| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
20,002 |
18,294 |
$2.23M |
| 99284 |
|
10,878 |
9,518 |
$1.34M |
| 96361 |
|
4,710 |
3,752 |
$1.12M |
| 99213 |
|
12,931 |
12,003 |
$769K |
| 99285 |
|
6,754 |
5,834 |
$726K |
| 97110 |
|
6,612 |
2,160 |
$534K |
| 74177 |
|
1,791 |
1,387 |
$415K |
| 70450 |
|
1,425 |
1,210 |
$377K |
| 92507 |
|
3,715 |
1,139 |
$300K |
| 99214 |
|
3,528 |
3,245 |
$242K |
| 97530 |
|
2,815 |
722 |
$192K |
| 96365 |
|
1,499 |
952 |
$188K |
| 96360 |
|
859 |
700 |
$162K |
| 74176 |
|
548 |
442 |
$133K |
| 71275 |
|
379 |
293 |
$94K |
| 99212 |
|
2,021 |
1,830 |
$89K |
| 96366 |
|
391 |
241 |
$88K |
| 80053 |
|
11,978 |
10,044 |
$87K |
| 93306 |
|
365 |
302 |
$87K |
| 94640 |
|
898 |
533 |
$62K |
| 87635 |
|
3,156 |
2,297 |
$59K |
| 80048 |
|
7,863 |
6,805 |
$55K |
| 43239 |
|
119 |
95 |
$49K |
| 97140 |
|
2,124 |
755 |
$49K |
| 71046 |
|
2,621 |
2,362 |
$49K |
| 97161 |
|
926 |
838 |
$47K |
| 99281 |
|
405 |
354 |
$45K |
| 71260 |
|
269 |
231 |
$42K |
| 77063 |
|
703 |
646 |
$36K |
| 76856 |
|
186 |
164 |
$34K |
| 76705 |
|
309 |
275 |
$32K |
| 74018 |
|
647 |
549 |
$28K |
| G0378 |
Hospital observation per hr |
476 |
309 |
$26K |
| 99282 |
|
235 |
192 |
$26K |
| 36415 |
|
17,914 |
14,919 |
$25K |
| 85025 |
|
20,428 |
17,333 |
$23K |
| 87428 |
|
762 |
456 |
$20K |
| 99211 |
|
378 |
251 |
$20K |
| 87636 |
|
1,420 |
1,240 |
$19K |
| 76770 |
|
112 |
100 |
$19K |
| G0463 |
Hospital outpt clinic visit |
1,566 |
1,241 |
$18K |
| 87491 |
|
406 |
388 |
$17K |
| 73030 |
|
500 |
414 |
$16K |
| 99215 |
Prolong outpt/office vis |
130 |
91 |
$15K |
| 80307 |
|
953 |
790 |
$14K |
| 73630 |
|
580 |
501 |
$14K |
| 93005 |
|
8,868 |
6,977 |
$14K |
| 73610 |
|
431 |
374 |
$12K |
| 97113 |
|
113 |
41 |
$11K |
| 84484 |
|
5,357 |
3,203 |
$11K |
| 73130 |
|
424 |
358 |
$11K |
| 87591 |
|
405 |
388 |
$11K |
| 87637 |
|
353 |
305 |
$11K |
| 94060 |
|
73 |
68 |
$11K |
| 85027 |
|
1,714 |
1,388 |
$10K |
| 84443 |
|
892 |
807 |
$10K |
| 77067 |
|
703 |
646 |
$10K |
| 72100 |
|
294 |
269 |
$9K |
| 83036 |
|
553 |
527 |
$8K |
| 80076 |
|
1,657 |
1,437 |
$8K |
| 73564 |
|
242 |
209 |
$8K |
| 87651 |
|
712 |
601 |
$8K |
| 71045 |
|
4,175 |
3,560 |
$8K |
| 93971 |
|
92 |
82 |
$7K |
| 88174 |
|
576 |
558 |
$7K |
| 96367 |
|
183 |
100 |
$7K |
| 72125 |
|
468 |
391 |
$7K |
| 76536 |
|
75 |
64 |
$7K |
| 87086 |
|
1,769 |
1,485 |
$7K |
| 80061 |
|
555 |
532 |
$7K |
| 73110 |
|
234 |
200 |
$6K |
| 96372 |
|
1,588 |
1,165 |
$6K |
| 70553 |
|
33 |
27 |
$6K |
| 87631 |
|
118 |
83 |
$6K |
| 71250 |
|
62 |
59 |
$5K |
| 82607 |
|
184 |
180 |
$5K |
| 94200 |
|
76 |
72 |
$5K |
| 94726 |
|
75 |
71 |
$5K |
| 86850 |
|
166 |
158 |
$5K |
| 87880 |
|
339 |
227 |
$5K |
| 94729 |
|
76 |
72 |
$4K |
| 73562 |
|
62 |
55 |
$3K |
| 96374 |
|
6,190 |
5,146 |
$3K |
| 83605 |
|
3,145 |
2,332 |
$3K |
| 73502 |
|
154 |
132 |
$3K |
| 86900 |
|
176 |
160 |
$3K |
| 76816 |
|
13 |
13 |
$3K |
| 76805 |
|
26 |
26 |
$3K |
| 99291 |
|
23 |
16 |
$3K |
| 76000 |
|
19 |
15 |
$3K |
| 93017 |
|
31 |
27 |
$3K |
| 76642 |
|
26 |
26 |
$3K |
| 76830 |
|
122 |
106 |
$2K |
| 86780 |
|
79 |
78 |
$2K |
| 88175 |
|
86 |
85 |
$2K |
| J1610 |
Glucagon hydrochloride/1 mg |
16 |
12 |
$2K |
| 59025 |
|
18 |
13 |
$2K |
| 72110 |
|
30 |
29 |
$2K |
| 81003 |
|
3,161 |
2,783 |
$1K |
| 81001 |
|
6,728 |
5,783 |
$1K |
| 87389 |
|
53 |
52 |
$1K |
| 94664 |
|
785 |
599 |
$1K |
| 82947 |
|
1,198 |
630 |
$1K |
| 80320 |
|
70 |
67 |
$1K |
| 86901 |
|
175 |
160 |
$1K |
| 96375 |
|
4,210 |
3,206 |
$1K |
| 97165 |
|
12 |
12 |
$1K |
| 81002 |
|
241 |
137 |
$1K |
| 96376 |
|
578 |
362 |
$1K |
| 82728 |
|
52 |
52 |
$1K |
| 83540 |
|
77 |
76 |
$1K |
| 95012 |
|
12 |
12 |
$1K |
| 83735 |
|
1,418 |
1,074 |
$988.31 |
| 99152 |
|
411 |
336 |
$946.12 |
| 83690 |
|
3,566 |
2,886 |
$894.12 |
| 82077 |
|
693 |
540 |
$823.88 |
| 83550 |
|
65 |
64 |
$820.08 |
| 85610 |
|
1,571 |
1,141 |
$806.88 |
| 86762 |
|
27 |
27 |
$770.52 |
| 70486 |
|
15 |
12 |
$750.55 |
| 82306 |
|
28 |
28 |
$731.57 |
| 90715 |
|
64 |
60 |
$683.81 |
| 87804 |
|
656 |
315 |
$635.24 |
| 87340 |
|
38 |
38 |
$597.31 |
| 99203 |
|
13 |
12 |
$577.60 |
| 93242 |
|
13 |
13 |
$483.29 |
| 84702 |
|
492 |
397 |
$479.50 |
| J2270 |
Morphine sulfate injection |
1,399 |
949 |
$460.90 |
| J7030 |
Normal saline solution infus |
6,315 |
5,031 |
$418.15 |
| 87081 |
|
13 |
13 |
$416.79 |
| 72040 |
|
15 |
13 |
$387.74 |
| 86803 |
|
12 |
12 |
$353.78 |
| 80143 |
|
370 |
306 |
$348.82 |
| 82805 |
|
14 |
12 |
$341.47 |
| 81025 |
|
1,243 |
969 |
$340.54 |
| 36591 |
|
18 |
13 |
$321.57 |
| 85379 |
|
842 |
688 |
$307.32 |
| 82746 |
|
25 |
25 |
$306.80 |
| 87502 |
|
59 |
57 |
$302.85 |
| J3490 |
Drugs unclassified injection |
687 |
422 |
$276.04 |
| J2543 |
Piperacillin/tazobactam |
28 |
12 |
$256.09 |
| 94762 |
|
42 |
34 |
$232.79 |
| 85730 |
|
631 |
490 |
$211.60 |
| 87186 |
|
206 |
146 |
$208.00 |
| 87634 |
|
131 |
110 |
$204.51 |
| 51798 |
|
38 |
25 |
$197.23 |
| 87075 |
|
242 |
131 |
$195.06 |
| J1170 |
Hydromorphone injection |
667 |
409 |
$192.34 |
| 84439 |
|
12 |
12 |
$187.43 |
| C9113 |
Inj pantoprazole sodium, via |
134 |
93 |
$175.86 |
| 87040 |
|
435 |
176 |
$163.47 |
| 80179 |
|
362 |
305 |
$162.05 |
| 01936 |
|
146 |
122 |
$161.77 |
| 84703 |
|
567 |
524 |
$147.64 |
| 83880 |
|
543 |
437 |
$143.94 |
| 88305 |
|
610 |
292 |
$118.67 |
| J2919 |
Inj, methylpred sod succ 5mg |
126 |
111 |
$114.61 |
| 86140 |
|
38 |
28 |
$110.80 |
| 82248 |
|
299 |
252 |
$109.81 |
| 80329 |
|
12 |
12 |
$98.48 |
| 87077 |
|
132 |
95 |
$98.30 |
| J1885 |
Ketorolac tromethamine inj |
2,239 |
1,738 |
$92.42 |
| 82950 |
|
14 |
14 |
$84.46 |
| G1004 |
Cdsm ndsc |
85 |
70 |
$81.91 |
| 90471 |
|
47 |
42 |
$76.66 |
| J8499 |
Oral prescrip drug non chemo |
340 |
193 |
$71.94 |
| J1642 |
Inj heparin sodium per 10 u |
309 |
146 |
$69.75 |
| J2930 |
Methylprednisolone injection |
307 |
218 |
$46.72 |
| 82948 |
|
13 |
13 |
$42.17 |
| J2405 |
Ondansetron hcl injection |
4,110 |
3,084 |
$39.00 |
| J0696 |
Ceftriaxone sodium injection |
493 |
321 |
$27.99 |
| J7120 |
Ringers lactate infusion |
754 |
633 |
$20.29 |
| 82550 |
|
81 |
63 |
$17.87 |
| J1200 |
Diphenhydramine hcl injectio |
442 |
337 |
$14.27 |
| J1100 |
Dexamethasone sodium phos |
830 |
616 |
$13.98 |
| J3010 |
Fentanyl citrate injection |
1,128 |
861 |
$13.69 |
| J2704 |
Inj, propofol, 10 mg |
1,112 |
858 |
$8.38 |
| J2250 |
Inj midazolam hydrochloride |
2,166 |
1,624 |
$8.17 |
| J7620 |
Albuterol ipratrop non-comp |
152 |
99 |
$5.07 |
| 36416 |
|
187 |
101 |
$5.00 |
| J7040 |
Normal saline solution infus |
55 |
39 |
$3.89 |
| J7512 |
Prednisone ir or dr oral 1mg |
122 |
82 |
$3.45 |
| J2060 |
Lorazepam injection |
16 |
14 |
$3.18 |
| J7050 |
Normal saline solution infus |
555 |
271 |
$2.63 |
| J2765 |
Metoclopramide hcl injection |
66 |
56 |
$1.09 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
85 |
68 |
$0.63 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
33 |
29 |
$0.18 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,376 |
2,658 |
$0.17 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
356 |
308 |
$0.00 |
| J2550 |
Promethazine hcl injection |
20 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
35 |
27 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
160 |
110 |
$0.00 |
| 0753T |
|
30 |
13 |
$0.00 |
| 94760 |
|
191 |
142 |
$0.00 |
| 94761 |
|
556 |
433 |
$0.00 |
| J2001 |
Lidocaine injection |
182 |
167 |
$0.00 |
| A9270 |
Non-covered item or service |
897 |
325 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
312 |
269 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
69 |
53 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
139 |
107 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
81 |
69 |
$0.00 |
| 82150 |
|
29 |
25 |
$0.00 |
| 76377 |
|
46 |
38 |
$0.00 |
| 74022 |
|
12 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
99 |
53 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
20 |
18 |
$0.00 |