| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,169 |
12,923 |
$3.47M |
| 99284 |
|
12,101 |
9,903 |
$2.83M |
| 99285 |
|
2,572 |
1,940 |
$775K |
| 99282 |
|
2,510 |
2,108 |
$431K |
| 96374 |
|
7,459 |
5,906 |
$371K |
| G0378 |
Hospital observation per hr |
1,329 |
584 |
$365K |
| 70450 |
|
2,166 |
1,591 |
$286K |
| 74177 |
|
1,769 |
1,422 |
$274K |
| 41899 |
|
383 |
353 |
$257K |
| 99281 |
|
1,111 |
912 |
$159K |
| 96375 |
|
3,632 |
2,546 |
$134K |
| 93005 |
|
6,972 |
5,072 |
$125K |
| 96372 |
|
3,218 |
2,240 |
$125K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,112 |
2,583 |
$107K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,890 |
2,151 |
$84K |
| 80053 |
|
16,002 |
12,275 |
$69K |
| 72125 |
|
515 |
355 |
$61K |
| 80307 |
|
2,741 |
2,088 |
$60K |
| 71046 |
|
2,365 |
1,888 |
$58K |
| 85027 |
|
20,009 |
14,608 |
$48K |
| 71045 |
|
4,016 |
3,269 |
$44K |
| 74176 |
|
297 |
244 |
$43K |
| 87502 |
|
1,819 |
1,576 |
$43K |
| 99212 |
|
2,598 |
2,229 |
$42K |
| 99213 |
|
1,317 |
1,152 |
$34K |
| 97110 |
|
1,554 |
426 |
$31K |
| G0463 |
Hospital outpt clinic visit |
3,895 |
2,275 |
$30K |
| 71275 |
|
172 |
150 |
$28K |
| 96361 |
|
484 |
389 |
$26K |
| 76700 |
|
297 |
250 |
$25K |
| 93306 |
|
91 |
75 |
$21K |
| J7030 |
Normal saline solution infus |
5,691 |
4,144 |
$20K |
| 84443 |
|
2,738 |
2,116 |
$19K |
| 84484 |
|
4,654 |
3,077 |
$18K |
| 76856 |
|
241 |
183 |
$18K |
| 76805 |
|
136 |
120 |
$16K |
| 84703 |
|
3,810 |
3,003 |
$12K |
| 76830 |
|
172 |
126 |
$10K |
| 88305 |
|
409 |
268 |
$10K |
| 83880 |
|
913 |
690 |
$10K |
| 87086 |
|
3,022 |
2,312 |
$9K |
| 83690 |
|
3,337 |
2,576 |
$9K |
| G0330 |
Facility svs dental rehab |
14 |
14 |
$8K |
| 87880 |
|
1,384 |
1,157 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
4,932 |
2,844 |
$7K |
| 99203 |
|
209 |
181 |
$7K |
| 87040 |
|
1,535 |
935 |
$7K |
| 96365 |
|
193 |
100 |
$7K |
| 80048 |
|
2,143 |
1,450 |
$7K |
| 83605 |
|
1,728 |
1,280 |
$6K |
| 81001 |
|
5,530 |
4,357 |
$6K |
| J7050 |
Normal saline solution infus |
350 |
233 |
$5K |
| J1100 |
Dexamethasone sodium phos |
1,378 |
1,055 |
$5K |
| 83735 |
|
2,100 |
1,389 |
$5K |
| 82077 |
|
636 |
483 |
$5K |
| 99202 |
|
189 |
166 |
$5K |
| 87426 |
|
448 |
383 |
$5K |
| 87591 |
|
327 |
262 |
$5K |
| 87491 |
|
318 |
253 |
$5K |
| 87804 |
|
247 |
210 |
$4K |
| 73130 |
|
126 |
108 |
$4K |
| 87070 |
|
943 |
777 |
$4K |
| 85610 |
|
3,018 |
2,225 |
$4K |
| 73630 |
|
105 |
95 |
$4K |
| 73610 |
|
118 |
104 |
$3K |
| 96376 |
|
325 |
188 |
$3K |
| 80143 |
|
436 |
331 |
$3K |
| 85730 |
|
1,344 |
972 |
$3K |
| 88175 |
|
164 |
148 |
$3K |
| 80179 |
|
434 |
330 |
$3K |
| 87186 |
|
769 |
593 |
$3K |
| 76801 |
|
34 |
26 |
$3K |
| 74018 |
|
137 |
117 |
$3K |
| 85379 |
|
626 |
512 |
$3K |
| 76770 |
|
37 |
27 |
$2K |
| 80076 |
|
590 |
438 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,841 |
2,060 |
$2K |
| 80047 |
|
559 |
413 |
$2K |
| 93971 |
|
40 |
24 |
$2K |
| G0411 |
Interactive grp psyc php/iop |
114 |
14 |
$2K |
| 99211 |
|
150 |
139 |
$2K |
| 73564 |
|
29 |
27 |
$2K |
| 86850 |
|
223 |
181 |
$2K |
| J7040 |
Normal saline solution infus |
538 |
415 |
$1K |
| 43239 |
|
13 |
12 |
$1K |
| J7120 |
Ringers lactate infusion |
768 |
566 |
$1K |
| 97140 |
|
93 |
24 |
$1K |
| 84702 |
|
148 |
106 |
$1K |
| 81003 |
|
2,361 |
1,913 |
$1K |
| 72100 |
|
57 |
38 |
$1K |
| 73030 |
|
35 |
25 |
$1K |
| 11042 |
|
33 |
12 |
$1K |
| 87077 |
|
251 |
203 |
$1K |
| 77067 |
|
14 |
14 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,297 |
954 |
$922.78 |
| U0002 |
Covid-19 lab test non-cdc |
51 |
35 |
$896.67 |
| G0177 |
Opps/php/iop; train & educ |
163 |
14 |
$878.11 |
| 76817 |
|
16 |
12 |
$862.52 |
| 86900 |
|
493 |
389 |
$852.41 |
| J2765 |
Metoclopramide hcl injection |
463 |
398 |
$820.23 |
| G0410 |
Grp psych php/iop 45-50 |
219 |
26 |
$810.68 |
| 86901 |
|
492 |
389 |
$808.49 |
| J1200 |
Diphenhydramine hcl injectio |
461 |
345 |
$792.91 |
| 87807 |
|
170 |
160 |
$783.51 |
| J2270 |
Morphine sulfate injection |
656 |
471 |
$756.01 |
| 86140 |
|
313 |
251 |
$719.53 |
| 36415 |
|
3,921 |
2,672 |
$656.22 |
| 80061 |
|
98 |
81 |
$591.09 |
| 87400 |
|
96 |
92 |
$537.46 |
| A9270 |
Non-covered item or service |
4,732 |
1,037 |
$458.24 |
| 90715 |
|
29 |
25 |
$437.03 |
| 82550 |
|
179 |
131 |
$428.87 |
| 73110 |
|
13 |
12 |
$373.56 |
| 87635 |
|
13 |
13 |
$326.94 |
| 82728 |
|
41 |
24 |
$305.94 |
| 81002 |
|
187 |
148 |
$297.37 |
| J2060 |
Lorazepam injection |
326 |
228 |
$271.80 |
| 87147 |
|
71 |
54 |
$245.21 |
| C9803 |
Hopd covid-19 spec collect |
373 |
319 |
$235.53 |
| 85651 |
|
116 |
83 |
$191.29 |
| S0119 |
Ondansetron 4 mg |
499 |
411 |
$175.76 |
| 84100 |
|
78 |
53 |
$163.62 |
| 83036 |
|
51 |
39 |
$148.44 |
| J8540 |
Oral dexamethasone |
100 |
88 |
$137.12 |
| J2930 |
Methylprednisolone injection |
21 |
12 |
$128.10 |
| J3010 |
Fentanyl citrate injection |
151 |
92 |
$119.64 |
| 97535 |
|
20 |
12 |
$116.04 |
| J1650 |
Inj enoxaparin sodium |
21 |
12 |
$111.42 |
| J2704 |
Inj, propofol, 10 mg |
125 |
77 |
$102.17 |
| 83550 |
|
22 |
12 |
$89.94 |
| 83540 |
|
22 |
12 |
$66.74 |
| 81025 |
|
12 |
12 |
$60.72 |
| 87081 |
|
15 |
12 |
$55.46 |
| 90471 |
|
31 |
26 |
$54.24 |
| 82607 |
|
15 |
12 |
$51.86 |
| J1790 |
Droperidol injection |
13 |
12 |
$50.01 |
| 82150 |
|
16 |
12 |
$48.80 |
| J7512 |
Prednisone ir or dr oral 1mg |
107 |
92 |
$46.29 |
| 82248 |
|
18 |
13 |
$29.48 |
| 77063 |
|
14 |
14 |
$7.99 |
| J2250 |
Inj midazolam hydrochloride |
14 |
12 |
$3.48 |
| G1003 |
Cdsm medicalis |
36 |
28 |
$0.00 |