| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,435 |
4,638 |
$594K |
| 99283 |
|
4,500 |
3,809 |
$499K |
| 74176 |
|
1,175 |
1,000 |
$427K |
| 99285 |
|
3,586 |
2,770 |
$376K |
| 70450 |
|
831 |
669 |
$209K |
| G0378 |
Hospital observation per hr |
1,694 |
742 |
$71K |
| 96361 |
|
2,273 |
1,785 |
$66K |
| 99282 |
|
537 |
420 |
$45K |
| A4216 |
Sterile water/saline, 10 ml |
995 |
900 |
$24K |
| 74177 |
|
52 |
41 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
3,709 |
3,083 |
$9K |
| 80053 |
|
6,254 |
4,583 |
$7K |
| 96374 |
|
3,099 |
2,458 |
$7K |
| 96375 |
|
2,083 |
1,628 |
$6K |
| 96360 |
|
474 |
422 |
$5K |
| 72125 |
|
69 |
55 |
$4K |
| 99281 |
|
51 |
45 |
$4K |
| 96365 |
|
464 |
387 |
$3K |
| 71045 |
|
2,957 |
2,294 |
$2K |
| 96372 |
|
1,426 |
1,119 |
$2K |
| 72131 |
|
39 |
28 |
$2K |
| 93005 |
|
3,708 |
2,740 |
$2K |
| 81025 |
|
1,237 |
1,123 |
$2K |
| J7030 |
Normal saline solution infus |
3,353 |
2,294 |
$1K |
| 80307 |
|
321 |
271 |
$1K |
| 84703 |
|
105 |
96 |
$1K |
| 81001 |
|
1,746 |
1,387 |
$1K |
| 76856 |
|
17 |
16 |
$981.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
234 |
193 |
$854.66 |
| 84702 |
|
103 |
96 |
$702.96 |
| 87804 |
|
3,468 |
1,637 |
$609.77 |
| 85025 |
|
6,716 |
4,818 |
$566.48 |
| 76705 |
|
30 |
26 |
$477.33 |
| 73562 |
|
17 |
14 |
$435.01 |
| 81003 |
|
1,254 |
1,088 |
$320.28 |
| J1885 |
Ketorolac tromethamine inj |
2,150 |
1,786 |
$263.99 |
| 83690 |
|
1,071 |
890 |
$213.65 |
| 71046 |
|
157 |
130 |
$168.29 |
| 87070 |
|
456 |
408 |
$160.55 |
| 85610 |
|
1,440 |
1,071 |
$148.66 |
| 87426 |
|
131 |
115 |
$141.32 |
| 84484 |
|
2,123 |
1,497 |
$138.64 |
| 80048 |
|
653 |
522 |
$135.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
67 |
62 |
$107.64 |
| 90471 |
|
18 |
12 |
$103.52 |
| 82550 |
|
239 |
173 |
$91.58 |
| J2405 |
Ondansetron hcl injection |
1,497 |
1,198 |
$78.19 |
| 73030 |
|
15 |
12 |
$77.96 |
| 94664 |
|
121 |
102 |
$66.86 |
| J1200 |
Diphenhydramine hcl injectio |
536 |
425 |
$63.51 |
| 83880 |
|
435 |
349 |
$63.30 |
| J2930 |
Methylprednisolone injection |
126 |
101 |
$55.77 |
| 86850 |
|
449 |
377 |
$44.57 |
| J1100 |
Dexamethasone sodium phos |
375 |
321 |
$33.50 |
| 36415 |
|
3,475 |
2,362 |
$30.95 |
| 96376 |
|
247 |
129 |
$28.37 |
| 85730 |
|
1,289 |
945 |
$24.60 |
| S0028 |
Injection, famotidine, 20 mg |
444 |
368 |
$16.62 |
| J2360 |
Orphenadrine injection |
311 |
275 |
$15.92 |
| 87040 |
|
901 |
420 |
$14.10 |
| 85379 |
|
252 |
211 |
$9.27 |
| 83605 |
|
801 |
627 |
$7.29 |
| J7120 |
Ringers lactate infusion |
872 |
593 |
$5.36 |
| J2270 |
Morphine sulfate injection |
504 |
344 |
$3.39 |
| J2060 |
Lorazepam injection |
181 |
122 |
$1.56 |
| 86900 |
|
450 |
378 |
$1.27 |
| 86901 |
|
450 |
378 |
$1.27 |
| C9113 |
Inj pantoprazole sodium, via |
59 |
41 |
$0.00 |
| J7040 |
Normal saline solution infus |
66 |
55 |
$0.00 |
| 87186 |
|
187 |
155 |
$0.00 |
| 82805 |
|
14 |
13 |
$0.00 |
| 73630 |
|
18 |
17 |
$0.00 |
| 87880 |
|
161 |
155 |
$0.00 |
| 90715 |
|
36 |
26 |
$0.00 |
| 99001 |
|
14 |
12 |
$0.00 |
| 87635 |
|
101 |
86 |
$0.00 |
| 87430 |
|
284 |
253 |
$0.00 |
| 87086 |
|
515 |
438 |
$0.00 |
| J7050 |
Normal saline solution infus |
249 |
165 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
420 |
328 |
$0.00 |
| A9270 |
Non-covered item or service |
766 |
399 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
331 |
273 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
308 |
252 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
279 |
238 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
304 |
211 |
$0.00 |
| 87205 |
|
14 |
12 |
$0.00 |
| 84443 |
|
46 |
39 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
473 |
379 |
$0.00 |
| 76801 |
|
13 |
12 |
$0.00 |
| 87081 |
|
29 |
28 |
$0.00 |
| 85027 |
|
15 |
14 |
$0.00 |
| 87077 |
|
133 |
112 |
$0.00 |
| 82962 |
|
883 |
376 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
19 |
15 |
$0.00 |
| 86140 |
|
14 |
12 |
$0.00 |