| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
81,722 |
74,353 |
$22.11M |
| 99284 |
|
55,502 |
47,719 |
$15.83M |
| 99282 |
|
21,918 |
21,349 |
$4.21M |
| 96374 |
|
20,941 |
17,508 |
$899K |
| G0378 |
Hospital observation per hr |
974 |
843 |
$720K |
| 43239 |
|
1,100 |
978 |
$674K |
| 99281 |
|
3,346 |
3,294 |
$549K |
| 0241U |
|
1,986 |
1,687 |
$145K |
| 87635 |
|
4,385 |
4,189 |
$141K |
| 63685 |
|
19 |
12 |
$124K |
| 99285 |
|
300 |
259 |
$98K |
| 96372 |
|
6,483 |
5,421 |
$61K |
| 95813 |
|
412 |
395 |
$53K |
| 45380 |
|
48 |
45 |
$43K |
| 80053 |
|
38,356 |
30,286 |
$32K |
| 85027 |
|
59,632 |
46,626 |
$29K |
| 80048 |
|
6,738 |
5,420 |
$26K |
| 80069 |
|
944 |
334 |
$23K |
| 11042 |
|
457 |
207 |
$22K |
| 36415 |
|
5,498 |
4,451 |
$22K |
| 82248 |
|
2,112 |
1,058 |
$12K |
| 93005 |
|
17,282 |
13,511 |
$12K |
| 96375 |
|
2,396 |
1,925 |
$10K |
| 85610 |
|
3,205 |
2,466 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
137 |
129 |
$6K |
| 80076 |
|
3,616 |
2,595 |
$6K |
| 70450 |
|
792 |
636 |
$6K |
| 83735 |
|
1,842 |
1,204 |
$6K |
| 77334 |
|
21 |
12 |
$3K |
| 71045 |
|
9,678 |
7,884 |
$3K |
| 87426 |
|
170 |
132 |
$2K |
| 71046 |
|
1,233 |
996 |
$2K |
| 74246 |
|
14 |
12 |
$1K |
| 85045 |
|
745 |
487 |
$1K |
| J7030 |
Normal saline solution infus |
2,233 |
2,074 |
$1K |
| 77072 |
|
27 |
26 |
$942.06 |
| 84702 |
|
943 |
842 |
$908.97 |
| G0463 |
Hospital outpt clinic visit |
88 |
62 |
$898.80 |
| 80307 |
|
753 |
619 |
$668.20 |
| 87804 |
|
4,862 |
4,502 |
$632.34 |
| 84100 |
|
215 |
102 |
$590.74 |
| 81003 |
|
22,492 |
20,353 |
$407.74 |
| 85730 |
|
760 |
518 |
$305.60 |
| 83690 |
|
10,851 |
8,931 |
$267.52 |
| 84484 |
|
8,466 |
6,305 |
$219.11 |
| 87633 |
|
12 |
12 |
$173.74 |
| 87491 |
|
3,502 |
3,254 |
$110.10 |
| 87591 |
|
3,523 |
3,275 |
$110.08 |
| J7120 |
Ringers lactate infusion |
1,074 |
972 |
$98.50 |
| J1100 |
Dexamethasone sodium phos |
713 |
607 |
$95.69 |
| J1885 |
Ketorolac tromethamine inj |
6,640 |
5,054 |
$91.67 |
| 87070 |
|
1,265 |
1,215 |
$89.52 |
| 86140 |
|
38 |
24 |
$83.05 |
| S0119 |
Ondansetron 4 mg |
344 |
342 |
$74.45 |
| 80179 |
|
297 |
234 |
$65.23 |
| 80143 |
|
296 |
233 |
$65.23 |
| 84703 |
|
2,472 |
2,262 |
$62.62 |
| 82077 |
|
433 |
344 |
$60.46 |
| 81025 |
|
6,153 |
5,610 |
$54.69 |
| 83615 |
|
19 |
13 |
$43.37 |
| 87430 |
|
2,193 |
2,136 |
$39.70 |
| 86850 |
|
434 |
293 |
$28.38 |
| 86900 |
|
550 |
397 |
$22.85 |
| 86901 |
|
550 |
397 |
$22.85 |
| 87798 |
|
12 |
12 |
$18.15 |
| 87581 |
|
12 |
12 |
$18.15 |
| 87486 |
|
12 |
12 |
$18.15 |
| 82553 |
|
33 |
26 |
$18.13 |
| 87086 |
|
1,028 |
969 |
$12.35 |
| 87210 |
|
3,871 |
3,575 |
$8.14 |
| 81001 |
|
4,974 |
4,435 |
$7.82 |
| S3600 |
Stat lab |
54 |
45 |
$0.37 |
| J2405 |
Ondansetron hcl injection |
826 |
749 |
$0.36 |
| J2270 |
Morphine sulfate injection |
98 |
72 |
$0.00 |
| 98960 |
|
111 |
108 |
$0.00 |
| 88312 |
|
334 |
306 |
$0.00 |
| 74177 |
|
102 |
89 |
$0.00 |
| G1003 |
Cdsm medicalis |
284 |
228 |
$0.00 |
| 94664 |
|
284 |
279 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
143 |
110 |
$0.00 |
| D2391 |
|
41 |
14 |
$0.00 |
| J0780 |
Prochlorperazine injection |
25 |
25 |
$0.00 |
| 31720 |
|
44 |
43 |
$0.00 |
| 85014 |
|
30 |
26 |
$0.00 |
| D2930 |
|
137 |
17 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
18 |
12 |
$0.00 |
| 76856 |
|
15 |
12 |
$0.00 |
| 74018 |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
69 |
64 |
$0.00 |
| 87661 |
|
2,132 |
1,980 |
$0.00 |
| 76817 |
|
524 |
480 |
$0.00 |
| 76801 |
|
763 |
687 |
$0.00 |
| 82550 |
|
52 |
40 |
$0.00 |
| 94640 |
|
246 |
229 |
$0.00 |
| 83880 |
|
208 |
153 |
$0.00 |
| 88305 |
|
519 |
468 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
18 |
12 |
$0.00 |
| 82657 |
|
463 |
424 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
78 |
62 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |
| 96361 |
|
27 |
25 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
86 |
77 |
$0.00 |
| D3220 |
|
44 |
14 |
$0.00 |
| 83605 |
|
26 |
24 |
$0.00 |
| C1769 |
Guide wire |
18 |
12 |
$0.00 |