| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
21,126 |
19,824 |
$852K |
| 99284 |
|
18,000 |
16,676 |
$706K |
| 99285 |
|
11,296 |
10,471 |
$385K |
| 0241U |
|
2,420 |
2,309 |
$225K |
| 96374 |
|
12,951 |
11,953 |
$223K |
| 96375 |
|
7,742 |
6,814 |
$223K |
| 80053 |
|
19,190 |
16,727 |
$162K |
| 85025 |
|
30,608 |
26,740 |
$119K |
| 93005 |
|
11,703 |
9,140 |
$110K |
| 87491 |
|
2,349 |
2,282 |
$99K |
| 87591 |
|
2,330 |
2,267 |
$99K |
| 96413 |
|
840 |
373 |
$65K |
| 84484 |
|
6,941 |
4,884 |
$57K |
| G0463 |
Hospital outpt clinic visit |
4,304 |
3,668 |
$47K |
| 81001 |
|
13,077 |
12,139 |
$41K |
| 71045 |
|
5,906 |
5,489 |
$37K |
| 96361 |
|
2,027 |
1,844 |
$35K |
| 80047 |
|
2,219 |
1,965 |
$32K |
| 87633 |
|
104 |
103 |
$31K |
| 70450 |
|
551 |
503 |
$31K |
| 74177 |
|
362 |
348 |
$30K |
| 80048 |
|
3,239 |
3,005 |
$23K |
| 80307 |
|
546 |
504 |
$20K |
| 83690 |
|
2,916 |
2,694 |
$16K |
| 93299 |
|
388 |
372 |
$15K |
| 88175 |
|
523 |
503 |
$15K |
| 99282 |
|
393 |
381 |
$12K |
| 99281 |
|
226 |
213 |
$11K |
| 84443 |
|
1,116 |
1,054 |
$11K |
| 83615 |
|
1,887 |
1,290 |
$10K |
| 87400 |
|
1,094 |
570 |
$9K |
| 87798 |
|
137 |
103 |
$9K |
| 81025 |
|
1,013 |
969 |
$7K |
| 87426 |
|
289 |
281 |
$7K |
| 87086 |
|
645 |
610 |
$6K |
| 86780 |
|
451 |
440 |
$6K |
| 0002A |
|
356 |
340 |
$5K |
| 88305 |
|
183 |
147 |
$5K |
| 96372 |
|
347 |
294 |
$5K |
| 84702 |
|
483 |
372 |
$5K |
| 85027 |
|
749 |
693 |
$5K |
| S9443 |
Lactation class |
668 |
397 |
$4K |
| G2066 |
Inter devc remote 30d |
550 |
527 |
$4K |
| 0001A |
|
391 |
377 |
$4K |
| G0378 |
Hospital observation per hr |
150 |
105 |
$4K |
| 87624 |
|
97 |
88 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
100 |
99 |
$4K |
| 87507 |
|
13 |
13 |
$4K |
| 83735 |
|
879 |
807 |
$3K |
| 93296 |
|
354 |
341 |
$3K |
| 84703 |
|
407 |
371 |
$3K |
| 80061 |
|
422 |
409 |
$3K |
| 96365 |
|
56 |
52 |
$3K |
| 97110 |
|
157 |
44 |
$3K |
| 87653 |
|
82 |
81 |
$3K |
| 94640 |
|
279 |
249 |
$3K |
| 87389 |
|
103 |
97 |
$3K |
| 87070 |
|
371 |
357 |
$3K |
| 59025 |
|
73 |
55 |
$3K |
| 83036 |
|
436 |
421 |
$3K |
| 36415 |
|
26,450 |
23,823 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
577 |
307 |
$2K |
| 82950 |
|
345 |
331 |
$2K |
| 43239 |
|
28 |
28 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,439 |
3,115 |
$2K |
| 83880 |
|
206 |
195 |
$2K |
| 82607 |
|
227 |
219 |
$2K |
| 85610 |
|
762 |
601 |
$2K |
| 82306 |
|
162 |
158 |
$2K |
| J7050 |
Normal saline solution infus |
2,884 |
499 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,050 |
1,919 |
$2K |
| J2469 |
Palonosetron hcl |
31 |
12 |
$2K |
| 84145 |
|
143 |
129 |
$2K |
| 86850 |
|
195 |
182 |
$1K |
| 71046 |
|
162 |
152 |
$1K |
| 87651 |
|
89 |
88 |
$1K |
| 87650 |
|
115 |
114 |
$1K |
| 82947 |
|
559 |
444 |
$1K |
| 71260 |
|
13 |
13 |
$1K |
| 87486 |
|
104 |
103 |
$1K |
| 87581 |
|
104 |
103 |
$1K |
| 96360 |
|
54 |
33 |
$978.52 |
| 85652 |
|
313 |
306 |
$944.66 |
| 96376 |
|
56 |
47 |
$931.65 |
| 87420 |
|
78 |
77 |
$909.02 |
| 82570 |
|
146 |
140 |
$907.35 |
| 80055 |
|
14 |
14 |
$858.98 |
| 84439 |
|
118 |
113 |
$845.64 |
| 87808 |
|
66 |
64 |
$786.58 |
| 86901 |
|
145 |
137 |
$723.54 |
| 80076 |
|
119 |
113 |
$649.29 |
| 86900 |
|
145 |
137 |
$574.19 |
| 77067 |
|
52 |
51 |
$562.08 |
| 85004 |
|
293 |
199 |
$533.11 |
| 87340 |
|
48 |
43 |
$532.44 |
| 82728 |
|
47 |
43 |
$503.22 |
| 86140 |
|
118 |
116 |
$502.53 |
| 82565 |
|
117 |
113 |
$491.27 |
| 83605 |
|
86 |
71 |
$486.49 |
| 74176 |
|
15 |
13 |
$433.09 |
| 83655 |
|
28 |
27 |
$402.09 |
| 86762 |
|
48 |
43 |
$394.55 |
| J2270 |
Morphine sulfate injection |
188 |
166 |
$386.67 |
| 87077 |
|
68 |
65 |
$372.06 |
| 87186 |
|
62 |
60 |
$363.12 |
| J3010 |
Fentanyl citrate injection |
814 |
734 |
$359.19 |
| 83540 |
|
88 |
83 |
$332.72 |
| J1200 |
Diphenhydramine hcl injectio |
283 |
265 |
$328.60 |
| 82310 |
|
42 |
38 |
$325.36 |
| 87428 |
|
15 |
14 |
$318.60 |
| J2704 |
Inj, propofol, 10 mg |
727 |
677 |
$287.88 |
| J1100 |
Dexamethasone sodium phos |
209 |
96 |
$283.62 |
| 82340 |
|
30 |
30 |
$270.68 |
| 83550 |
|
38 |
37 |
$246.98 |
| 74018 |
|
35 |
33 |
$242.72 |
| 81003 |
|
259 |
234 |
$229.11 |
| J0780 |
Prochlorperazine injection |
76 |
74 |
$182.65 |
| 86803 |
|
14 |
13 |
$159.58 |
| 87210 |
|
31 |
31 |
$158.14 |
| 84436 |
|
13 |
12 |
$119.76 |
| J7030 |
Normal saline solution infus |
3,977 |
3,715 |
$117.33 |
| J1040 |
Methylprednisolone 80 mg inj |
77 |
70 |
$114.12 |
| 86592 |
|
19 |
17 |
$110.90 |
| 87147 |
|
21 |
19 |
$108.96 |
| J0696 |
Ceftriaxone sodium injection |
60 |
51 |
$107.74 |
| 82746 |
|
12 |
12 |
$103.77 |
| J7120 |
Ringers lactate infusion |
264 |
244 |
$95.80 |
| 84550 |
|
28 |
26 |
$95.60 |
| 82962 |
|
37 |
37 |
$63.08 |
| 87205 |
|
28 |
28 |
$60.05 |
| 85046 |
|
14 |
12 |
$55.56 |
| 82043 |
|
12 |
12 |
$51.27 |
| J2060 |
Lorazepam injection |
67 |
62 |
$49.45 |
| J2765 |
Metoclopramide hcl injection |
30 |
27 |
$27.88 |
| 85730 |
|
12 |
12 |
$26.66 |
| J3301 |
Triamcinolone acet inj nos |
47 |
39 |
$15.04 |
| 82044 |
|
29 |
29 |
$13.35 |
| 0352U |
|
79 |
78 |
$13.20 |
| 87040 |
|
22 |
12 |
$11.89 |
| G0432 |
Eia hiv-1/hiv-2 screen |
109 |
104 |
$9.90 |
| J3490 |
Drugs unclassified injection |
22 |
20 |
$9.41 |
| J1644 |
Inj heparin sodium per 1000u |
64 |
26 |
$7.68 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$6.24 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,219 |
1,154 |
$4.12 |
| J0690 |
Cefazolin sodium injection |
16 |
15 |
$2.26 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$0.65 |
| 36416 |
|
137 |
87 |
$0.00 |
| G0379 |
Direct refer hospital observ |
98 |
77 |
$0.00 |
| A9270 |
Non-covered item or service |
554 |
265 |
$0.00 |
| P9612 |
Catheterize for urine spec |
33 |
32 |
$0.00 |
| Q0162 |
Ondansetron oral |
71 |
69 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
85 |
80 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
14 |
$0.00 |
| J1790 |
Droperidol injection |
16 |
16 |
$0.00 |
| 0202U |
|
40 |
39 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
33 |
33 |
$0.00 |