| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
46,226 |
38,790 |
$7.79M |
| 99284 |
|
34,364 |
27,231 |
$5.85M |
| 71045 |
|
12,679 |
9,885 |
$1.81M |
| 99285 |
|
10,070 |
7,558 |
$1.57M |
| 93005 |
|
21,576 |
15,249 |
$1.42M |
| C9803 |
Hopd covid-19 spec collect |
11,212 |
8,952 |
$769K |
| 99282 |
|
5,988 |
5,196 |
$704K |
| A9502 |
Tc99m tetrofosmin |
266 |
236 |
$655K |
| 74177 |
|
923 |
670 |
$391K |
| 87426 |
|
12,860 |
10,628 |
$366K |
| 70450 |
|
2,321 |
1,746 |
$282K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,648 |
2,000 |
$269K |
| 78452 |
|
538 |
371 |
$225K |
| 87804 |
|
13,065 |
6,504 |
$201K |
| 85025 |
|
35,349 |
25,747 |
$169K |
| 99217 |
|
431 |
326 |
$161K |
| 99218 |
|
443 |
336 |
$158K |
| 80053 |
|
23,185 |
17,300 |
$153K |
| 96374 |
|
10,744 |
8,365 |
$132K |
| 99221 |
|
366 |
258 |
$126K |
| 93017 |
|
872 |
626 |
$126K |
| 41899 |
|
160 |
99 |
$123K |
| 36415 |
|
55,917 |
40,020 |
$123K |
| 45380 |
|
76 |
54 |
$120K |
| 99238 |
|
388 |
271 |
$119K |
| 43239 |
|
108 |
69 |
$119K |
| 93306 |
|
330 |
246 |
$118K |
| 71046 |
|
1,304 |
1,068 |
$118K |
| 96361 |
|
7,322 |
5,544 |
$116K |
| 84484 |
|
15,471 |
8,729 |
$108K |
| 80307 |
|
2,137 |
1,597 |
$87K |
| 96372 |
|
4,520 |
3,169 |
$79K |
| 96375 |
|
5,412 |
3,799 |
$61K |
| 80048 |
|
12,598 |
8,593 |
$56K |
| 80050 |
|
338 |
314 |
$50K |
| G0378 |
Hospital observation per hr |
276 |
156 |
$49K |
| 87591 |
|
1,489 |
1,286 |
$38K |
| 87491 |
|
1,490 |
1,287 |
$38K |
| 80061 |
|
4,661 |
3,900 |
$35K |
| 81001 |
|
16,125 |
12,631 |
$31K |
| 81025 |
|
4,765 |
3,796 |
$30K |
| 83690 |
|
8,435 |
6,279 |
$30K |
| 74176 |
|
116 |
88 |
$28K |
| 76805 |
|
203 |
176 |
$27K |
| 87430 |
|
1,864 |
1,611 |
$27K |
| 71275 |
|
71 |
51 |
$26K |
| 16020 |
|
158 |
95 |
$21K |
| 87661 |
|
755 |
675 |
$18K |
| 83735 |
|
4,805 |
2,933 |
$18K |
| 45385 |
|
17 |
12 |
$18K |
| J2785 |
Regadenoson injection |
407 |
290 |
$17K |
| 99281 |
|
375 |
318 |
$16K |
| 72125 |
|
85 |
65 |
$16K |
| 87086 |
|
2,907 |
2,282 |
$15K |
| 93246 |
|
55 |
41 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
210 |
174 |
$14K |
| 83036 |
|
2,515 |
2,081 |
$14K |
| 85027 |
|
5,073 |
3,836 |
$12K |
| 84443 |
|
1,131 |
891 |
$12K |
| 94640 |
|
738 |
423 |
$10K |
| 90870 |
|
275 |
113 |
$10K |
| 82947 |
|
5,096 |
3,028 |
$9K |
| 80076 |
|
2,653 |
2,079 |
$9K |
| 82077 |
|
670 |
500 |
$8K |
| 96365 |
|
283 |
207 |
$8K |
| 87389 |
|
412 |
373 |
$7K |
| 87400 |
|
1,043 |
449 |
$7K |
| 83880 |
|
333 |
211 |
$6K |
| G0463 |
Hospital outpt clinic visit |
517 |
277 |
$6K |
| 87807 |
|
464 |
417 |
$6K |
| 76811 |
|
28 |
25 |
$5K |
| 93242 |
|
18 |
12 |
$5K |
| 84703 |
|
809 |
613 |
$5K |
| 80051 |
|
2,361 |
1,822 |
$4K |
| 82306 |
|
269 |
235 |
$4K |
| 82565 |
|
2,364 |
1,825 |
$3K |
| 96360 |
|
166 |
129 |
$3K |
| 84520 |
|
2,381 |
1,835 |
$2K |
| 87340 |
|
429 |
388 |
$2K |
| 81003 |
|
906 |
692 |
$1K |
| 87624 |
|
61 |
54 |
$1K |
| 83605 |
|
210 |
119 |
$1K |
| 88305 |
|
230 |
124 |
$1K |
| 85379 |
|
173 |
118 |
$1K |
| 85610 |
|
538 |
389 |
$1K |
| 86592 |
|
364 |
325 |
$1K |
| U0005 |
Infec agen detec ampli probe |
42 |
33 |
$1K |
| 82248 |
|
285 |
219 |
$963.85 |
| 73630 |
|
37 |
25 |
$792.78 |
| 97161 |
|
21 |
13 |
$745.84 |
| 88175 |
|
85 |
73 |
$660.03 |
| 82607 |
|
65 |
51 |
$575.01 |
| J3490 |
Drugs unclassified injection |
28 |
26 |
$474.18 |
| 87641 |
|
58 |
37 |
$462.33 |
| 82550 |
|
110 |
84 |
$448.75 |
| 87040 |
|
92 |
30 |
$374.62 |
| 84145 |
|
22 |
15 |
$326.64 |
| 84238 |
|
15 |
12 |
$302.41 |
| 88342 |
|
15 |
12 |
$297.14 |
| 82746 |
|
35 |
27 |
$231.54 |
| 84403 |
|
16 |
14 |
$227.19 |
| 82728 |
|
35 |
27 |
$212.34 |
| 85730 |
|
84 |
68 |
$199.60 |
| J1885 |
Ketorolac tromethamine inj |
7,749 |
6,037 |
$194.61 |
| 84439 |
|
44 |
38 |
$193.85 |
| 87077 |
|
33 |
25 |
$185.84 |
| 86803 |
|
16 |
13 |
$165.27 |
| 84702 |
|
16 |
14 |
$159.76 |
| 84100 |
|
53 |
28 |
$137.46 |
| 83550 |
|
34 |
26 |
$127.73 |
| 83540 |
|
34 |
26 |
$94.58 |
| 82043 |
|
43 |
30 |
$85.35 |
| 87210 |
|
31 |
26 |
$84.60 |
| J2405 |
Ondansetron hcl injection |
2,810 |
2,130 |
$80.59 |
| 96376 |
|
296 |
98 |
$73.71 |
| 81000 |
|
23 |
18 |
$67.95 |
| 84550 |
|
16 |
14 |
$39.77 |
| 86900 |
|
14 |
12 |
$27.37 |
| 86901 |
|
14 |
12 |
$27.37 |
| J2270 |
Morphine sulfate injection |
368 |
270 |
$27.15 |
| J7030 |
Normal saline solution infus |
2,508 |
2,164 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
102 |
81 |
$0.00 |
| J2930 |
Methylprednisolone injection |
17 |
17 |
$0.00 |
| J7040 |
Normal saline solution infus |
13 |
13 |
$0.00 |
| 0202U |
|
13 |
12 |
$0.00 |
| 90715 |
|
16 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
379 |
200 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
152 |
113 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
242 |
96 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
263 |
226 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
66 |
61 |
$0.00 |
| J8540 |
Oral dexamethasone |
361 |
287 |
$0.00 |
| A9270 |
Non-covered item or service |
96 |
89 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$0.00 |
| 90471 |
|
17 |
13 |
$0.00 |