| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
4,955 |
3,810 |
$2.35M |
| 99283 |
|
12,733 |
10,872 |
$1.63M |
| 99284 |
|
9,291 |
7,715 |
$1.48M |
| 99285 |
|
6,308 |
5,201 |
$1.27M |
| 99213 |
|
10,165 |
8,701 |
$1.12M |
| 96365 |
|
3,788 |
2,821 |
$975K |
| 70450 |
|
2,074 |
1,843 |
$566K |
| 74177 |
|
1,857 |
1,683 |
$514K |
| 99212 |
|
5,376 |
4,682 |
$499K |
| 96360 |
|
1,281 |
1,106 |
$341K |
| 97110 |
|
10,328 |
3,803 |
$333K |
| 99214 |
|
2,546 |
2,236 |
$302K |
| 99282 |
|
1,850 |
1,646 |
$288K |
| 99211 |
|
2,202 |
1,753 |
$280K |
| 96366 |
|
692 |
501 |
$268K |
| 99203 |
|
1,807 |
1,548 |
$196K |
| 87631 |
|
1,340 |
1,231 |
$134K |
| 94640 |
|
825 |
624 |
$131K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,232 |
1,112 |
$112K |
| C9803 |
Hopd covid-19 spec collect |
5,623 |
4,911 |
$109K |
| 97140 |
|
5,479 |
2,105 |
$108K |
| 80053 |
|
10,926 |
8,931 |
$99K |
| 71275 |
|
334 |
306 |
$90K |
| 87635 |
|
2,073 |
1,840 |
$81K |
| 87502 |
|
976 |
888 |
$77K |
| 99204 |
|
980 |
817 |
$76K |
| 85025 |
|
13,898 |
10,990 |
$74K |
| 97530 |
|
1,946 |
907 |
$73K |
| 87651 |
|
2,039 |
1,842 |
$70K |
| 96367 |
|
403 |
297 |
$67K |
| 97112 |
|
2,332 |
1,064 |
$65K |
| 97161 |
|
1,491 |
1,357 |
$65K |
| 87632 |
|
399 |
364 |
$64K |
| 74176 |
|
181 |
161 |
$45K |
| G0463 |
Hospital outpt clinic visit |
2,898 |
2,281 |
$42K |
| 93010 |
|
6,989 |
5,558 |
$37K |
| 80306 |
|
2,295 |
2,012 |
$33K |
| G0480 |
Drug test def 1-7 classes |
733 |
624 |
$32K |
| 84484 |
|
4,725 |
3,224 |
$31K |
| 72125 |
|
304 |
275 |
$29K |
| 71260 |
|
114 |
105 |
$27K |
| 87798 |
|
1,056 |
356 |
$25K |
| 84443 |
|
2,135 |
1,898 |
$23K |
| 80048 |
|
2,762 |
2,293 |
$22K |
| G0378 |
Hospital observation per hr |
406 |
329 |
$22K |
| 83605 |
|
3,138 |
2,573 |
$21K |
| 84703 |
|
2,635 |
2,287 |
$20K |
| 83735 |
|
4,726 |
3,947 |
$19K |
| 81001 |
|
4,687 |
4,067 |
$19K |
| 86140 |
|
5,560 |
4,683 |
$18K |
| 99202 |
|
162 |
141 |
$16K |
| 83880 |
|
1,129 |
990 |
$15K |
| 82803 |
|
1,112 |
911 |
$15K |
| 87811 |
|
465 |
419 |
$15K |
| 83690 |
|
2,872 |
2,458 |
$15K |
| 96374 |
|
4,800 |
3,741 |
$14K |
| 77067 |
|
271 |
255 |
$13K |
| 87880 |
|
617 |
585 |
$12K |
| 77063 |
|
266 |
251 |
$12K |
| 71046 |
|
1,220 |
1,119 |
$11K |
| 11042 |
|
151 |
56 |
$11K |
| 87086 |
|
1,894 |
1,688 |
$11K |
| 85379 |
|
1,540 |
1,394 |
$9K |
| 80307 |
|
180 |
170 |
$9K |
| 84145 |
|
731 |
652 |
$9K |
| 87804 |
|
603 |
294 |
$9K |
| 87040 |
|
1,775 |
1,042 |
$8K |
| 87070 |
|
579 |
517 |
$8K |
| 80320 |
|
1,915 |
1,608 |
$8K |
| 81003 |
|
2,642 |
2,336 |
$8K |
| 87486 |
|
236 |
216 |
$8K |
| 99281 |
|
44 |
40 |
$7K |
| 87077 |
|
1,571 |
1,101 |
$7K |
| 96372 |
|
2,443 |
2,067 |
$7K |
| 87581 |
|
236 |
216 |
$7K |
| 87186 |
|
1,321 |
1,022 |
$6K |
| 20610 |
|
39 |
27 |
$6K |
| 87491 |
|
223 |
179 |
$6K |
| 87591 |
|
223 |
179 |
$6K |
| U0005 |
Infec agen detec ampli probe |
409 |
366 |
$6K |
| 85610 |
|
2,194 |
1,733 |
$6K |
| 93005 |
|
6,914 |
5,394 |
$5K |
| 76801 |
|
30 |
24 |
$5K |
| 82962 |
|
2,231 |
871 |
$5K |
| 71045 |
|
4,810 |
4,160 |
$4K |
| 76856 |
|
15 |
13 |
$4K |
| 76705 |
|
60 |
53 |
$3K |
| 81025 |
|
324 |
294 |
$3K |
| M0247 |
Sotrovimab infusion |
15 |
13 |
$3K |
| 87634 |
|
37 |
37 |
$3K |
| 73630 |
|
335 |
280 |
$3K |
| 86618 |
|
214 |
94 |
$2K |
| 87081 |
|
108 |
106 |
$2K |
| 81002 |
|
284 |
267 |
$2K |
| 76805 |
|
13 |
13 |
$2K |
| 90686 |
|
73 |
60 |
$2K |
| M0243 |
Casirivi and imdevi inj |
13 |
13 |
$2K |
| 73562 |
|
221 |
192 |
$2K |
| 90460 |
|
60 |
49 |
$2K |
| 73030 |
|
123 |
102 |
$2K |
| 90471 |
|
151 |
134 |
$1K |
| 36415 |
|
9,929 |
7,649 |
$1K |
| 73610 |
|
83 |
65 |
$1K |
| 71250 |
|
16 |
14 |
$1K |
| 96375 |
|
4,232 |
3,494 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,331 |
2,981 |
$1K |
| 85027 |
|
208 |
191 |
$990.80 |
| 80329 |
|
989 |
454 |
$754.16 |
| J7040 |
Normal saline solution infus |
10,611 |
5,371 |
$671.46 |
| 97162 |
|
21 |
18 |
$667.71 |
| 87420 |
|
35 |
33 |
$509.36 |
| 74018 |
|
26 |
26 |
$446.12 |
| J7030 |
Normal saline solution infus |
3,712 |
2,724 |
$444.01 |
| 83036 |
|
45 |
42 |
$437.16 |
| 85730 |
|
113 |
86 |
$378.81 |
| 88305 |
|
284 |
136 |
$350.78 |
| 96376 |
|
985 |
729 |
$336.30 |
| J1885 |
Ketorolac tromethamine inj |
3,609 |
3,010 |
$307.44 |
| 86780 |
|
40 |
26 |
$292.67 |
| 73110 |
|
133 |
106 |
$260.41 |
| 84460 |
|
78 |
65 |
$252.08 |
| 84075 |
|
78 |
65 |
$246.10 |
| 82040 |
|
79 |
66 |
$229.95 |
| 90461 |
|
15 |
14 |
$218.56 |
| 86850 |
|
67 |
51 |
$212.46 |
| 87205 |
|
73 |
61 |
$198.45 |
| J0696 |
Ceftriaxone sodium injection |
910 |
679 |
$196.63 |
| 82247 |
|
78 |
65 |
$195.04 |
| 82800 |
|
25 |
24 |
$182.44 |
| 84155 |
|
78 |
65 |
$174.34 |
| J7120 |
Ringers lactate infusion |
1,636 |
1,419 |
$167.89 |
| J1100 |
Dexamethasone sodium phos |
2,147 |
1,812 |
$155.67 |
| 86900 |
|
78 |
59 |
$146.55 |
| 86901 |
|
78 |
59 |
$145.89 |
| 73502 |
|
32 |
26 |
$134.82 |
| 87389 |
|
13 |
12 |
$108.00 |
| 87210 |
|
15 |
13 |
$104.00 |
| 85018 |
|
30 |
27 |
$90.35 |
| 73130 |
|
16 |
12 |
$80.65 |
| J2704 |
Inj, propofol, 10 mg |
1,731 |
1,494 |
$74.71 |
| 94761 |
|
528 |
473 |
$73.79 |
| J2405 |
Ondansetron hcl injection |
3,376 |
2,726 |
$65.78 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
66 |
58 |
$60.66 |
| J3490 |
Drugs unclassified injection |
460 |
398 |
$57.75 |
| 0202U |
|
75 |
63 |
$51.46 |
| J2270 |
Morphine sulfate injection |
119 |
99 |
$48.92 |
| U0002 |
Covid-19 lab test non-cdc |
383 |
328 |
$46.68 |
| 85651 |
|
12 |
12 |
$28.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
125 |
105 |
$20.92 |
| 80050 |
|
13 |
12 |
$14.88 |
| A9576 |
Inj prohance multipack |
17 |
17 |
$10.61 |
| J3010 |
Fentanyl citrate injection |
737 |
603 |
$9.60 |
| J2060 |
Lorazepam injection |
417 |
342 |
$9.06 |
| J1170 |
Hydromorphone injection |
797 |
568 |
$8.71 |
| J2250 |
Inj midazolam hydrochloride |
462 |
391 |
$6.51 |
| J2930 |
Methylprednisolone injection |
57 |
54 |
$6.05 |
| J2001 |
Lidocaine injection |
13 |
12 |
$5.77 |
| A9270 |
Non-covered item or service |
4,355 |
1,417 |
$3.52 |
| C9113 |
Inj pantoprazole sodium, via |
312 |
231 |
$1.11 |
| G8978 |
Mobility current status |
20 |
19 |
$0.02 |
| S0119 |
Ondansetron 4 mg |
294 |
252 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
75 |
66 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
46 |
38 |
$0.00 |
| E0445 |
Oximeter non-invasive |
49 |
46 |
$0.00 |
| J0780 |
Prochlorperazine injection |
17 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
21 |
20 |
$0.00 |
| J1815 |
Insulin injection |
54 |
29 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
16 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
14 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
123 |
95 |
$0.00 |
| G0379 |
Direct refer hospital observ |
15 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
114 |
71 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
21 |
12 |
$0.00 |