276 |
$28K |
| 87502 |
|
364 |
348 |
$28K |
| 87389 |
|
1,305 |
1,200 |
$28K |
| 96361 |
|
2,247 |
1,510 |
$26K |
| 59025 |
|
771 |
588 |
$25K |
| 86850 |
|
2,430 |
2,222 |
$25K |
| 93306 |
|
383 |
358 |
$25K |
| 87880 |
|
1,581 |
1,503 |
$23K |
| 83655 |
|
1,837 |
1,737 |
$22K |
| 80061 |
|
1,903 |
1,760 |
$21K |
| 87804 |
|
1,652 |
1,503 |
$21K |
| 99281 |
|
645 |
621 |
$19K |
| 83036 |
|
2,735 |
2,480 |
$19K |
| 86710 |
|
1,524 |
1,377 |
$19K |
| 87661 |
|
589 |
544 |
$19K |
| 87651 |
|
642 |
595 |
$18K |
| 81001 |
|
8,234 |
7,465 |
$18K |
| 86803 |
|
1,338 |
1,235 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
9,033 |
7,928 |
$17K |
| 83970 |
|
784 |
735 |
$16K |
| 87340 |
|
1,631 |
1,522 |
$16K |
| 86593 |
|
3,870 |
3,577 |
$16K |
| 43239 |
|
133 |
85 |
$16K |
| 84439 |
|
1,800 |
1,622 |
$15K |
| 83690 |
|
2,827 |
2,559 |
$14K |
| 76830 |
|
273 |
211 |
$14K |
| 80069 |
|
2,351 |
2,162 |
$13K |
| 80050 |
|
320 |
298 |
$13K |
| 87426 |
|
322 |
310 |
$12K |
| 81003 |
|
7,467 |
6,677 |
$12K |
| 87081 |
|
1,880 |
1,636 |
$11K |
| 83001 |
|
632 |
589 |
$11K |
| 84146 |
|
548 |
488 |
$10K |
| C9399 |
Unclassified drugs or biolog |
10,175 |
6,910 |
$10K |
| 87635 |
|
265 |
210 |
$9K |
| 96365 |
|
372 |
310 |
$9K |
| 86762 |
|
636 |
591 |
$9K |
| 94640 |
|
572 |
431 |
$8K |
| 83880 |
|
431 |
395 |
$8K |
| 76805 |
|
109 |
83 |
$7K |
| 83735 |
|
1,799 |
1,540 |
$6K |
| 82951 |
|
560 |
475 |
$6K |
| 86140 |
|
1,639 |
1,508 |
$6K |
| 84702 |
|
468 |
369 |
$6K |
| 83020 |
|
458 |
438 |
$6K |
| 85379 |
|
975 |
891 |
$6K |
| 83605 |
|
885 |
738 |
$5K |
| 82043 |
|
1,531 |
1,426 |
$5K |
| 97110 |
|
863 |
182 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,677 |
3,136 |
$5K |
| J7120 |
Ringers lactate infusion |
1,596 |
1,266 |
$5K |
| 86787 |
|
410 |
366 |
$5K |
| 87070 |
|
516 |
500 |
$5K |
| 86703 |
|
434 |
416 |
$5K |
| 82652 |
|
512 |
433 |
$5K |
| G0480 |
Drug test def 1-7 classes |
67 |
57 |
$4K |
| 82570 |
|
1,190 |
1,112 |
$4K |
| J7030 |
Normal saline solution infus |
762 |
654 |
$4K |
| 0011A |
|
295 |
137 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,522 |
1,367 |
$4K |
| 76817 |
|
61 |
53 |
$4K |
| 84144 |
|
191 |
167 |
$3K |
| 45378 |
|
12 |
12 |
$3K |
| J0780 |
Prochlorperazine injection |
593 |
526 |
$3K |
| 0012A |
|
184 |
127 |
$3K |
| 82947 |
|
667 |
624 |
$3K |
| 72125 |
|
16 |
14 |
$3K |
| 83002 |
|
146 |
140 |
$3K |
| 82105 |
|
134 |
130 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
632 |
528 |
$2K |
| 84156 |
|
740 |
653 |
$2K |
| 87040 |
|
378 |
227 |
$2K |
| 86696 |
|
116 |
104 |
$2K |
| 76801 |
|
26 |
26 |
$2K |
| 71260 |
|
12 |
12 |
$2K |
| 83721 |
|
306 |
229 |
$2K |
| 86901 |
|
549 |
483 |
$2K |
| 87807 |
|
92 |
89 |
$1K |
| 0001A |
|
36 |
35 |
$1K |
| 0002A |
|
37 |
34 |
$1K |
| 80178 |
|
274 |
253 |
$1K |
| J2360 |
Orphenadrine injection |
294 |
251 |
$1K |
| 82607 |
|
93 |
88 |
$1K |
| 82746 |
|
92 |
87 |
$1K |
| 73630 |
|
32 |
25 |
$1K |
| G0379 |
Direct refer hospital observ |
20 |
18 |
$1K |
| 86900 |
|
318 |
304 |
$963.84 |
| 82728 |
|
75 |
71 |
$922.56 |
| 36416 |
|
612 |
486 |
$894.80 |
| 85018 |
|
407 |
389 |
$870.40 |
| 82550 |
|
199 |
177 |
$857.35 |
| 96376 |
|
122 |
39 |
$844.65 |
| 87634 |
|
12 |
12 |
$844.50 |
| 82962 |
|
361 |
263 |
$816.41 |
| 96360 |
|
66 |
49 |
$769.36 |
| 80048 |
|
106 |
97 |
$729.51 |
| 87798 |
|
16 |
16 |
$640.50 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
14 |
$618.00 |
| 83550 |
|
73 |
72 |
$595.88 |
| 87428 |
|
32 |
29 |
$538.47 |
| 84100 |
|
189 |
167 |
$494.24 |
| 73610 |
|
12 |
12 |
$430.76 |
| J2765 |
Metoclopramide hcl injection |
530 |
485 |
$424.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,765 |
2,565 |
$353.84 |
| 83540 |
|
72 |
71 |
$347.60 |
| 86695 |
|
35 |
28 |
$343.72 |
| 73560 |
|
12 |
12 |
$332.64 |
| 86592 |
|
52 |
51 |
$304.25 |
| 76775 |
|
13 |
12 |
$293.96 |
| J3301 |
Triamcinolone acet inj nos |
101 |
87 |
$290.67 |
| 73564 |
|
17 |
12 |
$271.24 |
| Q0162 |
Ondansetron oral |
94 |
89 |
$250.60 |
| J2704 |
Inj, propofol, 10 mg |
3,835 |
2,986 |
$199.51 |
| J0702 |
Betamethasone acet&sod phosp |
68 |
61 |
$189.46 |
| J1100 |
Dexamethasone sodium phos |
223 |
199 |
$183.74 |
| 82150 |
|
34 |
30 |
$148.59 |
| 84134 |
|
32 |
24 |
$143.29 |
| 82552 |
|
15 |
14 |
$120.77 |
| J2270 |
Morphine sulfate injection |
87 |
67 |
$116.83 |
| J2001 |
Lidocaine injection |
1,722 |
1,304 |
$115.40 |
| J1200 |
Diphenhydramine hcl injectio |
110 |
92 |
$109.67 |
| J2175 |
Meperidine hydrochl /100 mg |
62 |
51 |
$90.74 |
| 82310 |
|
60 |
49 |
$72.64 |
| 81000 |
|
37 |
31 |
$72.03 |
| J3010 |
Fentanyl citrate injection |
879 |
760 |
$57.62 |
| 85652 |
|
33 |
25 |
$56.82 |
| 85045 |
|
12 |
12 |
$53.84 |
| J3490 |
Drugs unclassified injection |
15 |
13 |
$52.44 |
| J7510 |
Prednisolone oral per 5 mg |
442 |
347 |
$50.62 |
| J2930 |
Methylprednisolone injection |
18 |
13 |
$45.86 |
| J2710 |
Neostigmine methylslfte inj |
89 |
77 |
$44.63 |
| J2250 |
Inj midazolam hydrochloride |
877 |
759 |
$26.32 |
| J2060 |
Lorazepam injection |
14 |
12 |
$25.99 |
| J1170 |
Hydromorphone injection |
50 |
43 |
$25.92 |
| 85730 |
|
37 |
37 |
$24.10 |
| 85610 |
|
50 |
49 |
$21.49 |
| 91301 |
|
305 |
214 |
$1.60 |
| A9270 |
Non-covered item or service |
883 |
729 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
40 |
29 |
$0.00 |
| 73502 |
|
12 |
12 |
$0.00 |
| 91300 |
|
81 |
78 |
$0.00 |
| 87631 |
|
68 |
53 |
$0.00 |
| 85014 |
|
38 |
38 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
12 |
$0.00 |