| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,313 |
13,886 |
$2.49M |
| 99283 |
|
19,041 |
16,862 |
$1.89M |
| 99285 |
|
9,922 |
7,899 |
$1.71M |
| 99282 |
|
6,839 |
6,158 |
$383K |
| 96374 |
|
8,220 |
6,724 |
$273K |
| 85025 |
|
32,433 |
24,699 |
$243K |
| 97530 |
|
2,719 |
813 |
$225K |
| U0002 |
Covid-19 lab test non-cdc |
5,547 |
4,790 |
$176K |
| 80053 |
|
30,026 |
22,920 |
$154K |
| 87804 |
|
14,270 |
6,564 |
$136K |
| 71045 |
|
10,683 |
8,545 |
$136K |
| 84484 |
|
8,844 |
5,345 |
$127K |
| 96372 |
|
7,495 |
6,104 |
$96K |
| 36415 |
|
36,407 |
24,826 |
$93K |
| 96375 |
|
4,756 |
3,775 |
$88K |
| 87635 |
|
2,339 |
2,004 |
$75K |
| 80307 |
|
1,619 |
1,438 |
$66K |
| C9803 |
Hopd covid-19 spec collect |
6,285 |
5,301 |
$62K |
| G0378 |
Hospital observation per hr |
1,179 |
427 |
$59K |
| 93005 |
|
9,372 |
7,237 |
$57K |
| 93306 |
|
512 |
412 |
$52K |
| 87651 |
|
1,836 |
1,691 |
$51K |
| 92507 |
|
1,113 |
364 |
$51K |
| 59025 |
|
1,759 |
1,371 |
$51K |
| 70450 |
|
584 |
484 |
$42K |
| 87880 |
|
2,146 |
2,024 |
$36K |
| 81003 |
|
18,900 |
15,883 |
$23K |
| 83880 |
|
1,775 |
1,442 |
$22K |
| 83735 |
|
4,297 |
3,257 |
$21K |
| 74177 |
|
135 |
114 |
$20K |
| 83690 |
|
2,002 |
1,686 |
$16K |
| 81025 |
|
3,220 |
2,853 |
$15K |
| G0463 |
Hospital outpt clinic visit |
604 |
519 |
$14K |
| 96361 |
|
399 |
283 |
$11K |
| 83605 |
|
1,354 |
1,023 |
$9K |
| 85379 |
|
1,091 |
896 |
$9K |
| U0004 |
Cov-19 test non-cdc hgh thru |
134 |
126 |
$8K |
| 71046 |
|
347 |
321 |
$7K |
| 87807 |
|
449 |
427 |
$6K |
| 87040 |
|
786 |
528 |
$6K |
| 99214 |
|
330 |
186 |
$6K |
| 96365 |
|
164 |
131 |
$5K |
| 85610 |
|
1,903 |
1,592 |
$5K |
| 85730 |
|
1,299 |
1,061 |
$5K |
| 73630 |
|
250 |
209 |
$4K |
| G0480 |
Drug test def 1-7 classes |
96 |
88 |
$4K |
| 82150 |
|
398 |
341 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,954 |
2,361 |
$3K |
| 82728 |
|
423 |
334 |
$3K |
| 99213 |
|
210 |
142 |
$2K |
| 74176 |
|
13 |
13 |
$2K |
| 94640 |
|
101 |
88 |
$2K |
| 83550 |
|
411 |
323 |
$2K |
| 93017 |
|
71 |
54 |
$2K |
| 78452 |
|
31 |
24 |
$2K |
| J7030 |
Normal saline solution infus |
861 |
719 |
$2K |
| J2930 |
Methylprednisolone injection |
248 |
217 |
$1K |
| 99211 |
|
60 |
50 |
$1K |
| 80048 |
|
399 |
288 |
$1K |
| 83540 |
|
411 |
323 |
$1K |
| 74019 |
|
76 |
70 |
$959.08 |
| 96366 |
|
31 |
13 |
$872.44 |
| J1885 |
Ketorolac tromethamine inj |
3,645 |
2,973 |
$651.66 |
| 96376 |
|
93 |
41 |
$635.58 |
| 99281 |
|
16 |
12 |
$567.47 |
| A9502 |
Tc99m tetrofosmin |
31 |
24 |
$561.51 |
| 81001 |
|
288 |
260 |
$410.84 |
| 82803 |
|
26 |
25 |
$410.16 |
| 84703 |
|
45 |
41 |
$394.95 |
| J2550 |
Promethazine hcl injection |
397 |
347 |
$299.83 |
| U0005 |
Infec agen detec ampli probe |
12 |
12 |
$275.00 |
| J2360 |
Orphenadrine injection |
180 |
157 |
$268.58 |
| 85027 |
|
20 |
18 |
$264.58 |
| 82375 |
|
26 |
25 |
$248.82 |
| 86140 |
|
43 |
41 |
$232.50 |
| J1100 |
Dexamethasone sodium phos |
282 |
219 |
$208.89 |
| 36600 |
|
26 |
25 |
$207.48 |
| J1170 |
Hydromorphone injection |
101 |
87 |
$97.63 |
| J2175 |
Meperidine hydrochl /100 mg |
68 |
60 |
$52.18 |
| 83050 |
|
26 |
25 |
$51.42 |
| J2270 |
Morphine sulfate injection |
66 |
51 |
$33.83 |
| J0690 |
Cefazolin sodium injection |
179 |
127 |
$26.06 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
377 |
309 |
$20.49 |
| J1644 |
Inj heparin sodium per 1000u |
34 |
12 |
$18.90 |
| J2250 |
Inj midazolam hydrochloride |
290 |
222 |
$8.10 |
| Q0162 |
Ondansetron oral |
131 |
114 |
$0.96 |
| J7040 |
Normal saline solution infus |
166 |
152 |
$0.00 |
| J7120 |
Ringers lactate infusion |
486 |
368 |
$0.00 |
| G1004 |
Cdsm ndsc |
506 |
391 |
$0.00 |
| C1762 |
Conn tiss, human(inc fascia) |
18 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
1,589 |
1,020 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
36 |
24 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
337 |
265 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
95 |
88 |
$0.00 |
| 36591 |
|
27 |
12 |
$0.00 |