| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
715 |
633 |
$2.97M |
| G0378 |
Hospital observation per hr |
3,393 |
2,952 |
$1.64M |
| 96413 |
|
3,185 |
1,913 |
$615K |
| 99284 |
|
5,636 |
5,109 |
$499K |
| 99285 |
|
5,305 |
4,682 |
$479K |
| 90834 |
|
5,288 |
4,154 |
$238K |
| 99283 |
|
2,916 |
2,572 |
$166K |
| 96365 |
|
826 |
607 |
$150K |
| G0463 |
Hospital outpt clinic visit |
8,475 |
7,516 |
$108K |
| 90832 |
|
2,511 |
2,114 |
$89K |
| 11042 |
|
641 |
414 |
$74K |
| G0382 |
Lev 3 hosp type b ed visit |
763 |
671 |
$27K |
| C7901 |
Hopd mntl hlt, 30-60 min |
495 |
396 |
$27K |
| G0383 |
Lev 4 hosp type b ed visit |
369 |
356 |
$23K |
| J1642 |
Inj heparin sodium per 10 u |
4,779 |
2,659 |
$20K |
| C7900 |
Hopd mntl hlt, 15-29 min |
433 |
389 |
$17K |
| 87040 |
|
184 |
146 |
$12K |
| 99281 |
|
1,707 |
1,429 |
$11K |
| 36591 |
|
1,208 |
960 |
$10K |
| 96372 |
|
1,390 |
1,099 |
$9K |
| 80048 |
|
6,054 |
3,361 |
$7K |
| 96367 |
|
313 |
221 |
$5K |
| 93971 |
|
76 |
71 |
$4K |
| 80047 |
|
13,103 |
10,493 |
$3K |
| 71046 |
|
4,296 |
3,878 |
$3K |
| J7050 |
Normal saline solution infus |
3,462 |
1,840 |
$3K |
| 74177 |
|
1,401 |
1,337 |
$3K |
| 80307 |
|
1,206 |
1,125 |
$3K |
| 93005 |
|
9,493 |
7,739 |
$2K |
| 85025 |
|
24,166 |
14,968 |
$2K |
| 43239 |
|
13 |
12 |
$2K |
| 84484 |
|
7,594 |
5,720 |
$2K |
| 70450 |
|
3,237 |
2,995 |
$2K |
| 88305 |
|
1,151 |
1,075 |
$2K |
| 96374 |
|
102 |
80 |
$1K |
| 97162 |
|
77 |
67 |
$1K |
| 87635 |
|
3,205 |
2,763 |
$904.28 |
| 94640 |
|
1,003 |
787 |
$901.74 |
| 93306 |
|
148 |
143 |
$791.19 |
| 80076 |
|
6,296 |
5,027 |
$693.47 |
| 80053 |
|
5,760 |
3,877 |
$600.62 |
| 83605 |
|
2,004 |
1,655 |
$595.97 |
| 71275 |
|
596 |
538 |
$528.69 |
| A4216 |
Sterile water/saline, 10 ml |
602 |
337 |
$457.77 |
| 96523 |
|
44 |
36 |
$437.10 |
| 81001 |
|
3,440 |
3,018 |
$432.73 |
| 83690 |
|
3,418 |
2,990 |
$411.71 |
| 96375 |
|
1,192 |
732 |
$396.47 |
| 0241U |
|
612 |
568 |
$388.39 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$382.74 |
| 71045 |
|
1,972 |
1,687 |
$356.24 |
| 81025 |
|
911 |
817 |
$352.73 |
| 83880 |
|
1,967 |
1,785 |
$326.13 |
| J3490 |
Drugs unclassified injection |
1,830 |
1,147 |
$306.38 |
| J2785 |
Regadenoson injection |
41 |
40 |
$300.88 |
| 94799 |
|
337 |
222 |
$276.52 |
| 36415 |
|
5,057 |
3,387 |
$274.45 |
| 97110 |
|
90 |
24 |
$270.84 |
| 85379 |
|
1,055 |
1,003 |
$235.27 |
| 83735 |
|
6,019 |
3,560 |
$229.14 |
| Q0138 |
Ferumoxytol, non-esrd |
40 |
24 |
$227.52 |
| 84443 |
|
2,341 |
2,058 |
$216.55 |
| 83036 |
|
607 |
556 |
$198.55 |
| 81003 |
|
2,967 |
2,708 |
$189.95 |
| 85610 |
|
4,123 |
3,324 |
$177.03 |
| 87804 |
|
379 |
368 |
$172.28 |
| 93017 |
|
30 |
29 |
$164.06 |
| 99282 |
|
13 |
13 |
$140.84 |
| 97530 |
|
45 |
14 |
$121.60 |
| 72125 |
|
105 |
103 |
$103.11 |
| 80061 |
|
268 |
256 |
$84.84 |
| J2270 |
Morphine sulfate injection |
1,924 |
1,151 |
$67.59 |
| J1885 |
Ketorolac tromethamine inj |
877 |
775 |
$60.68 |
| J1650 |
Inj enoxaparin sodium |
1,291 |
563 |
$58.37 |
| 74176 |
|
72 |
69 |
$57.12 |
| 94760 |
|
629 |
371 |
$53.15 |
| 86850 |
|
345 |
307 |
$44.13 |
| 84100 |
|
3,730 |
2,212 |
$41.50 |
| 83520 |
|
67 |
62 |
$39.69 |
| 87086 |
|
754 |
696 |
$32.60 |
| J3475 |
Inj magnesium sulfate |
404 |
282 |
$31.57 |
| 82077 |
|
217 |
195 |
$29.56 |
| J2704 |
Inj, propofol, 10 mg |
1,951 |
1,548 |
$24.09 |
| 82550 |
|
372 |
310 |
$23.19 |
| 84703 |
|
659 |
593 |
$20.52 |
| J3010 |
Fentanyl citrate injection |
1,860 |
1,679 |
$19.85 |
| 73562 |
|
46 |
40 |
$16.57 |
| 90792 |
|
24 |
24 |
$15.82 |
| 82728 |
|
137 |
127 |
$15.23 |
| 86901 |
|
387 |
350 |
$11.77 |
| 86900 |
|
389 |
351 |
$11.77 |
| J2405 |
Ondansetron hcl injection |
3,442 |
2,652 |
$10.64 |
| 73030 |
|
15 |
14 |
$9.44 |
| 87426 |
|
568 |
526 |
$8.74 |
| 94762 |
|
46 |
36 |
$8.56 |
| 87280 |
|
14 |
14 |
$8.03 |
| 83550 |
|
294 |
275 |
$7.62 |
| J2274 |
Inj morphine pf epid ithc |
138 |
112 |
$5.17 |
| 83540 |
|
340 |
318 |
$4.63 |
| J2060 |
Lorazepam injection |
253 |
217 |
$3.44 |
| J0696 |
Ceftriaxone sodium injection |
593 |
373 |
$2.81 |
| J1644 |
Inj heparin sodium per 1000u |
934 |
391 |
$2.00 |
| J2001 |
Lidocaine injection |
1,223 |
1,084 |
$1.93 |
| J1200 |
Diphenhydramine hcl injectio |
1,134 |
683 |
$1.37 |
| J2765 |
Metoclopramide hcl injection |
78 |
68 |
$0.23 |
| J1100 |
Dexamethasone sodium phos |
1,593 |
1,162 |
$0.01 |
| 83615 |
|
352 |
264 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
354 |
268 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
499 |
448 |
$0.00 |
| 85730 |
|
116 |
99 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,036 |
931 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
26 |
26 |
$0.00 |
| 82378 |
|
189 |
166 |
$0.00 |
| 87070 |
|
13 |
13 |
$0.00 |
| 82803 |
|
49 |
46 |
$0.00 |
| 82784 |
|
54 |
50 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 96415 |
|
34 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |
| J3480 |
Inj potassium chloride |
14 |
12 |
$0.00 |
| 87077 |
|
13 |
13 |
$0.00 |
| 82607 |
|
14 |
14 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
13 |
$0.00 |
| 84439 |
|
112 |
100 |
$0.00 |
| G0380 |
Lev 1 hosp type b ed visit |
413 |
373 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
120 |
104 |
$0.00 |
| J7120 |
Ringers lactate infusion |
340 |
322 |
$0.00 |
| 96417 |
|
175 |
112 |
$0.00 |
| J7030 |
Normal saline solution infus |
309 |
266 |
$0.00 |
| 84165 |
|
54 |
50 |
$0.00 |
| J1453 |
Fosaprepitant injection |
62 |
37 |
$0.00 |
| G8979 |
Mobility goal status |
74 |
69 |
$0.00 |
| G8978 |
Mobility current status |
75 |
70 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
44 |
43 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
47 |
47 |
$0.00 |
| 90833 |
|
39 |
38 |
$0.00 |
| J7040 |
Normal saline solution infus |
17 |
13 |
$0.00 |
| 87186 |
|
12 |
12 |
$0.00 |
| 72100 |
|
12 |
12 |
$0.00 |