| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
26,364 |
8,434 |
$891K |
| 99283 |
|
12,351 |
11,143 |
$772K |
| 96361 |
|
4,687 |
4,014 |
$670K |
| 99284 |
|
10,873 |
9,654 |
$598K |
| 99285 |
|
7,032 |
6,182 |
$389K |
| 80053 |
|
14,066 |
11,480 |
$296K |
| 97140 |
|
13,370 |
4,836 |
$284K |
| 99282 |
|
3,527 |
3,229 |
$230K |
| 74177 |
|
2,708 |
2,495 |
$207K |
| 70450 |
|
2,863 |
2,611 |
$193K |
| 97530 |
|
7,428 |
4,303 |
$183K |
| 96360 |
|
1,721 |
1,482 |
$174K |
| 80307 |
|
3,080 |
2,678 |
$171K |
| 85025 |
|
16,387 |
12,834 |
$106K |
| 0241U |
|
2,630 |
2,440 |
$105K |
| 96365 |
|
1,525 |
1,020 |
$90K |
| 87635 |
|
2,164 |
1,949 |
$90K |
| 93306 |
|
900 |
836 |
$89K |
| 97161 |
|
2,043 |
1,961 |
$88K |
| 97112 |
|
3,567 |
1,596 |
$82K |
| 94640 |
|
1,795 |
1,145 |
$79K |
| 74176 |
|
776 |
704 |
$61K |
| 99211 |
|
874 |
733 |
$56K |
| 97162 |
|
1,607 |
1,521 |
$55K |
| 82077 |
|
2,013 |
1,703 |
$55K |
| 80048 |
|
2,693 |
2,072 |
$51K |
| U0003 |
Cov-19 amp prb hgh thruput |
732 |
669 |
$51K |
| 84484 |
|
4,788 |
4,090 |
$51K |
| G0480 |
Drug test def 1-7 classes |
948 |
792 |
$50K |
| 81025 |
|
4,373 |
3,881 |
$42K |
| 76801 |
|
806 |
685 |
$41K |
| 87086 |
|
3,043 |
2,771 |
$36K |
| 43239 |
|
144 |
130 |
$35K |
| 87651 |
|
866 |
830 |
$34K |
| 76856 |
|
754 |
691 |
$33K |
| 71275 |
|
367 |
339 |
$32K |
| 87502 |
|
273 |
255 |
$30K |
| 83735 |
|
5,689 |
4,397 |
$28K |
| 83880 |
|
873 |
772 |
$27K |
| 76830 |
|
701 |
650 |
$26K |
| 83690 |
|
4,234 |
3,604 |
$25K |
| 83605 |
|
2,793 |
2,421 |
$25K |
| 84145 |
|
1,195 |
1,077 |
$22K |
| 81001 |
|
5,284 |
4,752 |
$21K |
| 82962 |
|
2,616 |
1,478 |
$20K |
| G0378 |
Hospital observation per hr |
1,064 |
921 |
$18K |
| 93356 |
|
190 |
177 |
$18K |
| 99281 |
|
233 |
212 |
$17K |
| 81003 |
|
2,893 |
2,603 |
$17K |
| 80143 |
|
1,319 |
1,143 |
$16K |
| 80179 |
|
1,304 |
1,137 |
$16K |
| 87804 |
|
392 |
367 |
$16K |
| 97035 |
|
1,292 |
556 |
$16K |
| 45380 |
|
57 |
52 |
$16K |
| 93975 |
|
427 |
391 |
$15K |
| 84443 |
|
1,133 |
1,032 |
$14K |
| 76705 |
|
409 |
393 |
$13K |
| 72148 |
|
188 |
171 |
$13K |
| 71260 |
|
208 |
197 |
$12K |
| 87040 |
|
1,017 |
853 |
$12K |
| 96374 |
|
5,019 |
4,073 |
$12K |
| 72125 |
|
447 |
411 |
$12K |
| 92507 |
|
222 |
104 |
$11K |
| 73721 |
|
166 |
146 |
$11K |
| 85379 |
|
1,408 |
1,290 |
$11K |
| 45385 |
|
31 |
30 |
$10K |
| 96366 |
|
107 |
64 |
$10K |
| 97535 |
|
804 |
558 |
$9K |
| 76805 |
|
89 |
82 |
$9K |
| 85610 |
|
2,559 |
2,213 |
$8K |
| 71046 |
|
1,730 |
1,641 |
$8K |
| 87081 |
|
222 |
205 |
$7K |
| 85730 |
|
1,389 |
1,260 |
$6K |
| 71250 |
|
193 |
173 |
$5K |
| 87077 |
|
357 |
328 |
$5K |
| 93005 |
|
7,797 |
6,721 |
$4K |
| 86850 |
|
256 |
230 |
$4K |
| 70553 |
|
38 |
37 |
$4K |
| 87880 |
|
260 |
243 |
$4K |
| 86900 |
|
418 |
374 |
$4K |
| 87186 |
|
395 |
363 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
66 |
64 |
$3K |
| 71045 |
|
4,527 |
4,069 |
$2K |
| 97116 |
|
173 |
82 |
$2K |
| 76817 |
|
216 |
183 |
$2K |
| 0240U |
|
65 |
62 |
$2K |
| 96372 |
|
2,643 |
1,619 |
$2K |
| 93971 |
|
30 |
28 |
$1K |
| G0463 |
Hospital outpt clinic visit |
325 |
250 |
$1K |
| 87591 |
|
38 |
38 |
$1K |
| 87491 |
|
38 |
38 |
$1K |
| 82565 |
|
90 |
85 |
$1K |
| 84112 |
|
15 |
12 |
$1K |
| 97597 |
|
38 |
25 |
$1K |
| 97165 |
|
30 |
30 |
$1K |
| 87811 |
|
21 |
19 |
$1K |
| 86901 |
|
418 |
374 |
$1K |
| J2469 |
Palonosetron hcl |
103 |
84 |
$919.96 |
| 85027 |
|
103 |
93 |
$909.17 |
| 84702 |
|
28 |
25 |
$829.44 |
| 96375 |
|
4,014 |
3,292 |
$670.88 |
| 93017 |
|
14 |
13 |
$471.39 |
| 0399T |
|
16 |
13 |
$441.57 |
| 73630 |
|
107 |
98 |
$423.44 |
| 82550 |
|
82 |
68 |
$416.30 |
| 87088 |
|
54 |
48 |
$364.52 |
| 86140 |
|
100 |
78 |
$344.28 |
| 76816 |
|
15 |
12 |
$307.86 |
| 94060 |
|
13 |
12 |
$296.60 |
| U0005 |
Infec agen detec ampli probe |
85 |
70 |
$231.61 |
| J1885 |
Ketorolac tromethamine inj |
3,878 |
3,159 |
$177.38 |
| 87807 |
|
17 |
13 |
$151.80 |
| 85652 |
|
62 |
52 |
$132.02 |
| 87210 |
|
14 |
14 |
$72.60 |
| 73030 |
|
27 |
24 |
$63.21 |
| 73610 |
|
44 |
41 |
$56.15 |
| 73562 |
|
13 |
13 |
$47.99 |
| 73130 |
|
15 |
14 |
$37.74 |
| J7030 |
Normal saline solution infus |
8,448 |
6,462 |
$17.43 |
| 88305 |
|
495 |
458 |
$17.27 |
| 74018 |
|
15 |
12 |
$16.00 |
| 96376 |
|
750 |
537 |
$14.36 |
| J1170 |
Hydromorphone injection |
1,770 |
1,204 |
$6.51 |
| J0780 |
Prochlorperazine injection |
29 |
26 |
$4.32 |
| J2405 |
Ondansetron hcl injection |
4,798 |
3,779 |
$3.07 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,006 |
4,288 |
$2.80 |
| J1200 |
Diphenhydramine hcl injectio |
1,118 |
949 |
$2.78 |
| J2765 |
Metoclopramide hcl injection |
396 |
337 |
$2.69 |
| 36415 |
|
1,583 |
1,088 |
$2.64 |
| J2060 |
Lorazepam injection |
553 |
409 |
$0.74 |
| J2704 |
Inj, propofol, 10 mg |
3,272 |
2,433 |
$0.00 |
| J1790 |
Droperidol injection |
288 |
244 |
$0.00 |
| A9585 |
Gadobutrol injection |
1,052 |
946 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
2,330 |
2,074 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,939 |
1,723 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,421 |
1,130 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
513 |
334 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
877 |
715 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
40 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
148 |
99 |
$0.00 |
| 80320 |
|
51 |
42 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
93 |
84 |
$0.00 |
| J7120 |
Ringers lactate infusion |
4,780 |
3,947 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,089 |
940 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
314 |
256 |
$0.00 |
| G8978 |
Mobility current status |
163 |
146 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,098 |
806 |
$0.00 |
| G8979 |
Mobility goal status |
241 |
210 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
27 |
25 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
25 |
12 |
$0.00 |
| 94726 |
|
13 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
22 |
12 |
$0.00 |
| 94729 |
|
13 |
12 |
$0.00 |