| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,381 |
21,008 |
$5.35M |
| 99283 |
|
15,931 |
15,362 |
$2.72M |
| 99285 |
|
8,298 |
7,777 |
$2.07M |
| 74177 |
|
1,978 |
1,880 |
$785K |
| 66984 |
|
884 |
660 |
$670K |
| 87636 |
|
5,505 |
5,317 |
$521K |
| 70450 |
|
2,204 |
2,126 |
$472K |
| D2930 |
|
404 |
390 |
$401K |
| 96375 |
|
5,700 |
5,073 |
$375K |
| 96372 |
|
9,055 |
8,451 |
$374K |
| 74176 |
|
1,311 |
1,266 |
$356K |
| 71045 |
|
5,428 |
5,053 |
$325K |
| 93005 |
|
6,308 |
5,709 |
$325K |
| 96374 |
|
7,074 |
6,561 |
$292K |
| 85025 |
|
20,405 |
18,343 |
$231K |
| 80053 |
|
17,579 |
16,169 |
$227K |
| 80307 |
|
2,607 |
2,498 |
$220K |
| 94640 |
|
1,784 |
1,662 |
$220K |
| 97110 |
|
4,237 |
1,095 |
$207K |
| 99282 |
|
2,024 |
1,981 |
$205K |
| 71046 |
|
2,961 |
2,841 |
$172K |
| 96365 |
|
1,816 |
1,344 |
$168K |
| 49083 |
|
459 |
243 |
$151K |
| D3220 |
|
272 |
268 |
$142K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,933 |
1,821 |
$137K |
| 96361 |
|
2,445 |
2,220 |
$136K |
| 87502 |
|
1,465 |
1,425 |
$130K |
| 76705 |
|
1,284 |
1,229 |
$129K |
| 81001 |
|
12,930 |
11,884 |
$115K |
| G0463 |
Hospital outpt clinic visit |
1,274 |
1,076 |
$110K |
| 36415 |
|
23,905 |
20,911 |
$93K |
| 74018 |
|
1,181 |
1,144 |
$91K |
| 84443 |
|
3,629 |
3,551 |
$87K |
| 73562 |
|
844 |
809 |
$83K |
| 84484 |
|
3,996 |
3,292 |
$74K |
| P9047 |
Albumin (human), 25%, 50ml |
457 |
226 |
$71K |
| 72100 |
|
835 |
827 |
$70K |
| 73610 |
|
755 |
727 |
$70K |
| 87651 |
|
2,130 |
2,097 |
$65K |
| 87086 |
|
6,639 |
6,265 |
$61K |
| 87634 |
|
973 |
955 |
$60K |
| 86141 |
|
3,308 |
3,156 |
$56K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
252 |
245 |
$54K |
| 73030 |
|
565 |
550 |
$47K |
| 83880 |
|
1,882 |
1,664 |
$46K |
| 73630 |
|
708 |
678 |
$43K |
| 87650 |
|
1,150 |
1,123 |
$43K |
| 99281 |
|
655 |
628 |
$38K |
| 85610 |
|
4,236 |
3,858 |
$37K |
| G0480 |
Drug test def 1-7 classes |
455 |
428 |
$37K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,168 |
3,003 |
$36K |
| 93306 |
|
83 |
82 |
$34K |
| 83690 |
|
4,165 |
3,891 |
$34K |
| 87491 |
|
896 |
866 |
$32K |
| 87591 |
|
896 |
866 |
$32K |
| G0378 |
Hospital observation per hr |
63 |
61 |
$30K |
| 70486 |
|
144 |
142 |
$28K |
| D7140 |
|
61 |
61 |
$28K |
| 73130 |
|
472 |
454 |
$28K |
| 97530 |
|
724 |
298 |
$28K |
| 85730 |
|
2,645 |
2,420 |
$26K |
| 74022 |
|
320 |
312 |
$25K |
| 92507 |
|
309 |
62 |
$25K |
| 80074 |
|
348 |
346 |
$24K |
| 81025 |
|
3,609 |
3,488 |
$24K |
| 82306 |
|
1,187 |
1,176 |
$24K |
| 87631 |
|
249 |
235 |
$23K |
| J7120 |
Ringers lactate infusion |
3,089 |
2,500 |
$22K |
| D2391 |
|
38 |
38 |
$21K |
| 82553 |
|
2,269 |
2,152 |
$21K |
| 80061 |
|
2,008 |
1,981 |
$21K |
| 84702 |
|
1,207 |
1,008 |
$21K |
| 71250 |
|
102 |
99 |
$20K |
| 73110 |
|
287 |
282 |
$19K |
| 80048 |
|
1,931 |
1,773 |
$18K |
| J7030 |
Normal saline solution infus |
3,220 |
2,804 |
$18K |
| 76856 |
|
147 |
147 |
$18K |
| 83605 |
|
908 |
794 |
$18K |
| 82550 |
|
2,360 |
2,237 |
$17K |
| 87077 |
|
1,053 |
986 |
$17K |
| 69436 |
|
21 |
13 |
$17K |
| 82150 |
|
1,797 |
1,716 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
2,362 |
2,221 |
$13K |
| 96360 |
|
174 |
171 |
$13K |
| 96366 |
|
254 |
186 |
$13K |
| 73721 |
|
27 |
27 |
$13K |
| 83036 |
|
1,708 |
1,682 |
$12K |
| 87040 |
|
985 |
635 |
$12K |
| J7050 |
Normal saline solution infus |
2,287 |
1,786 |
$11K |
| 72125 |
|
57 |
57 |
$11K |
| J3300 |
Triamcinolone a inj prs-free |
466 |
335 |
$10K |
| 83735 |
|
1,311 |
1,236 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
5,286 |
4,628 |
$10K |
| 84439 |
|
1,342 |
1,321 |
$9K |
| 72131 |
|
42 |
39 |
$9K |
| 85379 |
|
498 |
465 |
$9K |
| 85652 |
|
1,020 |
987 |
$7K |
| 96376 |
|
323 |
283 |
$7K |
| 76801 |
|
97 |
90 |
$7K |
| 82962 |
|
3,020 |
2,221 |
$7K |
| 72040 |
|
78 |
77 |
$6K |
| 76770 |
|
60 |
59 |
$6K |
| J2405 |
Ondansetron hcl injection |
4,158 |
3,655 |
$6K |
| 97032 |
|
354 |
86 |
$6K |
| 90471 |
|
363 |
354 |
$6K |
| 87186 |
|
735 |
686 |
$6K |
| 83540 |
|
235 |
234 |
$6K |
| 71275 |
|
13 |
12 |
$6K |
| 76700 |
|
49 |
49 |
$6K |
| 70553 |
|
13 |
12 |
$6K |
| D2330 |
|
12 |
12 |
$6K |
| 86780 |
|
351 |
346 |
$5K |
| 76536 |
|
42 |
42 |
$5K |
| 87070 |
|
215 |
206 |
$5K |
| 97140 |
|
154 |
53 |
$5K |
| 93971 |
|
51 |
50 |
$5K |
| 86900 |
|
447 |
429 |
$4K |
| J3010 |
Fentanyl citrate injection |
2,605 |
2,299 |
$4K |
| 81003 |
|
2,134 |
2,047 |
$4K |
| 97112 |
|
168 |
73 |
$4K |
| 86901 |
|
448 |
430 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,855 |
1,782 |
$4K |
| 43239 |
|
13 |
13 |
$4K |
| 90715 |
|
274 |
268 |
$4K |
| 99213 |
|
26 |
21 |
$4K |
| 84112 |
|
93 |
87 |
$4K |
| 85651 |
|
420 |
405 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
89 |
85 |
$4K |
| 82607 |
|
310 |
307 |
$4K |
| 86696 |
|
147 |
147 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,707 |
1,616 |
$3K |
| 84703 |
|
309 |
303 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,517 |
1,143 |
$3K |
| J2795 |
Ropivacaine hcl injection |
484 |
469 |
$3K |
| 74019 |
|
24 |
24 |
$3K |
| 82731 |
|
31 |
27 |
$3K |
| 84481 |
|
255 |
251 |
$3K |
| 97010 |
|
214 |
55 |
$3K |
| J0330 |
Succinycholine chloride inj |
619 |
603 |
$2K |
| 82570 |
|
298 |
260 |
$2K |
| 82728 |
|
255 |
247 |
$2K |
| 73080 |
|
27 |
25 |
$2K |
| C1769 |
Guide wire |
140 |
138 |
$2K |
| 73502 |
|
39 |
39 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,340 |
1,301 |
$2K |
| 97165 |
|
67 |
63 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
376 |
370 |
$2K |
| 82043 |
|
159 |
158 |
$2K |
| 86695 |
|
147 |
147 |
$2K |
| 99152 |
|
25 |
24 |
$2K |
| 83615 |
|
106 |
96 |
$2K |
| 82565 |
|
357 |
333 |
$2K |
| 73090 |
|
25 |
25 |
$2K |
| 85027 |
|
204 |
188 |
$2K |
| 59025 |
|
13 |
13 |
$2K |
| J2930 |
Methylprednisolone injection |
368 |
341 |
$2K |
| 99202 |
|
12 |
12 |
$2K |
| 73560 |
|
26 |
25 |
$1K |
| 97166 |
|
43 |
40 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
902 |
700 |
$1K |
| J2270 |
Morphine sulfate injection |
734 |
658 |
$1K |
| J2765 |
Metoclopramide hcl injection |
795 |
740 |
$1K |
| 86038 |
|
160 |
158 |
$1K |
| J2360 |
Orphenadrine injection |
374 |
363 |
$1K |
| 76942 |
|
12 |
12 |
$1K |
| 76857 |
|
13 |
13 |
$1K |
| 87807 |
|
74 |
73 |
$1K |
| 12001 |
|
14 |
12 |
$1K |
| J1170 |
Hydromorphone injection |
487 |
395 |
$998.33 |
| G0396 |
Alcohol/subs interv 15-30mn |
13 |
12 |
$858.65 |
| 84550 |
|
121 |
115 |
$810.89 |
| J1200 |
Diphenhydramine hcl injectio |
479 |
445 |
$721.76 |
| 97161 |
|
32 |
28 |
$689.64 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
222 |
175 |
$648.86 |
| 86850 |
|
87 |
87 |
$604.29 |
| 73590 |
|
13 |
12 |
$583.52 |
| A9270 |
Non-covered item or service |
1,189 |
575 |
$571.77 |
| J3490 |
Drugs unclassified injection |
15 |
15 |
$538.45 |
| 80050 |
|
20 |
19 |
$520.50 |
| 87205 |
|
55 |
53 |
$507.77 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
89 |
88 |
$488.03 |
| 85007 |
|
58 |
55 |
$429.07 |
| J2272 |
Inj, morphine (fresenius) |
235 |
215 |
$401.17 |
| 87880 |
|
17 |
17 |
$391.77 |
| 87081 |
|
53 |
49 |
$301.41 |
| 84153 |
|
12 |
12 |
$273.76 |
| J2919 |
Inj, methylpred sod succ 5mg |
84 |
77 |
$268.49 |
| 87075 |
|
26 |
26 |
$267.48 |
| J0780 |
Prochlorperazine injection |
106 |
101 |
$259.73 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
47 |
44 |
$218.72 |
| 83525 |
|
26 |
25 |
$215.13 |
| 84100 |
|
42 |
40 |
$201.83 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
54 |
44 |
$190.91 |
| J1644 |
Inj heparin sodium per 1000u |
99 |
56 |
$180.38 |
| J0687 |
Inj cefazolin (wg crit care) |
92 |
81 |
$116.38 |
| S0119 |
Ondansetron 4 mg |
188 |
185 |
$108.66 |
| V2632 |
Post chmbr intraocular lens |
772 |
576 |
$107.07 |
| J7510 |
Prednisolone oral per 5 mg |
102 |
102 |
$105.04 |
| 82248 |
|
15 |
15 |
$85.64 |
| 83550 |
|
16 |
15 |
$83.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
136 |
128 |
$77.46 |
| Q0162 |
Ondansetron oral |
98 |
98 |
$73.05 |
| 82746 |
|
12 |
12 |
$61.66 |
| J2060 |
Lorazepam injection |
46 |
39 |
$58.67 |
| J3301 |
Triamcinolone acet inj nos |
34 |
31 |
$58.46 |
| C9113 |
Inj pantoprazole sodium, via |
43 |
38 |
$55.16 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$55.16 |
| J3370 |
Vancomycin hcl injection |
14 |
14 |
$54.35 |
| J1956 |
Levofloxacin injection |
13 |
13 |
$24.36 |
| A4615 |
Cannula nasal |
40 |
39 |
$8.94 |
| G1004 |
Cdsm ndsc |
50 |
40 |
$0.00 |