| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,809 |
2,602 |
$258K |
| 99285 |
|
1,457 |
1,346 |
$178K |
| G0378 |
Hospital observation per hr |
387 |
350 |
$145K |
| 99283 |
|
429 |
395 |
$23K |
| G0463 |
Hospital outpt clinic visit |
822 |
647 |
$13K |
| 84484 |
|
2,231 |
1,742 |
$5K |
| 80053 |
|
4,566 |
3,853 |
$4K |
| 71046 |
|
1,383 |
1,283 |
$3K |
| 99281 |
|
522 |
465 |
$2K |
| 85025 |
|
4,880 |
4,240 |
$2K |
| 70450 |
|
438 |
408 |
$813.01 |
| 84703 |
|
481 |
428 |
$503.71 |
| 87631 |
|
31 |
30 |
$406.70 |
| J7030 |
Normal saline solution infus |
1,816 |
1,496 |
$374.48 |
| 85610 |
|
1,497 |
1,225 |
$374.27 |
| 83735 |
|
2,590 |
2,124 |
$350.00 |
| 83690 |
|
449 |
413 |
$336.95 |
| 80307 |
|
124 |
119 |
$332.90 |
| 87636 |
|
72 |
68 |
$314.07 |
| G0480 |
Drug test def 1-7 classes |
187 |
156 |
$290.18 |
| 71275 |
|
16 |
15 |
$214.75 |
| 80048 |
|
401 |
318 |
$187.33 |
| 81001 |
|
560 |
520 |
$171.28 |
| 36415 |
|
1,113 |
872 |
$151.30 |
| U0004 |
Cov-19 test non-cdc hgh thru |
479 |
419 |
$146.22 |
| 81003 |
|
890 |
833 |
$109.97 |
| 71045 |
|
136 |
121 |
$89.69 |
| J7120 |
Ringers lactate infusion |
288 |
197 |
$86.21 |
| 0202U |
|
14 |
14 |
$70.93 |
| 87086 |
|
137 |
121 |
$54.77 |
| 83605 |
|
67 |
61 |
$46.62 |
| J2704 |
Inj, propofol, 10 mg |
708 |
503 |
$41.67 |
| 85027 |
|
146 |
129 |
$37.97 |
| 85730 |
|
39 |
39 |
$34.00 |
| 86850 |
|
414 |
341 |
$29.31 |
| J7040 |
Normal saline solution infus |
295 |
219 |
$28.78 |
| J2405 |
Ondansetron hcl injection |
398 |
338 |
$22.25 |
| 85379 |
|
32 |
30 |
$21.20 |
| J3010 |
Fentanyl citrate injection |
130 |
123 |
$1.95 |
| 74177 |
|
25 |
24 |
$0.00 |
| G1004 |
Cdsm ndsc |
824 |
629 |
$0.00 |
| 86900 |
|
410 |
340 |
$0.00 |
| 87806 |
|
74 |
69 |
$0.00 |
| 80061 |
|
35 |
26 |
$0.00 |
| 88305 |
|
975 |
747 |
$0.00 |
| 86901 |
|
407 |
340 |
$0.00 |
| 86592 |
|
114 |
109 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| 82306 |
|
15 |
12 |
$0.00 |
| 87389 |
|
55 |
52 |
$0.00 |
| J1170 |
Hydromorphone injection |
47 |
38 |
$0.00 |
| 87340 |
|
26 |
25 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
49 |
38 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
43 |
38 |
$0.00 |
| 83036 |
|
16 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
30 |
28 |
$0.00 |
| 88342 |
|
23 |
12 |
$0.00 |
| 82950 |
|
33 |
32 |
$0.00 |