| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
81,714 |
73,668 |
$7.68M |
| 99284 |
|
36,788 |
31,798 |
$2.74M |
| 74177 |
|
5,087 |
4,409 |
$809K |
| 36415 |
|
41,296 |
35,192 |
$780K |
| 99282 |
|
9,266 |
8,591 |
$741K |
| 70450 |
|
5,588 |
4,853 |
$647K |
| 80053 |
|
31,568 |
26,281 |
$431K |
| 74176 |
|
2,952 |
2,570 |
$388K |
| 96361 |
|
3,769 |
3,313 |
$355K |
| 99285 |
|
5,497 |
4,580 |
$319K |
| 99281 |
|
2,636 |
2,465 |
$265K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,167 |
3,971 |
$202K |
| 96374 |
|
22,759 |
19,375 |
$182K |
| 87070 |
|
9,469 |
8,632 |
$180K |
| 96372 |
|
8,709 |
7,701 |
$125K |
| 71045 |
|
19,528 |
17,056 |
$122K |
| 71275 |
|
829 |
713 |
$109K |
| 87804 |
|
10,334 |
9,049 |
$90K |
| 72125 |
|
1,251 |
1,055 |
$81K |
| J7050 |
Normal saline solution infus |
1,191 |
844 |
$54K |
| 94640 |
|
2,645 |
2,039 |
$50K |
| 81001 |
|
11,531 |
9,626 |
$47K |
| 71046 |
|
2,776 |
2,393 |
$43K |
| 74018 |
|
1,821 |
1,671 |
$35K |
| 81003 |
|
15,180 |
13,694 |
$34K |
| J1100 |
Dexamethasone sodium phos |
12,664 |
10,098 |
$30K |
| 76705 |
|
1,683 |
1,510 |
$29K |
| 73610 |
|
1,355 |
1,179 |
$27K |
| 80048 |
|
3,239 |
2,655 |
$26K |
| 73130 |
|
1,292 |
1,161 |
$26K |
| 73562 |
|
1,438 |
1,242 |
$23K |
| 81025 |
|
9,582 |
8,577 |
$22K |
| 87802 |
|
5,619 |
4,850 |
$22K |
| 73630 |
|
1,371 |
1,241 |
$20K |
| 96360 |
|
589 |
546 |
$20K |
| 93005 |
|
12,406 |
10,342 |
$19K |
| 72131 |
|
607 |
511 |
$18K |
| 87086 |
|
2,709 |
2,378 |
$17K |
| 12011 |
|
189 |
179 |
$17K |
| 12001 |
|
195 |
189 |
$17K |
| 93306 |
|
505 |
407 |
$15K |
| 76856 |
|
1,151 |
1,019 |
$15K |
| 73030 |
|
1,047 |
878 |
$13K |
| 76801 |
|
1,481 |
1,196 |
$13K |
| G0378 |
Hospital observation per hr |
3,183 |
1,653 |
$13K |
| 73110 |
|
829 |
724 |
$13K |
| 76830 |
|
885 |
774 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
14,512 |
9,800 |
$12K |
| 85027 |
|
37,157 |
30,149 |
$12K |
| J2405 |
Ondansetron hcl injection |
9,980 |
8,308 |
$11K |
| J7030 |
Normal saline solution infus |
14,930 |
12,413 |
$10K |
| 96365 |
|
665 |
584 |
$10K |
| 72100 |
|
857 |
751 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
2,859 |
2,643 |
$8K |
| 43239 |
|
29 |
24 |
$8K |
| 84484 |
|
7,470 |
5,292 |
$7K |
| 87040 |
|
955 |
710 |
$7K |
| 93971 |
|
437 |
399 |
$6K |
| Q0162 |
Ondansetron oral |
5,246 |
4,835 |
$5K |
| 78452 |
|
120 |
79 |
$5K |
| 90471 |
|
531 |
455 |
$5K |
| 87807 |
|
1,411 |
1,275 |
$5K |
| 73080 |
|
256 |
239 |
$5K |
| 96375 |
|
9,330 |
7,762 |
$5K |
| 80307 |
|
1,656 |
1,350 |
$4K |
| A9270 |
Non-covered item or service |
3,736 |
1,072 |
$4K |
| 83880 |
|
3,781 |
3,135 |
$4K |
| 84703 |
|
6,869 |
5,813 |
$3K |
| 84702 |
|
2,669 |
2,090 |
$3K |
| 88305 |
|
90 |
79 |
$3K |
| 76817 |
|
1,182 |
943 |
$3K |
| 76805 |
|
396 |
336 |
$3K |
| 10060 |
|
54 |
52 |
$3K |
| 87430 |
|
1,846 |
1,797 |
$3K |
| 83690 |
|
10,288 |
8,785 |
$3K |
| 87210 |
|
830 |
742 |
$2K |
| 86900 |
|
1,520 |
1,301 |
$2K |
| 93017 |
|
162 |
107 |
$2K |
| 73590 |
|
125 |
103 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,742 |
5,174 |
$2K |
| 83735 |
|
7,173 |
5,649 |
$2K |
| 85610 |
|
5,336 |
4,274 |
$2K |
| 87491 |
|
1,409 |
1,234 |
$2K |
| J2270 |
Morphine sulfate injection |
4,197 |
3,318 |
$1K |
| 87591 |
|
1,412 |
1,237 |
$1K |
| 85379 |
|
2,354 |
1,996 |
$1K |
| J1815 |
Insulin injection |
1,011 |
562 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
3,630 |
2,949 |
$1K |
| 80061 |
|
890 |
693 |
$1K |
| 85730 |
|
3,052 |
2,445 |
$839.83 |
| 74021 |
|
48 |
42 |
$834.88 |
| 80047 |
|
609 |
533 |
$759.41 |
| 72040 |
|
113 |
103 |
$751.54 |
| 84443 |
|
1,791 |
1,472 |
$745.80 |
| 87426 |
|
4,593 |
4,325 |
$730.56 |
| J1200 |
Diphenhydramine hcl injectio |
2,545 |
2,142 |
$690.19 |
| 90715 |
|
475 |
414 |
$633.94 |
| J2360 |
Orphenadrine injection |
1,553 |
1,383 |
$475.25 |
| G0480 |
Drug test def 1-7 classes |
167 |
144 |
$463.66 |
| J8540 |
Oral dexamethasone |
1,907 |
1,760 |
$440.58 |
| J7120 |
Ringers lactate infusion |
1,231 |
1,042 |
$348.04 |
| J2930 |
Methylprednisolone injection |
1,867 |
1,628 |
$315.13 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,821 |
1,550 |
$260.98 |
| 84145 |
|
72 |
55 |
$161.82 |
| 82550 |
|
298 |
235 |
$154.68 |
| 85651 |
|
205 |
191 |
$114.78 |
| J2765 |
Metoclopramide hcl injection |
2,189 |
1,865 |
$83.09 |
| J2060 |
Lorazepam injection |
818 |
630 |
$75.88 |
| 70486 |
|
14 |
14 |
$70.88 |
| J0561 |
Penicillin g benzathine inj |
229 |
163 |
$67.30 |
| A9500 |
Tc99m sestamibi |
105 |
66 |
$52.64 |
| J7040 |
Normal saline solution infus |
778 |
687 |
$32.59 |
| 86850 |
|
453 |
395 |
$16.66 |
| 96376 |
|
466 |
413 |
$14.51 |
| 86140 |
|
189 |
172 |
$13.05 |
| 87186 |
|
854 |
763 |
$10.67 |
| 83605 |
|
826 |
655 |
$8.00 |
| 80076 |
|
419 |
375 |
$6.74 |
| 86901 |
|
1,489 |
1,278 |
$5.44 |
| J2300 |
Inj nalbuphine hydrochloride |
439 |
321 |
$4.91 |
| 87147 |
|
190 |
152 |
$0.00 |
| 83036 |
|
80 |
66 |
$0.00 |
| J3360 |
Diazepam injection |
446 |
253 |
$0.00 |
| J1170 |
Hydromorphone injection |
156 |
131 |
$0.00 |
| 80320 |
|
166 |
133 |
$0.00 |
| 83615 |
|
32 |
26 |
$0.00 |
| 73090 |
|
30 |
28 |
$0.00 |
| J0500 |
Dicyclomine injection |
86 |
64 |
$0.00 |
| 80329 |
|
36 |
26 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
28 |
25 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| 82553 |
|
44 |
24 |
$0.00 |
| J1630 |
Haloperidol injection |
34 |
27 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
39 |
26 |
$0.00 |
| 82077 |
|
15 |
13 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$0.00 |
| 84100 |
|
86 |
80 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
44 |
39 |
$0.00 |
| J0780 |
Prochlorperazine injection |
45 |
40 |
$0.00 |
| J2800 |
Methocarbamol injection |
75 |
71 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
208 |
179 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
33 |
32 |
$0.00 |
| G1003 |
Cdsm medicalis |
55 |
46 |
$0.00 |
| 82800 |
|
17 |
17 |
$0.00 |
| J2550 |
Promethazine hcl injection |
85 |
75 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
61 |
28 |
$0.00 |
| 82009 |
|
14 |
13 |
$0.00 |