| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
17,048 |
15,694 |
$2.62M |
| 99284 |
|
11,886 |
10,648 |
$2.02M |
| 99285 |
|
4,354 |
3,721 |
$718K |
| 74177 |
|
1,980 |
1,801 |
$626K |
| 96361 |
|
2,186 |
1,515 |
$499K |
| 70450 |
|
2,035 |
1,813 |
$466K |
| 0241U |
|
3,299 |
3,034 |
$364K |
| 96365 |
|
2,706 |
1,581 |
$336K |
| G0378 |
Hospital observation per hr |
1,879 |
1,530 |
$284K |
| 99282 |
|
2,855 |
2,715 |
$268K |
| 96366 |
|
779 |
370 |
$171K |
| 0202U |
|
608 |
572 |
$162K |
| 96413 |
|
1,488 |
700 |
$154K |
| 94640 |
|
2,121 |
1,458 |
$148K |
| 99213 |
|
1,910 |
1,241 |
$129K |
| 96374 |
|
6,781 |
5,598 |
$118K |
| 74176 |
|
411 |
357 |
$111K |
| 96375 |
|
5,471 |
3,934 |
$84K |
| U0004 |
Cov-19 test non-cdc hgh thru |
942 |
904 |
$73K |
| 80053 |
|
14,312 |
11,633 |
$70K |
| 71046 |
|
1,457 |
1,375 |
$69K |
| 93005 |
|
5,198 |
4,216 |
$68K |
| 96372 |
|
5,061 |
3,700 |
$67K |
| 85025 |
|
19,323 |
15,103 |
$59K |
| 88305 |
|
1,381 |
1,286 |
$54K |
| 77063 |
|
1,318 |
1,289 |
$51K |
| 71045 |
|
4,678 |
4,032 |
$46K |
| J3490 |
Drugs unclassified injection |
22,624 |
10,500 |
$44K |
| 93306 |
|
127 |
114 |
$44K |
| 71260 |
|
233 |
211 |
$43K |
| 96360 |
|
363 |
315 |
$40K |
| 71275 |
|
160 |
134 |
$38K |
| 82306 |
|
943 |
900 |
$33K |
| G0463 |
Hospital outpt clinic visit |
2,616 |
1,751 |
$30K |
| 76705 |
|
246 |
229 |
$30K |
| 76700 |
|
123 |
119 |
$30K |
| 99214 |
|
349 |
267 |
$29K |
| 80307 |
|
1,440 |
1,231 |
$29K |
| 87804 |
|
1,470 |
1,430 |
$29K |
| 36415 |
|
11,604 |
8,760 |
$26K |
| 87635 |
|
502 |
489 |
$24K |
| 80048 |
|
5,812 |
4,600 |
$22K |
| 84443 |
|
2,544 |
2,326 |
$20K |
| 80050 |
|
3,270 |
2,626 |
$20K |
| 99212 |
|
204 |
183 |
$20K |
| J2405 |
Ondansetron hcl injection |
4,005 |
3,286 |
$20K |
| J1100 |
Dexamethasone sodium phos |
2,291 |
1,699 |
$19K |
| 96376 |
|
1,661 |
935 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
3,662 |
3,159 |
$19K |
| U0005 |
Infec agen detec ampli probe |
793 |
751 |
$17K |
| 81001 |
|
7,488 |
6,746 |
$14K |
| 0099U |
|
81 |
80 |
$14K |
| 97597 |
|
173 |
88 |
$13K |
| 84439 |
|
1,305 |
1,185 |
$13K |
| 93971 |
|
90 |
83 |
$12K |
| 77067 |
|
1,396 |
1,374 |
$12K |
| J7050 |
Normal saline solution infus |
2,730 |
1,184 |
$12K |
| 87801 |
|
379 |
348 |
$12K |
| J3010 |
Fentanyl citrate injection |
2,884 |
2,033 |
$12K |
| 83735 |
|
3,824 |
2,648 |
$11K |
| J7030 |
Normal saline solution infus |
5,208 |
3,759 |
$11K |
| 99211 |
|
203 |
184 |
$11K |
| 80061 |
|
1,779 |
1,681 |
$11K |
| 72125 |
|
223 |
199 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
379 |
314 |
$10K |
| 87086 |
|
2,175 |
1,988 |
$10K |
| 87880 |
|
958 |
937 |
$9K |
| 84484 |
|
3,985 |
2,829 |
$9K |
| 87081 |
|
1,360 |
1,332 |
$8K |
| 84703 |
|
1,225 |
1,154 |
$8K |
| 85027 |
|
2,242 |
1,890 |
$8K |
| 88304 |
|
242 |
230 |
$8K |
| 87633 |
|
26 |
25 |
$7K |
| J8499 |
Oral prescrip drug non chemo |
10,612 |
4,252 |
$7K |
| 85610 |
|
2,904 |
2,301 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,356 |
1,068 |
$7K |
| 94770 |
|
69 |
42 |
$7K |
| 85730 |
|
1,783 |
1,557 |
$7K |
| 43239 |
|
19 |
12 |
$6K |
| 86803 |
|
539 |
524 |
$6K |
| 97165 |
|
218 |
165 |
$6K |
| 70553 |
|
15 |
13 |
$6K |
| J2270 |
Morphine sulfate injection |
1,023 |
744 |
$6K |
| 12001 |
|
41 |
38 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,043 |
633 |
$6K |
| 83880 |
|
1,027 |
882 |
$6K |
| 59050 |
|
22 |
16 |
$6K |
| 87040 |
|
1,131 |
864 |
$5K |
| 86900 |
|
691 |
552 |
$5K |
| 74018 |
|
116 |
108 |
$5K |
| 83690 |
|
3,044 |
2,629 |
$5K |
| 83605 |
|
1,508 |
1,227 |
$5K |
| 86480 |
|
111 |
106 |
$5K |
| 70496 |
|
17 |
14 |
$5K |
| 87807 |
|
296 |
286 |
$4K |
| A9270 |
Non-covered item or service |
7,921 |
1,238 |
$4K |
| 82962 |
|
2,969 |
1,070 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,262 |
988 |
$4K |
| 97161 |
|
299 |
230 |
$4K |
| 82728 |
|
506 |
441 |
$4K |
| 86140 |
|
970 |
770 |
$4K |
| 87420 |
|
407 |
400 |
$4K |
| 87186 |
|
965 |
906 |
$4K |
| 72148 |
|
29 |
27 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
717 |
525 |
$3K |
| 96367 |
|
81 |
38 |
$3K |
| 82607 |
|
217 |
204 |
$3K |
| 86850 |
|
246 |
180 |
$3K |
| 83036 |
|
529 |
491 |
$3K |
| 87077 |
|
788 |
722 |
$3K |
| 76805 |
|
15 |
15 |
$3K |
| 94060 |
|
42 |
37 |
$3K |
| J2469 |
Palonosetron hcl |
36 |
12 |
$3K |
| 90715 |
|
112 |
101 |
$3K |
| 82550 |
|
615 |
505 |
$3K |
| J2765 |
Metoclopramide hcl injection |
426 |
369 |
$3K |
| 87070 |
|
425 |
395 |
$3K |
| 82553 |
|
267 |
236 |
$2K |
| J7620 |
Albuterol ipratrop non-comp |
418 |
348 |
$2K |
| 87506 |
|
12 |
12 |
$2K |
| 84145 |
|
213 |
175 |
$2K |
| 97535 |
|
97 |
60 |
$2K |
| 83550 |
|
373 |
349 |
$2K |
| 76817 |
|
14 |
12 |
$2K |
| 71250 |
|
27 |
27 |
$2K |
| 83540 |
|
440 |
401 |
$2K |
| 84702 |
|
232 |
209 |
$2K |
| S0119 |
Ondansetron 4 mg |
778 |
747 |
$2K |
| 87651 |
|
361 |
351 |
$2K |
| 97116 |
|
118 |
52 |
$2K |
| 87798 |
|
27 |
26 |
$1K |
| 77080 |
|
28 |
28 |
$1K |
| 84100 |
|
596 |
390 |
$1K |
| 87389 |
|
116 |
108 |
$1K |
| 73630 |
|
31 |
26 |
$1K |
| 87205 |
|
379 |
347 |
$1K |
| 76937 |
|
64 |
48 |
$1K |
| 73610 |
|
31 |
28 |
$1K |
| 86780 |
|
65 |
65 |
$980.76 |
| 85652 |
|
303 |
254 |
$899.29 |
| 94729 |
|
26 |
24 |
$866.56 |
| 83615 |
|
364 |
319 |
$776.84 |
| 90834 |
|
24 |
13 |
$750.72 |
| 87624 |
|
17 |
14 |
$737.50 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,898 |
1,644 |
$715.65 |
| 94760 |
|
461 |
316 |
$653.66 |
| J1170 |
Hydromorphone injection |
139 |
109 |
$630.08 |
| 86901 |
|
643 |
508 |
$622.23 |
| 99152 |
|
97 |
81 |
$523.97 |
| 88175 |
|
19 |
18 |
$454.26 |
| 85379 |
|
292 |
262 |
$445.03 |
| 87486 |
|
13 |
12 |
$359.10 |
| 87581 |
|
13 |
12 |
$359.10 |
| 90471 |
|
120 |
103 |
$310.22 |
| J0690 |
Cefazolin sodium injection |
39 |
25 |
$293.18 |
| J7120 |
Ringers lactate infusion |
1,022 |
708 |
$277.08 |
| 73560 |
|
15 |
12 |
$274.87 |
| J2060 |
Lorazepam injection |
360 |
245 |
$254.77 |
| 88300 |
|
13 |
13 |
$253.49 |
| 97530 |
|
192 |
37 |
$251.17 |
| J0330 |
Succinycholine chloride inj |
44 |
40 |
$222.76 |
| 81003 |
|
1,021 |
904 |
$196.45 |
| J7613 |
Albuterol non-comp unit |
141 |
117 |
$173.41 |
| 73110 |
|
13 |
12 |
$173.15 |
| 90686 |
|
28 |
28 |
$146.92 |
| 87480 |
|
13 |
12 |
$146.03 |
| P9604 |
One-way allow prorated trip |
661 |
544 |
$138.50 |
| 81025 |
|
1,497 |
1,331 |
$91.06 |
| 87660 |
|
13 |
12 |
$79.73 |
| 87510 |
|
13 |
12 |
$79.73 |
| 82150 |
|
15 |
13 |
$74.42 |
| 84132 |
|
28 |
25 |
$68.87 |
| 87075 |
|
28 |
25 |
$65.33 |
| 99153 |
Mod sedat endo service >5yrs |
19 |
14 |
$60.04 |
| 87147 |
|
28 |
27 |
$57.78 |
| 80076 |
|
229 |
211 |
$55.25 |
| 82077 |
|
801 |
650 |
$50.28 |
| G0008 |
Admin influenza virus vac |
15 |
14 |
$49.04 |
| J1650 |
Inj enoxaparin sodium |
193 |
67 |
$39.74 |
| 80143 |
|
188 |
153 |
$37.07 |
| 82947 |
|
13 |
13 |
$31.61 |
| 85014 |
|
13 |
13 |
$24.43 |
| 82803 |
|
17 |
16 |
$16.27 |
| 73130 |
|
13 |
12 |
$16.00 |
| 80320 |
|
17 |
12 |
$15.95 |
| 80179 |
|
150 |
125 |
$9.22 |
| 85018 |
|
13 |
12 |
$7.38 |
| J1642 |
Inj heparin sodium per 10 u |
365 |
172 |
$3.40 |
| A9577 |
Inj multihance |
67 |
57 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
57 |
29 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
20 |
12 |
$0.00 |
| 96417 |
|
41 |
13 |
$0.00 |
| 73030 |
|
15 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
63 |
44 |
$0.00 |
| 70498 |
|
16 |
13 |
$0.00 |
| J2360 |
Orphenadrine injection |
17 |
12 |
$0.00 |