| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,008 |
18,270 |
$2.60M |
| U0003 |
Cov-19 amp prb hgh thruput |
27,352 |
24,687 |
$2.35M |
| 99284 |
|
10,917 |
10,461 |
$1.57M |
| 99285 |
|
4,008 |
3,793 |
$535K |
| 87636 |
|
3,218 |
3,186 |
$367K |
| G0378 |
Hospital observation per hr |
383 |
344 |
$248K |
| 99282 |
|
2,875 |
2,782 |
$176K |
| 87635 |
|
4,068 |
3,904 |
$142K |
| 74177 |
|
762 |
731 |
$119K |
| 80053 |
|
10,420 |
9,789 |
$101K |
| 85025 |
|
13,308 |
12,374 |
$65K |
| U0005 |
Infec agen detec ampli probe |
5,183 |
4,766 |
$54K |
| 93005 |
|
4,793 |
4,527 |
$38K |
| 80307 |
|
757 |
701 |
$37K |
| 80050 |
|
765 |
754 |
$31K |
| 70450 |
|
504 |
482 |
$27K |
| 71275 |
|
112 |
108 |
$21K |
| 71045 |
|
3,302 |
3,183 |
$20K |
| 0241U |
|
386 |
339 |
$19K |
| 80048 |
|
1,812 |
1,735 |
$14K |
| X0616 |
|
86 |
86 |
$13K |
| 74176 |
|
203 |
199 |
$13K |
| M0243 |
Casirivi and imdevi inj |
32 |
32 |
$13K |
| 80061 |
|
911 |
894 |
$11K |
| 83880 |
|
368 |
352 |
$10K |
| 83735 |
|
1,563 |
1,497 |
$10K |
| 83690 |
|
2,067 |
1,982 |
$10K |
| 76856 |
|
249 |
238 |
$9K |
| 87631 |
|
48 |
48 |
$7K |
| 71046 |
|
666 |
652 |
$6K |
| 81001 |
|
2,491 |
2,394 |
$6K |
| 84484 |
|
1,045 |
938 |
$6K |
| 82306 |
|
211 |
207 |
$6K |
| M0239 |
Bamlanivimab-xxxx infusion |
23 |
23 |
$6K |
| 87804 |
|
352 |
275 |
$5K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$5K |
| 87040 |
|
303 |
289 |
$5K |
| 87491 |
|
249 |
239 |
$5K |
| 87591 |
|
249 |
239 |
$5K |
| 84443 |
|
336 |
312 |
$5K |
| 76705 |
|
190 |
179 |
$5K |
| 73630 |
|
454 |
391 |
$4K |
| 87389 |
|
172 |
167 |
$4K |
| G0480 |
Drug test def 1-7 classes |
104 |
94 |
$4K |
| 85379 |
|
412 |
396 |
$4K |
| 87086 |
|
600 |
563 |
$4K |
| 96374 |
|
192 |
177 |
$4K |
| OP250 |
|
1,821 |
1,212 |
$3K |
| 83605 |
|
570 |
527 |
$3K |
| 36415 |
|
3,318 |
2,693 |
$3K |
| 86803 |
|
167 |
166 |
$3K |
| 84702 |
|
167 |
142 |
$3K |
| 81003 |
|
985 |
931 |
$2K |
| 84703 |
|
244 |
240 |
$2K |
| 72125 |
|
51 |
48 |
$2K |
| 85730 |
|
507 |
482 |
$2K |
| 83036 |
|
378 |
370 |
$2K |
| 85027 |
|
376 |
356 |
$2K |
| 85610 |
|
729 |
663 |
$2K |
| 87811 |
|
148 |
148 |
$2K |
| 93306 |
|
27 |
27 |
$2K |
| 73610 |
|
135 |
127 |
$2K |
| 80076 |
|
140 |
137 |
$2K |
| 43239 |
|
13 |
12 |
$2K |
| 70498 |
|
14 |
13 |
$2K |
| 70496 |
|
13 |
12 |
$1K |
| 73130 |
|
151 |
129 |
$1K |
| 96361 |
|
56 |
49 |
$1K |
| J7030 |
Normal saline solution infus |
547 |
482 |
$1K |
| 71250 |
|
27 |
26 |
$1K |
| 99281 |
|
16 |
16 |
$992.40 |
| J1170 |
Hydromorphone injection |
112 |
79 |
$938.19 |
| 87186 |
|
120 |
117 |
$900.00 |
| 87077 |
|
116 |
112 |
$846.27 |
| J1885 |
Ketorolac tromethamine inj |
5,614 |
4,542 |
$836.35 |
| 82805 |
|
28 |
26 |
$832.38 |
| 87070 |
|
118 |
117 |
$813.15 |
| 82550 |
|
125 |
118 |
$741.12 |
| 82728 |
|
59 |
56 |
$618.00 |
| 85007 |
|
170 |
161 |
$567.49 |
| 82948 |
|
362 |
295 |
$525.54 |
| J2270 |
Morphine sulfate injection |
423 |
381 |
$520.39 |
| 73564 |
|
45 |
43 |
$471.90 |
| 87637 |
|
28 |
28 |
$444.31 |
| 73030 |
|
55 |
53 |
$427.91 |
| 73140 |
|
33 |
31 |
$422.76 |
| 76801 |
|
14 |
14 |
$418.98 |
| J3490 |
Drugs unclassified injection |
132 |
84 |
$367.57 |
| 84145 |
|
25 |
24 |
$363.83 |
| J2405 |
Ondansetron hcl injection |
3,364 |
3,017 |
$343.74 |
| 83540 |
|
49 |
49 |
$339.89 |
| 90715 |
|
49 |
43 |
$332.17 |
| 82077 |
|
102 |
95 |
$323.16 |
| 82570 |
|
45 |
45 |
$296.06 |
| 82803 |
|
19 |
15 |
$286.66 |
| 82043 |
|
37 |
37 |
$263.71 |
| 88305 |
|
40 |
39 |
$218.70 |
| 84439 |
|
28 |
28 |
$218.24 |
| 84153 |
|
12 |
12 |
$213.40 |
| 86140 |
|
79 |
78 |
$204.43 |
| 81025 |
|
161 |
151 |
$186.47 |
| 86592 |
|
42 |
41 |
$175.47 |
| J2704 |
Inj, propofol, 10 mg |
1,392 |
976 |
$166.20 |
| 86901 |
|
46 |
44 |
$163.88 |
| 86900 |
|
46 |
44 |
$161.95 |
| 82607 |
|
12 |
12 |
$149.35 |
| J1100 |
Dexamethasone sodium phos |
1,438 |
1,328 |
$148.79 |
| J2060 |
Lorazepam injection |
447 |
372 |
$127.91 |
| J2930 |
Methylprednisolone injection |
41 |
41 |
$118.77 |
| J1200 |
Diphenhydramine hcl injectio |
732 |
670 |
$117.57 |
| 82330 |
|
19 |
16 |
$113.29 |
| 83550 |
|
25 |
25 |
$83.40 |
| J7050 |
Normal saline solution infus |
138 |
76 |
$78.78 |
| J2765 |
Metoclopramide hcl injection |
705 |
655 |
$71.61 |
| J3010 |
Fentanyl citrate injection |
647 |
564 |
$69.01 |
| 87088 |
|
13 |
12 |
$64.00 |
| 84295 |
|
15 |
12 |
$61.88 |
| 87081 |
|
16 |
14 |
$61.25 |
| 84132 |
|
16 |
13 |
$60.35 |
| 87880 |
|
16 |
14 |
$59.04 |
| 85014 |
|
19 |
16 |
$37.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
668 |
644 |
$37.00 |
| 87205 |
|
13 |
13 |
$36.36 |
| 82947 |
|
17 |
14 |
$33.28 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$19.40 |
| J2250 |
Inj midazolam hydrochloride |
448 |
432 |
$5.08 |
| G1004 |
Cdsm ndsc |
69 |
58 |
$0.01 |
| J3475 |
Inj magnesium sulfate |
97 |
93 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
29 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
15 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
335 |
295 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
59 |
46 |
$0.00 |
| 96375 |
|
42 |
42 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
72 |
69 |
$0.00 |
| 96372 |
|
17 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
21 |
15 |
$0.00 |