| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
10,633 |
9,089 |
$1.18M |
| 99283 |
|
4,826 |
4,234 |
$528K |
| 99285 |
|
3,142 |
2,265 |
$257K |
| 99284 |
|
1,852 |
1,647 |
$223K |
| 99281 |
|
1,329 |
1,173 |
$121K |
| 0241U |
|
860 |
780 |
$94K |
| 0240U |
|
953 |
800 |
$86K |
| 70450 |
|
731 |
510 |
$83K |
| 93005 |
|
3,513 |
2,425 |
$78K |
| 71046 |
|
1,869 |
1,568 |
$54K |
| 87635 |
|
1,470 |
1,130 |
$48K |
| C9803 |
Hopd covid-19 spec collect |
2,849 |
2,379 |
$42K |
| 0202U |
|
248 |
222 |
$36K |
| 71045 |
|
2,064 |
1,469 |
$32K |
| 74176 |
|
140 |
109 |
$32K |
| 97110 |
|
2,297 |
299 |
$31K |
| 80053 |
|
7,035 |
4,990 |
$30K |
| 96372 |
|
3,008 |
2,400 |
$30K |
| 85025 |
|
7,664 |
5,091 |
$26K |
| T1015 |
Clinic service |
257 |
208 |
$21K |
| 96374 |
|
2,185 |
1,493 |
$17K |
| 96375 |
|
1,026 |
719 |
$15K |
| 87651 |
|
990 |
947 |
$14K |
| 80307 |
|
447 |
366 |
$14K |
| 84484 |
|
2,775 |
1,773 |
$12K |
| 87430 |
|
1,510 |
1,432 |
$12K |
| J3490 |
Drugs unclassified injection |
3,475 |
2,145 |
$11K |
| 87804 |
|
1,124 |
1,056 |
$10K |
| 74177 |
|
36 |
24 |
$9K |
| E0601 |
Cont airway pressure device |
713 |
557 |
$9K |
| 99214 |
|
426 |
376 |
$9K |
| 94640 |
|
587 |
333 |
$8K |
| G0378 |
Hospital observation per hr |
63 |
49 |
$8K |
| 96365 |
|
354 |
232 |
$7K |
| 82553 |
|
1,240 |
843 |
$7K |
| 81025 |
|
1,603 |
1,455 |
$7K |
| 36415 |
|
10,216 |
6,619 |
$6K |
| 87086 |
|
1,742 |
1,325 |
$6K |
| 81001 |
|
3,876 |
3,037 |
$6K |
| 80048 |
|
1,413 |
766 |
$4K |
| 84443 |
|
402 |
340 |
$4K |
| 83880 |
|
333 |
231 |
$4K |
| Q0162 |
Ondansetron oral |
601 |
537 |
$4K |
| 96361 |
|
427 |
280 |
$4K |
| 83690 |
|
1,188 |
893 |
$4K |
| 87070 |
|
639 |
597 |
$4K |
| 82550 |
|
1,450 |
974 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
37 |
31 |
$2K |
| 85027 |
|
836 |
541 |
$2K |
| 94664 |
|
235 |
172 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,367 |
1,810 |
$2K |
| 87400 |
|
233 |
154 |
$2K |
| 87637 |
|
16 |
14 |
$2K |
| 80061 |
|
269 |
224 |
$2K |
| 87631 |
|
33 |
32 |
$2K |
| 83735 |
|
869 |
549 |
$1K |
| 99211 |
|
130 |
121 |
$1K |
| 87077 |
|
208 |
183 |
$1K |
| 85379 |
|
201 |
163 |
$1K |
| A7038 |
Pos airway pressure filter |
1,101 |
846 |
$971.75 |
| 82150 |
|
265 |
202 |
$703.14 |
| 85730 |
|
226 |
180 |
$698.11 |
| 99213 |
|
34 |
29 |
$640.82 |
| A7037 |
Pos airway pressure tubing |
141 |
118 |
$613.82 |
| U0005 |
Infec agen detec ampli probe |
37 |
31 |
$573.27 |
| 87807 |
|
61 |
59 |
$551.44 |
| 97162 |
|
23 |
12 |
$544.90 |
| 87040 |
|
79 |
63 |
$480.59 |
| J0696 |
Ceftriaxone sodium injection |
321 |
191 |
$434.23 |
| J2405 |
Ondansetron hcl injection |
1,773 |
1,173 |
$375.21 |
| J2270 |
Morphine sulfate injection |
195 |
130 |
$362.65 |
| 97140 |
|
63 |
14 |
$323.47 |
| 73562 |
|
23 |
12 |
$322.54 |
| 83036 |
|
60 |
48 |
$297.63 |
| 83605 |
|
36 |
28 |
$248.13 |
| 85610 |
|
216 |
109 |
$230.09 |
| 85007 |
|
263 |
144 |
$211.17 |
| J3010 |
Fentanyl citrate injection |
26 |
25 |
$184.54 |
| 87186 |
|
26 |
24 |
$178.41 |
| 80305 |
|
262 |
242 |
$174.32 |
| 81003 |
|
236 |
183 |
$169.61 |
| 96360 |
|
12 |
12 |
$145.96 |
| J1100 |
Dexamethasone sodium phos |
121 |
81 |
$92.69 |
| A7035 |
Pos airway press headgear |
15 |
12 |
$60.96 |
| 87088 |
|
40 |
24 |
$59.62 |
| J2930 |
Methylprednisolone injection |
16 |
12 |
$40.61 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$14.03 |
| J7620 |
Albuterol ipratrop non-comp |
75 |
35 |
$7.97 |
| J2001 |
Lidocaine injection |
43 |
38 |
$4.69 |
| A9270 |
Non-covered item or service |
2,530 |
623 |
$0.00 |