| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,751 |
14,775 |
$4.71M |
| 99283 |
|
19,324 |
18,675 |
$928K |
| 41899 |
|
373 |
339 |
$546K |
| 99285 |
|
3,122 |
2,902 |
$364K |
| 42820 |
|
92 |
89 |
$337K |
| 87591 |
|
4,867 |
4,658 |
$285K |
| 87491 |
|
4,871 |
4,662 |
$285K |
| 80053 |
|
29,305 |
25,868 |
$234K |
| 85025 |
|
31,605 |
27,414 |
$211K |
| 87635 |
|
2,677 |
2,568 |
$144K |
| 0202U |
|
2,793 |
2,726 |
$139K |
| 87389 |
|
2,674 |
2,603 |
$115K |
| 87633 |
|
172 |
151 |
$109K |
| 87800 |
|
1,632 |
1,566 |
$108K |
| 84443 |
|
9,543 |
9,247 |
$89K |
| 93306 |
|
1,191 |
1,185 |
$81K |
| 74177 |
|
1,238 |
1,195 |
$66K |
| 86780 |
|
2,800 |
2,587 |
$66K |
| 86850 |
|
2,276 |
2,173 |
$55K |
| 99213 |
|
537 |
318 |
$54K |
| 87086 |
|
6,762 |
6,210 |
$44K |
| 87804 |
|
2,336 |
1,145 |
$43K |
| 71045 |
|
3,266 |
3,043 |
$40K |
| 81001 |
|
14,710 |
13,419 |
$39K |
| 99212 |
|
561 |
307 |
$37K |
| 80061 |
|
8,772 |
8,626 |
$36K |
| 70450 |
|
1,736 |
1,672 |
$34K |
| G0463 |
Hospital outpt clinic visit |
4,822 |
2,769 |
$32K |
| 93005 |
|
3,105 |
2,817 |
$31K |
| 0241U |
|
837 |
820 |
$30K |
| 87651 |
|
416 |
413 |
$29K |
| 84481 |
|
2,035 |
2,002 |
$27K |
| 82306 |
|
4,676 |
4,624 |
$27K |
| 80307 |
|
2,021 |
1,934 |
$25K |
| 83655 |
|
872 |
865 |
$25K |
| 87880 |
|
1,124 |
1,076 |
$23K |
| 96365 |
|
2,489 |
1,620 |
$22K |
| 11042 |
|
467 |
340 |
$22K |
| 88142 |
|
1,273 |
1,198 |
$21K |
| 84439 |
|
3,642 |
3,565 |
$19K |
| 87070 |
|
2,200 |
2,085 |
$18K |
| 71046 |
|
630 |
613 |
$17K |
| 76705 |
|
397 |
381 |
$16K |
| 96361 |
|
1,139 |
946 |
$16K |
| 84702 |
|
987 |
777 |
$16K |
| 36415 |
|
16,048 |
13,461 |
$15K |
| 77067 |
|
1,362 |
1,361 |
$15K |
| 84703 |
|
2,360 |
2,177 |
$15K |
| 83036 |
|
5,522 |
5,412 |
$13K |
| 74176 |
|
555 |
538 |
$13K |
| 87426 |
|
269 |
250 |
$12K |
| 86003 |
|
68 |
58 |
$12K |
| 69436 |
|
13 |
13 |
$12K |
| 77063 |
|
1,362 |
1,361 |
$12K |
| 96372 |
|
1,773 |
1,326 |
$12K |
| 96413 |
|
490 |
345 |
$11K |
| U0003 |
Cov-19 amp prb hgh thruput |
92 |
90 |
$11K |
| 87624 |
|
356 |
351 |
$10K |
| 87486 |
|
169 |
150 |
$9K |
| 87581 |
|
170 |
151 |
$9K |
| 96374 |
|
2,009 |
1,729 |
$9K |
| 87798 |
|
211 |
152 |
$8K |
| 87150 |
|
104 |
102 |
$8K |
| 83880 |
|
3,270 |
2,997 |
$7K |
| 82728 |
|
1,514 |
1,460 |
$7K |
| 88305 |
|
747 |
738 |
$7K |
| 99282 |
|
130 |
126 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
1,025 |
694 |
$6K |
| 83690 |
|
2,817 |
2,579 |
$5K |
| 84484 |
|
3,159 |
2,660 |
$5K |
| 81025 |
|
822 |
795 |
$5K |
| 85027 |
|
2,792 |
2,651 |
$5K |
| 83970 |
|
1,276 |
1,244 |
$5K |
| 87340 |
|
433 |
419 |
$4K |
| 86803 |
|
600 |
590 |
$4K |
| 82043 |
|
2,142 |
2,122 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
893 |
840 |
$4K |
| J0134 |
Inj acetaminophen -fresenius |
455 |
429 |
$4K |
| 86762 |
|
143 |
138 |
$3K |
| 72125 |
|
264 |
260 |
$3K |
| 71250 |
|
104 |
104 |
$3K |
| 71275 |
|
63 |
63 |
$3K |
| 83735 |
|
3,639 |
3,224 |
$3K |
| 80048 |
|
2,844 |
2,553 |
$3K |
| 84144 |
|
51 |
40 |
$3K |
| 85379 |
|
1,306 |
1,178 |
$3K |
| 86901 |
|
1,093 |
1,024 |
$3K |
| 86900 |
|
1,096 |
1,025 |
$3K |
| 87186 |
|
2,624 |
2,474 |
$3K |
| 96375 |
|
1,997 |
1,677 |
$2K |
| 82105 |
|
160 |
153 |
$2K |
| 96366 |
|
457 |
292 |
$2K |
| 43239 |
|
65 |
65 |
$2K |
| 84145 |
|
239 |
187 |
$2K |
| M0243 |
Casirivi and imdevi inj |
84 |
82 |
$2K |
| 99281 |
|
45 |
43 |
$2K |
| 85018 |
|
358 |
353 |
$2K |
| 82947 |
|
209 |
206 |
$2K |
| 85610 |
|
2,253 |
2,061 |
$2K |
| 87507 |
|
18 |
17 |
$2K |
| 71260 |
|
41 |
41 |
$2K |
| 29581 |
|
237 |
94 |
$2K |
| G0279 |
Tomosynthesis, mammo |
79 |
79 |
$2K |
| 83605 |
|
1,056 |
1,000 |
$2K |
| 77080 |
|
346 |
346 |
$1K |
| 82077 |
|
462 |
427 |
$1K |
| 86140 |
|
1,190 |
926 |
$1K |
| 82607 |
|
958 |
940 |
$1K |
| 72148 |
|
58 |
58 |
$1K |
| 83550 |
|
1,387 |
1,338 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,731 |
1,523 |
$1K |
| 84146 |
|
337 |
323 |
$1K |
| 80164 |
|
503 |
455 |
$1K |
| 76830 |
|
12 |
12 |
$1K |
| 85007 |
|
820 |
724 |
$1K |
| 87040 |
|
372 |
352 |
$1K |
| 66984 |
|
25 |
25 |
$1K |
| 83540 |
|
1,540 |
1,487 |
$999.86 |
| 76856 |
|
12 |
12 |
$993.33 |
| 87077 |
|
1,513 |
1,454 |
$991.98 |
| 80069 |
|
1,674 |
1,456 |
$985.75 |
| 78452 |
|
91 |
91 |
$911.23 |
| 96367 |
|
154 |
112 |
$902.76 |
| 93971 |
|
55 |
54 |
$869.52 |
| C1894 |
Intro/sheath, non-laser |
57 |
55 |
$787.76 |
| J2405 |
Ondansetron hcl injection |
2,681 |
2,346 |
$776.84 |
| J1885 |
Ketorolac tromethamine inj |
1,590 |
1,364 |
$746.07 |
| 76801 |
|
13 |
13 |
$686.76 |
| 86592 |
|
71 |
68 |
$677.05 |
| 93017 |
|
80 |
80 |
$668.31 |
| 82140 |
|
190 |
165 |
$663.58 |
| 83615 |
|
273 |
199 |
$648.05 |
| 82570 |
|
1,861 |
1,778 |
$642.63 |
| 82550 |
|
474 |
403 |
$628.94 |
| 86787 |
|
13 |
13 |
$438.08 |
| 72131 |
|
25 |
25 |
$394.11 |
| 82746 |
|
222 |
218 |
$391.82 |
| J7050 |
Normal saline solution infus |
105 |
49 |
$383.13 |
| 85014 |
|
65 |
65 |
$342.89 |
| 85652 |
|
775 |
621 |
$314.25 |
| 82040 |
|
597 |
516 |
$312.97 |
| 87205 |
|
252 |
229 |
$304.87 |
| 85730 |
|
180 |
174 |
$301.28 |
| 84156 |
|
1,017 |
950 |
$278.52 |
| 88342 |
|
74 |
73 |
$278.04 |
| 70486 |
|
13 |
12 |
$270.85 |
| 82150 |
|
220 |
216 |
$236.53 |
| J2270 |
Morphine sulfate injection |
573 |
480 |
$231.91 |
| 94640 |
|
28 |
28 |
$230.23 |
| 82565 |
|
583 |
550 |
$227.58 |
| 82805 |
|
27 |
27 |
$215.82 |
| 80299 |
|
27 |
26 |
$172.26 |
| J7120 |
Ringers lactate infusion |
439 |
373 |
$171.06 |
| 84550 |
|
687 |
675 |
$168.25 |
| 84153 |
|
303 |
297 |
$166.73 |
| 96360 |
|
66 |
64 |
$129.78 |
| 80179 |
|
29 |
27 |
$129.34 |
| 80143 |
|
30 |
28 |
$129.34 |
| J0690 |
Cefazolin sodium injection |
230 |
219 |
$128.78 |
| 82274 |
|
104 |
99 |
$118.24 |
| J1200 |
Diphenhydramine hcl injectio |
779 |
647 |
$117.40 |
| J2785 |
Regadenoson injection |
38 |
38 |
$111.69 |
| J3010 |
Fentanyl citrate injection |
1,018 |
933 |
$99.14 |
| 84100 |
|
374 |
349 |
$85.37 |
| J1644 |
Inj heparin sodium per 1000u |
335 |
213 |
$84.91 |
| A6258 |
Transparent film >16<=48 in |
70 |
53 |
$57.98 |
| 84403 |
|
25 |
25 |
$57.04 |
| 82962 |
|
2,809 |
1,953 |
$47.09 |
| J1170 |
Hydromorphone injection |
74 |
64 |
$34.25 |
| J2250 |
Inj midazolam hydrochloride |
749 |
698 |
$32.44 |
| 84436 |
|
45 |
44 |
$31.45 |
| J2272 |
Inj, morphine (fresenius) |
84 |
78 |
$30.19 |
| C1769 |
Guide wire |
112 |
109 |
$26.38 |
| 80354 |
|
12 |
12 |
$25.62 |
| 83001 |
|
12 |
12 |
$25.45 |
| 90471 |
|
12 |
12 |
$22.56 |
| J1790 |
Droperidol injection |
32 |
30 |
$21.26 |
| J0689 |
Inj cefazolin sodium, baxter |
30 |
27 |
$18.14 |
| 80178 |
|
14 |
13 |
$16.65 |
| 80050 |
|
13 |
13 |
$12.15 |
| J7030 |
Normal saline solution infus |
15 |
15 |
$11.46 |
| 83883 |
|
26 |
25 |
$11.42 |
| 80197 |
|
21 |
12 |
$10.95 |
| 82248 |
|
111 |
108 |
$7.85 |
| J1650 |
Inj enoxaparin sodium |
13 |
12 |
$7.28 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$3.22 |
| J2060 |
Lorazepam injection |
14 |
12 |
$1.61 |
| J1642 |
Inj heparin sodium per 10 u |
270 |
137 |
$0.00 |
| 80177 |
|
13 |
13 |
$0.00 |
| G0378 |
Hospital observation per hr |
39 |
37 |
$0.00 |
| G0103 |
Psa screening |
13 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
14 |
14 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,501 |
3,065 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
85 |
80 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
26 |
26 |
$0.00 |
| 84425 |
|
12 |
12 |
$0.00 |
| 99152 |
|
18 |
18 |
$0.00 |