| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
37,044 |
29,413 |
$4.50M |
| 99284 |
|
30,590 |
25,070 |
$3.72M |
| 99283 |
|
25,139 |
20,953 |
$2.83M |
| 71046 |
|
16,041 |
12,726 |
$1.54M |
| 93005 |
|
20,694 |
15,490 |
$1.07M |
| 96374 |
|
21,209 |
16,564 |
$957K |
| 99282 |
|
6,634 |
5,480 |
$818K |
| 11042 |
|
1,256 |
365 |
$551K |
| 0241U |
|
5,751 |
4,588 |
$463K |
| 74177 |
|
923 |
741 |
$303K |
| 70450 |
|
3,997 |
2,847 |
$283K |
| 71045 |
|
2,619 |
2,032 |
$267K |
| 90837 |
|
3,370 |
1,357 |
$239K |
| 90853 |
|
12,534 |
1,764 |
$202K |
| 80053 |
|
41,147 |
31,470 |
$199K |
| 85025 |
|
52,574 |
39,524 |
$186K |
| 80307 |
|
5,222 |
4,061 |
$161K |
| C9803 |
Hopd covid-19 spec collect |
2,356 |
2,094 |
$133K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,231 |
1,951 |
$122K |
| 99211 |
|
1,100 |
863 |
$114K |
| 97597 |
|
1,014 |
398 |
$112K |
| 96372 |
|
1,713 |
1,190 |
$90K |
| 84484 |
|
13,767 |
9,310 |
$81K |
| 96375 |
|
5,733 |
4,573 |
$80K |
| 62323 |
|
117 |
94 |
$64K |
| 83880 |
|
3,608 |
2,716 |
$59K |
| G0378 |
Hospital observation per hr |
576 |
308 |
$51K |
| 87635 |
|
1,862 |
1,570 |
$46K |
| 96361 |
|
1,566 |
1,273 |
$44K |
| 83690 |
|
14,514 |
11,558 |
$40K |
| 80048 |
|
9,023 |
6,913 |
$34K |
| U0005 |
Infec agen detec ampli probe |
1,884 |
1,665 |
$33K |
| 81025 |
|
7,568 |
6,415 |
$32K |
| 69436 |
|
15 |
14 |
$20K |
| 87400 |
|
3,860 |
2,678 |
$19K |
| 87430 |
|
2,680 |
2,291 |
$18K |
| 81001 |
|
11,844 |
9,470 |
$17K |
| 81003 |
|
13,088 |
10,315 |
$14K |
| 94761 |
|
426 |
348 |
$13K |
| 87086 |
|
3,198 |
2,495 |
$10K |
| 88305 |
|
105 |
77 |
$7K |
| 87426 |
|
423 |
331 |
$6K |
| 76830 |
|
26 |
25 |
$6K |
| 76856 |
|
26 |
25 |
$5K |
| 36415 |
|
3,520 |
2,367 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,909 |
1,629 |
$5K |
| 87081 |
|
1,241 |
1,056 |
$4K |
| 87591 |
|
220 |
187 |
$3K |
| 87491 |
|
220 |
187 |
$3K |
| 84443 |
|
364 |
279 |
$3K |
| 72125 |
|
27 |
25 |
$3K |
| G0463 |
Hospital outpt clinic visit |
51 |
38 |
$3K |
| 80061 |
|
310 |
244 |
$3K |
| 94640 |
|
199 |
143 |
$2K |
| 82075 |
|
197 |
168 |
$2K |
| 99212 |
|
14 |
13 |
$1K |
| 85730 |
|
878 |
660 |
$1K |
| 82306 |
|
64 |
54 |
$1K |
| 83735 |
|
408 |
321 |
$1K |
| 80361 |
|
38 |
12 |
$983.37 |
| 85610 |
|
996 |
748 |
$904.76 |
| J7030 |
Normal saline solution infus |
2,905 |
2,578 |
$863.59 |
| 85027 |
|
203 |
162 |
$742.50 |
| 76000 |
|
27 |
19 |
$700.00 |
| 82962 |
|
1,017 |
684 |
$651.29 |
| 84436 |
|
95 |
79 |
$497.01 |
| 87070 |
|
136 |
113 |
$486.56 |
| J2405 |
Ondansetron hcl injection |
4,782 |
4,116 |
$461.50 |
| 87150 |
|
12 |
12 |
$422.13 |
| 80076 |
|
78 |
65 |
$402.33 |
| A9270 |
Non-covered item or service |
3,012 |
2,146 |
$268.01 |
| 82948 |
|
538 |
417 |
$261.51 |
| 73630 |
|
15 |
12 |
$244.05 |
| 82550 |
|
45 |
40 |
$211.48 |
| 85379 |
|
48 |
39 |
$209.28 |
| 87661 |
|
13 |
12 |
$199.51 |
| 90791 |
|
59 |
42 |
$166.10 |
| 83970 |
|
22 |
14 |
$159.29 |
| 73610 |
|
18 |
12 |
$126.08 |
| 83036 |
|
32 |
26 |
$119.81 |
| Q0162 |
Ondansetron oral |
475 |
409 |
$112.41 |
| 84439 |
|
12 |
12 |
$108.33 |
| 84702 |
|
15 |
13 |
$93.36 |
| 87186 |
|
43 |
27 |
$77.47 |
| 87077 |
|
23 |
14 |
$69.27 |
| J1885 |
Ketorolac tromethamine inj |
869 |
749 |
$64.44 |
| 72110 |
|
17 |
14 |
$63.32 |
| 87210 |
|
13 |
12 |
$28.20 |
| 82570 |
|
23 |
15 |
$19.98 |
| 84100 |
|
23 |
15 |
$18.27 |
| 84156 |
|
23 |
15 |
$14.14 |
| 87205 |
|
15 |
12 |
$5.00 |
| J2001 |
Lidocaine injection |
730 |
595 |
$0.00 |
| J1170 |
Hydromorphone injection |
185 |
161 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
321 |
259 |
$0.00 |
| 96365 |
|
15 |
13 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
106 |
88 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
96 |
77 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
57 |
50 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
71 |
45 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
16 |
14 |
$0.00 |
| J1790 |
Droperidol injection |
50 |
44 |
$0.00 |
| A6260 |
Wound cleanser any type/size |
17 |
15 |
$0.00 |
| 80320 |
|
14 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
106 |
92 |
$0.00 |
| J7120 |
Ringers lactate infusion |
345 |
284 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
357 |
153 |
$0.00 |
| J2270 |
Morphine sulfate injection |
55 |
52 |
$0.00 |