| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,155 |
22,745 |
$4.77M |
| 99283 |
|
13,503 |
12,923 |
$2.64M |
| G0378 |
Hospital observation per hr |
387 |
339 |
$327K |
| T1015 |
Clinic service |
1,152 |
339 |
$247K |
| 99285 |
|
1,476 |
1,381 |
$221K |
| 77067 |
|
461 |
455 |
$133K |
| 76830 |
|
372 |
367 |
$110K |
| 73564 |
|
431 |
409 |
$100K |
| 99282 |
|
450 |
439 |
$86K |
| 76856 |
|
347 |
339 |
$71K |
| J7030 |
Normal saline solution infus |
3,407 |
2,979 |
$62K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,009 |
978 |
$57K |
| 74177 |
|
286 |
272 |
$48K |
| 80048 |
|
2,472 |
2,111 |
$41K |
| 93005 |
|
5,117 |
4,552 |
$40K |
| 96374 |
|
2,056 |
1,897 |
$38K |
| 80053 |
|
3,105 |
2,787 |
$30K |
| 71046 |
|
746 |
716 |
$27K |
| 70450 |
|
599 |
551 |
$25K |
| 87635 |
|
1,515 |
1,432 |
$25K |
| 77063 |
|
459 |
454 |
$24K |
| 87631 |
|
509 |
501 |
$22K |
| 73630 |
|
305 |
300 |
$21K |
| 76642 |
|
112 |
112 |
$19K |
| 99291 |
|
56 |
54 |
$19K |
| 85025 |
|
7,461 |
6,492 |
$18K |
| 73130 |
|
190 |
178 |
$13K |
| 73030 |
|
184 |
178 |
$12K |
| 77066 |
Tomosynthesis, mammo |
39 |
39 |
$12K |
| 73610 |
|
194 |
182 |
$12K |
| 93306 |
|
18 |
17 |
$12K |
| 85027 |
|
255 |
250 |
$12K |
| 81025 |
|
1,996 |
1,852 |
$11K |
| 93971 |
|
68 |
63 |
$10K |
| 87491 |
|
473 |
454 |
$9K |
| 71045 |
|
1,825 |
1,642 |
$9K |
| 84484 |
|
2,516 |
2,220 |
$8K |
| 74176 |
|
81 |
79 |
$8K |
| 71260 |
|
50 |
50 |
$7K |
| 87086 |
|
805 |
753 |
$7K |
| 85610 |
|
734 |
678 |
$7K |
| 43239 |
|
15 |
13 |
$7K |
| 87591 |
|
455 |
437 |
$7K |
| 77065 |
Tomosynthesis, mammo |
28 |
25 |
$7K |
| 96361 |
|
1,280 |
1,142 |
$7K |
| J7050 |
Normal saline solution infus |
896 |
659 |
$6K |
| 88305 |
|
100 |
94 |
$6K |
| 82962 |
|
955 |
739 |
$6K |
| 73110 |
|
73 |
71 |
$6K |
| 96365 |
|
254 |
241 |
$6K |
| 96375 |
|
775 |
697 |
$5K |
| J7120 |
Ringers lactate infusion |
389 |
324 |
$5K |
| 72100 |
|
90 |
83 |
$5K |
| 97161 |
|
36 |
35 |
$5K |
| 96372 |
|
816 |
674 |
$4K |
| 87210 |
|
240 |
234 |
$4K |
| 85730 |
|
350 |
332 |
$4K |
| 0011A |
|
148 |
148 |
$4K |
| 86900 |
|
280 |
263 |
$4K |
| 96360 |
|
334 |
314 |
$4K |
| 81001 |
|
1,719 |
1,599 |
$4K |
| 81003 |
|
680 |
637 |
$3K |
| 94060 |
|
14 |
14 |
$3K |
| 83735 |
|
1,486 |
1,250 |
$3K |
| 80307 |
|
108 |
99 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,317 |
1,261 |
$3K |
| 0012A |
|
104 |
103 |
$3K |
| 73502 |
|
58 |
56 |
$3K |
| 83690 |
|
951 |
894 |
$2K |
| 76705 |
|
12 |
12 |
$2K |
| 82248 |
|
454 |
427 |
$2K |
| 94726 |
|
14 |
14 |
$2K |
| 94729 |
|
13 |
13 |
$2K |
| 77062 |
|
24 |
24 |
$1K |
| 84702 |
|
117 |
95 |
$1K |
| 83605 |
|
391 |
362 |
$1K |
| G0480 |
Drug test def 1-7 classes |
49 |
47 |
$1K |
| 83880 |
|
109 |
102 |
$1K |
| 87661 |
|
49 |
49 |
$1K |
| 87077 |
|
144 |
136 |
$1K |
| 96376 |
|
176 |
138 |
$1K |
| 84443 |
|
133 |
123 |
$1K |
| 85379 |
|
238 |
223 |
$1K |
| 87430 |
|
48 |
47 |
$941.60 |
| 90715 |
|
46 |
41 |
$702.06 |
| 73080 |
|
12 |
12 |
$631.94 |
| J2270 |
Morphine sulfate injection |
336 |
277 |
$609.47 |
| 86850 |
|
146 |
136 |
$606.36 |
| 87040 |
|
64 |
60 |
$477.68 |
| 82550 |
|
206 |
177 |
$458.17 |
| 86901 |
|
219 |
204 |
$458.03 |
| J3490 |
Drugs unclassified injection |
836 |
607 |
$436.68 |
| 87186 |
|
125 |
119 |
$430.08 |
| 72125 |
|
15 |
15 |
$415.50 |
| 90686 |
|
42 |
41 |
$370.13 |
| J1885 |
Ketorolac tromethamine inj |
1,911 |
1,732 |
$348.85 |
| 84100 |
|
248 |
182 |
$346.14 |
| 82800 |
|
72 |
69 |
$331.81 |
| J2405 |
Ondansetron hcl injection |
1,602 |
1,408 |
$310.17 |
| G0008 |
Admin influenza virus vac |
47 |
46 |
$221.21 |
| J2704 |
Inj, propofol, 10 mg |
371 |
329 |
$184.75 |
| 87081 |
|
42 |
41 |
$156.00 |
| J0696 |
Ceftriaxone sodium injection |
501 |
443 |
$141.82 |
| J2001 |
Lidocaine injection |
634 |
555 |
$132.86 |
| J3010 |
Fentanyl citrate injection |
440 |
351 |
$108.07 |
| 90471 |
|
104 |
94 |
$104.80 |
| J1100 |
Dexamethasone sodium phos |
461 |
422 |
$100.80 |
| 36415 |
|
30 |
29 |
$95.20 |
| J8540 |
Oral dexamethasone |
128 |
120 |
$88.20 |
| 96366 |
|
20 |
14 |
$61.45 |
| J1630 |
Haloperidol injection |
52 |
40 |
$47.10 |
| J2250 |
Inj midazolam hydrochloride |
320 |
297 |
$40.01 |
| 87147 |
|
13 |
13 |
$39.00 |
| 87205 |
|
28 |
24 |
$37.36 |
| J1170 |
Hydromorphone injection |
143 |
83 |
$28.74 |
| J7512 |
Prednisone ir or dr oral 1mg |
429 |
304 |
$8.33 |
| J2765 |
Metoclopramide hcl injection |
221 |
195 |
$7.76 |
| J7040 |
Normal saline solution infus |
14 |
12 |
$4.00 |
| S0119 |
Ondansetron 4 mg |
68 |
59 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
93 |
85 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
178 |
132 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
85 |
80 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
25 |
25 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
30 |
14 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
30 |
19 |
$0.00 |
| J2930 |
Methylprednisolone injection |
27 |
26 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
57 |
48 |
$0.00 |
| 00000 |
|
560 |
314 |
$0.00 |
| J2060 |
Lorazepam injection |
18 |
15 |
$0.00 |
| J3480 |
Inj potassium chloride |
33 |
29 |
$0.00 |