| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,487 |
15,235 |
$2.87M |
| 99283 |
|
21,077 |
19,998 |
$1.13M |
| 87637 |
|
6,035 |
5,792 |
$875K |
| 99285 |
|
2,621 |
2,389 |
$515K |
| 97110 |
|
5,199 |
1,253 |
$384K |
| 71045 |
|
7,235 |
6,698 |
$202K |
| C9803 |
Hopd covid-19 spec collect |
10,379 |
9,919 |
$178K |
| 74177 |
|
879 |
840 |
$164K |
| 99213 |
|
1,996 |
1,661 |
$159K |
| 80053 |
|
12,368 |
10,974 |
$158K |
| 85025 |
|
20,183 |
17,796 |
$146K |
| 87502 |
|
1,872 |
1,824 |
$144K |
| 93005 |
|
4,055 |
3,602 |
$105K |
| 70450 |
|
1,233 |
1,166 |
$78K |
| 99214 |
|
615 |
538 |
$60K |
| 87651 |
|
1,895 |
1,838 |
$55K |
| 99282 |
|
1,067 |
1,029 |
$51K |
| 97112 |
|
1,232 |
400 |
$50K |
| 74176 |
|
352 |
327 |
$44K |
| 76801 |
|
630 |
533 |
$44K |
| U0003 |
Cov-19 amp prb hgh thruput |
927 |
904 |
$43K |
| U0002 |
Covid-19 lab test non-cdc |
970 |
932 |
$42K |
| 87491 |
|
1,750 |
1,671 |
$41K |
| 87591 |
|
1,628 |
1,566 |
$39K |
| 87635 |
|
1,387 |
1,349 |
$36K |
| H0035 |
Mh partial hosp tx under 24h |
65 |
12 |
$31K |
| 83880 |
|
1,595 |
1,438 |
$31K |
| 87800 |
|
821 |
799 |
$26K |
| 81001 |
|
8,551 |
7,852 |
$25K |
| G0480 |
Drug test def 1-7 classes |
457 |
427 |
$24K |
| 76856 |
|
275 |
267 |
$24K |
| 96374 |
|
3,319 |
3,018 |
$24K |
| 71275 |
|
179 |
173 |
$23K |
| 84484 |
|
3,149 |
2,431 |
$22K |
| CP007 |
|
497 |
385 |
$22K |
| J7030 |
Normal saline solution infus |
5,702 |
4,781 |
$20K |
| 80307 |
|
548 |
517 |
$19K |
| 93976 |
|
284 |
258 |
$16K |
| 80048 |
|
2,406 |
2,059 |
$16K |
| 94640 |
|
667 |
348 |
$16K |
| 97140 |
|
545 |
179 |
$15K |
| U0005 |
Infec agen detec ampli probe |
943 |
921 |
$15K |
| 84703 |
|
2,425 |
2,266 |
$15K |
| 96375 |
|
2,061 |
1,838 |
$13K |
| 81025 |
|
1,835 |
1,771 |
$12K |
| 84702 |
|
1,158 |
913 |
$12K |
| 83690 |
|
2,842 |
2,570 |
$12K |
| 76817 |
|
196 |
164 |
$11K |
| 87389 |
|
764 |
731 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,546 |
1,085 |
$11K |
| 99281 |
|
220 |
214 |
$9K |
| 93975 |
|
43 |
40 |
$7K |
| 96365 |
|
360 |
346 |
$7K |
| 86780 |
|
768 |
734 |
$6K |
| 96361 |
|
1,395 |
1,274 |
$6K |
| 72125 |
|
110 |
107 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
706 |
640 |
$5K |
| 86850 |
|
350 |
339 |
$5K |
| 87634 |
|
77 |
74 |
$5K |
| 83735 |
|
1,221 |
923 |
$5K |
| 83605 |
|
606 |
454 |
$5K |
| 87086 |
|
856 |
799 |
$5K |
| 76805 |
|
60 |
59 |
$4K |
| 82947 |
|
984 |
597 |
$4K |
| 85730 |
|
977 |
912 |
$4K |
| 99211 |
|
84 |
77 |
$3K |
| 97161 |
|
57 |
53 |
$3K |
| 85610 |
|
1,259 |
1,158 |
$3K |
| 87040 |
|
435 |
209 |
$3K |
| 76705 |
|
48 |
48 |
$3K |
| 96372 |
|
740 |
665 |
$3K |
| J2270 |
Morphine sulfate injection |
1,926 |
1,584 |
$3K |
| 94760 |
|
114 |
68 |
$3K |
| 86900 |
|
1,284 |
1,095 |
$3K |
| J2405 |
Ondansetron hcl injection |
3,148 |
2,743 |
$3K |
| 82951 |
|
297 |
284 |
$3K |
| 86901 |
|
1,193 |
1,094 |
$2K |
| 99205 |
Prolong outpt/office vis |
38 |
38 |
$2K |
| 96360 |
|
115 |
113 |
$2K |
| 80076 |
|
252 |
237 |
$2K |
| 85379 |
|
483 |
466 |
$2K |
| 84145 |
|
59 |
56 |
$2K |
| 99212 |
|
28 |
25 |
$1K |
| J7120 |
Ringers lactate infusion |
253 |
218 |
$1K |
| 86803 |
|
166 |
159 |
$1K |
| 96376 |
|
113 |
105 |
$1K |
| 81003 |
|
885 |
826 |
$1K |
| 83036 |
|
209 |
205 |
$1K |
| 85027 |
|
264 |
217 |
$1K |
| 86762 |
|
139 |
133 |
$1K |
| 90715 |
|
110 |
107 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,210 |
1,123 |
$1K |
| 84443 |
|
55 |
54 |
$906.51 |
| 87340 |
|
125 |
120 |
$824.65 |
| 36415 |
|
3,091 |
2,610 |
$649.02 |
| 90471 |
|
110 |
107 |
$636.70 |
| 86787 |
|
92 |
88 |
$621.75 |
| J0134 |
Inj acetaminophen -fresenius |
144 |
130 |
$609.07 |
| J1100 |
Dexamethasone sodium phos |
542 |
513 |
$575.25 |
| 83021 |
|
57 |
55 |
$529.92 |
| 90686 |
|
143 |
142 |
$482.20 |
| 73562 |
|
12 |
12 |
$413.05 |
| 71046 |
|
14 |
13 |
$366.16 |
| Q0162 |
Ondansetron oral |
638 |
606 |
$365.22 |
| 0352U |
|
110 |
99 |
$333.87 |
| J0131 |
Inj, acetaminophen (nos) |
125 |
122 |
$308.98 |
| J3010 |
Fentanyl citrate injection |
325 |
281 |
$228.10 |
| J2765 |
Metoclopramide hcl injection |
301 |
285 |
$202.29 |
| J2060 |
Lorazepam injection |
71 |
53 |
$136.28 |
| 80047 |
|
17 |
17 |
$110.98 |
| J1200 |
Diphenhydramine hcl injectio |
315 |
290 |
$102.30 |
| 81511 |
|
13 |
13 |
$94.70 |
| J2272 |
Inj, morphine (fresenius) |
109 |
96 |
$92.95 |
| J0136 |
Inj, acetaminophen (b braun) |
16 |
16 |
$87.12 |
| 85014 |
|
34 |
30 |
$83.85 |
| 90656 |
|
17 |
17 |
$70.64 |
| 86140 |
|
15 |
12 |
$68.57 |
| S3620 |
Newborn metabolic screening |
99 |
98 |
$55.41 |
| 84100 |
|
31 |
28 |
$37.55 |
| 82550 |
|
15 |
14 |
$23.41 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$5.87 |
| A9270 |
Non-covered item or service |
7,025 |
6,460 |
$2.39 |
| J2250 |
Inj midazolam hydrochloride |
15 |
13 |
$2.38 |
| J2704 |
Inj, propofol, 10 mg |
18 |
15 |
$0.00 |