| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
27,120 |
24,738 |
$5.33M |
| 99285 |
|
11,111 |
9,643 |
$2.50M |
| 99283 |
|
18,724 |
17,409 |
$2.46M |
| 0202U |
|
4,847 |
4,601 |
$794K |
| G0463 |
Hospital outpt clinic visit |
15,175 |
11,798 |
$577K |
| 96361 |
|
4,033 |
3,202 |
$467K |
| 0241U |
|
5,344 |
4,884 |
$427K |
| 85025 |
|
66,917 |
53,035 |
$242K |
| 36415 |
|
56,100 |
41,354 |
$229K |
| 74177 |
|
1,683 |
1,464 |
$197K |
| 80053 |
|
53,561 |
43,324 |
$193K |
| 96365 |
|
1,511 |
836 |
$190K |
| 99282 |
|
1,628 |
1,478 |
$182K |
| 96413 |
|
2,275 |
1,195 |
$133K |
| 80307 |
|
2,657 |
2,328 |
$115K |
| 96374 |
|
10,549 |
9,093 |
$112K |
| 99213 |
|
1,128 |
1,053 |
$98K |
| 82306 |
|
7,417 |
6,912 |
$90K |
| 84443 |
|
12,227 |
11,023 |
$81K |
| 70450 |
|
543 |
472 |
$62K |
| 80061 |
|
9,808 |
9,103 |
$60K |
| 81001 |
|
17,372 |
15,287 |
$51K |
| 82607 |
|
8,660 |
8,041 |
$48K |
| 96367 |
|
577 |
293 |
$47K |
| 99211 |
|
323 |
315 |
$45K |
| 82746 |
|
7,986 |
7,428 |
$44K |
| 99214 |
|
365 |
258 |
$42K |
| 87651 |
|
1,570 |
1,499 |
$39K |
| 83036 |
|
10,274 |
9,511 |
$36K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,214 |
3,652 |
$34K |
| 96375 |
|
6,536 |
4,825 |
$27K |
| 80048 |
|
9,535 |
6,034 |
$26K |
| 84484 |
|
5,271 |
3,685 |
$24K |
| 84439 |
|
4,887 |
4,490 |
$23K |
| 96372 |
|
3,476 |
2,715 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
722 |
620 |
$21K |
| 74176 |
|
125 |
109 |
$20K |
| 93005 |
|
7,286 |
5,719 |
$16K |
| 81003 |
|
7,030 |
6,275 |
$16K |
| 94640 |
|
248 |
142 |
$16K |
| 83690 |
|
5,802 |
5,075 |
$16K |
| 71046 |
|
1,960 |
1,747 |
$15K |
| 95813 |
|
32 |
30 |
$14K |
| 87077 |
|
1,546 |
1,364 |
$14K |
| 81025 |
|
2,899 |
2,637 |
$13K |
| 87804 |
|
2,474 |
1,155 |
$13K |
| 96360 |
|
145 |
125 |
$12K |
| 0001A |
|
376 |
321 |
$11K |
| J2405 |
Ondansetron hcl injection |
5,986 |
4,756 |
$10K |
| J0585 |
Injection,onabotulinumtoxina |
13 |
12 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
331 |
320 |
$10K |
| 83735 |
|
3,961 |
3,167 |
$10K |
| J7030 |
Normal saline solution infus |
1,215 |
1,009 |
$9K |
| 82140 |
|
840 |
784 |
$9K |
| 0002A |
|
269 |
215 |
$8K |
| 87086 |
|
2,282 |
2,051 |
$7K |
| 71045 |
|
2,623 |
2,200 |
$7K |
| 82105 |
|
996 |
961 |
$7K |
| 95810 |
|
12 |
12 |
$7K |
| 95886 |
|
205 |
165 |
$7K |
| 96366 |
|
32 |
24 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
271 |
258 |
$6K |
| J2469 |
Palonosetron hcl |
84 |
50 |
$6K |
| 82150 |
|
993 |
954 |
$6K |
| 97530 |
|
96 |
38 |
$6K |
| 99291 |
|
17 |
12 |
$6K |
| 87635 |
|
213 |
119 |
$5K |
| 83880 |
|
664 |
570 |
$5K |
| 83516 |
|
709 |
576 |
$5K |
| 85610 |
|
2,661 |
2,110 |
$5K |
| G0378 |
Hospital observation per hr |
202 |
150 |
$5K |
| 82728 |
|
1,151 |
1,062 |
$5K |
| 85027 |
|
2,128 |
1,674 |
$5K |
| 71275 |
|
35 |
28 |
$5K |
| 83540 |
|
2,150 |
2,002 |
$4K |
| 59025 |
|
20 |
12 |
$4K |
| 96415 |
|
15 |
12 |
$3K |
| J3490 |
Drugs unclassified injection |
478 |
292 |
$3K |
| G0480 |
Drug test def 1-7 classes |
352 |
307 |
$3K |
| 87040 |
|
621 |
316 |
$3K |
| 87902 |
|
28 |
27 |
$3K |
| 87389 |
|
199 |
166 |
$3K |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$2K |
| 87088 |
|
1,340 |
1,119 |
$2K |
| J1453 |
Fosaprepitant injection |
17 |
12 |
$2K |
| 87633 |
|
55 |
51 |
$2K |
| 83550 |
|
720 |
670 |
$2K |
| 87880 |
|
580 |
543 |
$2K |
| 99202 |
|
17 |
15 |
$2K |
| 85730 |
|
558 |
504 |
$2K |
| 76700 |
|
25 |
24 |
$1K |
| 87186 |
|
976 |
826 |
$1K |
| 83605 |
|
559 |
427 |
$863.67 |
| 84703 |
|
260 |
231 |
$863.65 |
| J7120 |
Ringers lactate infusion |
252 |
212 |
$704.35 |
| 87486 |
|
55 |
51 |
$701.96 |
| 87581 |
|
55 |
51 |
$648.67 |
| 87340 |
|
136 |
120 |
$644.88 |
| J1642 |
Inj heparin sodium per 10 u |
1,409 |
778 |
$610.80 |
| 87798 |
|
55 |
51 |
$572.69 |
| 86140 |
|
240 |
205 |
$560.18 |
| 74018 |
|
40 |
36 |
$537.43 |
| 83615 |
|
699 |
575 |
$513.49 |
| 86803 |
|
62 |
51 |
$507.50 |
| 86850 |
|
173 |
139 |
$474.99 |
| J1885 |
Ketorolac tromethamine inj |
3,792 |
3,203 |
$417.92 |
| J3010 |
Fentanyl citrate injection |
1,305 |
1,124 |
$376.36 |
| J1100 |
Dexamethasone sodium phos |
3,015 |
2,233 |
$359.15 |
| 86901 |
|
208 |
157 |
$336.43 |
| 96376 |
|
252 |
163 |
$309.97 |
| J7040 |
Normal saline solution infus |
54 |
37 |
$265.44 |
| 82977 |
|
78 |
71 |
$257.04 |
| 80164 |
|
43 |
38 |
$230.63 |
| 85379 |
|
66 |
55 |
$223.09 |
| 86900 |
|
212 |
157 |
$190.38 |
| 80143 |
|
29 |
25 |
$152.36 |
| 86708 |
|
30 |
26 |
$142.20 |
| 83883 |
|
26 |
24 |
$138.64 |
| 86592 |
|
42 |
38 |
$136.20 |
| 84080 |
|
12 |
12 |
$132.02 |
| J0696 |
Ceftriaxone sodium injection |
570 |
444 |
$122.13 |
| 85652 |
|
92 |
74 |
$102.67 |
| 80179 |
|
29 |
25 |
$76.14 |
| J1170 |
Hydromorphone injection |
891 |
614 |
$52.75 |
| 84100 |
|
25 |
15 |
$51.91 |
| 87081 |
|
13 |
13 |
$50.84 |
| 80076 |
|
20 |
16 |
$43.80 |
| 86709 |
|
12 |
12 |
$43.08 |
| 88304 |
|
29 |
27 |
$42.89 |
| 87070 |
|
16 |
13 |
$36.90 |
| J2270 |
Morphine sulfate injection |
121 |
83 |
$35.36 |
| 82570 |
|
15 |
13 |
$29.96 |
| J7050 |
Normal saline solution infus |
230 |
125 |
$28.46 |
| 82043 |
|
15 |
13 |
$22.11 |
| 80320 |
|
15 |
13 |
$21.42 |
| J0690 |
Cefazolin sodium injection |
291 |
249 |
$18.81 |
| 84460 |
|
16 |
14 |
$17.16 |
| J2272 |
Inj, morphine (fresenius) |
52 |
40 |
$16.20 |
| J2250 |
Inj midazolam hydrochloride |
758 |
671 |
$14.59 |
| J2704 |
Inj, propofol, 10 mg |
1,054 |
910 |
$11.29 |
| J1200 |
Diphenhydramine hcl injectio |
167 |
119 |
$10.36 |
| 85007 |
|
23 |
14 |
$7.52 |
| Q0162 |
Ondansetron oral |
44 |
38 |
$6.95 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 96417 |
|
18 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
13 |
$0.00 |