| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Alcohol and/or drug services |
7,969 |
478 |
$1.34M |
| 99283 |
|
10,146 |
8,518 |
$578K |
| 11042 |
|
7,491 |
2,951 |
$321K |
| 99282 |
|
3,842 |
3,351 |
$269K |
| 99284 |
|
6,145 |
5,154 |
$245K |
| 96361 |
|
2,717 |
1,932 |
$223K |
| 41899 |
|
546 |
428 |
$190K |
| 80053 |
|
7,667 |
5,974 |
$174K |
| 99285 |
|
3,125 |
2,586 |
$99K |
| 87631 |
|
815 |
679 |
$84K |
| 96365 |
|
2,200 |
1,203 |
$83K |
| 97597 |
|
3,809 |
1,909 |
$81K |
| 87635 |
|
2,041 |
1,671 |
$78K |
| 80048 |
|
2,265 |
1,702 |
$63K |
| 80306 |
|
1,293 |
1,087 |
$58K |
| 85025 |
|
10,232 |
7,575 |
$52K |
| G0480 |
Drug test def 1-7 classes |
1,385 |
1,123 |
$52K |
| 70450 |
|
1,105 |
912 |
$50K |
| 74177 |
|
814 |
719 |
$47K |
| 82948 |
|
3,735 |
1,452 |
$33K |
| 94640 |
|
1,153 |
694 |
$30K |
| 81025 |
|
1,936 |
1,641 |
$28K |
| 84484 |
|
3,261 |
2,177 |
$24K |
| 81000 |
|
3,551 |
3,009 |
$16K |
| 87086 |
|
1,625 |
1,366 |
$15K |
| 87651 |
|
150 |
143 |
$15K |
| 81002 |
|
2,186 |
1,866 |
$15K |
| 87804 |
|
391 |
357 |
$14K |
| 29580 |
|
506 |
103 |
$14K |
| 83605 |
|
1,605 |
1,204 |
$12K |
| 84443 |
|
709 |
644 |
$11K |
| 83690 |
|
2,251 |
1,870 |
$11K |
| 90834 |
|
248 |
145 |
$10K |
| 96360 |
|
192 |
165 |
$10K |
| 86140 |
|
2,163 |
1,485 |
$9K |
| 11045 |
|
178 |
79 |
$9K |
| 87077 |
|
741 |
586 |
$8K |
| 83735 |
|
2,076 |
1,628 |
$8K |
| 87088 |
|
458 |
410 |
$7K |
| G0378 |
Hospital observation per hr |
484 |
262 |
$6K |
| 87040 |
|
1,307 |
587 |
$6K |
| 96366 |
|
108 |
59 |
$6K |
| 85610 |
|
2,021 |
1,658 |
$5K |
| 87186 |
|
977 |
773 |
$4K |
| 93005 |
|
4,579 |
3,580 |
$4K |
| 83880 |
|
358 |
286 |
$4K |
| 87430 |
|
94 |
85 |
$3K |
| G0463 |
Hospital outpt clinic visit |
1,618 |
1,012 |
$3K |
| 85730 |
|
1,063 |
933 |
$3K |
| 71046 |
|
1,276 |
1,117 |
$3K |
| 85378 |
|
597 |
513 |
$3K |
| 87070 |
|
178 |
152 |
$3K |
| 74176 |
|
41 |
39 |
$2K |
| 96374 |
|
3,210 |
2,618 |
$2K |
| 71045 |
|
2,678 |
2,184 |
$2K |
| 87205 |
|
467 |
374 |
$1K |
| 74018 |
|
89 |
71 |
$1K |
| 84145 |
|
51 |
42 |
$922.12 |
| 96375 |
|
2,739 |
2,152 |
$886.04 |
| 76705 |
|
29 |
27 |
$768.67 |
| 71275 |
|
14 |
13 |
$715.04 |
| 96372 |
|
2,809 |
1,762 |
$593.70 |
| 72125 |
|
35 |
25 |
$550.79 |
| 84703 |
|
90 |
84 |
$536.38 |
| 88305 |
|
127 |
94 |
$495.05 |
| 87591 |
|
15 |
12 |
$463.41 |
| 87491 |
|
15 |
12 |
$463.41 |
| 80076 |
|
77 |
71 |
$395.63 |
| 82550 |
|
91 |
71 |
$339.71 |
| 87807 |
|
15 |
14 |
$235.42 |
| 87075 |
|
31 |
26 |
$185.34 |
| 82150 |
|
35 |
30 |
$158.89 |
| 73610 |
|
13 |
13 |
$100.78 |
| J7030 |
Normal saline solution infus |
5,358 |
3,849 |
$78.27 |
| 86901 |
|
27 |
25 |
$68.81 |
| 86900 |
|
27 |
25 |
$68.81 |
| 80050 |
|
164 |
144 |
$41.03 |
| 86850 |
|
13 |
12 |
$38.42 |
| 85652 |
|
16 |
15 |
$17.32 |
| 36415 |
|
3,993 |
2,642 |
$12.50 |
| J2405 |
Ondansetron hcl injection |
3,028 |
2,317 |
$8.82 |
| J1885 |
Ketorolac tromethamine inj |
2,651 |
2,012 |
$4.60 |
| J3490 |
Drugs unclassified injection |
2,584 |
1,088 |
$3.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,537 |
1,704 |
$2.42 |
| J0131 |
Inj, acetaminophen (nos) |
176 |
117 |
$0.35 |
| J2704 |
Inj, propofol, 10 mg |
922 |
461 |
$0.18 |
| J7120 |
Ringers lactate infusion |
783 |
672 |
$0.16 |
| J3010 |
Fentanyl citrate injection |
1,710 |
1,430 |
$0.10 |
| A9270 |
Non-covered item or service |
3,095 |
1,679 |
$0.08 |
| J1100 |
Dexamethasone sodium phos |
1,427 |
1,118 |
$0.03 |
| J2250 |
Inj midazolam hydrochloride |
850 |
707 |
$0.03 |
| J0690 |
Cefazolin sodium injection |
75 |
66 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
178 |
116 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
96 |
83 |
$0.00 |
| J1170 |
Hydromorphone injection |
45 |
25 |
$0.00 |
| 96376 |
|
184 |
124 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
98 |
41 |
$0.00 |
| 87637 |
|
18 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
69 |
60 |
$0.00 |
| 94760 |
|
21 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
28 |
24 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$0.00 |
| 90471 |
|
13 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
18 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
174 |
145 |
$0.00 |
| G1004 |
Cdsm ndsc |
827 |
553 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
22 |
18 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
43 |
15 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
80 |
66 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
15 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
65 |
54 |
$0.00 |
| 73630 |
|
41 |
39 |
$0.00 |