| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
48,504 |
43,995 |
$5.70M |
| 99285 |
|
28,913 |
25,358 |
$4.48M |
| 99283 |
|
45,743 |
41,990 |
$4.29M |
| 96374 |
|
20,121 |
18,100 |
$1.13M |
| 76811 |
|
3,247 |
3,092 |
$469K |
| 99282 |
|
5,295 |
4,950 |
$349K |
| 96372 |
|
13,704 |
11,927 |
$345K |
| U0002 |
Covid-19 lab test non-cdc |
8,677 |
7,884 |
$313K |
| 96361 |
|
5,298 |
4,629 |
$259K |
| 84484 |
|
19,151 |
15,105 |
$235K |
| 71045 |
|
20,714 |
18,170 |
$232K |
| 76815 |
|
3,663 |
3,425 |
$229K |
| 85025 |
|
49,336 |
41,899 |
$221K |
| 76801 |
|
2,905 |
2,674 |
$181K |
| 57425 |
|
92 |
54 |
$156K |
| 96375 |
|
8,784 |
7,678 |
$147K |
| 70450 |
|
2,386 |
2,116 |
$124K |
| 80047 |
|
16,536 |
14,754 |
$123K |
| 93005 |
|
26,543 |
22,572 |
$116K |
| 71046 |
|
7,759 |
7,100 |
$115K |
| 74177 |
|
845 |
770 |
$112K |
| 96365 |
|
1,277 |
1,170 |
$102K |
| 80053 |
|
26,237 |
22,247 |
$89K |
| 81025 |
|
33,564 |
30,825 |
$87K |
| 70551 |
|
400 |
357 |
$61K |
| 87426 |
|
2,631 |
2,430 |
$57K |
| 80307 |
|
2,705 |
2,162 |
$54K |
| 87400 |
|
6,928 |
5,203 |
$52K |
| J2405 |
Ondansetron hcl injection |
6,044 |
4,922 |
$43K |
| 80048 |
|
12,835 |
10,317 |
$39K |
| G0378 |
Hospital observation per hr |
6,068 |
2,312 |
$38K |
| 83690 |
|
6,284 |
5,682 |
$33K |
| 81001 |
|
36,073 |
32,563 |
$33K |
| 58571 |
|
55 |
37 |
$32K |
| 58661 |
|
19 |
14 |
$31K |
| 58662 |
|
41 |
27 |
$30K |
| 96360 |
|
422 |
372 |
$27K |
| 85027 |
|
7,942 |
6,477 |
$26K |
| 83880 |
|
2,715 |
2,129 |
$24K |
| 64488 |
|
426 |
284 |
$19K |
| 76817 |
|
393 |
336 |
$18K |
| 84702 |
|
633 |
594 |
$14K |
| 76805 |
|
97 |
89 |
$7K |
| 80061 |
|
1,062 |
832 |
$5K |
| 82962 |
|
4,212 |
940 |
$5K |
| 87081 |
|
711 |
659 |
$4K |
| 85379 |
|
167 |
139 |
$4K |
| 80076 |
|
647 |
596 |
$3K |
| 83970 |
|
293 |
231 |
$3K |
| 85610 |
|
2,679 |
1,859 |
$3K |
| 87880 |
|
405 |
384 |
$2K |
| 83036 |
|
994 |
794 |
$2K |
| 84443 |
|
578 |
473 |
$2K |
| 96376 |
|
426 |
176 |
$2K |
| 74176 |
|
15 |
13 |
$2K |
| 82306 |
|
241 |
205 |
$2K |
| 82607 |
|
376 |
305 |
$1K |
| 86900 |
|
1,051 |
747 |
$1K |
| 86901 |
|
1,052 |
748 |
$1K |
| 95816 |
|
32 |
27 |
$1K |
| 82746 |
|
339 |
274 |
$1K |
| 74220 |
|
13 |
13 |
$1K |
| 87088 |
|
128 |
111 |
$1K |
| 97110 |
|
49 |
13 |
$1K |
| 72040 |
|
96 |
85 |
$1K |
| 71275 |
|
13 |
12 |
$1K |
| 99281 |
|
15 |
14 |
$1K |
| 73564 |
|
45 |
40 |
$948.87 |
| G0257 |
Unsched dialysis esrd pt hos |
49 |
14 |
$941.26 |
| 85730 |
|
317 |
235 |
$919.21 |
| J1644 |
Inj heparin sodium per 1000u |
6,246 |
1,575 |
$800.22 |
| 90715 |
|
12 |
12 |
$758.50 |
| 82565 |
|
270 |
229 |
$721.18 |
| 83735 |
|
403 |
247 |
$657.41 |
| 72110 |
|
30 |
29 |
$629.02 |
| 84703 |
|
849 |
559 |
$619.17 |
| 83605 |
|
93 |
67 |
$601.82 |
| J7030 |
Normal saline solution infus |
16,396 |
12,982 |
$591.24 |
| 84439 |
|
281 |
220 |
$556.03 |
| J2765 |
Metoclopramide hcl injection |
730 |
660 |
$474.89 |
| 94664 |
|
31 |
27 |
$446.38 |
| 84550 |
|
352 |
273 |
$445.68 |
| 82550 |
|
269 |
179 |
$415.94 |
| 86140 |
|
293 |
219 |
$389.01 |
| 86886 |
|
844 |
570 |
$374.79 |
| 94640 |
|
196 |
77 |
$363.29 |
| 73610 |
|
16 |
15 |
$333.62 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,286 |
2,012 |
$319.16 |
| 87810 |
|
14 |
12 |
$299.33 |
| 87210 |
|
42 |
38 |
$270.28 |
| 84145 |
|
90 |
70 |
$245.49 |
| 73130 |
|
14 |
14 |
$238.30 |
| 73030 |
|
16 |
12 |
$228.06 |
| J2930 |
Methylprednisolone injection |
161 |
128 |
$199.70 |
| 88307 |
|
181 |
115 |
$193.40 |
| J1200 |
Diphenhydramine hcl injectio |
797 |
723 |
$183.76 |
| 82728 |
|
15 |
12 |
$166.44 |
| 87040 |
|
56 |
27 |
$157.68 |
| J1100 |
Dexamethasone sodium phos |
994 |
710 |
$142.08 |
| J0137 |
Inj, acetaminophen (hikma) |
135 |
101 |
$135.80 |
| J0690 |
Cefazolin sodium injection |
693 |
432 |
$112.55 |
| J2270 |
Morphine sulfate injection |
512 |
261 |
$107.81 |
| 87491 |
|
14 |
13 |
$95.11 |
| 87591 |
|
14 |
13 |
$95.11 |
| 83550 |
|
16 |
12 |
$84.45 |
| 74018 |
|
15 |
13 |
$75.49 |
| 84100 |
|
80 |
52 |
$59.82 |
| 83540 |
|
16 |
12 |
$59.28 |
| J2250 |
Inj midazolam hydrochloride |
1,044 |
680 |
$50.34 |
| J7120 |
Ringers lactate infusion |
2,393 |
1,653 |
$48.74 |
| J3010 |
Fentanyl citrate injection |
1,347 |
861 |
$42.59 |
| J2550 |
Promethazine hcl injection |
148 |
124 |
$36.92 |
| J0330 |
Succinycholine chloride inj |
517 |
336 |
$33.88 |
| 86705 |
|
18 |
12 |
$31.91 |
| 86706 |
|
18 |
12 |
$29.10 |
| J1885 |
Ketorolac tromethamine inj |
13,373 |
12,101 |
$28.14 |
| 94760 |
|
24 |
14 |
$24.34 |
| 87340 |
|
18 |
12 |
$23.72 |
| J1170 |
Hydromorphone injection |
738 |
454 |
$8.83 |
| 86592 |
|
30 |
28 |
$8.79 |
| J8499 |
Oral prescrip drug non chemo |
41 |
12 |
$0.00 |
| 88302 |
|
15 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
169 |
127 |
$0.00 |
| J7040 |
Normal saline solution infus |
33 |
28 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
38 |
13 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
14 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,814 |
2,604 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,288 |
864 |
$0.00 |
| A9270 |
Non-covered item or service |
11,784 |
3,301 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
724 |
581 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,204 |
795 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
848 |
556 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
62 |
58 |
$0.00 |
| 88305 |
|
161 |
111 |
$0.00 |
| J3490 |
Drugs unclassified injection |
112 |
41 |
$0.00 |
| S2900 |
Robotic surgical system |
46 |
29 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
17 |
12 |
$0.00 |