| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
7,164 |
6,766 |
$330K |
| 99284 |
|
5,873 |
5,466 |
$307K |
| 85025 |
|
11,904 |
10,322 |
$106K |
| 80053 |
|
5,431 |
4,603 |
$68K |
| 76811 |
|
842 |
768 |
$59K |
| 87637 |
|
300 |
284 |
$29K |
| 99285 |
|
387 |
355 |
$23K |
| G0378 |
Hospital observation per hr |
955 |
644 |
$22K |
| 96374 |
|
909 |
850 |
$21K |
| 96375 |
|
441 |
392 |
$17K |
| 76816 |
|
381 |
326 |
$16K |
| 87804 |
|
726 |
365 |
$14K |
| 74177 |
|
103 |
99 |
$10K |
| 96361 |
|
448 |
422 |
$10K |
| 80307 |
|
161 |
148 |
$9K |
| 87636 |
|
94 |
87 |
$9K |
| 81025 |
|
502 |
474 |
$8K |
| 70450 |
|
109 |
102 |
$7K |
| 97110 |
|
384 |
120 |
$7K |
| 96365 |
|
94 |
78 |
$6K |
| 76817 |
|
114 |
100 |
$6K |
| 80048 |
|
423 |
382 |
$5K |
| 93306 |
|
31 |
28 |
$5K |
| 93005 |
|
333 |
304 |
$5K |
| 97530 |
|
336 |
93 |
$4K |
| 11042 |
|
58 |
31 |
$4K |
| 87491 |
|
95 |
91 |
$4K |
| 87591 |
|
95 |
91 |
$4K |
| 99282 |
|
168 |
162 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
67 |
63 |
$4K |
| 96372 |
|
199 |
175 |
$3K |
| 96360 |
|
69 |
68 |
$3K |
| 71046 |
|
297 |
282 |
$3K |
| 81001 |
|
534 |
497 |
$3K |
| 97112 |
|
252 |
88 |
$3K |
| 76700 |
|
49 |
48 |
$3K |
| 71275 |
|
12 |
12 |
$2K |
| 90791 |
|
106 |
95 |
$2K |
| 96376 |
|
118 |
94 |
$2K |
| 84112 |
|
25 |
25 |
$2K |
| 87077 |
|
242 |
222 |
$2K |
| 84484 |
|
201 |
152 |
$2K |
| G0463 |
Hospital outpt clinic visit |
1,255 |
987 |
$2K |
| 83690 |
|
196 |
189 |
$1K |
| 92507 |
|
92 |
39 |
$1K |
| 96413 |
|
29 |
12 |
$1K |
| 87086 |
|
127 |
122 |
$1K |
| 97140 |
|
89 |
39 |
$1K |
| 84425 |
|
45 |
42 |
$1K |
| 94640 |
|
124 |
101 |
$1K |
| 87880 |
|
132 |
130 |
$1K |
| 71045 |
|
154 |
146 |
$1K |
| 83735 |
|
198 |
171 |
$1K |
| 76801 |
|
16 |
13 |
$876.96 |
| 83605 |
|
99 |
87 |
$760.80 |
| J1642 |
Inj heparin sodium per 10 u |
111 |
41 |
$727.40 |
| 0001A |
|
137 |
137 |
$727.35 |
| 84702 |
|
66 |
58 |
$690.52 |
| 82947 |
|
186 |
86 |
$689.25 |
| 99281 |
|
209 |
202 |
$676.07 |
| 0002A |
|
123 |
120 |
$670.75 |
| 97162 |
|
25 |
24 |
$644.61 |
| 73630 |
|
46 |
43 |
$639.53 |
| 72110 |
|
28 |
27 |
$634.29 |
| 76815 |
|
15 |
14 |
$634.27 |
| 94761 |
|
64 |
59 |
$622.71 |
| 84443 |
|
53 |
51 |
$610.38 |
| 97150 |
|
63 |
14 |
$594.58 |
| 87186 |
|
66 |
57 |
$576.96 |
| 81003 |
|
544 |
500 |
$548.64 |
| 87040 |
|
88 |
48 |
$535.05 |
| 97113 |
|
29 |
12 |
$500.48 |
| 83880 |
|
53 |
50 |
$498.66 |
| 85380 |
|
50 |
48 |
$474.71 |
| 85027 |
|
73 |
69 |
$462.22 |
| 76830 |
|
12 |
12 |
$455.25 |
| 86901 |
|
80 |
75 |
$422.40 |
| J2405 |
Ondansetron hcl injection |
390 |
331 |
$415.24 |
| 87210 |
|
73 |
72 |
$398.16 |
| 97116 |
|
49 |
26 |
$386.11 |
| J1885 |
Ketorolac tromethamine inj |
242 |
219 |
$379.21 |
| 85610 |
|
122 |
112 |
$376.53 |
| 73502 |
|
18 |
13 |
$351.59 |
| 77067 |
|
12 |
12 |
$351.30 |
| 80061 |
|
56 |
51 |
$347.96 |
| J2270 |
Morphine sulfate injection |
148 |
111 |
$342.26 |
| 86900 |
|
80 |
75 |
$333.79 |
| 73610 |
|
14 |
14 |
$268.19 |
| 88305 |
|
21 |
15 |
$258.72 |
| 86850 |
|
38 |
32 |
$236.00 |
| 85730 |
|
71 |
69 |
$231.00 |
| 73562 |
|
18 |
16 |
$222.00 |
| 83036 |
|
28 |
28 |
$211.97 |
| J0696 |
Ceftriaxone sodium injection |
89 |
85 |
$190.46 |
| 82565 |
|
34 |
29 |
$172.67 |
| 83655 |
|
12 |
12 |
$168.41 |
| 92508 |
|
32 |
15 |
$165.76 |
| J7030 |
Normal saline solution infus |
882 |
740 |
$147.06 |
| 87184 |
|
12 |
12 |
$143.76 |
| J1200 |
Diphenhydramine hcl injectio |
98 |
85 |
$126.61 |
| 80076 |
|
15 |
14 |
$122.40 |
| J1100 |
Dexamethasone sodium phos |
66 |
48 |
$112.83 |
| 87070 |
|
16 |
15 |
$97.80 |
| J1170 |
Hydromorphone injection |
111 |
85 |
$89.82 |
| 0031A |
|
12 |
12 |
$80.00 |
| 87205 |
|
17 |
16 |
$76.39 |
| 36415 |
|
1,390 |
950 |
$75.34 |
| 84703 |
|
12 |
12 |
$75.20 |
| J7120 |
Ringers lactate infusion |
119 |
90 |
$65.88 |
| J7070 |
D5w infusion |
53 |
26 |
$60.48 |
| J2765 |
Metoclopramide hcl injection |
52 |
51 |
$55.39 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
33 |
$45.40 |
| J3010 |
Fentanyl citrate injection |
62 |
61 |
$33.79 |
| 85014 |
|
36 |
34 |
$33.00 |
| J7050 |
Normal saline solution infus |
56 |
41 |
$31.74 |
| J2060 |
Lorazepam injection |
28 |
28 |
$29.24 |
| J2250 |
Inj midazolam hydrochloride |
49 |
36 |
$0.43 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
179 |
172 |
$0.00 |