| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,354 |
9,844 |
$2.02M |
| 99285 |
|
6,141 |
5,797 |
$1.90M |
| 99283 |
|
13,245 |
12,745 |
$1.54M |
| 96374 |
|
6,964 |
6,461 |
$542K |
| G0378 |
Hospital observation per hr |
1,340 |
1,272 |
$456K |
| G0463 |
Hospital outpt clinic visit |
6,589 |
5,841 |
$393K |
| 74177 |
|
1,828 |
1,791 |
$225K |
| 96365 |
|
2,434 |
1,499 |
$217K |
| 99282 |
|
2,599 |
2,517 |
$196K |
| J1100 |
Dexamethasone sodium phos |
3,890 |
3,567 |
$165K |
| 96375 |
|
5,774 |
4,834 |
$160K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
826 |
795 |
$123K |
| 71045 |
|
3,675 |
3,547 |
$113K |
| 93306 |
|
493 |
490 |
$106K |
| 77067 |
|
2,078 |
2,075 |
$100K |
| 71046 |
|
3,216 |
3,139 |
$95K |
| 70450 |
|
1,469 |
1,431 |
$84K |
| 87637 |
|
1,426 |
1,392 |
$82K |
| 99281 |
|
1,424 |
1,397 |
$76K |
| J1642 |
Inj heparin sodium per 10 u |
849 |
497 |
$71K |
| 74176 |
|
697 |
690 |
$66K |
| 86900 |
|
2,161 |
2,029 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,598 |
1,558 |
$58K |
| 73721 |
|
469 |
454 |
$58K |
| 76856 |
|
803 |
797 |
$37K |
| 76816 |
|
801 |
761 |
$35K |
| 76830 |
|
632 |
625 |
$33K |
| 71260 |
|
234 |
232 |
$30K |
| 96372 |
|
4,208 |
3,482 |
$29K |
| 59025 |
|
324 |
156 |
$28K |
| 76811 |
|
145 |
145 |
$19K |
| 76705 |
|
334 |
328 |
$18K |
| 76700 |
|
262 |
260 |
$18K |
| 87635 |
|
677 |
669 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
614 |
594 |
$13K |
| 96361 |
|
369 |
289 |
$13K |
| 93017 |
|
496 |
489 |
$12K |
| 72148 |
|
129 |
127 |
$12K |
| 77063 |
|
618 |
618 |
$8K |
| 83735 |
|
8,925 |
7,495 |
$7K |
| 90471 |
|
959 |
944 |
$7K |
| 80053 |
|
4,714 |
4,037 |
$7K |
| 88305 |
|
1,411 |
1,387 |
$7K |
| 85025 |
|
8,016 |
6,891 |
$6K |
| 93971 |
|
129 |
126 |
$6K |
| 80048 |
|
10,320 |
9,048 |
$6K |
| 76642 |
|
160 |
140 |
$6K |
| 93005 |
|
5,322 |
4,827 |
$5K |
| J7030 |
Normal saline solution infus |
6,265 |
5,357 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
2,219 |
1,895 |
$4K |
| 80307 |
|
2,395 |
2,246 |
$4K |
| 96413 |
|
23 |
13 |
$4K |
| 81003 |
|
2,995 |
2,890 |
$3K |
| 76770 |
|
49 |
49 |
$3K |
| 82962 |
|
1,078 |
996 |
$3K |
| 0012A |
|
63 |
63 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,243 |
3,066 |
$2K |
| 0011A |
|
57 |
57 |
$2K |
| 73630 |
|
418 |
403 |
$2K |
| 94640 |
|
897 |
830 |
$2K |
| Q3014 |
Telehealth facility fee |
107 |
94 |
$2K |
| 85027 |
|
9,019 |
7,864 |
$1K |
| 73130 |
|
225 |
206 |
$1K |
| 81025 |
|
2,736 |
2,666 |
$1K |
| 76536 |
|
26 |
26 |
$1K |
| 76801 |
|
26 |
26 |
$1K |
| 81001 |
|
3,800 |
3,616 |
$1K |
| 82728 |
|
289 |
280 |
$1K |
| 84484 |
|
3,488 |
3,079 |
$1K |
| 84703 |
|
2,354 |
2,294 |
$999.24 |
| 73030 |
|
133 |
125 |
$972.48 |
| 86850 |
|
2,142 |
2,010 |
$858.12 |
| 73610 |
|
245 |
230 |
$788.98 |
| J2704 |
Inj, propofol, 10 mg |
4,869 |
4,757 |
$739.25 |
| J7120 |
Ringers lactate infusion |
6,230 |
5,716 |
$707.47 |
| 36415 |
|
1,456 |
1,260 |
$625.21 |
| J0690 |
Cefazolin sodium injection |
2,465 |
2,296 |
$592.42 |
| 83550 |
|
201 |
197 |
$522.69 |
| 71250 |
|
12 |
12 |
$486.66 |
| 83690 |
|
3,361 |
3,155 |
$468.05 |
| 72125 |
|
30 |
30 |
$431.16 |
| 87591 |
|
24 |
24 |
$424.00 |
| 87491 |
|
24 |
24 |
$424.00 |
| 85610 |
|
2,367 |
2,221 |
$403.08 |
| 83540 |
|
203 |
198 |
$391.85 |
| 87086 |
|
273 |
265 |
$363.37 |
| 72100 |
|
25 |
25 |
$330.21 |
| 73564 |
|
57 |
55 |
$314.37 |
| 86901 |
|
2,144 |
2,012 |
$303.23 |
| 82565 |
|
879 |
806 |
$296.05 |
| 85730 |
|
2,236 |
2,145 |
$282.65 |
| 84460 |
|
1,894 |
1,794 |
$278.41 |
| 84450 |
|
1,899 |
1,801 |
$273.45 |
| 82607 |
|
69 |
66 |
$253.43 |
| 80051 |
|
561 |
513 |
$246.45 |
| 87631 |
|
684 |
680 |
$224.08 |
| 76817 |
|
191 |
177 |
$198.26 |
| 84443 |
|
68 |
64 |
$192.61 |
| J1170 |
Hydromorphone injection |
3,026 |
2,527 |
$190.46 |
| J7050 |
Normal saline solution infus |
3,092 |
2,101 |
$180.96 |
| 73110 |
|
38 |
37 |
$164.59 |
| J2405 |
Ondansetron hcl injection |
7,961 |
7,052 |
$164.33 |
| J3475 |
Inj magnesium sulfate |
488 |
415 |
$161.38 |
| 82247 |
|
1,230 |
1,168 |
$141.64 |
| J1885 |
Ketorolac tromethamine inj |
6,895 |
6,140 |
$118.93 |
| 90674 |
|
17 |
17 |
$117.86 |
| A9270 |
Non-covered item or service |
18,740 |
14,537 |
$114.84 |
| J2270 |
Morphine sulfate injection |
2,957 |
2,656 |
$114.19 |
| 82248 |
|
1,202 |
1,134 |
$108.60 |
| 74018 |
|
12 |
12 |
$97.62 |
| 83880 |
|
350 |
337 |
$94.60 |
| 84702 |
|
223 |
214 |
$94.11 |
| J0171 |
Adrenalin epinephrine inject |
496 |
490 |
$92.84 |
| J0696 |
Ceftriaxone sodium injection |
299 |
207 |
$74.57 |
| 82746 |
|
13 |
13 |
$69.82 |
| J1644 |
Inj heparin sodium per 1000u |
973 |
505 |
$68.35 |
| 72170 |
|
13 |
13 |
$60.83 |
| 84520 |
|
369 |
332 |
$55.10 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$53.68 |
| 73590 |
|
13 |
12 |
$48.57 |
| 84075 |
|
909 |
875 |
$36.99 |
| 82947 |
|
25 |
25 |
$36.15 |
| 84100 |
|
354 |
296 |
$27.78 |
| J0780 |
Prochlorperazine injection |
564 |
519 |
$27.68 |
| 90715 |
|
877 |
874 |
$25.95 |
| 85379 |
|
241 |
235 |
$24.67 |
| 87502 |
|
72 |
71 |
$23.64 |
| J2765 |
Metoclopramide hcl injection |
1,768 |
1,675 |
$21.18 |
| 87804 |
|
578 |
314 |
$19.04 |
| J2060 |
Lorazepam injection |
187 |
158 |
$15.31 |
| J7040 |
Normal saline solution infus |
282 |
229 |
$12.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
384 |
376 |
$11.93 |
| S0020 |
Injection, bupivicaine hydro |
727 |
712 |
$8.47 |
| J3370 |
Vancomycin hcl injection |
136 |
120 |
$6.68 |
| 83605 |
|
115 |
108 |
$6.46 |
| J2250 |
Inj midazolam hydrochloride |
3,340 |
3,259 |
$2.61 |
| J1630 |
Haloperidol injection |
13 |
12 |
$1.04 |
| 96376 |
|
1,306 |
953 |
$0.00 |
| 87807 |
|
108 |
107 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
879 |
863 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
775 |
767 |
$0.00 |
| 87651 |
|
66 |
65 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
114 |
113 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
196 |
194 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
15 |
15 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 12001 |
|
14 |
14 |
$0.00 |
| A9585 |
Gadobutrol injection |
15 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
451 |
440 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
218 |
204 |
$0.00 |
| 87880 |
|
16 |
16 |
$0.00 |
| A9576 |
Inj prohance multipack |
120 |
118 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
112 |
111 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
72 |
57 |
$0.00 |
| C1729 |
Cath, drainage |
33 |
30 |
$0.00 |
| 64447 |
|
15 |
13 |
$0.00 |