| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,621 |
16,690 |
$4.18M |
| 99284 |
|
10,038 |
9,476 |
$2.15M |
| 99285 |
|
5,592 |
5,283 |
$986K |
| G0378 |
Hospital observation per hr |
361 |
300 |
$428K |
| 96374 |
|
3,004 |
2,809 |
$319K |
| 96372 |
|
1,974 |
1,794 |
$264K |
| 99281 |
|
714 |
689 |
$169K |
| 96361 |
|
1,465 |
1,357 |
$123K |
| 99282 |
|
168 |
163 |
$36K |
| 96360 |
|
244 |
239 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
462 |
442 |
$8K |
| 96375 |
|
629 |
573 |
$7K |
| 80053 |
|
3,245 |
2,946 |
$6K |
| 70450 |
|
407 |
389 |
$5K |
| 85025 |
|
5,445 |
4,885 |
$5K |
| 71045 |
|
1,668 |
1,572 |
$5K |
| 93005 |
|
2,458 |
2,242 |
$5K |
| 77067 |
|
56 |
51 |
$4K |
| 74177 |
|
108 |
106 |
$4K |
| 80307 |
|
367 |
342 |
$3K |
| 71046 |
|
469 |
439 |
$2K |
| 72084 |
|
52 |
52 |
$2K |
| 84484 |
|
1,427 |
1,206 |
$2K |
| 96365 |
|
56 |
48 |
$2K |
| 87426 |
|
425 |
390 |
$2K |
| 73630 |
|
262 |
224 |
$2K |
| 80048 |
|
1,159 |
1,034 |
$1K |
| 90471 |
|
13 |
12 |
$1K |
| 81025 |
|
2,388 |
2,237 |
$1K |
| 74176 |
|
77 |
74 |
$1K |
| 83880 |
|
259 |
230 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
875 |
793 |
$1K |
| 87086 |
|
1,118 |
1,064 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
496 |
473 |
$1K |
| 77063 |
|
56 |
51 |
$990.27 |
| 83690 |
|
1,167 |
1,088 |
$832.46 |
| 87804 |
|
696 |
327 |
$742.66 |
| 73030 |
|
79 |
68 |
$667.18 |
| 81001 |
|
1,586 |
1,503 |
$610.90 |
| 36415 |
|
5,089 |
4,518 |
$540.18 |
| 85730 |
|
449 |
425 |
$461.80 |
| 84443 |
|
150 |
138 |
$444.01 |
| U0005 |
Infec agen detec ampli probe |
226 |
214 |
$437.50 |
| 94640 |
|
265 |
198 |
$405.38 |
| 87491 |
|
288 |
280 |
$346.41 |
| 87591 |
|
288 |
280 |
$346.41 |
| 87635 |
|
65 |
60 |
$323.67 |
| 73610 |
|
56 |
53 |
$317.44 |
| 82550 |
|
354 |
329 |
$315.64 |
| 81003 |
|
758 |
707 |
$305.86 |
| 85379 |
|
145 |
139 |
$265.00 |
| 85610 |
|
474 |
450 |
$260.96 |
| 73562 |
|
48 |
38 |
$228.54 |
| 83735 |
|
240 |
192 |
$217.50 |
| 93010 |
|
32 |
31 |
$184.84 |
| J7030 |
Normal saline solution infus |
2,693 |
2,215 |
$176.42 |
| 87186 |
|
134 |
124 |
$175.20 |
| 83605 |
|
218 |
196 |
$160.00 |
| 87077 |
|
134 |
124 |
$148.39 |
| 82962 |
|
415 |
322 |
$117.60 |
| 84702 |
|
38 |
37 |
$114.94 |
| J1885 |
Ketorolac tromethamine inj |
1,898 |
1,563 |
$70.87 |
| J3490 |
Drugs unclassified injection |
713 |
504 |
$37.03 |
| 80076 |
|
78 |
70 |
$21.11 |
| J2270 |
Morphine sulfate injection |
130 |
100 |
$17.16 |
| J1170 |
Hydromorphone injection |
30 |
24 |
$16.42 |
| 85027 |
|
15 |
12 |
$15.04 |
| J2405 |
Ondansetron hcl injection |
858 |
742 |
$14.93 |
| A4223 |
Infusion supplies w/o pump |
79 |
76 |
$14.00 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$11.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
615 |
418 |
$6.98 |
| J1100 |
Dexamethasone sodium phos |
203 |
176 |
$6.45 |
| 87880 |
|
12 |
12 |
$6.30 |
| J0696 |
Ceftriaxone sodium injection |
378 |
332 |
$5.31 |
| 87081 |
|
30 |
28 |
$5.20 |
| J1200 |
Diphenhydramine hcl injectio |
153 |
130 |
$0.62 |
| Q0144 |
Azithromycin dihydrate, oral |
17 |
16 |
$0.00 |
| Q0162 |
Ondansetron oral |
76 |
70 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
15 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
63 |
57 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
16 |
16 |
$0.00 |
| 87040 |
|
22 |
12 |
$0.00 |