| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,894 |
11,405 |
$2.31M |
| 99283 |
|
12,425 |
10,859 |
$2.18M |
| 99285 |
|
6,094 |
5,005 |
$836K |
| 11042 |
|
3,925 |
1,471 |
$680K |
| 97110 |
|
12,704 |
3,816 |
$660K |
| 96361 |
|
2,806 |
2,226 |
$655K |
| 97530 |
|
11,316 |
3,785 |
$632K |
| 99281 |
|
3,595 |
3,293 |
$552K |
| 74177 |
|
2,456 |
2,152 |
$542K |
| 99282 |
|
3,340 |
2,968 |
$493K |
| 70450 |
|
2,913 |
2,405 |
$488K |
| 92507 |
|
5,567 |
1,848 |
$394K |
| 96365 |
|
2,479 |
1,320 |
$394K |
| G0378 |
Hospital observation per hr |
1,700 |
1,031 |
$223K |
| 0202U |
|
2,344 |
2,090 |
$197K |
| 74176 |
|
816 |
724 |
$175K |
| 96360 |
|
723 |
557 |
$116K |
| 94640 |
|
1,958 |
1,177 |
$87K |
| 80307 |
|
2,008 |
1,658 |
$83K |
| C9803 |
Hopd covid-19 spec collect |
3,475 |
3,087 |
$75K |
| 59025 |
|
404 |
293 |
$74K |
| 71046 |
|
3,079 |
2,775 |
$72K |
| 80053 |
|
14,296 |
11,025 |
$57K |
| 80048 |
|
9,691 |
6,995 |
$52K |
| 77067 |
|
851 |
829 |
$52K |
| 43239 |
|
95 |
87 |
$45K |
| 76705 |
|
447 |
406 |
$44K |
| 97140 |
|
1,686 |
512 |
$43K |
| G0237 |
Therapeutic procd strg endur |
1,132 |
754 |
$42K |
| 71275 |
|
139 |
118 |
$41K |
| 72148 |
|
157 |
152 |
$36K |
| 0241U |
|
492 |
468 |
$36K |
| G0480 |
Drug test def 1-7 classes |
1,877 |
1,537 |
$29K |
| 97113 |
|
456 |
175 |
$27K |
| 96374 |
|
7,969 |
6,261 |
$26K |
| 76856 |
|
146 |
137 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,136 |
930 |
$24K |
| 97162 |
|
149 |
140 |
$22K |
| 72125 |
|
388 |
332 |
$17K |
| 93005 |
|
7,841 |
5,972 |
$13K |
| 97116 |
|
449 |
173 |
$13K |
| 71045 |
|
6,736 |
5,409 |
$12K |
| 93306 |
|
46 |
41 |
$12K |
| 77063 |
|
662 |
646 |
$11K |
| 83735 |
|
4,920 |
3,758 |
$10K |
| 85027 |
|
15,992 |
11,335 |
$10K |
| 84443 |
|
1,721 |
1,491 |
$10K |
| 88305 |
|
1,439 |
1,255 |
$10K |
| 80061 |
|
1,414 |
1,263 |
$9K |
| G0238 |
Oth resp proc, indiv |
1,003 |
682 |
$9K |
| J3490 |
Drugs unclassified injection |
4,110 |
1,755 |
$9K |
| 81001 |
|
10,930 |
8,875 |
$9K |
| 76830 |
|
68 |
59 |
$8K |
| 74018 |
|
306 |
273 |
$8K |
| J2405 |
Ondansetron hcl injection |
8,843 |
5,779 |
$8K |
| 45380 |
|
16 |
16 |
$8K |
| 85025 |
|
7,637 |
6,072 |
$8K |
| 99212 |
|
60 |
42 |
$7K |
| 73630 |
|
491 |
424 |
$6K |
| 84484 |
|
5,083 |
3,830 |
$6K |
| 84703 |
|
5,286 |
4,435 |
$6K |
| J1100 |
Dexamethasone sodium phos |
3,014 |
1,912 |
$5K |
| 93971 |
|
47 |
40 |
$5K |
| 83036 |
|
1,152 |
1,061 |
$5K |
| J3010 |
Fentanyl citrate injection |
3,554 |
2,405 |
$5K |
| 73610 |
|
448 |
397 |
$5K |
| 93000 |
|
2,308 |
1,854 |
$5K |
| 73030 |
|
328 |
276 |
$5K |
| 87040 |
|
749 |
583 |
$4K |
| 85379 |
|
925 |
830 |
$4K |
| 87086 |
|
4,702 |
3,882 |
$4K |
| G0463 |
Hospital outpt clinic visit |
66 |
52 |
$4K |
| 83880 |
|
488 |
385 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
475 |
386 |
$3K |
| 96375 |
|
4,709 |
3,427 |
$3K |
| 76642 |
|
28 |
27 |
$3K |
| 76700 |
|
12 |
12 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
2,306 |
1,777 |
$2K |
| 93010 |
|
2,427 |
2,069 |
$2K |
| J0690 |
Cefazolin sodium injection |
443 |
292 |
$2K |
| 70551 |
|
14 |
13 |
$2K |
| 76770 |
|
18 |
14 |
$2K |
| 82962 |
|
5,998 |
3,350 |
$2K |
| 88342 |
|
211 |
187 |
$2K |
| 97010 |
|
105 |
25 |
$2K |
| 82306 |
|
116 |
107 |
$2K |
| 96372 |
|
2,668 |
1,526 |
$2K |
| 80076 |
|
568 |
468 |
$2K |
| J1815 |
Insulin injection |
95 |
30 |
$2K |
| J2270 |
Morphine sulfate injection |
4,203 |
2,419 |
$2K |
| 87070 |
|
2,577 |
2,256 |
$2K |
| 85610 |
|
3,755 |
2,729 |
$2K |
| 73564 |
|
119 |
102 |
$2K |
| U0005 |
Infec agen detec ampli probe |
839 |
736 |
$1K |
| 96413 |
|
31 |
12 |
$1K |
| 99211 |
|
15 |
14 |
$1K |
| 83605 |
|
1,030 |
827 |
$1K |
| 73110 |
|
54 |
51 |
$1K |
| 87635 |
|
13 |
12 |
$1K |
| 87186 |
|
1,656 |
1,381 |
$1K |
| 73130 |
|
64 |
55 |
$1K |
| 87400 |
|
193 |
180 |
$1K |
| 85730 |
|
2,725 |
2,137 |
$968.00 |
| J1885 |
Ketorolac tromethamine inj |
5,050 |
3,518 |
$891.19 |
| 90471 |
|
66 |
55 |
$707.23 |
| 92523 |
|
13 |
13 |
$611.84 |
| 87804 |
|
1,349 |
1,058 |
$590.07 |
| 87077 |
|
1,074 |
912 |
$583.55 |
| 86850 |
|
382 |
304 |
$566.89 |
| 86900 |
|
835 |
654 |
$526.05 |
| 82607 |
|
96 |
84 |
$523.99 |
| 86901 |
|
836 |
654 |
$455.80 |
| 72110 |
|
13 |
13 |
$449.12 |
| J1170 |
Hydromorphone injection |
2,816 |
1,241 |
$393.67 |
| 83690 |
|
5,698 |
4,570 |
$386.14 |
| 84439 |
|
62 |
53 |
$359.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,603 |
3,801 |
$334.65 |
| 90715 |
|
12 |
12 |
$254.50 |
| 82746 |
|
43 |
39 |
$226.58 |
| 87205 |
|
655 |
531 |
$197.69 |
| 96376 |
|
2,091 |
1,289 |
$161.67 |
| 87880 |
|
1,642 |
1,511 |
$142.54 |
| J0780 |
Prochlorperazine injection |
338 |
276 |
$132.24 |
| 84100 |
|
482 |
338 |
$128.33 |
| J1200 |
Diphenhydramine hcl injectio |
1,429 |
981 |
$104.27 |
| 97168 |
|
17 |
17 |
$104.27 |
| 86140 |
|
101 |
70 |
$102.18 |
| 97164 |
|
22 |
20 |
$98.74 |
| 82728 |
|
13 |
12 |
$94.47 |
| 85652 |
|
130 |
91 |
$93.25 |
| 84702 |
|
103 |
80 |
$92.17 |
| J0696 |
Ceftriaxone sodium injection |
1,115 |
603 |
$76.64 |
| J2704 |
Inj, propofol, 10 mg |
3,101 |
2,522 |
$70.67 |
| 97597 |
|
25 |
12 |
$68.38 |
| J2060 |
Lorazepam injection |
792 |
498 |
$63.75 |
| 87147 |
|
217 |
190 |
$34.17 |
| 82803 |
|
137 |
107 |
$25.90 |
| 87088 |
|
53 |
50 |
$18.99 |
| J1644 |
Inj heparin sodium per 1000u |
544 |
196 |
$17.85 |
| J2930 |
Methylprednisolone injection |
94 |
73 |
$12.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
81 |
62 |
$5.91 |
| 82043 |
|
15 |
13 |
$5.15 |
| 82550 |
|
15 |
13 |
$2.91 |
| J2765 |
Metoclopramide hcl injection |
16 |
14 |
$2.23 |
| A9270 |
Non-covered item or service |
5,552 |
1,068 |
$0.40 |
| A9577 |
Inj multihance |
126 |
106 |
$0.00 |
| 36600 |
|
17 |
13 |
$0.00 |
| 88312 |
|
24 |
24 |
$0.00 |
| 87491 |
|
15 |
12 |
$0.00 |
| 82375 |
|
17 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
76 |
26 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
19 |
14 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
20 |
14 |
$0.00 |
| 99152 |
|
17 |
14 |
$0.00 |
| J2550 |
Promethazine hcl injection |
20 |
14 |
$0.00 |
| C1769 |
Guide wire |
101 |
86 |
$0.00 |
| 87807 |
|
205 |
178 |
$0.00 |
| 88304 |
|
18 |
13 |
$0.00 |
| 87591 |
|
15 |
12 |
$0.00 |
| 76801 |
|
12 |
12 |
$0.00 |