| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
50,585 |
43,573 |
$12.87M |
| 99285 |
|
36,523 |
31,164 |
$11.98M |
| 99283 |
|
40,973 |
35,054 |
$6.84M |
| S9480 |
Intensive outpatient psychia |
7,229 |
1,508 |
$1.82M |
| 96374 |
|
12,071 |
11,048 |
$1.30M |
| 90853 |
|
7,174 |
1,620 |
$423K |
| 90791 |
|
2,331 |
2,134 |
$279K |
| H0005 |
Alcohol and/or drug services |
3,272 |
665 |
$220K |
| 87636 |
|
2,516 |
2,402 |
$213K |
| 90834 |
|
1,312 |
496 |
$122K |
| 96361 |
|
3,922 |
3,346 |
$113K |
| 96375 |
|
2,841 |
2,594 |
$103K |
| H0035 |
Mh partial hosp tx under 24h |
290 |
63 |
$73K |
| 74177 |
|
205 |
200 |
$60K |
| G0378 |
Hospital observation per hr |
670 |
335 |
$44K |
| H0004 |
Alcohol and/or drug services |
1,455 |
753 |
$44K |
| 71045 |
|
687 |
645 |
$38K |
| 54300 |
|
13 |
13 |
$36K |
| 71046 |
|
1,080 |
1,009 |
$36K |
| 54640 |
|
27 |
27 |
$34K |
| D7140 |
|
18 |
12 |
$34K |
| 54161 |
|
71 |
71 |
$31K |
| 93306 |
|
337 |
318 |
$25K |
| 99282 |
|
205 |
67 |
$21K |
| 93010 |
|
2,858 |
2,705 |
$20K |
| 90832 |
|
483 |
262 |
$18K |
| 36415 |
|
8,400 |
6,118 |
$17K |
| 97110 |
|
552 |
268 |
$17K |
| 80053 |
|
45,451 |
41,044 |
$16K |
| H0048 |
Spec coll non-blood:a/d test |
747 |
459 |
$14K |
| 69436 |
|
26 |
26 |
$13K |
| 85025 |
|
61,956 |
55,657 |
$11K |
| 41899 |
|
43 |
38 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
131 |
130 |
$7K |
| 93005 |
|
10,277 |
9,284 |
$4K |
| 96360 |
|
38 |
36 |
$4K |
| 88305 |
|
38 |
38 |
$3K |
| 76770 |
|
27 |
26 |
$2K |
| 84443 |
|
195 |
186 |
$2K |
| 94060 |
|
79 |
71 |
$2K |
| U0005 |
Infec agen detec ampli probe |
131 |
130 |
$2K |
| 86900 |
|
15 |
15 |
$1K |
| J7030 |
Normal saline solution infus |
8,534 |
7,369 |
$1K |
| G0463 |
Hospital outpt clinic visit |
15 |
12 |
$1K |
| 74018 |
|
14 |
12 |
$963.82 |
| 70450 |
|
13 |
13 |
$918.95 |
| 99281 |
|
12 |
12 |
$912.64 |
| 84484 |
|
1,553 |
1,233 |
$806.55 |
| 84439 |
|
124 |
123 |
$772.09 |
| 97140 |
|
50 |
27 |
$754.66 |
| C7901 |
Hopd mntl hlt, 30-60 min |
125 |
32 |
$422.70 |
| 94726 |
|
52 |
50 |
$408.50 |
| 94729 |
|
63 |
56 |
$348.58 |
| 80061 |
|
60 |
55 |
$330.50 |
| 83690 |
|
2,201 |
2,058 |
$317.19 |
| 80048 |
|
1,062 |
910 |
$248.80 |
| 85027 |
|
104 |
90 |
$245.94 |
| 82670 |
|
13 |
12 |
$201.15 |
| 87631 |
|
129 |
125 |
$200.00 |
| 83002 |
|
13 |
12 |
$177.84 |
| 83001 |
|
12 |
12 |
$163.46 |
| 87798 |
|
294 |
201 |
$154.38 |
| 83036 |
|
38 |
38 |
$150.21 |
| J7120 |
Ringers lactate infusion |
1,101 |
1,029 |
$134.99 |
| 82728 |
|
13 |
13 |
$127.49 |
| J2405 |
Ondansetron hcl injection |
1,937 |
1,697 |
$79.62 |
| 87502 |
|
93 |
86 |
$67.00 |
| J1885 |
Ketorolac tromethamine inj |
1,814 |
1,722 |
$66.35 |
| 81025 |
|
534 |
448 |
$59.14 |
| 80069 |
|
32 |
27 |
$55.35 |
| 80305 |
|
45 |
41 |
$54.00 |
| 81001 |
|
1,741 |
1,635 |
$30.68 |
| J1100 |
Dexamethasone sodium phos |
742 |
699 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
552 |
539 |
$0.00 |
| 83605 |
|
62 |
60 |
$0.00 |
| 84703 |
|
174 |
161 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
305 |
165 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
650 |
487 |
$0.00 |
| 87389 |
|
15 |
15 |
$0.00 |
| J2001 |
Lidocaine injection |
154 |
89 |
$0.00 |
| J1170 |
Hydromorphone injection |
77 |
63 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
12 |
$0.00 |
| 87086 |
|
33 |
33 |
$0.00 |
| 87340 |
|
15 |
15 |
$0.00 |
| C7902 |
Hopd mntl hlt, ea addl |
45 |
16 |
$0.00 |
| 86850 |
|
15 |
15 |
$0.00 |
| 83735 |
|
17 |
16 |
$0.00 |
| 86901 |
|
15 |
15 |
$0.00 |
| 86762 |
|
15 |
15 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,790 |
2,328 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
373 |
361 |
$0.00 |
| 83516 |
|
15 |
15 |
$0.00 |
| 87633 |
|
30 |
29 |
$0.00 |
| 81003 |
|
29 |
26 |
$0.00 |
| 85610 |
|
12 |
12 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
153 |
50 |
$0.00 |
| 80307 |
|
14 |
12 |
$0.00 |