| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
77,367 |
66,769 |
$15.66M |
| 99284 |
|
39,515 |
31,956 |
$8.28M |
| 96374 |
|
21,995 |
17,808 |
$662K |
| 43239 |
|
1,614 |
1,115 |
$570K |
| 99282 |
|
4,307 |
3,803 |
$499K |
| 45380 |
|
908 |
614 |
$413K |
| G0378 |
Hospital observation per hr |
581 |
410 |
$214K |
| 96372 |
|
11,784 |
9,657 |
$165K |
| 99285 |
|
767 |
588 |
$158K |
| 87426 |
|
2,968 |
2,770 |
$45K |
| 96375 |
|
5,282 |
4,212 |
$31K |
| U0003 |
Cov-19 amp prb hgh thruput |
506 |
447 |
$21K |
| 87635 |
|
664 |
587 |
$16K |
| 80053 |
|
30,897 |
25,011 |
$14K |
| 87804 |
|
8,479 |
6,706 |
$14K |
| 43248 |
|
36 |
24 |
$13K |
| 87636 |
|
359 |
314 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
278 |
249 |
$8K |
| 87430 |
|
3,045 |
2,862 |
$7K |
| 99281 |
|
79 |
70 |
$7K |
| 93005 |
|
14,245 |
11,033 |
$6K |
| 84484 |
|
9,943 |
7,087 |
$5K |
| 85027 |
|
45,129 |
35,716 |
$5K |
| 80048 |
|
8,368 |
6,509 |
$3K |
| 11042 |
|
53 |
25 |
$3K |
| 71045 |
|
12,300 |
9,539 |
$3K |
| 71046 |
|
1,492 |
1,249 |
$3K |
| 81001 |
|
18,548 |
15,819 |
$2K |
| 84703 |
|
10,810 |
9,945 |
$2K |
| 80307 |
|
1,579 |
1,337 |
$1K |
| 83655 |
|
29 |
29 |
$988.81 |
| 70450 |
|
271 |
199 |
$839.10 |
| 74176 |
|
236 |
184 |
$683.54 |
| 83690 |
|
6,352 |
5,268 |
$671.16 |
| J0561 |
Penicillin g benzathine inj |
17 |
13 |
$640.44 |
| J7030 |
Normal saline solution infus |
7,429 |
6,572 |
$626.83 |
| 87070 |
|
326 |
310 |
$359.99 |
| 74177 |
|
205 |
163 |
$327.47 |
| J1885 |
Ketorolac tromethamine inj |
5,253 |
3,864 |
$300.67 |
| 87880 |
|
1,392 |
1,258 |
$240.00 |
| 83735 |
|
1,461 |
1,006 |
$227.24 |
| J1100 |
Dexamethasone sodium phos |
1,104 |
895 |
$217.87 |
| 85018 |
|
28 |
28 |
$200.08 |
| 36415 |
|
303 |
197 |
$145.72 |
| 85610 |
|
1,638 |
1,253 |
$91.55 |
| J0696 |
Ceftriaxone sodium injection |
918 |
766 |
$86.42 |
| 87086 |
|
31 |
24 |
$65.20 |
| 85730 |
|
920 |
700 |
$57.36 |
| J2930 |
Methylprednisolone injection |
168 |
154 |
$52.20 |
| 86710 |
|
338 |
293 |
$47.44 |
| 83880 |
|
139 |
101 |
$37.07 |
| 81003 |
|
4,325 |
3,537 |
$34.90 |
| J7050 |
Normal saline solution infus |
1,966 |
1,599 |
$27.39 |
| 86756 |
|
41 |
39 |
$25.07 |
| 87040 |
|
295 |
176 |
$20.22 |
| J2270 |
Morphine sulfate injection |
370 |
336 |
$14.91 |
| 88305 |
|
1,164 |
766 |
$13.00 |
| 80047 |
|
88 |
81 |
$12.80 |
| 85379 |
|
66 |
49 |
$11.23 |
| 83605 |
|
465 |
372 |
$11.21 |
| J7120 |
Ringers lactate infusion |
562 |
507 |
$7.64 |
| J2405 |
Ondansetron hcl injection |
2,720 |
2,470 |
$4.10 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
652 |
586 |
$0.00 |
| G1003 |
Cdsm medicalis |
274 |
229 |
$0.00 |
| 85049 |
|
32 |
25 |
$0.00 |
| J0780 |
Prochlorperazine injection |
24 |
24 |
$0.00 |
| 82248 |
|
34 |
26 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |
| 80061 |
|
15 |
12 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
41 |
37 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
13 |
$0.00 |
| 96361 |
|
128 |
108 |
$0.00 |
| 88342 |
|
603 |
399 |
$0.00 |
| 82784 |
|
52 |
45 |
$0.00 |
| A9270 |
Non-covered item or service |
65 |
41 |
$0.00 |
| J8540 |
Oral dexamethasone |
24 |
13 |
$0.00 |
| 96365 |
|
32 |
24 |
$0.00 |
| J3490 |
Drugs unclassified injection |
13 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
13 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
29 |
27 |
$0.00 |