| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,111 |
9,354 |
$760K |
| 99284 |
|
2,895 |
2,689 |
$415K |
| 99285 |
|
1,285 |
1,176 |
$148K |
| 93005 |
|
3,307 |
2,960 |
$109K |
| 74177 |
|
580 |
544 |
$105K |
| G0378 |
Hospital observation per hr |
495 |
367 |
$100K |
| 80053 |
|
9,051 |
6,917 |
$88K |
| 70450 |
|
1,257 |
1,159 |
$77K |
| 87804 |
|
1,786 |
1,660 |
$69K |
| 85025 |
|
11,393 |
8,138 |
$67K |
| 99282 |
|
1,703 |
1,601 |
$66K |
| 87426 |
|
2,100 |
1,931 |
$63K |
| 71045 |
|
3,628 |
3,226 |
$63K |
| 80307 |
|
1,178 |
1,053 |
$58K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,300 |
1,234 |
$57K |
| 74176 |
|
464 |
434 |
$53K |
| 96361 |
|
1,848 |
1,677 |
$36K |
| 93306 |
|
239 |
219 |
$34K |
| 80050 |
|
321 |
297 |
$32K |
| 83880 |
|
1,446 |
1,304 |
$23K |
| 84484 |
|
3,219 |
2,272 |
$17K |
| 84703 |
|
2,363 |
2,089 |
$16K |
| 80143 |
|
818 |
721 |
$14K |
| 81001 |
|
3,633 |
3,335 |
$13K |
| 80179 |
|
810 |
718 |
$12K |
| 83690 |
|
2,215 |
2,009 |
$9K |
| U0005 |
Infec agen detec ampli probe |
608 |
575 |
$9K |
| 80320 |
|
738 |
651 |
$9K |
| 96360 |
|
405 |
376 |
$8K |
| 80048 |
|
1,557 |
1,175 |
$8K |
| 87430 |
|
350 |
331 |
$7K |
| 76801 |
|
84 |
78 |
$7K |
| 71046 |
|
237 |
223 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
946 |
696 |
$7K |
| 87086 |
|
1,054 |
984 |
$6K |
| 94640 |
|
248 |
96 |
$6K |
| 83735 |
|
2,363 |
1,666 |
$6K |
| G0463 |
Hospital outpt clinic visit |
958 |
868 |
$5K |
| 96365 |
|
126 |
116 |
$5K |
| 96374 |
|
2,828 |
2,552 |
$4K |
| 85610 |
|
1,993 |
1,557 |
$3K |
| 83605 |
|
808 |
636 |
$3K |
| 86850 |
|
370 |
330 |
$3K |
| 99281 |
|
102 |
97 |
$3K |
| 84702 |
|
196 |
173 |
$3K |
| 85730 |
|
1,253 |
1,134 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
103 |
98 |
$2K |
| 72125 |
|
31 |
29 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,408 |
1,301 |
$2K |
| 87807 |
|
66 |
64 |
$2K |
| 87635 |
|
66 |
63 |
$2K |
| 86769 |
|
90 |
83 |
$2K |
| 96375 |
|
2,128 |
1,760 |
$2K |
| 81003 |
|
1,111 |
1,039 |
$2K |
| 86900 |
|
977 |
739 |
$1K |
| 86901 |
|
973 |
738 |
$1K |
| 84145 |
|
212 |
189 |
$1K |
| J2270 |
Morphine sulfate injection |
1,354 |
1,009 |
$1K |
| 87633 |
|
17 |
14 |
$1K |
| 85379 |
|
204 |
192 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,079 |
984 |
$917.38 |
| 87040 |
|
195 |
96 |
$742.71 |
| 84100 |
|
595 |
439 |
$699.95 |
| 96372 |
|
895 |
796 |
$658.94 |
| 87081 |
|
78 |
74 |
$627.28 |
| 82728 |
|
163 |
152 |
$626.80 |
| 87186 |
|
129 |
118 |
$604.52 |
| J2405 |
Ondansetron hcl injection |
1,963 |
1,679 |
$363.92 |
| 83036 |
|
106 |
96 |
$358.80 |
| J1100 |
Dexamethasone sodium phos |
643 |
557 |
$280.54 |
| 87798 |
|
16 |
13 |
$274.14 |
| 0241U |
|
150 |
142 |
$271.00 |
| 87077 |
|
40 |
39 |
$237.79 |
| 86140 |
|
71 |
66 |
$216.34 |
| 83615 |
|
98 |
94 |
$196.72 |
| 87088 |
|
26 |
26 |
$173.85 |
| J1650 |
Inj enoxaparin sodium |
23 |
13 |
$87.74 |
| J1200 |
Diphenhydramine hcl injectio |
173 |
138 |
$71.58 |
| 82962 |
|
4,349 |
1,181 |
$58.10 |
| J2060 |
Lorazepam injection |
95 |
83 |
$53.53 |
| J0360 |
Hydralazine hcl injection |
34 |
28 |
$24.25 |
| J3010 |
Fentanyl citrate injection |
62 |
55 |
$17.70 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$2.07 |
| J8499 |
Oral prescrip drug non chemo |
2,899 |
851 |
$0.76 |
| J3490 |
Drugs unclassified injection |
128 |
94 |
$0.00 |
| 36415 |
|
69 |
66 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
39 |
24 |
$0.00 |
| 96376 |
|
15 |
14 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$0.00 |