| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
10,742 |
9,707 |
$1.26M |
| 99284 |
|
5,532 |
4,751 |
$643K |
| 74177 |
|
2,729 |
2,237 |
$352K |
| 87426 |
|
9,524 |
8,421 |
$304K |
| 70450 |
|
2,700 |
2,248 |
$244K |
| 80053 |
|
15,218 |
12,291 |
$228K |
| 87804 |
|
9,820 |
8,577 |
$211K |
| 85025 |
|
17,253 |
13,296 |
$118K |
| 80048 |
|
6,489 |
5,005 |
$81K |
| 87430 |
|
6,400 |
5,817 |
$80K |
| 96374 |
|
2,397 |
1,863 |
$72K |
| 93005 |
|
7,020 |
5,100 |
$69K |
| 59025 |
|
482 |
304 |
$68K |
| 97110 |
|
2,308 |
680 |
$64K |
| 99282 |
|
977 |
857 |
$63K |
| 80306 |
|
3,975 |
2,997 |
$59K |
| 80307 |
|
891 |
704 |
$53K |
| 81001 |
|
14,957 |
11,869 |
$50K |
| 71045 |
|
6,316 |
5,224 |
$48K |
| 83880 |
|
1,360 |
1,087 |
$46K |
| 81025 |
|
5,947 |
4,880 |
$44K |
| 72125 |
|
384 |
315 |
$43K |
| 84484 |
|
5,590 |
3,797 |
$43K |
| J1100 |
Dexamethasone sodium phos |
2,993 |
2,424 |
$37K |
| U0003 |
Cov-19 amp prb hgh thruput |
543 |
475 |
$36K |
| 71046 |
|
1,980 |
1,699 |
$34K |
| 74176 |
|
495 |
392 |
$32K |
| 83690 |
|
5,047 |
4,080 |
$32K |
| 96372 |
|
1,592 |
1,124 |
$30K |
| 87086 |
|
3,951 |
2,985 |
$30K |
| 99285 |
|
1,189 |
955 |
$28K |
| J2405 |
Ondansetron hcl injection |
5,148 |
3,909 |
$26K |
| 85027 |
|
5,236 |
4,285 |
$25K |
| 87081 |
|
2,657 |
2,401 |
$24K |
| 99281 |
|
473 |
413 |
$24K |
| 36415 |
|
2,089 |
1,432 |
$22K |
| 82077 |
|
1,371 |
1,034 |
$20K |
| 96375 |
|
1,455 |
1,002 |
$20K |
| 87807 |
|
1,562 |
1,421 |
$18K |
| J0696 |
Ceftriaxone sodium injection |
1,885 |
1,429 |
$17K |
| 73630 |
|
729 |
608 |
$16K |
| 84443 |
|
1,910 |
1,641 |
$15K |
| 82962 |
|
3,246 |
1,539 |
$15K |
| 86901 |
|
984 |
706 |
$14K |
| 87040 |
|
1,691 |
792 |
$14K |
| 73610 |
|
780 |
662 |
$14K |
| 96361 |
|
914 |
625 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
4,674 |
3,755 |
$12K |
| 73130 |
|
452 |
392 |
$10K |
| 83605 |
|
1,185 |
841 |
$10K |
| 80061 |
|
1,664 |
1,463 |
$10K |
| 80143 |
|
527 |
403 |
$9K |
| 80179 |
|
540 |
412 |
$8K |
| 73562 |
|
289 |
246 |
$8K |
| 73110 |
|
371 |
313 |
$8K |
| 83036 |
|
1,542 |
1,321 |
$8K |
| 96365 |
|
341 |
225 |
$7K |
| 83735 |
|
1,533 |
1,167 |
$7K |
| 93970 |
|
328 |
244 |
$7K |
| 87491 |
|
168 |
138 |
$7K |
| 73030 |
|
349 |
276 |
$7K |
| 87591 |
|
169 |
139 |
$6K |
| 86850 |
|
645 |
466 |
$6K |
| 85610 |
|
2,311 |
1,690 |
$5K |
| 87088 |
|
645 |
515 |
$5K |
| 90715 |
|
404 |
307 |
$5K |
| 73721 |
|
15 |
12 |
$3K |
| 87077 |
|
371 |
284 |
$3K |
| 90471 |
|
490 |
381 |
$3K |
| 85730 |
|
736 |
606 |
$3K |
| 71020 |
|
191 |
181 |
$3K |
| 97161 |
|
105 |
80 |
$3K |
| 96376 |
|
81 |
49 |
$2K |
| 43235 |
|
21 |
12 |
$2K |
| 74018 |
|
111 |
96 |
$2K |
| 86900 |
|
813 |
580 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
580 |
487 |
$2K |
| 71010 |
|
297 |
267 |
$2K |
| 87186 |
|
272 |
216 |
$1K |
| 86140 |
|
230 |
183 |
$1K |
| J0690 |
Cefazolin sodium injection |
1,458 |
941 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
1,775 |
1,367 |
$1K |
| 85379 |
|
125 |
107 |
$1K |
| 84702 |
|
138 |
104 |
$984.37 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,920 |
1,518 |
$977.70 |
| 73502 |
|
62 |
49 |
$876.77 |
| 97162 |
|
17 |
12 |
$741.60 |
| 82150 |
|
102 |
83 |
$725.21 |
| 80076 |
|
50 |
39 |
$690.06 |
| J3010 |
Fentanyl citrate injection |
2,047 |
1,558 |
$666.35 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
20 |
12 |
$542.43 |
| J2270 |
Morphine sulfate injection |
1,384 |
1,043 |
$519.87 |
| J2001 |
Lidocaine injection |
934 |
702 |
$453.76 |
| 73140 |
|
12 |
12 |
$386.51 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
81 |
61 |
$366.02 |
| J2930 |
Methylprednisolone injection |
245 |
206 |
$352.07 |
| J2704 |
Inj, propofol, 10 mg |
2,103 |
1,564 |
$319.22 |
| 96360 |
|
34 |
27 |
$284.39 |
| 73090 |
|
14 |
12 |
$282.39 |
| J2550 |
Promethazine hcl injection |
330 |
263 |
$247.85 |
| 74000 |
|
15 |
14 |
$240.00 |
| J1170 |
Hydromorphone injection |
1,102 |
771 |
$229.36 |
| J0171 |
Adrenalin epinephrine inject |
129 |
99 |
$192.26 |
| J2060 |
Lorazepam injection |
206 |
165 |
$190.20 |
| J1200 |
Diphenhydramine hcl injectio |
253 |
200 |
$172.67 |
| 73560 |
|
17 |
12 |
$166.27 |
| J1650 |
Inj enoxaparin sodium |
17 |
13 |
$141.28 |
| 82803 |
|
16 |
13 |
$110.52 |
| 87070 |
|
14 |
12 |
$104.21 |
| 94760 |
|
21 |
13 |
$56.00 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$54.15 |
| J2765 |
Metoclopramide hcl injection |
119 |
79 |
$43.51 |
| 84439 |
|
12 |
12 |
$38.64 |
| J2710 |
Neostigmine methylslfte inj |
83 |
67 |
$30.41 |
| J1040 |
Methylprednisolone 80 mg inj |
87 |
68 |
$27.85 |
| Q0162 |
Ondansetron oral |
899 |
788 |
$26.77 |
| J2470 |
Inj pantoprazole sodium 40mg |
33 |
25 |
$20.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
36 |
26 |
$15.66 |
| 94640 |
|
42 |
37 |
$12.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
50 |
34 |
$4.50 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
64 |
40 |
$1.86 |
| J7030 |
Normal saline solution infus |
445 |
311 |
$0.00 |
| 97116 |
|
26 |
14 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
66 |
54 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
21 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
129 |
96 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
39 |
17 |
$0.00 |
| 99214 |
|
229 |
154 |
$0.00 |
| G0378 |
Hospital observation per hr |
71 |
50 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
34 |
27 |
$0.00 |
| 87635 |
|
14 |
13 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
18 |
13 |
$0.00 |