| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
48,955 |
45,558 |
$7.43M |
| 99284 |
|
30,443 |
28,119 |
$6.25M |
| 99285 |
|
11,086 |
10,308 |
$2.99M |
| 0241U |
|
9,901 |
9,044 |
$1.52M |
| 70450 |
|
5,057 |
4,703 |
$1.11M |
| 99282 |
|
13,891 |
13,054 |
$1.07M |
| 74177 |
|
875 |
831 |
$810K |
| 96361 |
|
7,846 |
6,792 |
$594K |
| 96374 |
|
11,037 |
10,231 |
$481K |
| 93005 |
|
14,618 |
13,211 |
$369K |
| 80307 |
|
5,568 |
4,916 |
$339K |
| 71045 |
|
9,920 |
9,240 |
$302K |
| 80053 |
|
32,743 |
29,683 |
$277K |
| J3490 |
Drugs unclassified injection |
47,034 |
20,100 |
$243K |
| 71046 |
|
4,104 |
3,896 |
$241K |
| 85025 |
|
32,703 |
29,679 |
$236K |
| 74022 |
|
2,255 |
2,128 |
$234K |
| 96375 |
|
6,298 |
5,653 |
$167K |
| 96372 |
|
14,336 |
11,891 |
$156K |
| G0480 |
Drug test def 1-7 classes |
3,324 |
2,916 |
$150K |
| 74176 |
|
195 |
177 |
$149K |
| 87502 |
|
2,244 |
2,115 |
$130K |
| 87651 |
|
3,266 |
3,017 |
$111K |
| 81025 |
|
13,656 |
12,600 |
$105K |
| 96365 |
|
2,125 |
1,954 |
$95K |
| 87491 |
|
2,782 |
2,506 |
$84K |
| 87591 |
|
2,782 |
2,506 |
$84K |
| 84484 |
|
10,882 |
9,474 |
$83K |
| 87637 |
|
518 |
456 |
$79K |
| 87428 |
|
985 |
902 |
$68K |
| 81001 |
|
14,493 |
12,875 |
$51K |
| J7030 |
Normal saline solution infus |
9,558 |
8,460 |
$50K |
| G0463 |
Hospital outpt clinic visit |
1,193 |
800 |
$48K |
| 83880 |
|
2,063 |
1,940 |
$47K |
| 81003 |
|
19,489 |
18,275 |
$45K |
| 83690 |
|
6,683 |
6,194 |
$43K |
| 94640 |
|
2,521 |
2,343 |
$42K |
| 66984 |
|
649 |
468 |
$41K |
| 96360 |
|
840 |
784 |
$41K |
| 11042 |
|
614 |
291 |
$38K |
| 80305 |
|
2,897 |
2,661 |
$37K |
| 36415 |
|
17,272 |
14,940 |
$37K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,546 |
2,384 |
$35K |
| 97110 |
|
240 |
71 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
491 |
443 |
$32K |
| 85730 |
|
6,810 |
6,409 |
$30K |
| 71275 |
|
62 |
54 |
$26K |
| 87804 |
|
1,162 |
976 |
$24K |
| 77336 |
|
416 |
159 |
$22K |
| 85610 |
|
7,404 |
6,992 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
9,158 |
8,373 |
$17K |
| 81513 |
|
818 |
691 |
$17K |
| 87430 |
|
1,196 |
1,171 |
$16K |
| 42820 |
|
14 |
12 |
$16K |
| 0202U |
|
541 |
439 |
$14K |
| 87086 |
|
1,596 |
1,422 |
$13K |
| 84443 |
|
945 |
853 |
$13K |
| 72125 |
|
38 |
37 |
$13K |
| 83605 |
|
1,410 |
1,303 |
$11K |
| 83735 |
|
2,008 |
1,788 |
$11K |
| 82550 |
|
2,488 |
2,369 |
$11K |
| 73610 |
|
90 |
81 |
$9K |
| 74019 |
|
117 |
112 |
$9K |
| 97530 |
|
101 |
26 |
$9K |
| 95810 |
|
25 |
25 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
2,333 |
2,138 |
$8K |
| 87389 |
|
277 |
206 |
$8K |
| 87040 |
|
794 |
548 |
$8K |
| 88305 |
|
91 |
67 |
$7K |
| 87088 |
|
1,049 |
1,020 |
$7K |
| 97597 |
|
468 |
267 |
$7K |
| 87081 |
|
1,134 |
1,110 |
$7K |
| 94761 |
|
544 |
428 |
$7K |
| 85379 |
|
801 |
729 |
$7K |
| 87426 |
|
219 |
208 |
$6K |
| J7040 |
Normal saline solution infus |
1,447 |
1,280 |
$6K |
| G0378 |
Hospital observation per hr |
195 |
97 |
$6K |
| J2270 |
Morphine sulfate injection |
2,271 |
1,944 |
$6K |
| 76817 |
|
30 |
26 |
$6K |
| 73130 |
|
58 |
55 |
$6K |
| 73030 |
|
62 |
56 |
$6K |
| 92507 |
|
106 |
44 |
$5K |
| A9270 |
Non-covered item or service |
24,255 |
15,466 |
$5K |
| 82962 |
|
2,632 |
1,071 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
95 |
89 |
$5K |
| 99213 |
|
369 |
262 |
$5K |
| 73562 |
|
38 |
37 |
$5K |
| 95811 |
|
12 |
12 |
$5K |
| 84702 |
|
392 |
344 |
$4K |
| 86850 |
|
358 |
310 |
$4K |
| 77300 |
|
31 |
25 |
$4K |
| U0005 |
Infec agen detec ampli probe |
196 |
163 |
$4K |
| 86780 |
|
262 |
196 |
$4K |
| 88304 |
|
36 |
27 |
$4K |
| J8597 |
Antiemetic drug oral nos |
811 |
726 |
$4K |
| 99212 |
|
359 |
230 |
$4K |
| 87420 |
|
270 |
265 |
$4K |
| 17250 |
|
52 |
26 |
$4K |
| V2632 |
Post chmbr intraocular lens |
471 |
339 |
$4K |
| 76856 |
|
13 |
13 |
$3K |
| 87635 |
|
61 |
59 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,968 |
2,661 |
$3K |
| 80048 |
|
351 |
312 |
$3K |
| J7120 |
Ringers lactate infusion |
1,039 |
620 |
$3K |
| 73630 |
|
43 |
38 |
$3K |
| 74018 |
|
33 |
33 |
$3K |
| 96413 |
|
51 |
26 |
$2K |
| 86803 |
|
138 |
112 |
$2K |
| 87210 |
|
512 |
488 |
$2K |
| J1100 |
Dexamethasone sodium phos |
967 |
876 |
$2K |
| 93306 |
|
14 |
13 |
$2K |
| 87077 |
|
260 |
222 |
$2K |
| 82805 |
|
77 |
67 |
$2K |
| 82306 |
|
43 |
43 |
$2K |
| 86901 |
|
545 |
445 |
$2K |
| J2930 |
Methylprednisolone injection |
447 |
429 |
$2K |
| 86900 |
|
545 |
445 |
$2K |
| 83036 |
|
194 |
163 |
$2K |
| 85027 |
|
297 |
268 |
$2K |
| 80061 |
|
108 |
100 |
$1K |
| 68841 |
|
152 |
105 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
220 |
199 |
$1K |
| 94060 |
|
18 |
13 |
$1K |
| 86762 |
|
56 |
43 |
$1K |
| J7050 |
Normal saline solution infus |
329 |
239 |
$1K |
| J7620 |
Albuterol ipratrop non-comp |
200 |
177 |
$1K |
| 86787 |
|
58 |
45 |
$975.44 |
| 82731 |
|
13 |
12 |
$952.66 |
| 96366 |
|
22 |
12 |
$924.37 |
| 87624 |
|
29 |
26 |
$922.42 |
| 82803 |
|
57 |
51 |
$841.79 |
| J1096 |
Dexametha opth insert 0.1 mg |
160 |
107 |
$826.52 |
| 59025 |
|
14 |
12 |
$775.26 |
| J2765 |
Metoclopramide hcl injection |
397 |
375 |
$733.22 |
| 82948 |
|
189 |
127 |
$672.56 |
| 00142 |
|
247 |
215 |
$610.62 |
| 87186 |
|
74 |
66 |
$582.80 |
| 96376 |
|
27 |
24 |
$535.05 |
| 94729 |
|
17 |
12 |
$496.00 |
| 94726 |
|
17 |
12 |
$490.34 |
| 84100 |
|
129 |
123 |
$449.51 |
| 85660 |
|
61 |
48 |
$438.30 |
| 87340 |
|
38 |
28 |
$426.95 |
| J2250 |
Inj midazolam hydrochloride |
677 |
475 |
$420.55 |
| J1200 |
Diphenhydramine hcl injectio |
193 |
175 |
$364.60 |
| J2704 |
Inj, propofol, 10 mg |
190 |
167 |
$352.72 |
| 80143 |
|
45 |
37 |
$323.42 |
| 90471 |
|
16 |
15 |
$315.69 |
| 90715 |
|
14 |
13 |
$289.59 |
| J3010 |
Fentanyl citrate injection |
114 |
89 |
$286.72 |
| 86885 |
|
50 |
49 |
$236.54 |
| J7512 |
Prednisone ir or dr oral 1mg |
273 |
258 |
$213.98 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
40 |
$130.01 |
| 82570 |
|
16 |
12 |
$107.30 |
| 84439 |
|
12 |
12 |
$97.27 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
39 |
$83.78 |
| 84550 |
|
15 |
12 |
$82.40 |
| 84156 |
|
16 |
12 |
$76.04 |
| 82010 |
|
17 |
12 |
$75.30 |
| C9113 |
Inj pantoprazole sodium, via |
17 |
12 |
$53.75 |
| 80179 |
|
28 |
25 |
$42.11 |
| J2001 |
Lidocaine injection |
26 |
24 |
$36.94 |
| J2550 |
Promethazine hcl injection |
29 |
28 |
$29.45 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
17 |
12 |
$29.42 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
17 |
14 |
$21.35 |
| J0171 |
Adrenalin epinephrine inject |
324 |
208 |
$13.47 |
| J0173 |
Inj, epinephrine (belcher) |
49 |
35 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
46 |
26 |
$0.00 |
| G1004 |
Cdsm ndsc |
225 |
192 |
$0.00 |