| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
28,378 |
23,671 |
$5.25M |
| 99281 |
|
4,803 |
4,401 |
$1.09M |
| 96374 |
|
7,949 |
6,721 |
$1.00M |
| 99282 |
|
8,333 |
7,481 |
$872K |
| 77063 |
|
2,679 |
2,600 |
$859K |
| 76805 |
|
1,776 |
1,632 |
$488K |
| 81003 |
|
12,316 |
11,175 |
$483K |
| 71046 |
|
5,580 |
5,202 |
$469K |
| C9803 |
Hopd covid-19 spec collect |
3,677 |
3,355 |
$424K |
| 99283 |
|
16,843 |
14,978 |
$416K |
| 99218 |
|
1,178 |
1,046 |
$372K |
| 88305 |
|
2,318 |
2,201 |
$293K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,867 |
1,729 |
$202K |
| 96372 |
|
2,614 |
2,304 |
$197K |
| J0131 |
Inj, acetaminophen (nos) |
991 |
907 |
$178K |
| 70450 |
|
2,715 |
2,493 |
$166K |
| 80053 |
|
15,791 |
14,018 |
$161K |
| 93005 |
|
7,520 |
6,539 |
$155K |
| G2023 |
Specimen collect covid-19 |
1,505 |
1,392 |
$152K |
| 76830 |
|
557 |
544 |
$151K |
| J2250 |
Inj midazolam hydrochloride |
1,504 |
1,413 |
$140K |
| J3490 |
Drugs unclassified injection |
1,979 |
1,739 |
$127K |
| G0463 |
Hospital outpt clinic visit |
1,306 |
969 |
$106K |
| 77067 |
|
3,119 |
2,782 |
$99K |
| 76856 |
|
472 |
457 |
$95K |
| 73630 |
|
726 |
687 |
$90K |
| 76700 |
|
342 |
329 |
$85K |
| 93306 |
|
303 |
294 |
$83K |
| 74176 |
|
1,341 |
1,266 |
$76K |
| U0001 |
2019-ncov diagnostic p |
5,377 |
4,862 |
$75K |
| 99284 |
|
5,289 |
4,742 |
$63K |
| G0378 |
Hospital observation per hr |
1,788 |
820 |
$60K |
| 76801 |
|
202 |
188 |
$56K |
| 73030 |
|
292 |
259 |
$41K |
| 73562 |
|
214 |
204 |
$39K |
| 80048 |
|
4,518 |
4,102 |
$38K |
| 87088 |
|
7,625 |
7,049 |
$36K |
| 73130 |
|
257 |
243 |
$32K |
| 71045 |
|
1,629 |
1,468 |
$31K |
| 76641 |
|
104 |
103 |
$29K |
| 72100 |
|
158 |
154 |
$28K |
| 82948 |
|
2,803 |
2,258 |
$27K |
| J1170 |
Hydromorphone injection |
147 |
114 |
$23K |
| 73610 |
|
201 |
181 |
$23K |
| 87070 |
|
780 |
738 |
$21K |
| 81001 |
|
2,801 |
2,520 |
$20K |
| 76817 |
|
118 |
107 |
$19K |
| 73110 |
|
105 |
86 |
$19K |
| J7611 |
Albuterol non-comp con |
97 |
90 |
$17K |
| 99211 |
|
577 |
530 |
$17K |
| 81025 |
|
2,493 |
2,323 |
$17K |
| J7620 |
Albuterol ipratrop non-comp |
331 |
292 |
$16K |
| 77065 |
Tomosynthesis, mammo |
90 |
76 |
$16K |
| 85025 |
|
18,510 |
16,185 |
$16K |
| J2001 |
Lidocaine injection |
1,806 |
1,686 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
3,183 |
2,910 |
$15K |
| J2270 |
Morphine sulfate injection |
1,901 |
1,491 |
$15K |
| 70486 |
|
56 |
55 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
1,189 |
1,043 |
$12K |
| 85610 |
|
3,748 |
3,426 |
$12K |
| G0480 |
Drug test def 1-7 classes |
1,424 |
1,263 |
$11K |
| 96375 |
|
3,961 |
3,314 |
$11K |
| 84702 |
|
2,634 |
2,282 |
$11K |
| J2405 |
Ondansetron hcl injection |
3,768 |
3,225 |
$10K |
| 59025 |
|
689 |
481 |
$10K |
| S0028 |
Injection, famotidine, 20 mg |
64 |
57 |
$9K |
| 74018 |
|
137 |
124 |
$8K |
| G0103 |
Psa screening |
304 |
286 |
$8K |
| J7510 |
Prednisolone oral per 5 mg |
47 |
44 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
707 |
587 |
$8K |
| 71250 |
|
25 |
25 |
$7K |
| 72125 |
|
530 |
500 |
$7K |
| 96361 |
|
110 |
97 |
$6K |
| 85027 |
|
2,302 |
1,962 |
$6K |
| 83036 |
|
3,498 |
3,369 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,333 |
1,233 |
$5K |
| 84439 |
|
1,049 |
1,014 |
$5K |
| 76770 |
|
14 |
14 |
$5K |
| 71275 |
|
363 |
348 |
$5K |
| U0004 |
Cov-19 test non-cdc hgh thru |
76 |
68 |
$5K |
| 90714 |
|
660 |
621 |
$5K |
| Q0162 |
Ondansetron oral |
16 |
15 |
$5K |
| 93971 |
|
29 |
27 |
$4K |
| 96376 |
|
924 |
746 |
$4K |
| 77080 |
|
12 |
12 |
$4K |
| 76536 |
|
12 |
12 |
$4K |
| 86850 |
|
1,249 |
1,162 |
$3K |
| 74177 |
|
1,395 |
1,306 |
$3K |
| 80061 |
|
3,628 |
3,518 |
$3K |
| 82272 |
|
362 |
352 |
$2K |
| 73060 |
|
16 |
13 |
$2K |
| 94640 |
|
856 |
772 |
$2K |
| 87186 |
|
1,341 |
1,239 |
$2K |
| 99285 |
|
201 |
176 |
$2K |
| G0379 |
Direct refer hospital observ |
654 |
581 |
$2K |
| 87804 |
|
487 |
463 |
$2K |
| 86901 |
|
232 |
213 |
$2K |
| 84443 |
|
3,912 |
3,740 |
$2K |
| J0690 |
Cefazolin sodium injection |
469 |
399 |
$2K |
| 73590 |
|
13 |
12 |
$2K |
| 76705 |
|
14 |
13 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
133 |
127 |
$2K |
| J7120 |
Ringers lactate infusion |
316 |
262 |
$1K |
| 90715 |
|
210 |
195 |
$1K |
| 82306 |
|
160 |
154 |
$1K |
| 82553 |
|
2,286 |
2,069 |
$960.15 |
| J3010 |
Fentanyl citrate injection |
965 |
898 |
$864.86 |
| 87491 |
|
379 |
361 |
$791.63 |
| 90471 |
|
839 |
792 |
$788.10 |
| 87485 |
|
94 |
92 |
$788.10 |
| J2060 |
Lorazepam injection |
177 |
141 |
$773.08 |
| C9113 |
Inj pantoprazole sodium, via |
132 |
105 |
$764.24 |
| 84484 |
|
4,250 |
3,804 |
$617.38 |
| 82570 |
|
354 |
305 |
$509.65 |
| 86140 |
|
519 |
494 |
$506.50 |
| 84436 |
|
52 |
51 |
$441.76 |
| 82784 |
|
14 |
12 |
$422.07 |
| 83690 |
|
3,437 |
3,030 |
$414.64 |
| 87210 |
|
19 |
19 |
$388.75 |
| J1815 |
Insulin injection |
61 |
36 |
$375.50 |
| 12001 |
|
13 |
13 |
$375.50 |
| 82550 |
|
2,438 |
2,210 |
$225.28 |
| 83880 |
|
581 |
517 |
$165.61 |
| 85730 |
|
2,271 |
2,085 |
$140.60 |
| 84156 |
|
255 |
206 |
$129.85 |
| 86904 |
|
189 |
147 |
$124.20 |
| 83615 |
|
905 |
769 |
$97.20 |
| 83735 |
|
777 |
683 |
$66.49 |
| 84450 |
|
431 |
403 |
$46.40 |
| 83970 |
|
12 |
12 |
$38.80 |
| 88312 |
|
85 |
84 |
$24.40 |
| 80306 |
|
1,203 |
1,072 |
$23.80 |
| 85652 |
|
1,001 |
932 |
$22.80 |
| 82728 |
|
101 |
92 |
$17.20 |
| 87040 |
|
155 |
135 |
$16.60 |
| 84100 |
|
129 |
115 |
$12.80 |
| 82150 |
|
318 |
299 |
$11.60 |
| 84550 |
|
226 |
174 |
$8.40 |
| 86592 |
|
309 |
294 |
$6.00 |
| A4208 |
3 cc sterile syringe&needle |
137 |
130 |
$6.00 |
| A4209 |
5+ cc sterile syringe&needle |
106 |
100 |
$4.00 |
| 85007 |
|
299 |
264 |
$1.00 |
| 85018 |
|
178 |
174 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
47 |
43 |
$0.00 |
| 85379 |
|
345 |
324 |
$0.00 |
| A4615 |
Cannula nasal |
271 |
248 |
$0.00 |
| 86803 |
|
13 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
48 |
42 |
$0.00 |
| 82607 |
|
41 |
38 |
$0.00 |
| 83550 |
|
43 |
41 |
$0.00 |
| 96365 |
|
18 |
13 |
$0.00 |
| 87340 |
|
82 |
80 |
$0.00 |
| 87912 |
|
94 |
92 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
28 |
26 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 82803 |
|
18 |
16 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
14 |
13 |
$0.00 |
| 86703 |
|
201 |
191 |
$0.00 |
| 85014 |
|
178 |
174 |
$0.00 |
| J2930 |
Methylprednisolone injection |
30 |
28 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
26 |
25 |
$0.00 |
| 43239 |
|
28 |
27 |
$0.00 |
| 45385 |
|
52 |
50 |
$0.00 |
| A7002 |
Tubing used w suction pump |
15 |
14 |
$0.00 |
| 86038 |
|
12 |
12 |
$0.00 |