| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
30,020 |
25,436 |
$4.53M |
| 99284 |
|
14,353 |
11,945 |
$2.63M |
| 99285 |
|
5,329 |
4,363 |
$1.10M |
| 97110 |
|
21,144 |
4,190 |
$752K |
| G0378 |
Hospital observation per hr |
1,571 |
1,207 |
$629K |
| 99282 |
|
7,521 |
6,429 |
$617K |
| 96374 |
|
6,832 |
5,601 |
$522K |
| 92507 |
|
8,036 |
1,693 |
$428K |
| 94640 |
|
4,362 |
2,887 |
$393K |
| 71045 |
|
10,706 |
8,861 |
$362K |
| 96372 |
|
9,791 |
7,841 |
$360K |
| 96365 |
|
4,517 |
3,468 |
$337K |
| 99281 |
|
6,287 |
5,508 |
$289K |
| 74176 |
|
2,797 |
2,399 |
$259K |
| 87426 |
|
8,812 |
7,753 |
$258K |
| 70450 |
|
5,309 |
4,486 |
$253K |
| 74177 |
|
1,668 |
1,449 |
$247K |
| 71046 |
|
5,648 |
4,805 |
$228K |
| 93005 |
|
12,135 |
9,671 |
$226K |
| 96361 |
|
4,706 |
3,529 |
$216K |
| 93306 |
|
790 |
684 |
$201K |
| 80053 |
|
21,894 |
17,432 |
$166K |
| 85025 |
|
30,166 |
22,440 |
$158K |
| 86900 |
|
2,816 |
2,097 |
$144K |
| 87400 |
|
10,243 |
9,045 |
$142K |
| 96375 |
|
6,215 |
4,641 |
$132K |
| 96360 |
|
1,317 |
1,135 |
$130K |
| 77067 |
|
1,471 |
1,360 |
$120K |
| C9803 |
Hopd covid-19 spec collect |
7,002 |
6,084 |
$110K |
| 97530 |
|
2,908 |
676 |
$97K |
| 36415 |
|
31,956 |
23,265 |
$82K |
| 87430 |
|
5,629 |
5,027 |
$74K |
| 96366 |
|
1,681 |
1,082 |
$65K |
| 72100 |
|
1,291 |
1,092 |
$63K |
| 74018 |
|
1,422 |
1,242 |
$60K |
| D2930 |
|
968 |
317 |
$60K |
| 83880 |
|
2,420 |
1,981 |
$53K |
| 84484 |
|
6,638 |
4,562 |
$49K |
| 86850 |
|
2,054 |
1,588 |
$48K |
| 81001 |
|
19,121 |
15,520 |
$44K |
| 86901 |
|
2,698 |
2,090 |
$43K |
| 73030 |
|
1,118 |
983 |
$41K |
| 73630 |
|
900 |
788 |
$37K |
| 81025 |
|
5,183 |
4,405 |
$32K |
| 80048 |
|
5,809 |
4,244 |
$31K |
| 80307 |
|
617 |
513 |
$30K |
| 72125 |
|
753 |
641 |
$28K |
| 87807 |
|
2,338 |
2,086 |
$26K |
| 97162 |
|
843 |
695 |
$26K |
| 87040 |
|
3,731 |
1,920 |
$25K |
| 87086 |
|
4,230 |
3,566 |
$24K |
| 80305 |
|
2,966 |
2,411 |
$24K |
| 82553 |
|
2,565 |
1,977 |
$21K |
| 87635 |
|
629 |
567 |
$21K |
| 73562 |
|
573 |
479 |
$21K |
| 97116 |
|
1,565 |
376 |
$19K |
| 85730 |
|
4,650 |
3,916 |
$18K |
| 82550 |
|
3,183 |
2,383 |
$16K |
| 83690 |
|
3,385 |
2,838 |
$16K |
| 73610 |
|
334 |
303 |
$15K |
| 36600 |
|
346 |
277 |
$14K |
| 84443 |
|
1,363 |
1,156 |
$14K |
| 73560 |
|
413 |
359 |
$14K |
| 85610 |
|
5,301 |
4,421 |
$13K |
| 71275 |
|
157 |
131 |
$13K |
| 82962 |
|
6,514 |
3,432 |
$13K |
| 87077 |
|
2,143 |
1,832 |
$12K |
| 71260 |
|
153 |
133 |
$12K |
| 83605 |
|
1,862 |
1,382 |
$11K |
| 85379 |
|
1,815 |
1,504 |
$11K |
| 83735 |
|
3,393 |
2,673 |
$10K |
| 73130 |
|
242 |
193 |
$10K |
| 59025 |
|
80 |
39 |
$10K |
| 71250 |
|
359 |
319 |
$10K |
| D3220 |
|
245 |
58 |
$9K |
| 82150 |
|
2,199 |
1,874 |
$9K |
| 84702 |
|
821 |
633 |
$9K |
| 41899 |
|
78 |
75 |
$8K |
| 76700 |
|
151 |
132 |
$8K |
| 72148 |
|
120 |
107 |
$8K |
| 87186 |
|
908 |
774 |
$7K |
| 99211 |
|
1,204 |
853 |
$7K |
| 83036 |
|
1,088 |
918 |
$7K |
| 78815 |
|
14 |
13 |
$7K |
| 80061 |
|
594 |
534 |
$6K |
| 93971 |
|
164 |
148 |
$6K |
| 82077 |
|
594 |
436 |
$6K |
| 73502 |
|
209 |
188 |
$6K |
| 76817 |
|
83 |
60 |
$6K |
| 97140 |
|
298 |
101 |
$5K |
| 76805 |
|
84 |
65 |
$5K |
| 76856 |
|
72 |
67 |
$5K |
| 76642 |
|
116 |
105 |
$5K |
| 90471 |
|
201 |
167 |
$4K |
| 82803 |
|
356 |
251 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
47 |
42 |
$3K |
| 76705 |
|
68 |
59 |
$3K |
| 87491 |
|
91 |
80 |
$3K |
| 87591 |
|
90 |
80 |
$3K |
| 97161 |
|
55 |
50 |
$3K |
| G0463 |
Hospital outpt clinic visit |
746 |
528 |
$3K |
| 36430 |
|
18 |
12 |
$3K |
| 76770 |
|
47 |
40 |
$2K |
| 70551 |
|
42 |
37 |
$2K |
| P9016 |
Rbc leukocytes reduced |
20 |
12 |
$2K |
| 73590 |
|
48 |
47 |
$2K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$2K |
| 72040 |
|
45 |
40 |
$2K |
| 86920 |
|
16 |
12 |
$2K |
| 99214 |
|
33 |
26 |
$1K |
| 76536 |
|
35 |
26 |
$1K |
| 72131 |
|
29 |
27 |
$1K |
| J2550 |
Promethazine hcl injection |
2,441 |
1,832 |
$1K |
| 93925 |
|
13 |
13 |
$1K |
| 84703 |
|
165 |
146 |
$912.54 |
| 70486 |
|
18 |
14 |
$864.67 |
| 72070 |
|
12 |
12 |
$856.80 |
| 80143 |
|
55 |
38 |
$663.17 |
| 80179 |
|
55 |
38 |
$646.39 |
| J7030 |
Normal saline solution infus |
2,137 |
1,639 |
$596.58 |
| J0696 |
Ceftriaxone sodium injection |
4,182 |
3,427 |
$538.61 |
| 87070 |
|
68 |
61 |
$528.33 |
| J2274 |
Inj morphine pf epid ithc |
1,743 |
1,224 |
$519.91 |
| D2391 |
|
18 |
12 |
$491.64 |
| 51702 |
|
30 |
27 |
$473.87 |
| 96376 |
|
2,265 |
1,279 |
$455.83 |
| 73110 |
|
17 |
13 |
$390.03 |
| 96367 |
|
13 |
12 |
$353.89 |
| 82607 |
|
27 |
24 |
$293.81 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,753 |
2,367 |
$225.75 |
| 86140 |
|
77 |
58 |
$196.17 |
| J2405 |
Ondansetron hcl injection |
6,166 |
4,789 |
$134.10 |
| 84550 |
|
38 |
30 |
$130.67 |
| 85651 |
|
41 |
39 |
$123.54 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
14 |
$99.23 |
| J1100 |
Dexamethasone sodium phos |
3,115 |
2,684 |
$77.23 |
| C9113 |
Inj pantoprazole sodium, via |
369 |
271 |
$63.56 |
| J1885 |
Ketorolac tromethamine inj |
5,427 |
4,573 |
$52.95 |
| 81003 |
|
23 |
21 |
$24.42 |
| J2175 |
Meperidine hydrochl /100 mg |
1,099 |
895 |
$19.18 |
| J1170 |
Hydromorphone injection |
1,777 |
1,149 |
$16.87 |
| J3010 |
Fentanyl citrate injection |
3,207 |
2,623 |
$16.80 |
| J2270 |
Morphine sulfate injection |
231 |
157 |
$2.46 |
| J2250 |
Inj midazolam hydrochloride |
1,679 |
1,361 |
$0.64 |
| J2704 |
Inj, propofol, 10 mg |
2,826 |
2,270 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,114 |
975 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,268 |
995 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
110 |
94 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
188 |
161 |
$0.00 |
| J2060 |
Lorazepam injection |
95 |
79 |
$0.00 |
| J2360 |
Orphenadrine injection |
462 |
418 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
91 |
76 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
54 |
51 |
$0.00 |
| 96368 |
|
12 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
22 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
44 |
41 |
$0.00 |
| J1940 |
Furosemide injection |
93 |
64 |
$0.00 |
| J7040 |
Normal saline solution infus |
24 |
14 |
$0.00 |
| J0290 |
Ampicillin 500 mg inj |
536 |
429 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
52 |
36 |
$0.00 |
| G8979 |
Mobility goal status |
29 |
25 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
31 |
$0.00 |
| J2930 |
Methylprednisolone injection |
505 |
410 |
$0.00 |
| 90714 |
|
70 |
51 |
$0.00 |
| A9552 |
F18 fdg |
14 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
163 |
137 |
$0.00 |
| 99218 |
|
42 |
24 |
$0.00 |
| J0780 |
Prochlorperazine injection |
17 |
13 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
30 |
24 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
14 |
14 |
$0.00 |