| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,826 |
16,929 |
$3.08M |
| 99283 |
|
15,159 |
13,115 |
$1.99M |
| 96361 |
|
5,002 |
3,920 |
$1.17M |
| 99285 |
|
8,692 |
7,392 |
$1.07M |
| 74177 |
|
2,396 |
2,188 |
$496K |
| 70450 |
|
2,605 |
2,280 |
$438K |
| 99282 |
|
2,839 |
2,589 |
$385K |
| 74176 |
|
1,966 |
1,751 |
$383K |
| 0241U |
|
6,120 |
5,580 |
$308K |
| G0463 |
Hospital outpt clinic visit |
2,515 |
1,931 |
$205K |
| 97110 |
|
4,149 |
963 |
$186K |
| 96365 |
|
2,033 |
1,587 |
$168K |
| 96360 |
|
1,261 |
1,094 |
$130K |
| 80307 |
|
3,126 |
2,715 |
$126K |
| 99291 |
|
685 |
625 |
$122K |
| 99212 |
|
804 |
675 |
$111K |
| 80053 |
|
24,214 |
18,886 |
$111K |
| 94640 |
|
2,437 |
1,605 |
$107K |
| G0378 |
Hospital observation per hr |
953 |
752 |
$83K |
| 93306 |
|
188 |
183 |
$61K |
| 71046 |
|
3,854 |
3,448 |
$46K |
| 77067 |
|
1,028 |
994 |
$45K |
| 36415 |
|
17,443 |
12,557 |
$34K |
| 85025 |
|
25,055 |
19,252 |
$31K |
| 72100 |
|
1,264 |
1,172 |
$26K |
| 87040 |
|
3,987 |
2,040 |
$23K |
| 73562 |
|
1,574 |
1,312 |
$22K |
| 82306 |
|
1,590 |
1,445 |
$20K |
| 84443 |
|
4,780 |
4,267 |
$19K |
| 83880 |
|
2,627 |
2,125 |
$18K |
| 96366 |
|
72 |
51 |
$16K |
| 93005 |
|
7,863 |
5,926 |
$15K |
| 80048 |
|
3,101 |
2,517 |
$15K |
| 73130 |
|
1,142 |
993 |
$14K |
| 76705 |
|
144 |
131 |
$13K |
| G0480 |
Drug test def 1-7 classes |
1,248 |
1,061 |
$13K |
| 73610 |
|
1,071 |
927 |
$13K |
| 80061 |
|
2,472 |
2,278 |
$13K |
| 73630 |
|
1,151 |
995 |
$12K |
| 73030 |
|
742 |
667 |
$12K |
| 80329 |
|
1,135 |
531 |
$12K |
| 71250 |
|
164 |
156 |
$12K |
| 71045 |
|
5,454 |
4,502 |
$10K |
| 84484 |
|
7,011 |
4,806 |
$10K |
| 96372 |
|
6,457 |
5,147 |
$10K |
| 83036 |
|
2,130 |
1,989 |
$10K |
| 73110 |
|
507 |
429 |
$9K |
| 82607 |
|
1,869 |
1,681 |
$9K |
| J3490 |
Drugs unclassified injection |
1,610 |
1,226 |
$8K |
| 96374 |
|
8,560 |
7,100 |
$7K |
| 96413 |
|
50 |
30 |
$6K |
| 71275 |
|
28 |
27 |
$6K |
| 72125 |
|
113 |
105 |
$6K |
| 97035 |
|
107 |
36 |
$5K |
| 85027 |
|
2,499 |
2,155 |
$5K |
| 82728 |
|
1,468 |
1,297 |
$5K |
| 95811 |
|
13 |
12 |
$5K |
| 74018 |
|
428 |
387 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
217 |
212 |
$4K |
| 80320 |
|
775 |
631 |
$4K |
| 81001 |
|
7,358 |
6,356 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
660 |
593 |
$3K |
| 90715 |
|
196 |
186 |
$3K |
| 83605 |
|
3,159 |
2,416 |
$3K |
| 83550 |
|
754 |
705 |
$3K |
| 84439 |
|
541 |
488 |
$3K |
| 12001 |
|
13 |
13 |
$3K |
| 96375 |
|
5,769 |
4,506 |
$3K |
| 87635 |
|
183 |
149 |
$3K |
| 83690 |
|
5,441 |
4,576 |
$3K |
| 83540 |
|
1,394 |
1,254 |
$2K |
| 83735 |
|
3,127 |
2,357 |
$2K |
| 86140 |
|
990 |
851 |
$2K |
| J2405 |
Ondansetron hcl injection |
4,482 |
3,623 |
$2K |
| 81003 |
|
4,666 |
4,061 |
$2K |
| 71260 |
|
16 |
15 |
$2K |
| M0243 |
Casirivi and imdevi inj |
15 |
13 |
$2K |
| 85379 |
|
432 |
387 |
$2K |
| 99281 |
|
16 |
13 |
$2K |
| 85610 |
|
1,722 |
1,247 |
$2K |
| 73502 |
|
151 |
130 |
$2K |
| 72148 |
|
14 |
13 |
$1K |
| 87086 |
|
1,482 |
1,308 |
$1K |
| 87088 |
|
1,053 |
876 |
$1K |
| J3010 |
Fentanyl citrate injection |
216 |
187 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,604 |
3,253 |
$1K |
| 87186 |
|
1,177 |
1,023 |
$1K |
| 97140 |
|
326 |
91 |
$1K |
| 93971 |
|
16 |
13 |
$1K |
| 81025 |
|
2,435 |
2,200 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
496 |
409 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
5,072 |
4,288 |
$1K |
| 97014 |
|
82 |
25 |
$1K |
| 82570 |
|
359 |
328 |
$1K |
| 87077 |
|
1,923 |
1,750 |
$1K |
| 80143 |
|
503 |
453 |
$990.95 |
| 87804 |
|
3,514 |
1,597 |
$923.59 |
| 96523 |
|
15 |
12 |
$851.39 |
| Q0162 |
Ondansetron oral |
1,074 |
896 |
$805.82 |
| 82043 |
|
267 |
254 |
$666.89 |
| 85651 |
|
433 |
367 |
$646.52 |
| 96376 |
|
1,718 |
1,209 |
$632.83 |
| 87880 |
|
1,868 |
1,758 |
$606.61 |
| 90471 |
|
279 |
244 |
$593.70 |
| J0696 |
Ceftriaxone sodium injection |
2,726 |
2,168 |
$548.40 |
| 97162 |
|
41 |
38 |
$533.43 |
| 82746 |
|
236 |
211 |
$504.95 |
| 73080 |
|
42 |
38 |
$498.67 |
| 80179 |
|
492 |
444 |
$483.40 |
| 85652 |
|
563 |
463 |
$478.40 |
| 87522 |
Neg quan hep c or qual rna |
24 |
14 |
$430.34 |
| 84466 |
|
498 |
418 |
$415.08 |
| 82140 |
|
284 |
225 |
$385.72 |
| 0202U |
|
42 |
40 |
$375.96 |
| J2270 |
Morphine sulfate injection |
1,360 |
990 |
$324.65 |
| J1100 |
Dexamethasone sodium phos |
1,656 |
1,440 |
$293.19 |
| J7030 |
Normal saline solution infus |
760 |
588 |
$261.12 |
| 84703 |
|
1,092 |
990 |
$236.28 |
| 83615 |
|
359 |
269 |
$235.29 |
| 84100 |
|
286 |
227 |
$199.31 |
| 80076 |
|
15 |
13 |
$182.93 |
| 87389 |
|
13 |
12 |
$93.34 |
| J2060 |
Lorazepam injection |
79 |
62 |
$91.64 |
| J2930 |
Methylprednisolone injection |
904 |
694 |
$73.27 |
| 87081 |
|
751 |
695 |
$72.64 |
| J0780 |
Prochlorperazine injection |
1,122 |
967 |
$64.52 |
| 87651 |
|
1,462 |
1,388 |
$61.87 |
| 74022 |
|
13 |
13 |
$57.50 |
| 85007 |
|
81 |
76 |
$47.22 |
| 80074 |
|
13 |
12 |
$45.95 |
| 82803 |
|
119 |
92 |
$30.30 |
| J7613 |
Albuterol non-comp unit |
13 |
12 |
$29.83 |
| 82550 |
|
136 |
119 |
$28.68 |
| 85730 |
|
54 |
49 |
$25.66 |
| 82533 |
|
19 |
13 |
$22.66 |
| J2360 |
Orphenadrine injection |
390 |
333 |
$21.13 |
| J8540 |
Oral dexamethasone |
101 |
77 |
$19.58 |
| J2550 |
Promethazine hcl injection |
249 |
176 |
$16.85 |
| J1642 |
Inj heparin sodium per 10 u |
323 |
222 |
$15.72 |
| 85045 |
|
15 |
15 |
$15.51 |
| 87807 |
|
130 |
124 |
$13.58 |
| J1200 |
Diphenhydramine hcl injectio |
192 |
167 |
$12.67 |
| J7040 |
Normal saline solution infus |
95 |
81 |
$9.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
79 |
64 |
$4.20 |
| J2250 |
Inj midazolam hydrochloride |
31 |
29 |
$3.24 |
| J7050 |
Normal saline solution infus |
50 |
30 |
$2.95 |
| J1170 |
Hydromorphone injection |
25 |
12 |
$2.67 |
| J7120 |
Ringers lactate infusion |
49 |
38 |
$1.85 |
| C9113 |
Inj pantoprazole sodium, via |
19 |
14 |
$1.13 |
| J1650 |
Inj enoxaparin sodium |
17 |
12 |
$1.12 |
| J2919 |
Inj, methylpred sod succ 5mg |
77 |
67 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
76 |
62 |
$0.00 |
| 87811 |
|
15 |
15 |
$0.00 |
| 94760 |
|
306 |
140 |
$0.00 |
| A9270 |
Non-covered item or service |
41 |
28 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
78 |
69 |
$0.00 |
| 82150 |
|
17 |
14 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
15 |
14 |
$0.00 |