| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
24,530 |
22,816 |
$5.60M |
| 99284 |
|
21,148 |
19,607 |
$4.49M |
| 99285 |
|
10,275 |
9,535 |
$1.99M |
| 87636 |
|
3,385 |
3,187 |
$507K |
| 93005 |
|
9,010 |
8,364 |
$275K |
| 99282 |
|
3,523 |
3,269 |
$192K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,139 |
1,924 |
$165K |
| 96374 |
|
9,152 |
8,491 |
$155K |
| 85025 |
|
20,335 |
18,718 |
$149K |
| 71045 |
|
5,265 |
4,899 |
$132K |
| G0463 |
Hospital outpt clinic visit |
5,042 |
4,374 |
$130K |
| 80053 |
|
15,014 |
13,922 |
$123K |
| 88305 |
|
1,256 |
1,190 |
$116K |
| 43239 |
|
446 |
424 |
$95K |
| 74177 |
|
237 |
215 |
$94K |
| 41899 |
|
63 |
61 |
$85K |
| J3490 |
Drugs unclassified injection |
25,956 |
15,197 |
$59K |
| 71046 |
|
2,261 |
2,137 |
$55K |
| 69436 |
|
103 |
101 |
$52K |
| 70450 |
|
335 |
320 |
$45K |
| 84484 |
|
5,230 |
4,816 |
$37K |
| 59025 |
|
556 |
422 |
$36K |
| U0005 |
Infec agen detec ampli probe |
1,522 |
1,331 |
$36K |
| 45378 |
|
137 |
122 |
$35K |
| 83735 |
|
5,694 |
5,322 |
$35K |
| 11042 |
|
1,042 |
405 |
$35K |
| 80048 |
|
3,622 |
3,345 |
$30K |
| C9803 |
Hopd covid-19 spec collect |
2,229 |
1,995 |
$30K |
| 43235 |
|
194 |
181 |
$29K |
| 45385 |
|
137 |
134 |
$27K |
| 83690 |
|
3,594 |
3,330 |
$24K |
| 96375 |
|
4,303 |
3,901 |
$22K |
| 43450 |
|
224 |
218 |
$21K |
| 81025 |
|
2,330 |
2,125 |
$19K |
| 80307 |
|
557 |
486 |
$17K |
| 87086 |
|
2,085 |
1,956 |
$16K |
| 83605 |
|
1,733 |
1,620 |
$16K |
| 81003 |
|
7,178 |
6,661 |
$15K |
| 96372 |
|
1,790 |
1,607 |
$13K |
| 74176 |
|
26 |
25 |
$12K |
| G0378 |
Hospital observation per hr |
243 |
144 |
$11K |
| 81001 |
|
2,842 |
2,624 |
$10K |
| 87637 |
|
44 |
44 |
$9K |
| J2405 |
Ondansetron hcl injection |
2,245 |
2,064 |
$8K |
| 96361 |
|
1,738 |
1,607 |
$8K |
| 87430 |
|
490 |
471 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
3,728 |
3,412 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
2,340 |
2,201 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
8,463 |
4,480 |
$5K |
| 94640 |
|
207 |
189 |
$4K |
| G0480 |
Drug test def 1-7 classes |
266 |
213 |
$4K |
| 82803 |
|
230 |
221 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,051 |
948 |
$3K |
| 64636 |
|
13 |
13 |
$3K |
| 87070 |
|
241 |
230 |
$3K |
| 64635 |
|
13 |
13 |
$3K |
| 83880 |
|
120 |
115 |
$3K |
| 96365 |
|
118 |
111 |
$2K |
| G0483 |
Drug test def 22+ classes |
26 |
24 |
$2K |
| 97597 |
|
49 |
25 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
1,250 |
1,163 |
$2K |
| 99199 |
|
255 |
255 |
$1K |
| 81002 |
|
367 |
337 |
$1K |
| 85027 |
|
185 |
176 |
$948.92 |
| 80047 |
|
110 |
98 |
$866.94 |
| J1040 |
Methylprednisolone 80 mg inj |
568 |
544 |
$863.78 |
| 87081 |
|
99 |
97 |
$639.02 |
| 87591 |
|
14 |
12 |
$612.05 |
| 87491 |
|
14 |
12 |
$612.05 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
349 |
260 |
$555.91 |
| 87661 |
|
13 |
12 |
$554.00 |
| 96360 |
|
25 |
25 |
$492.33 |
| J1030 |
Methylprednisolone 40 mg inj |
265 |
246 |
$422.88 |
| Q3014 |
Telehealth facility fee |
115 |
70 |
$421.19 |
| J2270 |
Morphine sulfate injection |
216 |
184 |
$419.38 |
| 94761 |
|
24 |
12 |
$389.41 |
| J1010 |
Inj, methylpred acetate 1 mg |
140 |
131 |
$366.41 |
| J1100 |
Dexamethasone sodium phos |
89 |
87 |
$329.58 |
| J1790 |
Droperidol injection |
89 |
85 |
$328.29 |
| J2272 |
Inj, morphine (fresenius) |
122 |
111 |
$295.58 |
| 82550 |
|
62 |
61 |
$278.94 |
| 82962 |
|
204 |
196 |
$265.20 |
| 80076 |
|
31 |
29 |
$234.78 |
| J3010 |
Fentanyl citrate injection |
48 |
48 |
$148.93 |
| J8597 |
Antiemetic drug oral nos |
192 |
188 |
$103.74 |
| J3301 |
Triamcinolone acet inj nos |
229 |
215 |
$96.88 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
68 |
66 |
$91.27 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
37 |
36 |
$84.85 |
| Q0162 |
Ondansetron oral |
158 |
128 |
$59.93 |
| J2250 |
Inj midazolam hydrochloride |
13 |
13 |
$59.15 |
| A9150 |
Misc/exper non-prescript dru |
49 |
27 |
$55.61 |
| J8540 |
Oral dexamethasone |
55 |
50 |
$45.08 |
| 94760 |
|
13 |
12 |
$29.46 |
| 85610 |
|
14 |
14 |
$24.50 |
| 84100 |
|
12 |
12 |
$23.64 |
| A9270 |
Non-covered item or service |
1,814 |
1,151 |
$1.56 |
| G1004 |
Cdsm ndsc |
17 |
12 |
$0.00 |