| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,907 |
13,311 |
$2.61M |
| 99283 |
|
14,747 |
12,767 |
$1.69M |
| 99285 |
|
6,495 |
5,165 |
$1.41M |
| 74176 |
|
3,118 |
2,319 |
$1.03M |
| 70450 |
|
2,831 |
2,015 |
$539K |
| 71045 |
|
9,576 |
6,609 |
$295K |
| 93005 |
|
8,882 |
6,824 |
$205K |
| 87635 |
|
5,355 |
4,470 |
$161K |
| 87502 |
|
2,448 |
2,083 |
$161K |
| 80053 |
|
26,960 |
20,654 |
$152K |
| 85027 |
|
28,633 |
22,037 |
$102K |
| 87651 |
|
2,153 |
1,781 |
$52K |
| 87428 |
|
2,929 |
2,397 |
$47K |
| J0696 |
Ceftriaxone sodium injection |
2,234 |
1,843 |
$45K |
| 36415 |
|
28,764 |
21,856 |
$45K |
| 83880 |
|
3,299 |
2,535 |
$40K |
| 82553 |
|
8,452 |
6,168 |
$37K |
| 80305 |
|
4,522 |
3,667 |
$34K |
| 84512 |
|
8,812 |
6,280 |
$32K |
| 80061 |
|
2,912 |
2,477 |
$28K |
| 99282 |
|
339 |
311 |
$27K |
| 71250 |
|
136 |
101 |
$26K |
| 84443 |
|
2,077 |
1,735 |
$25K |
| 96372 |
|
2,383 |
1,848 |
$25K |
| G0480 |
Drug test def 1-7 classes |
361 |
272 |
$25K |
| 99213 |
|
2,004 |
1,276 |
$24K |
| 82550 |
|
8,658 |
6,287 |
$21K |
| G0378 |
Hospital observation per hr |
20 |
12 |
$21K |
| 81025 |
|
2,873 |
2,424 |
$18K |
| 81001 |
|
11,712 |
9,202 |
$17K |
| 87086 |
|
3,363 |
2,771 |
$15K |
| 87430 |
|
1,188 |
968 |
$12K |
| 82306 |
|
687 |
534 |
$12K |
| 99212 |
|
1,268 |
846 |
$11K |
| 93010 |
|
2,013 |
1,733 |
$11K |
| 87276 |
|
1,004 |
826 |
$10K |
| 83605 |
|
2,179 |
1,689 |
$10K |
| 99214 |
|
535 |
305 |
$10K |
| 45385 |
|
47 |
25 |
$9K |
| 83036 |
|
1,526 |
1,259 |
$9K |
| 87275 |
|
1,003 |
826 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
2,157 |
1,747 |
$9K |
| 77067 |
|
194 |
185 |
$8K |
| 83690 |
|
2,001 |
1,637 |
$7K |
| 83735 |
|
2,509 |
1,935 |
$6K |
| 84439 |
|
895 |
764 |
$6K |
| 43239 |
|
14 |
13 |
$6K |
| 96374 |
|
479 |
345 |
$5K |
| 85379 |
|
905 |
738 |
$4K |
| 85730 |
|
1,757 |
1,361 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,279 |
1,086 |
$3K |
| 82150 |
|
868 |
730 |
$3K |
| 85610 |
|
2,098 |
1,635 |
$3K |
| 94640 |
|
93 |
63 |
$3K |
| 77063 |
|
178 |
165 |
$3K |
| 87040 |
|
714 |
494 |
$3K |
| 81003 |
|
1,930 |
1,587 |
$2K |
| 82607 |
|
246 |
201 |
$2K |
| 87420 |
|
216 |
187 |
$2K |
| G2023 |
Specimen collect covid-19 |
773 |
673 |
$2K |
| 85007 |
|
1,235 |
972 |
$2K |
| 80048 |
|
378 |
289 |
$2K |
| 72125 |
|
17 |
13 |
$1K |
| J2930 |
Methylprednisolone injection |
239 |
201 |
$1K |
| 96375 |
|
285 |
207 |
$1K |
| J3490 |
Drugs unclassified injection |
764 |
621 |
$1K |
| J2405 |
Ondansetron hcl injection |
658 |
482 |
$1K |
| 71046 |
|
132 |
124 |
$974.82 |
| C9803 |
Hopd covid-19 spec collect |
2,434 |
1,969 |
$771.27 |
| 99203 |
|
25 |
13 |
$723.52 |
| J2001 |
Lidocaine injection |
535 |
399 |
$611.10 |
| 99211 |
|
121 |
62 |
$581.71 |
| 82962 |
|
396 |
244 |
$576.79 |
| 87186 |
|
113 |
75 |
$464.38 |
| J2175 |
Meperidine hydrochl /100 mg |
157 |
125 |
$461.18 |
| J2550 |
Promethazine hcl injection |
185 |
153 |
$372.03 |
| 82043 |
|
102 |
95 |
$312.12 |
| 96361 |
|
77 |
46 |
$269.59 |
| J2704 |
Inj, propofol, 10 mg |
774 |
493 |
$218.14 |
| 83550 |
|
40 |
24 |
$202.96 |
| 96365 |
|
48 |
28 |
$178.42 |
| 83540 |
|
40 |
24 |
$150.25 |
| 82728 |
|
15 |
12 |
$149.93 |
| 73562 |
|
16 |
13 |
$125.86 |
| 87077 |
|
31 |
25 |
$121.20 |
| 73630 |
|
13 |
12 |
$92.52 |
| J2060 |
Lorazepam injection |
37 |
27 |
$73.72 |
| 84100 |
|
18 |
18 |
$56.88 |
| J1170 |
Hydromorphone injection |
15 |
13 |
$34.43 |
| 85652 |
|
17 |
13 |
$24.90 |
| A9270 |
Non-covered item or service |
295 |
175 |
$0.00 |
| 90853 |
|
1,056 |
113 |
$0.00 |