| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,038 |
15,133 |
$1.46M |
| 99284 |
|
14,480 |
12,193 |
$1.23M |
| 99285 |
|
2,690 |
2,177 |
$299K |
| 93005 |
|
5,097 |
3,931 |
$168K |
| 71045 |
|
4,264 |
3,450 |
$165K |
| 41899 |
|
454 |
427 |
$157K |
| 96372 |
|
2,552 |
2,178 |
$138K |
| 97530 |
|
2,763 |
640 |
$123K |
| 96374 |
|
2,487 |
2,065 |
$119K |
| 0241U |
|
983 |
863 |
$79K |
| 85025 |
|
17,239 |
13,575 |
$76K |
| 92507 |
|
1,580 |
428 |
$63K |
| G0378 |
Hospital observation per hr |
701 |
543 |
$62K |
| 80053 |
|
14,925 |
12,045 |
$61K |
| 80307 |
|
669 |
573 |
$54K |
| 99282 |
|
491 |
442 |
$44K |
| G0330 |
Facility svs dental rehab |
45 |
26 |
$27K |
| 70450 |
|
510 |
434 |
$23K |
| 96375 |
|
961 |
757 |
$22K |
| 84484 |
|
2,769 |
2,012 |
$21K |
| 87502 |
|
373 |
343 |
$20K |
| 81000 |
|
9,171 |
7,779 |
$20K |
| 96361 |
|
799 |
629 |
$17K |
| 87633 |
|
62 |
59 |
$16K |
| 74176 |
|
297 |
245 |
$13K |
| 87635 |
|
365 |
324 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,373 |
1,193 |
$8K |
| 94640 |
|
430 |
249 |
$6K |
| 87088 |
|
987 |
853 |
$5K |
| 87651 |
|
200 |
182 |
$5K |
| 96365 |
|
70 |
63 |
$5K |
| 83690 |
|
1,056 |
855 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
484 |
427 |
$4K |
| 86710 |
|
139 |
116 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
37 |
36 |
$3K |
| 70551 |
|
17 |
12 |
$2K |
| 85730 |
|
981 |
751 |
$2K |
| 87798 |
|
62 |
59 |
$2K |
| 85610 |
|
1,077 |
829 |
$2K |
| 87581 |
|
62 |
59 |
$2K |
| 87486 |
|
62 |
59 |
$2K |
| 97597 |
|
36 |
12 |
$2K |
| 83735 |
|
663 |
347 |
$2K |
| 81025 |
|
427 |
388 |
$2K |
| 87426 |
|
135 |
97 |
$1K |
| 83519 |
|
396 |
294 |
$1K |
| 74018 |
|
13 |
12 |
$1K |
| 83605 |
|
190 |
144 |
$1K |
| 71046 |
|
24 |
24 |
$1K |
| 94761 |
|
146 |
107 |
$1K |
| 82150 |
|
278 |
222 |
$1K |
| J7030 |
Normal saline solution infus |
1,787 |
1,472 |
$894.87 |
| J2704 |
Inj, propofol, 10 mg |
724 |
616 |
$783.72 |
| U0002 |
Covid-19 lab test non-cdc |
32 |
26 |
$746.07 |
| 74177 |
|
12 |
12 |
$729.26 |
| 77067 |
|
12 |
12 |
$714.55 |
| 82550 |
|
215 |
169 |
$602.35 |
| 80048 |
|
257 |
157 |
$537.92 |
| 36415 |
|
287 |
245 |
$509.11 |
| 84443 |
|
38 |
33 |
$433.24 |
| J1885 |
Ketorolac tromethamine inj |
1,349 |
1,184 |
$431.16 |
| 82553 |
|
136 |
107 |
$398.46 |
| 85379 |
|
49 |
40 |
$310.38 |
| J7120 |
Ringers lactate infusion |
1,078 |
858 |
$299.05 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
75 |
67 |
$194.76 |
| 85027 |
|
87 |
57 |
$131.58 |
| 82962 |
|
59 |
27 |
$64.04 |
| J2270 |
Morphine sulfate injection |
57 |
51 |
$61.83 |
| J2175 |
Meperidine hydrochl /100 mg |
28 |
26 |
$43.46 |
| J1100 |
Dexamethasone sodium phos |
607 |
534 |
$39.72 |
| J1170 |
Hydromorphone injection |
69 |
50 |
$26.66 |
| J0690 |
Cefazolin sodium injection |
359 |
263 |
$22.38 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$5.10 |
| J3010 |
Fentanyl citrate injection |
565 |
465 |
$0.00 |
| J2001 |
Lidocaine injection |
426 |
339 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
368 |
288 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
15 |
14 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
26 |
26 |
$0.00 |