| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
34,445 |
29,941 |
$2.92M |
| 99283 |
|
40,055 |
34,452 |
$2.86M |
| 0450 |
|
7,898 |
7,021 |
$1.89M |
| 74177 |
|
4,502 |
4,335 |
$1.02M |
| 99202 |
|
6,275 |
5,663 |
$1.00M |
| 99201 |
|
6,659 |
5,488 |
$935K |
| 70450 |
|
3,999 |
3,869 |
$624K |
| 96374 |
|
8,903 |
7,797 |
$519K |
| 96365 |
|
5,389 |
3,382 |
$405K |
| 96375 |
|
7,465 |
6,384 |
$334K |
| 72125 |
|
1,081 |
1,061 |
$309K |
| 93005 |
|
9,765 |
8,961 |
$299K |
| J3490 |
Drugs unclassified injection |
30,217 |
16,980 |
$297K |
| 80053 |
|
31,730 |
27,179 |
$287K |
| G0480 |
Drug test def 1-7 classes |
5,415 |
4,914 |
$272K |
| 80307 |
|
6,025 |
5,668 |
$255K |
| 96372 |
|
7,050 |
6,214 |
$241K |
| 0241U |
|
2,138 |
2,034 |
$226K |
| 76700 |
|
2,970 |
2,930 |
$185K |
| 71250 |
|
1,455 |
1,433 |
$183K |
| 74176 |
|
1,387 |
1,345 |
$167K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,257 |
2,132 |
$161K |
| 85025 |
|
31,861 |
27,052 |
$152K |
| 73721 |
|
723 |
708 |
$149K |
| 70551 |
|
822 |
810 |
$146K |
| Z7502 |
|
3,771 |
3,676 |
$141K |
| 96367 |
|
1,640 |
981 |
$140K |
| 99284 |
|
773 |
716 |
$135K |
| G0500 |
Mod sedat endo service >5yrs |
1,852 |
1,809 |
$127K |
| 71045 |
|
7,658 |
7,103 |
$123K |
| 99199 |
|
2,507 |
2,242 |
$123K |
| 76856 |
|
2,608 |
2,555 |
$112K |
| 71046 |
|
4,040 |
3,910 |
$110K |
| 96413 |
|
1,262 |
739 |
$105K |
| 71260 |
|
463 |
453 |
$105K |
| 76830 |
|
2,085 |
2,045 |
$95K |
| 72148 |
|
612 |
607 |
$87K |
| 96361 |
|
4,321 |
3,419 |
$86K |
| 76705 |
|
1,376 |
1,330 |
$77K |
| 70553 |
|
244 |
243 |
$75K |
| 87635 |
|
1,616 |
1,571 |
$73K |
| 96360 |
|
1,321 |
1,163 |
$70K |
| 94640 |
|
2,663 |
2,326 |
$68K |
| J2405 |
Ondansetron hcl injection |
7,746 |
6,723 |
$59K |
| 93971 |
|
669 |
659 |
$56K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,128 |
6,344 |
$56K |
| 71275 |
|
192 |
184 |
$50K |
| 84484 |
|
5,681 |
4,926 |
$49K |
| J7030 |
Normal saline solution infus |
8,315 |
6,392 |
$45K |
| 43239 |
|
1,338 |
1,294 |
$45K |
| J2250 |
Inj midazolam hydrochloride |
7,252 |
6,589 |
$43K |
| 83880 |
|
2,041 |
1,902 |
$42K |
| 83690 |
|
9,280 |
8,473 |
$42K |
| 95810 |
|
254 |
253 |
$38K |
| 0250 |
|
2,734 |
1,625 |
$38K |
| 87502 |
|
620 |
610 |
$37K |
| 83605 |
|
4,952 |
4,553 |
$37K |
| 87040 |
|
3,513 |
3,225 |
$37K |
| 73221 |
|
157 |
155 |
$37K |
| 72141 |
|
295 |
295 |
$37K |
| 88305 |
|
5,321 |
4,580 |
$35K |
| J1100 |
Dexamethasone sodium phos |
4,497 |
3,773 |
$33K |
| 73130 |
|
928 |
908 |
$32K |
| J1885 |
Ketorolac tromethamine inj |
6,227 |
5,730 |
$31K |
| 73630 |
|
874 |
861 |
$30K |
| 76811 |
|
913 |
898 |
$30K |
| 36415 |
|
2,798 |
2,382 |
$29K |
| 99070 |
|
13,395 |
9,356 |
$29K |
| 76775 |
|
834 |
805 |
$29K |
| 99153 |
Mod sedat endo service >5yrs |
2,512 |
2,416 |
$28K |
| J3010 |
Fentanyl citrate injection |
6,686 |
6,189 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
536 |
506 |
$27K |
| Z9725 |
|
891 |
889 |
$27K |
| M0243 |
Casirivi and imdevi inj |
93 |
77 |
$25K |
| 73560 |
|
886 |
856 |
$25K |
| 81001 |
|
9,483 |
8,907 |
$25K |
| 70486 |
|
149 |
146 |
$25K |
| 76536 |
|
618 |
611 |
$24K |
| 45380 |
|
1,008 |
976 |
$23K |
| 84145 |
|
1,954 |
1,846 |
$23K |
| T1999 |
Noc retail items andsupplies |
1,087 |
751 |
$22K |
| J2704 |
Inj, propofol, 10 mg |
2,621 |
2,501 |
$21K |
| J0696 |
Ceftriaxone sodium injection |
2,104 |
1,689 |
$21K |
| 73610 |
|
595 |
583 |
$20K |
| 66984 |
|
242 |
191 |
$19K |
| 95806 |
|
96 |
96 |
$18K |
| 82962 |
|
4,033 |
3,109 |
$18K |
| 87631 |
|
447 |
421 |
$17K |
| J1453 |
Fosaprepitant injection |
18 |
12 |
$17K |
| 85730 |
|
4,226 |
4,002 |
$17K |
| J1815 |
Insulin injection |
298 |
222 |
$17K |
| 85610 |
|
6,477 |
5,910 |
$16K |
| J2270 |
Morphine sulfate injection |
2,525 |
2,202 |
$16K |
| 87086 |
|
3,655 |
3,476 |
$16K |
| J0690 |
Cefazolin sodium injection |
1,658 |
1,459 |
$16K |
| 90715 |
|
625 |
618 |
$16K |
| J1200 |
Diphenhydramine hcl injectio |
3,440 |
2,697 |
$14K |
| 93970 |
|
126 |
123 |
$13K |
| 45385 |
|
459 |
445 |
$13K |
| A9579 |
Gad-base mr contrast nos,1ml |
755 |
725 |
$12K |
| 76870 |
|
195 |
190 |
$12K |
| 85379 |
|
1,834 |
1,770 |
$12K |
| 83735 |
|
2,404 |
2,211 |
$12K |
| 87880 |
|
2,338 |
2,285 |
$11K |
| 87591 |
|
479 |
470 |
$11K |
| 87491 |
|
477 |
469 |
$11K |
| 76801 |
|
252 |
225 |
$11K |
| 85027 |
|
2,262 |
2,023 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
148 |
140 |
$9K |
| 81025 |
|
3,156 |
3,082 |
$9K |
| 82550 |
|
1,557 |
1,409 |
$9K |
| 73110 |
|
185 |
184 |
$9K |
| 80048 |
|
2,078 |
1,846 |
$9K |
| 78452 |
|
54 |
50 |
$9K |
| 87081 |
|
2,283 |
2,233 |
$8K |
| J1170 |
Hydromorphone injection |
1,426 |
1,203 |
$8K |
| 45378 |
|
172 |
168 |
$8K |
| 86141 |
|
1,352 |
1,283 |
$8K |
| 59025 |
|
639 |
162 |
$8K |
| 99282 |
|
140 |
131 |
$7K |
| 87077 |
|
1,475 |
1,420 |
$7K |
| V2632 |
Post chmbr intraocular lens |
330 |
257 |
$7K |
| J7050 |
Normal saline solution infus |
1,628 |
1,045 |
$7K |
| J2930 |
Methylprednisolone injection |
299 |
244 |
$7K |
| 84703 |
|
1,546 |
1,466 |
$7K |
| S0020 |
Injection, bupivicaine hydro |
610 |
596 |
$6K |
| 87186 |
|
1,123 |
1,075 |
$6K |
| 73030 |
|
171 |
171 |
$6K |
| J2765 |
Metoclopramide hcl injection |
1,710 |
1,593 |
$6K |
| 76816 |
|
159 |
155 |
$6K |
| 99285 |
|
12 |
12 |
$6K |
| 84100 |
|
526 |
489 |
$5K |
| 0270 |
|
297 |
160 |
$5K |
| J1756 |
Iron sucrose injection |
483 |
210 |
$5K |
| J2060 |
Lorazepam injection |
916 |
814 |
$5K |
| 82553 |
|
305 |
294 |
$4K |
| A9552 |
F18 fdg |
24 |
24 |
$4K |
| 72100 |
|
104 |
104 |
$4K |
| 76817 |
|
85 |
80 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
315 |
297 |
$3K |
| 88304 |
|
889 |
860 |
$3K |
| 99152 |
|
53 |
52 |
$3K |
| 87276 |
|
384 |
373 |
$3K |
| 88342 |
|
394 |
377 |
$3K |
| 96415 |
|
70 |
50 |
$3K |
| Z7610 |
|
1,052 |
580 |
$3K |
| 41899 |
|
24 |
24 |
$3K |
| A9502 |
Tc99m tetrofosmin |
27 |
24 |
$3K |
| 93017 |
|
64 |
61 |
$3K |
| 94644 |
|
85 |
78 |
$3K |
| 86901 |
|
1,524 |
1,426 |
$3K |
| 87275 |
|
384 |
373 |
$3K |
| 96366 |
|
89 |
74 |
$3K |
| 87070 |
|
354 |
343 |
$2K |
| 81003 |
|
1,379 |
1,306 |
$2K |
| J7040 |
Normal saline solution infus |
431 |
296 |
$2K |
| S0164 |
Injection pantroprazole |
199 |
181 |
$2K |
| 12001 |
|
59 |
59 |
$2K |
| 87661 |
|
126 |
125 |
$2K |
| 85007 |
|
1,115 |
1,005 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
762 |
412 |
$2K |
| 84443 |
|
213 |
206 |
$2K |
| 87637 |
|
18 |
17 |
$2K |
| A9500 |
Tc99m sestamibi |
27 |
26 |
$2K |
| 86885 |
|
579 |
546 |
$1K |
| 84702 |
|
234 |
203 |
$1K |
| 99406 |
|
101 |
101 |
$1K |
| 87205 |
|
412 |
395 |
$1K |
| 87075 |
|
145 |
141 |
$1K |
| 96417 |
|
16 |
12 |
$1K |
| 86900 |
|
787 |
733 |
$1K |
| 82803 |
|
56 |
43 |
$959.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
273 |
259 |
$940.87 |
| 76815 |
|
12 |
12 |
$596.00 |
| J3370 |
Vancomycin hcl injection |
55 |
36 |
$504.92 |
| J2785 |
Regadenoson injection |
12 |
12 |
$499.24 |
| 76813 |
|
26 |
26 |
$476.37 |
| 87147 |
|
39 |
38 |
$446.36 |
| 36600 |
|
14 |
13 |
$419.57 |
| 97750 |
|
14 |
12 |
$399.76 |
| S0028 |
Injection, famotidine, 20 mg |
131 |
100 |
$398.03 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
16 |
$335.02 |
| 77080 |
|
38 |
37 |
$323.96 |
| A9150 |
Misc/exper non-prescript dru |
2,858 |
1,554 |
$288.16 |
| Q0111 |
Wet mounts/ w preparations |
69 |
69 |
$277.04 |
| 80061 |
|
59 |
55 |
$260.90 |
| 74019 |
|
14 |
14 |
$252.69 |
| J2710 |
Neostigmine methylslfte inj |
26 |
25 |
$240.00 |
| 90471 |
|
167 |
161 |
$239.21 |
| J2795 |
Ropivacaine hcl injection |
41 |
39 |
$229.82 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
53 |
53 |
$166.40 |
| 87420 |
|
23 |
21 |
$140.44 |
| 82565 |
|
298 |
298 |
$125.06 |
| 84439 |
|
29 |
29 |
$123.11 |
| 83036 |
|
31 |
30 |
$118.97 |
| 85651 |
|
51 |
50 |
$90.59 |
| J2916 |
Na ferric gluconate complex |
43 |
26 |
$70.98 |
| 84520 |
|
64 |
64 |
$22.65 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$7.66 |
| 88311 |
|
13 |
13 |
$4.74 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
233 |
52 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
13 |
13 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
218 |
40 |
$0.00 |
| A9576 |
Inj prohance multipack |
110 |
109 |
$0.00 |
| 00140 |
|
17 |
17 |
$0.00 |
| 99211 |
|
143 |
121 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
16 |
13 |
$0.00 |