| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
4,746 |
4,424 |
$859K |
| 99284 |
|
2,870 |
2,729 |
$390K |
| 99283 |
|
5,250 |
5,030 |
$372K |
| U0002 |
Covid-19 lab test non-cdc |
2,775 |
2,701 |
$182K |
| G0378 |
Hospital observation per hr |
716 |
426 |
$140K |
| 93005 |
|
4,804 |
4,176 |
$131K |
| 95813 |
|
348 |
345 |
$131K |
| 93458 |
|
75 |
73 |
$112K |
| 80053 |
|
14,119 |
11,727 |
$110K |
| 85025 |
|
17,721 |
14,193 |
$99K |
| 87150 |
|
1,193 |
1,175 |
$87K |
| 43239 |
|
182 |
177 |
$87K |
| 87389 |
|
1,800 |
1,738 |
$66K |
| 87491 |
|
1,313 |
1,256 |
$61K |
| 87591 |
|
1,313 |
1,256 |
$61K |
| 0202U |
|
709 |
678 |
$51K |
| 88313 |
|
372 |
326 |
$49K |
| 74177 |
|
279 |
267 |
$44K |
| 87086 |
|
4,677 |
4,383 |
$41K |
| 83655 |
|
1,454 |
1,440 |
$38K |
| 70450 |
|
959 |
897 |
$37K |
| 88342 |
|
287 |
257 |
$37K |
| 86780 |
|
1,787 |
1,720 |
$35K |
| 87804 |
|
1,408 |
1,062 |
$34K |
| 80050 |
|
743 |
724 |
$34K |
| 80061 |
|
2,234 |
2,149 |
$34K |
| 96375 |
|
1,899 |
1,481 |
$31K |
| 87660 |
|
910 |
887 |
$31K |
| 71045 |
|
2,145 |
1,909 |
$31K |
| 71046 |
|
1,023 |
996 |
$29K |
| 88305 |
|
611 |
586 |
$29K |
| U0005 |
Infec agen detec ampli probe |
1,726 |
1,667 |
$28K |
| 96376 |
|
1,361 |
675 |
$28K |
| 87480 |
|
968 |
944 |
$27K |
| 87635 |
|
738 |
722 |
$26K |
| 84702 |
|
1,210 |
1,013 |
$26K |
| 95957 |
|
262 |
257 |
$25K |
| 96374 |
|
2,370 |
2,242 |
$24K |
| 87510 |
|
972 |
944 |
$23K |
| 84443 |
|
2,316 |
2,219 |
$21K |
| 87340 |
|
1,244 |
1,210 |
$20K |
| 96372 |
|
2,417 |
1,290 |
$19K |
| 80048 |
|
3,282 |
2,506 |
$19K |
| J3490 |
Drugs unclassified injection |
1,196 |
779 |
$19K |
| CP007 |
|
276 |
191 |
$19K |
| 99282 |
|
230 |
225 |
$19K |
| G0463 |
Hospital outpt clinic visit |
589 |
579 |
$18K |
| 0352U |
|
860 |
834 |
$18K |
| 86850 |
|
1,284 |
1,219 |
$17K |
| 82306 |
|
618 |
601 |
$16K |
| 84703 |
|
2,124 |
2,024 |
$15K |
| 87880 |
|
1,011 |
994 |
$15K |
| 0353U |
|
499 |
483 |
$14K |
| 84439 |
|
1,729 |
1,658 |
$14K |
| 84484 |
|
2,914 |
1,767 |
$14K |
| 83036 |
|
1,989 |
1,936 |
$14K |
| 86762 |
|
589 |
574 |
$14K |
| 86803 |
|
535 |
520 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
1,002 |
779 |
$11K |
| 82784 |
|
750 |
317 |
$8K |
| 85730 |
|
1,932 |
1,819 |
$8K |
| 82785 |
|
237 |
235 |
$8K |
| 85610 |
|
2,775 |
2,486 |
$8K |
| 82962 |
|
6,744 |
1,829 |
$8K |
| C1769 |
Guide wire |
215 |
203 |
$7K |
| 93306 |
|
44 |
42 |
$6K |
| 85027 |
|
1,334 |
1,128 |
$6K |
| 83690 |
|
1,354 |
1,246 |
$6K |
| J3010 |
Fentanyl citrate injection |
2,209 |
1,940 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,833 |
2,201 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
1,479 |
1,334 |
$6K |
| 36415 |
|
4,484 |
3,790 |
$6K |
| 82950 |
|
760 |
741 |
$6K |
| 83880 |
|
1,000 |
884 |
$6K |
| 87636 |
|
106 |
100 |
$5K |
| 74176 |
|
96 |
94 |
$5K |
| 86900 |
|
1,190 |
1,148 |
$5K |
| 81001 |
|
2,697 |
2,478 |
$5K |
| 96361 |
|
257 |
245 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
976 |
537 |
$5K |
| 86901 |
|
1,180 |
1,139 |
$5K |
| 80047 |
|
398 |
354 |
$4K |
| 83735 |
|
1,252 |
802 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
449 |
424 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,315 |
1,170 |
$4K |
| 80307 |
|
353 |
315 |
$4K |
| 99152 |
|
236 |
224 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,889 |
1,794 |
$3K |
| J2270 |
Morphine sulfate injection |
839 |
597 |
$3K |
| C1894 |
Intro/sheath, non-laser |
158 |
155 |
$3K |
| 81025 |
|
384 |
378 |
$3K |
| 99281 |
|
41 |
40 |
$3K |
| 87077 |
|
1,131 |
1,048 |
$3K |
| 87797 |
|
63 |
59 |
$3K |
| 96365 |
|
159 |
149 |
$3K |
| 87186 |
|
1,005 |
911 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
876 |
753 |
$2K |
| 93976 |
|
25 |
24 |
$2K |
| 81003 |
|
1,490 |
1,422 |
$2K |
| 82150 |
|
322 |
302 |
$2K |
| A9270 |
Non-covered item or service |
3,426 |
1,055 |
$2K |
| 0240U |
|
203 |
197 |
$2K |
| 87070 |
|
176 |
167 |
$2K |
| 71275 |
|
13 |
12 |
$2K |
| 97110 |
|
34 |
12 |
$2K |
| 87801 |
|
17 |
17 |
$2K |
| C1887 |
Catheter, guiding |
109 |
103 |
$2K |
| J1100 |
Dexamethasone sodium phos |
730 |
676 |
$2K |
| 94010 |
|
37 |
37 |
$2K |
| J1650 |
Inj enoxaparin sodium |
552 |
236 |
$2K |
| J0690 |
Cefazolin sodium injection |
518 |
354 |
$1K |
| 81000 |
|
416 |
384 |
$1K |
| 83789 |
|
37 |
36 |
$1K |
| 76937 |
|
68 |
63 |
$1K |
| S3620 |
Newborn metabolic screening |
103 |
92 |
$1K |
| 83525 |
|
47 |
47 |
$1K |
| J2001 |
Lidocaine injection |
527 |
475 |
$1K |
| 83605 |
|
373 |
317 |
$1K |
| 86800 |
|
52 |
50 |
$1K |
| 83516 |
|
67 |
64 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
293 |
274 |
$963.97 |
| 86376 |
|
50 |
48 |
$929.72 |
| 87634 |
|
12 |
12 |
$875.12 |
| 85018 |
|
208 |
202 |
$792.12 |
| 85014 |
|
255 |
231 |
$787.45 |
| J1170 |
Hydromorphone injection |
217 |
152 |
$775.20 |
| 87081 |
|
54 |
54 |
$769.24 |
| 82607 |
|
108 |
107 |
$760.77 |
| 82746 |
|
82 |
82 |
$713.51 |
| J0696 |
Ceftriaxone sodium injection |
286 |
203 |
$688.21 |
| 87040 |
|
164 |
91 |
$599.21 |
| 72125 |
|
74 |
69 |
$594.10 |
| 83615 |
|
58 |
55 |
$557.62 |
| 84132 |
|
246 |
175 |
$478.52 |
| 82951 |
|
17 |
17 |
$463.20 |
| 80076 |
|
47 |
43 |
$445.41 |
| 86140 |
|
137 |
100 |
$426.46 |
| 84550 |
|
58 |
55 |
$417.92 |
| 97161 |
|
27 |
24 |
$390.07 |
| 84305 |
|
12 |
12 |
$333.86 |
| 82728 |
|
12 |
12 |
$320.69 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$205.43 |
| 82575 |
|
12 |
12 |
$152.00 |
| 82952 |
|
17 |
17 |
$140.95 |
| 85007 |
|
47 |
40 |
$125.53 |
| 84156 |
|
16 |
14 |
$80.85 |
| 87502 |
|
64 |
52 |
$80.47 |
| 83721 |
|
18 |
18 |
$79.37 |
| J1815 |
Insulin injection |
107 |
36 |
$64.36 |
| 80179 |
|
13 |
12 |
$49.22 |
| 80143 |
|
13 |
12 |
$49.22 |
| 80164 |
|
87 |
80 |
$48.93 |
| 82077 |
|
15 |
13 |
$46.92 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
36 |
34 |
$44.22 |
| 85652 |
|
14 |
12 |
$39.34 |
| 80069 |
|
38 |
27 |
$29.08 |
| 87088 |
|
29 |
28 |
$26.06 |
| 80177 |
|
18 |
17 |
$20.59 |
| 87205 |
|
16 |
12 |
$16.44 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$14.16 |
| A4216 |
Sterile water/saline, 10 ml |
14 |
13 |
$11.92 |
| 82570 |
|
14 |
14 |
$10.81 |
| G1004 |
Cdsm ndsc |
2,126 |
1,480 |
$0.00 |
| 82805 |
|
13 |
13 |
$0.00 |
| 84100 |
|
13 |
12 |
$0.00 |