| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,337 |
10,869 |
$1.51M |
| 99284 |
|
5,021 |
4,730 |
$1.13M |
| 99285 |
|
2,062 |
1,880 |
$524K |
| 96374 |
|
3,391 |
3,151 |
$165K |
| 99282 |
|
403 |
397 |
$74K |
| 11042 |
|
502 |
221 |
$67K |
| 80053 |
|
5,526 |
4,949 |
$43K |
| 85025 |
|
5,519 |
4,816 |
$32K |
| 87426 |
|
673 |
633 |
$30K |
| 93005 |
|
1,568 |
1,251 |
$18K |
| 81001 |
|
4,983 |
4,655 |
$15K |
| 71045 |
|
1,506 |
1,367 |
$15K |
| 87400 |
|
479 |
263 |
$12K |
| 99281 |
|
166 |
164 |
$12K |
| 87802 |
|
389 |
385 |
$10K |
| 36415 |
|
7,529 |
6,553 |
$8K |
| 96375 |
|
429 |
382 |
$5K |
| 87088 |
|
1,327 |
1,222 |
$5K |
| 71046 |
|
141 |
139 |
$3K |
| 97597 |
|
29 |
13 |
$3K |
| 81025 |
|
164 |
161 |
$3K |
| 87430 |
|
66 |
66 |
$2K |
| 96372 |
|
463 |
360 |
$2K |
| 74176 |
|
39 |
38 |
$2K |
| 80048 |
|
924 |
805 |
$2K |
| 83690 |
|
471 |
428 |
$2K |
| 70450 |
|
229 |
222 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
29 |
25 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
28 |
28 |
$1K |
| 83880 |
|
368 |
346 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
55 |
51 |
$982.13 |
| 84484 |
|
1,483 |
932 |
$748.49 |
| 85027 |
|
1,103 |
959 |
$697.63 |
| J7050 |
Normal saline solution infus |
644 |
477 |
$475.87 |
| 87880 |
|
31 |
31 |
$465.94 |
| 87070 |
|
26 |
26 |
$430.02 |
| 0241U |
|
205 |
202 |
$354.81 |
| 87186 |
|
392 |
363 |
$277.35 |
| 85610 |
|
713 |
661 |
$266.57 |
| 84443 |
|
413 |
404 |
$230.87 |
| 80306 |
|
31 |
26 |
$183.76 |
| 85730 |
|
315 |
296 |
$180.17 |
| J2405 |
Ondansetron hcl injection |
761 |
597 |
$165.23 |
| 80061 |
|
486 |
484 |
$159.60 |
| J7030 |
Normal saline solution infus |
261 |
212 |
$95.07 |
| J2704 |
Inj, propofol, 10 mg |
129 |
117 |
$83.76 |
| 83735 |
|
206 |
180 |
$79.20 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25 |
24 |
$68.39 |
| J1170 |
Hydromorphone injection |
207 |
114 |
$56.75 |
| 83036 |
|
343 |
334 |
$42.30 |
| 85007 |
|
34 |
29 |
$36.66 |
| 81003 |
|
19 |
17 |
$30.50 |
| G0463 |
Hospital outpt clinic visit |
28 |
24 |
$27.83 |
| 86901 |
|
25 |
24 |
$25.83 |
| 86900 |
|
26 |
25 |
$25.83 |
| J1100 |
Dexamethasone sodium phos |
31 |
27 |
$20.86 |
| 83605 |
|
15 |
12 |
$15.85 |
| J2270 |
Morphine sulfate injection |
18 |
13 |
$15.31 |
| J1885 |
Ketorolac tromethamine inj |
19 |
12 |
$12.60 |
| J0696 |
Ceftriaxone sodium injection |
56 |
52 |
$9.24 |
| J2250 |
Inj midazolam hydrochloride |
36 |
33 |
$5.88 |
| J2001 |
Lidocaine injection |
31 |
28 |
$5.18 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$3.78 |
| G0480 |
Drug test def 1-7 classes |
54 |
44 |
$2.52 |
| A9270 |
Non-covered item or service |
10,072 |
5,035 |
$1.77 |
| 82962 |
|
339 |
149 |
$0.00 |
| J3490 |
Drugs unclassified injection |
59 |
40 |
$0.00 |