| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,963 |
25,365 |
$6.90M |
| 99283 |
|
32,841 |
31,172 |
$5.63M |
| 99211 |
|
60,877 |
57,538 |
$1.51M |
| 99285 |
|
3,699 |
3,428 |
$1.43M |
| 96374 |
|
11,940 |
10,795 |
$1.42M |
| 96361 |
|
9,875 |
7,750 |
$1.11M |
| G0463 |
Hospital outpt clinic visit |
7,834 |
6,845 |
$679K |
| 0241U |
|
5,267 |
4,977 |
$573K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,196 |
5,797 |
$453K |
| G0330 |
Facility svs dental rehab |
154 |
153 |
$277K |
| 59025 |
|
1,962 |
1,161 |
$270K |
| 71046 |
|
4,801 |
4,516 |
$264K |
| 96375 |
|
7,721 |
6,635 |
$230K |
| 0202U |
|
487 |
478 |
$155K |
| 77067 |
|
1,485 |
1,475 |
$132K |
| 87491 |
|
3,745 |
3,446 |
$129K |
| 87591 |
|
3,761 |
3,458 |
$108K |
| 87081 |
|
15,551 |
14,965 |
$97K |
| 36415 |
|
35,164 |
30,504 |
$73K |
| 87806 |
|
2,755 |
2,633 |
$72K |
| 77063 |
|
1,484 |
1,474 |
$72K |
| 84443 |
|
5,489 |
5,241 |
$71K |
| 99281 |
|
6,107 |
5,881 |
$69K |
| D2930 |
|
147 |
137 |
$61K |
| 47562 |
|
13 |
13 |
$60K |
| 80053 |
|
25,892 |
23,854 |
$58K |
| 99282 |
|
568 |
541 |
$58K |
| U0005 |
Infec agen detec ampli probe |
2,791 |
2,640 |
$55K |
| 88305 |
|
1,776 |
1,584 |
$52K |
| 71045 |
|
849 |
811 |
$49K |
| 85025 |
|
34,196 |
30,950 |
$49K |
| 97112 |
|
865 |
344 |
$46K |
| 97530 |
|
1,243 |
456 |
$43K |
| 87636 |
|
335 |
323 |
$42K |
| 86803 |
|
3,455 |
3,303 |
$41K |
| 93306 |
|
132 |
121 |
$39K |
| G0378 |
Hospital observation per hr |
1,095 |
965 |
$36K |
| 78452 |
|
43 |
39 |
$33K |
| 87340 |
|
3,429 |
3,285 |
$30K |
| 99213 |
|
340 |
204 |
$28K |
| 80048 |
|
8,226 |
7,286 |
$28K |
| 87502 |
|
1,532 |
1,450 |
$27K |
| 87631 |
|
470 |
442 |
$19K |
| 87801 |
|
307 |
300 |
$19K |
| 86780 |
|
1,662 |
1,625 |
$18K |
| 76642 |
|
283 |
246 |
$18K |
| 96365 |
|
168 |
119 |
$17K |
| 0353U |
|
1,182 |
1,133 |
$17K |
| 80076 |
|
1,548 |
1,493 |
$10K |
| 80061 |
|
913 |
890 |
$10K |
| 74177 |
|
39 |
39 |
$10K |
| J2405 |
Ondansetron hcl injection |
3,984 |
3,326 |
$9K |
| 87634 |
|
1,120 |
1,062 |
$9K |
| 87389 |
|
458 |
450 |
$9K |
| 76705 |
|
95 |
90 |
$9K |
| 94640 |
|
365 |
328 |
$9K |
| 92507 |
|
111 |
40 |
$8K |
| 87086 |
|
3,849 |
3,521 |
$8K |
| 93005 |
|
6,981 |
6,118 |
$8K |
| 83655 |
|
722 |
707 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
4,926 |
4,383 |
$7K |
| 76816 |
|
69 |
62 |
$6K |
| 85027 |
|
2,599 |
2,199 |
$6K |
| G0279 |
Tomosynthesis, mammo |
129 |
122 |
$5K |
| 86592 |
|
973 |
926 |
$3K |
| 86480 |
|
62 |
60 |
$3K |
| 76700 |
|
30 |
30 |
$3K |
| 70450 |
|
29 |
27 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,149 |
1,047 |
$3K |
| J2785 |
Regadenoson injection |
55 |
49 |
$3K |
| G0483 |
Drug test def 22+ classes |
20 |
20 |
$3K |
| 90853 |
|
134 |
12 |
$2K |
| 93296 |
|
118 |
112 |
$2K |
| 99214 |
|
13 |
13 |
$2K |
| G0432 |
Eia hiv-1/hiv-2 screen |
174 |
163 |
$2K |
| 81015 |
|
4,451 |
4,149 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
647 |
602 |
$2K |
| G0480 |
Drug test def 1-7 classes |
68 |
65 |
$2K |
| 87899 |
|
174 |
163 |
$2K |
| 99212 |
|
33 |
12 |
$2K |
| 94010 |
|
2,449 |
2,337 |
$2K |
| 80055 |
|
44 |
41 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$1K |
| 96372 |
|
1,612 |
1,492 |
$1K |
| 76830 |
|
16 |
15 |
$1K |
| 87651 |
|
912 |
881 |
$1K |
| 86140 |
|
5,212 |
4,874 |
$1K |
| 85018 |
|
466 |
461 |
$1K |
| 83036 |
|
178 |
172 |
$1K |
| 97535 |
|
21 |
12 |
$961.32 |
| 85007 |
|
650 |
596 |
$904.54 |
| 36416 |
|
120 |
90 |
$694.15 |
| J3010 |
Fentanyl citrate injection |
630 |
370 |
$624.40 |
| 87880 |
|
97 |
94 |
$594.45 |
| J0696 |
Ceftriaxone sodium injection |
402 |
359 |
$549.86 |
| 87210 |
|
110 |
105 |
$526.88 |
| 87070 |
|
39 |
37 |
$521.61 |
| J1170 |
Hydromorphone injection |
307 |
264 |
$495.02 |
| 87077 |
|
115 |
93 |
$489.59 |
| 83690 |
|
4,343 |
4,012 |
$452.95 |
| 93017 |
|
59 |
54 |
$380.72 |
| 88304 |
|
87 |
82 |
$323.69 |
| J3490 |
Drugs unclassified injection |
49 |
30 |
$291.01 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
300 |
284 |
$248.45 |
| A9270 |
Non-covered item or service |
983 |
607 |
$237.92 |
| 84703 |
|
2,913 |
2,690 |
$237.51 |
| 84439 |
|
50 |
47 |
$170.26 |
| 87186 |
|
43 |
39 |
$148.67 |
| 86900 |
|
13 |
12 |
$146.85 |
| J2270 |
Morphine sulfate injection |
219 |
165 |
$141.66 |
| 83735 |
|
97 |
91 |
$140.14 |
| 80307 |
|
92 |
73 |
$125.61 |
| 76942 |
|
58 |
55 |
$113.61 |
| 81001 |
|
2,113 |
1,933 |
$105.09 |
| J0694 |
Cefoxitin sodium injection |
32 |
16 |
$71.10 |
| 81002 |
|
15 |
13 |
$52.72 |
| 83880 |
|
25 |
24 |
$39.26 |
| J7120 |
Ringers lactate infusion |
386 |
335 |
$39.00 |
| 81003 |
|
388 |
353 |
$37.61 |
| 84484 |
|
1,126 |
704 |
$25.07 |
| 86901 |
|
13 |
12 |
$23.90 |
| J2250 |
Inj midazolam hydrochloride |
212 |
181 |
$22.51 |
| 94729 |
|
77 |
74 |
$6.93 |
| J2710 |
Neostigmine methylslfte inj |
17 |
12 |
$3.60 |
| P9604 |
One-way allow prorated trip |
456 |
421 |
$2.33 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$0.75 |
| 84145 |
|
13 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
56 |
51 |
$0.00 |
| J7030 |
Normal saline solution infus |
38 |
17 |
$0.00 |
| 80179 |
|
19 |
14 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
12 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 87633 |
|
16 |
16 |
$0.00 |
| 80143 |
|
22 |
13 |
$0.00 |
| 83605 |
|
313 |
252 |
$0.00 |
| 96376 |
|
467 |
274 |
$0.00 |
| 87040 |
|
83 |
50 |
$0.00 |
| 99406 |
|
32 |
30 |
$0.00 |
| 82962 |
|
14 |
12 |
$0.00 |
| 83874 |
|
13 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
13 |
$0.00 |
| 82553 |
|
13 |
13 |
$0.00 |
| 82550 |
|
13 |
13 |
$0.00 |
| 0352U |
|
17 |
17 |
$0.00 |
| 80320 |
|
20 |
12 |
$0.00 |