| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
775 |
585 |
$2.25M |
| G0378 |
Hospital observation per hr |
1,510 |
1,299 |
$803K |
| 99284 |
|
3,632 |
3,258 |
$561K |
| 99283 |
|
4,575 |
4,086 |
$410K |
| 99282 |
|
1,437 |
1,326 |
$83K |
| 99285 |
|
338 |
299 |
$72K |
| 80053 |
|
8,856 |
7,165 |
$70K |
| 99281 |
|
1,893 |
1,556 |
$42K |
| 70450 |
|
2,195 |
1,991 |
$21K |
| 85025 |
|
8,314 |
6,833 |
$18K |
| 80048 |
|
1,412 |
944 |
$16K |
| 71046 |
|
1,805 |
1,645 |
$14K |
| 74177 |
|
463 |
417 |
$12K |
| J1815 |
Insulin injection |
371 |
179 |
$11K |
| 71045 |
|
1,359 |
1,236 |
$7K |
| J3490 |
Drugs unclassified injection |
1,477 |
933 |
$6K |
| 80307 |
|
392 |
340 |
$6K |
| J7030 |
Normal saline solution infus |
4,374 |
3,183 |
$6K |
| 87631 |
|
285 |
269 |
$5K |
| 81001 |
|
2,633 |
2,328 |
$5K |
| 85027 |
|
1,821 |
1,362 |
$4K |
| 11042 |
|
16 |
12 |
$4K |
| 93971 |
|
29 |
26 |
$4K |
| 84484 |
|
3,508 |
2,414 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
1,178 |
538 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,033 |
915 |
$3K |
| 87086 |
|
418 |
373 |
$3K |
| 71260 |
|
92 |
89 |
$3K |
| 83605 |
|
682 |
542 |
$2K |
| 87637 |
|
676 |
645 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,376 |
1,043 |
$2K |
| 74176 |
|
53 |
38 |
$2K |
| 84703 |
|
1,292 |
1,079 |
$2K |
| 71275 |
|
63 |
57 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,061 |
1,650 |
$2K |
| 87502 |
|
17 |
17 |
$1K |
| J2270 |
Morphine sulfate injection |
417 |
296 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,550 |
1,996 |
$1K |
| J1100 |
Dexamethasone sodium phos |
751 |
583 |
$1K |
| 94640 |
|
83 |
59 |
$1K |
| J2001 |
Lidocaine injection |
1,295 |
779 |
$899.82 |
| 97161 |
|
52 |
43 |
$898.50 |
| 94760 |
|
73 |
42 |
$818.91 |
| 81003 |
|
702 |
598 |
$795.91 |
| A9270 |
Non-covered item or service |
26,246 |
5,034 |
$779.97 |
| J3010 |
Fentanyl citrate injection |
1,405 |
1,054 |
$716.37 |
| 86850 |
|
141 |
114 |
$693.45 |
| J0696 |
Ceftriaxone sodium injection |
355 |
248 |
$574.91 |
| J7040 |
Normal saline solution infus |
387 |
319 |
$475.35 |
| C9113 |
Inj pantoprazole sodium, via |
114 |
77 |
$467.48 |
| 83690 |
|
1,391 |
1,284 |
$442.84 |
| 85610 |
|
1,113 |
910 |
$425.23 |
| J1650 |
Inj enoxaparin sodium |
144 |
83 |
$423.19 |
| 87040 |
|
96 |
51 |
$380.21 |
| J7070 |
D5w infusion |
491 |
337 |
$278.02 |
| J2250 |
Inj midazolam hydrochloride |
539 |
469 |
$212.24 |
| G0480 |
Drug test def 1-7 classes |
222 |
186 |
$205.61 |
| G0463 |
Hospital outpt clinic visit |
767 |
584 |
$195.92 |
| 83880 |
|
245 |
226 |
$138.18 |
| 84443 |
|
345 |
302 |
$133.98 |
| J1170 |
Hydromorphone injection |
104 |
52 |
$131.90 |
| J2765 |
Metoclopramide hcl injection |
81 |
64 |
$125.90 |
| J7050 |
Normal saline solution infus |
165 |
129 |
$125.17 |
| J0131 |
Inj, acetaminophen (nos) |
18 |
14 |
$99.94 |
| J7120 |
Ringers lactate infusion |
34 |
25 |
$86.79 |
| J2930 |
Methylprednisolone injection |
16 |
14 |
$72.93 |
| U0005 |
Infec agen detec ampli probe |
664 |
573 |
$49.09 |
| 83735 |
|
310 |
235 |
$38.13 |
| 85730 |
|
204 |
168 |
$29.64 |
| J0690 |
Cefazolin sodium injection |
31 |
18 |
$25.02 |
| 86900 |
|
102 |
84 |
$23.09 |
| 86901 |
|
102 |
84 |
$23.09 |
| J1200 |
Diphenhydramine hcl injectio |
56 |
40 |
$18.50 |
| Q0162 |
Ondansetron oral |
32 |
28 |
$8.83 |
| G8978 |
Mobility current status |
55 |
50 |
$0.14 |
| G1012 |
Cdsm agilemd |
1,092 |
802 |
$0.00 |
| G8979 |
Mobility goal status |
37 |
36 |
$0.00 |
| 80143 |
|
40 |
37 |
$0.00 |
| 72125 |
|
26 |
25 |
$0.00 |
| 80179 |
|
27 |
24 |
$0.00 |
| 82077 |
|
44 |
38 |
$0.00 |
| 83036 |
|
59 |
52 |
$0.00 |
| 87635 |
|
258 |
224 |
$0.00 |
| 36415 |
|
45 |
31 |
$0.00 |
| 84132 |
|
16 |
15 |
$0.00 |