| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0257 |
Unsched dialysis esrd pt hos |
4,429 |
724 |
$1.61M |
| 99283 |
|
21,512 |
15,729 |
$1.37M |
| 99282 |
|
8,608 |
7,536 |
$574K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,305 |
4,366 |
$489K |
| G0381 |
Lev 2 hosp type b ed visit |
7,859 |
7,276 |
$464K |
| 74176 |
|
3,775 |
3,265 |
$460K |
| 74177 |
|
2,519 |
2,215 |
$451K |
| 99284 |
|
7,950 |
5,591 |
$373K |
| 96374 |
|
13,143 |
10,631 |
$327K |
| 70450 |
|
5,007 |
4,067 |
$324K |
| 96365 |
|
4,173 |
3,422 |
$284K |
| G0378 |
Hospital observation per hr |
8,655 |
4,240 |
$270K |
| 43239 |
|
1,075 |
956 |
$269K |
| G0382 |
Lev 3 hosp type b ed visit |
3,507 |
3,336 |
$221K |
| 36415 |
|
5,920 |
3,673 |
$202K |
| 99285 |
|
2,936 |
2,316 |
$199K |
| 71275 |
|
1,322 |
1,119 |
$171K |
| 80053 |
|
35,129 |
24,392 |
$167K |
| 96360 |
|
1,565 |
1,309 |
$131K |
| C9803 |
Hopd covid-19 spec collect |
2,335 |
2,082 |
$128K |
| 96372 |
|
7,218 |
3,778 |
$127K |
| G0380 |
Lev 1 hosp type b ed visit |
2,375 |
2,175 |
$118K |
| 72125 |
|
1,219 |
1,000 |
$110K |
| 96375 |
|
9,409 |
7,151 |
$94K |
| 99281 |
|
1,446 |
1,264 |
$88K |
| 82962 |
|
11,625 |
4,632 |
$84K |
| 84484 |
|
12,693 |
7,779 |
$78K |
| 71046 |
|
5,983 |
5,021 |
$68K |
| 85027 |
|
9,254 |
5,616 |
$53K |
| 86850 |
|
1,995 |
1,708 |
$53K |
| 96366 |
|
1,283 |
647 |
$53K |
| 81025 |
|
9,661 |
8,732 |
$52K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
98 |
63 |
$50K |
| 96361 |
|
1,342 |
1,050 |
$49K |
| 85025 |
|
34,383 |
24,649 |
$49K |
| 80048 |
|
6,769 |
4,269 |
$46K |
| 93306 |
|
643 |
502 |
$43K |
| J7030 |
Normal saline solution infus |
1,018 |
769 |
$42K |
| 94640 |
|
1,670 |
1,307 |
$42K |
| 85610 |
|
13,691 |
10,271 |
$41K |
| 71045 |
|
9,674 |
7,677 |
$41K |
| Q5106 |
Inj retacrit non-esrd use |
295 |
37 |
$38K |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,652 |
167 |
$37K |
| 87088 |
|
6,876 |
5,972 |
$37K |
| 81001 |
|
12,943 |
11,187 |
$35K |
| 96376 |
|
4,215 |
2,202 |
$32K |
| 45378 |
|
113 |
106 |
$32K |
| 76856 |
|
979 |
909 |
$32K |
| 93005 |
|
14,627 |
11,238 |
$30K |
| J3010 |
Fentanyl citrate injection |
5,074 |
3,847 |
$29K |
| J2250 |
Inj midazolam hydrochloride |
3,876 |
3,085 |
$28K |
| 85730 |
|
5,249 |
3,922 |
$28K |
| J1644 |
Inj heparin sodium per 1000u |
6,382 |
2,054 |
$27K |
| 84702 |
|
1,927 |
1,620 |
$26K |
| 76705 |
|
1,454 |
1,315 |
$25K |
| 73562 |
|
633 |
525 |
$24K |
| J2405 |
Ondansetron hcl injection |
9,823 |
7,597 |
$23K |
| 83735 |
|
5,869 |
3,220 |
$22K |
| J0690 |
Cefazolin sodium injection |
3,101 |
1,984 |
$21K |
| 87491 |
|
1,114 |
1,033 |
$20K |
| J1815 |
Insulin injection |
3,979 |
1,321 |
$20K |
| 80307 |
|
1,640 |
1,428 |
$20K |
| 81003 |
|
4,100 |
3,532 |
$19K |
| 73630 |
|
336 |
303 |
$19K |
| 72131 |
|
415 |
354 |
$18K |
| 87635 |
|
2,978 |
2,384 |
$17K |
| 87633 |
|
447 |
392 |
$17K |
| 78452 |
|
156 |
123 |
$17K |
| 73610 |
|
313 |
284 |
$16K |
| 93975 |
|
775 |
721 |
$15K |
| 80061 |
|
2,192 |
1,641 |
$15K |
| 88305 |
|
2,881 |
2,125 |
$14K |
| 87880 |
|
404 |
394 |
$14K |
| 73030 |
|
461 |
388 |
$14K |
| 87804 |
|
809 |
482 |
$14K |
| G0383 |
Lev 4 hosp type b ed visit |
233 |
179 |
$14K |
| 86900 |
|
2,280 |
1,964 |
$13K |
| 70498 |
|
44 |
38 |
$13K |
| 83880 |
|
2,514 |
1,898 |
$13K |
| 87502 |
|
401 |
380 |
$13K |
| 76817 |
|
642 |
559 |
$12K |
| 97110 |
|
215 |
63 |
$12K |
| 99152 |
|
1,541 |
1,127 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
4,461 |
3,645 |
$11K |
| 93971 |
|
541 |
452 |
$11K |
| 87637 |
|
1,810 |
1,688 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
2,416 |
1,878 |
$9K |
| 99153 |
Mod sedat endo service >5yrs |
998 |
709 |
$9K |
| 99291 |
|
43 |
40 |
$9K |
| 84443 |
|
2,060 |
1,652 |
$8K |
| 45380 |
|
47 |
39 |
$7K |
| J1100 |
Dexamethasone sodium phos |
2,535 |
2,008 |
$7K |
| 0202U |
|
280 |
252 |
$7K |
| J1170 |
Hydromorphone injection |
2,765 |
1,670 |
$7K |
| 73130 |
|
148 |
133 |
$7K |
| J0330 |
Succinycholine chloride inj |
1,289 |
1,066 |
$7K |
| C1769 |
Guide wire |
507 |
365 |
$7K |
| 76801 |
|
1,216 |
1,053 |
$7K |
| C1776 |
Joint device (implantable) |
21 |
15 |
$6K |
| 86901 |
|
2,407 |
2,048 |
$6K |
| 83036 |
|
1,861 |
1,422 |
$6K |
| 76815 |
|
153 |
146 |
$6K |
| 97162 |
|
232 |
192 |
$6K |
| 84703 |
|
1,594 |
1,462 |
$5K |
| C1894 |
Intro/sheath, non-laser |
639 |
471 |
$5K |
| 84100 |
|
2,042 |
843 |
$5K |
| 59025 |
|
162 |
122 |
$5K |
| G1004 |
Cdsm ndsc |
2,574 |
1,502 |
$5K |
| 83690 |
|
7,383 |
6,359 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,600 |
1,972 |
$5K |
| 93017 |
|
246 |
197 |
$4K |
| J1650 |
Inj enoxaparin sodium |
2,823 |
1,278 |
$4K |
| J2270 |
Morphine sulfate injection |
230 |
176 |
$4K |
| 0100U |
|
61 |
59 |
$4K |
| 99213 |
|
38 |
34 |
$4K |
| 0241U |
|
416 |
391 |
$4K |
| 94060 |
|
38 |
29 |
$3K |
| 85379 |
|
2,379 |
2,048 |
$3K |
| J2370 |
Phenylephrine hcl injection |
856 |
685 |
$3K |
| G8979 |
Mobility goal status |
72 |
64 |
$3K |
| 71260 |
|
151 |
136 |
$3K |
| J2550 |
Promethazine hcl injection |
1,930 |
1,508 |
$3K |
| 82565 |
|
107 |
83 |
$3K |
| G8978 |
Mobility current status |
55 |
49 |
$3K |
| 87186 |
|
1,905 |
1,560 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
6,402 |
5,162 |
$2K |
| 87070 |
|
314 |
262 |
$2K |
| C1887 |
Catheter, guiding |
378 |
262 |
$2K |
| 76830 |
|
491 |
460 |
$2K |
| C1725 |
Cath, translumin non-laser |
38 |
29 |
$2K |
| 80320 |
|
800 |
690 |
$2K |
| 74018 |
|
142 |
127 |
$2K |
| 73110 |
|
48 |
43 |
$2K |
| 72100 |
|
30 |
28 |
$2K |
| 87077 |
|
1,245 |
1,023 |
$2K |
| 87205 |
|
337 |
278 |
$2K |
| 87591 |
|
1,112 |
1,032 |
$2K |
| J0360 |
Hydralazine hcl injection |
417 |
281 |
$2K |
| 84145 |
|
399 |
305 |
$1K |
| 76819 |
|
48 |
37 |
$1K |
| C9290 |
Inj, bupivacaine liposome |
537 |
425 |
$1K |
| 99212 |
|
15 |
14 |
$1K |
| 99203 |
|
13 |
13 |
$1K |
| J2785 |
Regadenoson injection |
53 |
41 |
$1K |
| 88312 |
|
679 |
542 |
$1K |
| 87798 |
|
455 |
398 |
$1K |
| 83605 |
|
994 |
666 |
$1K |
| 87486 |
|
447 |
392 |
$1K |
| 87581 |
|
447 |
392 |
$1K |
| 90715 |
|
112 |
100 |
$1K |
| 87807 |
|
12 |
12 |
$1K |
| J2765 |
Metoclopramide hcl injection |
939 |
714 |
$1K |
| A9500 |
Tc99m sestamibi |
195 |
141 |
$1K |
| C8929 |
Tte w or wo fol wcon,doppler |
16 |
14 |
$1K |
| 87040 |
|
629 |
411 |
$977.39 |
| U0003 |
Cov-19 amp prb hgh thruput |
86 |
64 |
$972.79 |
| J2930 |
Methylprednisolone injection |
850 |
682 |
$970.96 |
| J1200 |
Diphenhydramine hcl injectio |
1,312 |
1,025 |
$872.57 |
| 70551 |
|
14 |
12 |
$870.13 |
| 72128 |
|
168 |
148 |
$814.99 |
| 87081 |
|
595 |
517 |
$810.12 |
| 88304 |
|
87 |
76 |
$807.22 |
| 73502 |
|
71 |
50 |
$792.94 |
| 93458 |
|
36 |
26 |
$762.13 |
| 70486 |
|
33 |
30 |
$730.55 |
| 82728 |
|
109 |
93 |
$728.98 |
| 85007 |
|
1,076 |
823 |
$722.65 |
| 70496 |
|
35 |
30 |
$703.75 |
| 87210 |
|
617 |
579 |
$660.44 |
| 71250 |
|
35 |
30 |
$537.85 |
| U0002 |
Covid-19 lab test non-cdc |
699 |
650 |
$523.11 |
| 82550 |
|
667 |
528 |
$510.43 |
| J3480 |
Inj potassium chloride |
55 |
39 |
$493.93 |
| 83540 |
|
282 |
244 |
$422.70 |
| J2060 |
Lorazepam injection |
1,077 |
756 |
$406.75 |
| 84132 |
|
84 |
51 |
$403.73 |
| 82805 |
|
41 |
29 |
$393.91 |
| 85652 |
|
149 |
128 |
$348.09 |
| 87651 |
|
525 |
512 |
$315.24 |
| 90686 |
|
14 |
13 |
$309.95 |
| 88313 |
|
61 |
40 |
$309.34 |
| 82607 |
|
299 |
239 |
$292.89 |
| 00731 |
|
452 |
379 |
$259.41 |
| 82746 |
|
65 |
50 |
$250.00 |
| 00813 |
|
299 |
273 |
$229.94 |
| 87507 |
|
32 |
30 |
$223.38 |
| 83550 |
|
258 |
226 |
$213.70 |
| 96368 |
|
94 |
79 |
$177.33 |
| 51701 |
|
199 |
152 |
$175.84 |
| 29530 |
|
13 |
12 |
$90.00 |
| P9612 |
Catheterize for urine spec |
83 |
71 |
$90.00 |
| J2543 |
Piperacillin/tazobactam |
250 |
134 |
$80.79 |
| 94729 |
|
85 |
65 |
$65.45 |
| J2360 |
Orphenadrine injection |
139 |
118 |
$45.69 |
| A9579 |
Gad-base mr contrast nos,1ml |
14 |
13 |
$40.67 |
| 86140 |
|
171 |
138 |
$34.62 |
| 88307 |
|
35 |
26 |
$24.80 |
| 82330 |
|
106 |
92 |
$20.38 |
| J1756 |
Iron sucrose injection |
112 |
50 |
$12.71 |
| 83615 |
|
46 |
34 |
$2.95 |
| 94727 |
|
34 |
28 |
$0.00 |
| 83970 |
|
114 |
95 |
$0.00 |
| J1953 |
Levetiracetam injection |
13 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
380 |
266 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
38 |
30 |
$0.00 |
| 00840 |
|
81 |
69 |
$0.00 |
| 29125 |
|
55 |
49 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
43 |
31 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
30 |
27 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
109 |
51 |
$0.00 |
| 82248 |
|
15 |
14 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
23 |
14 |
$0.00 |
| 96367 |
|
19 |
13 |
$0.00 |
| 85384 |
|
23 |
17 |
$0.00 |
| 84550 |
|
24 |
18 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
548 |
67 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
62 |
45 |
$0.00 |
| 88342 |
|
44 |
43 |
$0.00 |
| 80329 |
|
70 |
67 |
$0.00 |
| 97166 |
|
18 |
13 |
$0.00 |
| 80069 |
|
91 |
48 |
$0.00 |
| 00790 |
|
16 |
12 |
$0.00 |
| 87147 |
|
16 |
13 |
$0.00 |