| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,366 |
20,560 |
$1.65M |
| 99284 |
|
23,183 |
20,074 |
$1.10M |
| 74177 |
|
3,420 |
3,083 |
$549K |
| 80053 |
|
21,230 |
16,876 |
$379K |
| 70450 |
|
5,100 |
4,212 |
$375K |
| 99285 |
|
4,438 |
3,749 |
$228K |
| 80048 |
|
7,315 |
5,975 |
$217K |
| 74176 |
|
1,336 |
1,193 |
$180K |
| 84484 |
|
10,906 |
7,463 |
$139K |
| 99281 |
|
1,517 |
1,422 |
$130K |
| 99282 |
|
2,362 |
2,223 |
$126K |
| 72125 |
|
2,112 |
1,691 |
$102K |
| 11042 |
|
964 |
360 |
$98K |
| G0480 |
Drug test def 1-7 classes |
2,159 |
1,875 |
$89K |
| 71275 |
|
559 |
489 |
$81K |
| 87070 |
|
3,168 |
2,848 |
$76K |
| J7050 |
Normal saline solution infus |
1,918 |
898 |
$62K |
| J0696 |
Ceftriaxone sodium injection |
4,225 |
2,982 |
$60K |
| J7030 |
Normal saline solution infus |
10,882 |
8,616 |
$59K |
| 71045 |
|
13,630 |
11,751 |
$42K |
| 85027 |
|
29,207 |
22,641 |
$39K |
| U0002 |
Covid-19 lab test non-cdc |
990 |
850 |
$38K |
| G0378 |
Hospital observation per hr |
4,185 |
2,172 |
$38K |
| 94640 |
|
2,034 |
1,606 |
$31K |
| 87426 |
|
657 |
542 |
$28K |
| 87635 |
|
4,104 |
3,816 |
$27K |
| 81001 |
|
9,602 |
8,405 |
$26K |
| A9270 |
Non-covered item or service |
9,196 |
1,748 |
$26K |
| 81025 |
|
6,184 |
5,673 |
$23K |
| 87040 |
|
3,823 |
2,696 |
$22K |
| 71260 |
|
143 |
132 |
$21K |
| G0463 |
Hospital outpt clinic visit |
1,128 |
414 |
$19K |
| 93306 |
|
421 |
349 |
$18K |
| 86850 |
|
1,334 |
1,098 |
$17K |
| 96374 |
|
16,523 |
14,212 |
$16K |
| 71046 |
|
2,374 |
2,088 |
$16K |
| 93005 |
|
15,353 |
11,887 |
$16K |
| 87400 |
|
3,446 |
3,259 |
$14K |
| 76705 |
|
530 |
494 |
$13K |
| 84702 |
|
929 |
810 |
$13K |
| 96361 |
|
69 |
42 |
$13K |
| 73564 |
|
843 |
743 |
$12K |
| 80307 |
|
3,421 |
3,085 |
$12K |
| 70486 |
|
87 |
83 |
$12K |
| 96372 |
|
2,932 |
2,308 |
$12K |
| 73630 |
|
905 |
792 |
$10K |
| 73610 |
|
702 |
629 |
$10K |
| 80076 |
|
3,961 |
3,596 |
$9K |
| 73120 |
|
709 |
642 |
$9K |
| 96360 |
|
21 |
12 |
$8K |
| 76856 |
|
348 |
325 |
$7K |
| 87077 |
|
1,857 |
1,525 |
$7K |
| 72131 |
|
319 |
285 |
$7K |
| 81003 |
|
2,893 |
2,608 |
$7K |
| 85610 |
|
8,974 |
7,392 |
$6K |
| 96365 |
|
131 |
26 |
$6K |
| J7120 |
Ringers lactate infusion |
172 |
93 |
$6K |
| 83880 |
|
2,299 |
1,932 |
$5K |
| 90471 |
|
594 |
514 |
$5K |
| 84703 |
|
3,270 |
3,023 |
$5K |
| 85730 |
|
6,834 |
5,733 |
$5K |
| 87205 |
|
445 |
324 |
$5K |
| 83735 |
|
9,889 |
7,734 |
$4K |
| 96375 |
|
6,834 |
5,480 |
$4K |
| 74018 |
|
270 |
243 |
$4K |
| 87186 |
|
1,465 |
1,204 |
$4K |
| 87086 |
|
2,468 |
2,150 |
$4K |
| 99213 |
|
34 |
25 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,519 |
3,939 |
$4K |
| S0028 |
Injection, famotidine, 20 mg |
812 |
752 |
$4K |
| 93971 |
|
226 |
201 |
$4K |
| 73110 |
|
471 |
411 |
$4K |
| 73080 |
|
127 |
108 |
$4K |
| 70498 |
|
32 |
26 |
$3K |
| 73030 |
|
434 |
389 |
$3K |
| 87880 |
|
2,675 |
2,561 |
$3K |
| J2405 |
Ondansetron hcl injection |
5,934 |
4,779 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
52 |
25 |
$3K |
| 80061 |
|
685 |
580 |
$3K |
| 12001 |
|
59 |
58 |
$2K |
| 72110 |
|
155 |
141 |
$2K |
| J3010 |
Fentanyl citrate injection |
653 |
481 |
$2K |
| 87075 |
|
18 |
12 |
$2K |
| 87420 |
|
477 |
464 |
$2K |
| C1769 |
Guide wire |
145 |
113 |
$2K |
| 83605 |
|
2,845 |
2,292 |
$2K |
| 97597 |
|
43 |
25 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
5,354 |
4,331 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
287 |
181 |
$1K |
| 72128 |
|
37 |
29 |
$1K |
| 72170 |
|
165 |
120 |
$1K |
| 83690 |
|
7,193 |
6,318 |
$1K |
| 74019 |
|
199 |
184 |
$1K |
| 84100 |
|
1,564 |
1,197 |
$1K |
| 84443 |
|
1,653 |
1,472 |
$1K |
| J1100 |
Dexamethasone sodium phos |
818 |
544 |
$919.01 |
| 76830 |
|
130 |
119 |
$872.70 |
| 10060 |
|
14 |
14 |
$859.56 |
| J2270 |
Morphine sulfate injection |
3,002 |
2,189 |
$828.19 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,079 |
941 |
$807.94 |
| 82248 |
|
1,315 |
1,079 |
$773.14 |
| 86900 |
|
1,335 |
1,100 |
$678.70 |
| 87210 |
|
72 |
69 |
$611.81 |
| J3490 |
Drugs unclassified injection |
43 |
29 |
$595.50 |
| 96376 |
|
1,677 |
1,033 |
$587.64 |
| 85379 |
|
1,168 |
1,080 |
$586.16 |
| 78452 |
|
15 |
12 |
$540.07 |
| 86901 |
|
1,330 |
1,096 |
$507.42 |
| 99211 |
|
20 |
12 |
$481.99 |
| Q0162 |
Ondansetron oral |
857 |
795 |
$442.96 |
| 76805 |
|
127 |
105 |
$411.34 |
| 90714 |
|
484 |
435 |
$337.48 |
| 93970 |
|
27 |
24 |
$329.35 |
| 73090 |
|
35 |
32 |
$291.74 |
| 84145 |
|
120 |
103 |
$291.33 |
| 87491 |
|
65 |
63 |
$278.14 |
| 76377 |
|
99 |
83 |
$258.07 |
| 82150 |
|
660 |
594 |
$216.54 |
| J1200 |
Diphenhydramine hcl injectio |
814 |
709 |
$195.00 |
| J2930 |
Methylprednisolone injection |
965 |
782 |
$154.83 |
| J2060 |
Lorazepam injection |
689 |
541 |
$81.63 |
| J1815 |
Insulin injection |
552 |
268 |
$78.70 |
| 83036 |
|
352 |
301 |
$63.43 |
| J2765 |
Metoclopramide hcl injection |
295 |
247 |
$58.02 |
| 87591 |
|
65 |
63 |
$28.08 |
| 36415 |
|
62 |
40 |
$25.82 |
| C1894 |
Intro/sheath, non-laser |
38 |
28 |
$15.37 |
| J2704 |
Inj, propofol, 10 mg |
22 |
12 |
$11.76 |
| 84439 |
|
44 |
38 |
$9.14 |
| 86140 |
|
190 |
171 |
$3.00 |
| 87147 |
|
13 |
12 |
$2.59 |
| C9113 |
Inj pantoprazole sodium, via |
99 |
79 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
57 |
24 |
$0.00 |
| G1003 |
Cdsm medicalis |
167 |
116 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
15 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
60 |
54 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
62 |
37 |
$0.00 |
| J7040 |
Normal saline solution infus |
37 |
24 |
$0.00 |
| J1170 |
Hydromorphone injection |
797 |
514 |
$0.00 |
| 85652 |
|
102 |
93 |
$0.00 |
| J7999 |
Compounded drug, noc |
77 |
68 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
16 |
13 |
$0.00 |
| 73502 |
|
16 |
12 |
$0.00 |