| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
24,006 |
22,136 |
$1.89M |
| 99284 |
|
15,597 |
13,960 |
$1.01M |
| 96361 |
|
6,031 |
5,040 |
$662K |
| 99285 |
|
11,226 |
9,676 |
$632K |
| 74177 |
|
1,985 |
1,734 |
$313K |
| 70450 |
|
2,720 |
2,326 |
$247K |
| 96360 |
|
1,113 |
982 |
$118K |
| 96374 |
|
7,979 |
6,937 |
$94K |
| 96365 |
|
1,568 |
1,346 |
$73K |
| 96372 |
|
3,894 |
2,913 |
$66K |
| 43239 |
|
316 |
296 |
$60K |
| 74176 |
|
623 |
547 |
$59K |
| C9803 |
Hopd covid-19 spec collect |
5,656 |
5,252 |
$57K |
| 99281 |
|
808 |
743 |
$53K |
| 87804 |
|
16,609 |
8,309 |
$46K |
| 71275 |
|
84 |
72 |
$22K |
| 72125 |
|
436 |
365 |
$20K |
| 87086 |
|
3,801 |
3,303 |
$18K |
| 80053 |
|
15,502 |
12,930 |
$17K |
| 87880 |
|
7,472 |
6,948 |
$15K |
| 45378 |
|
63 |
61 |
$14K |
| 81003 |
|
6,365 |
5,570 |
$13K |
| 71045 |
|
6,872 |
5,934 |
$12K |
| 94640 |
|
791 |
624 |
$10K |
| 87635 |
|
1,350 |
1,175 |
$9K |
| 80307 |
|
1,446 |
1,251 |
$8K |
| 81025 |
|
7,681 |
6,812 |
$7K |
| 99282 |
|
123 |
118 |
$6K |
| 36415 |
|
8,912 |
7,430 |
$5K |
| U0005 |
Infec agen detec ampli probe |
1,474 |
1,368 |
$5K |
| 81001 |
|
6,411 |
5,601 |
$5K |
| 73630 |
|
309 |
266 |
$5K |
| 73562 |
|
287 |
241 |
$4K |
| 80048 |
|
1,393 |
1,206 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,504 |
1,398 |
$3K |
| 71046 |
|
379 |
354 |
$3K |
| 72131 |
|
95 |
84 |
$3K |
| 88305 |
|
615 |
400 |
$3K |
| 73610 |
|
365 |
328 |
$3K |
| 87420 |
|
268 |
256 |
$3K |
| 93005 |
|
5,615 |
4,562 |
$2K |
| 96366 |
|
220 |
159 |
$2K |
| 82962 |
|
1,153 |
558 |
$2K |
| 73130 |
|
215 |
187 |
$2K |
| 85025 |
|
16,894 |
13,951 |
$2K |
| 84484 |
|
4,747 |
3,450 |
$2K |
| 73030 |
|
72 |
66 |
$2K |
| 96375 |
|
5,891 |
4,974 |
$2K |
| J7030 |
Normal saline solution infus |
8,700 |
7,335 |
$2K |
| 87491 |
|
654 |
585 |
$1K |
| G0378 |
Hospital observation per hr |
1,246 |
601 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
1,213 |
599 |
$1K |
| 83880 |
|
1,346 |
1,097 |
$1K |
| J2405 |
Ondansetron hcl injection |
4,164 |
3,466 |
$1K |
| 87040 |
|
1,643 |
827 |
$994.47 |
| 87426 |
|
6,336 |
5,827 |
$930.27 |
| 84702 |
|
830 |
695 |
$869.00 |
| 93306 |
|
28 |
24 |
$830.25 |
| J1885 |
Ketorolac tromethamine inj |
4,295 |
3,521 |
$823.63 |
| 83690 |
|
7,111 |
6,083 |
$782.03 |
| 73110 |
|
65 |
59 |
$778.92 |
| 99291 |
|
13 |
12 |
$694.42 |
| 85610 |
|
1,950 |
1,599 |
$602.88 |
| 83605 |
|
1,120 |
864 |
$578.82 |
| 74018 |
|
44 |
40 |
$547.31 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,460 |
1,161 |
$528.97 |
| 85379 |
|
607 |
509 |
$508.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,034 |
875 |
$467.84 |
| 76801 |
|
152 |
129 |
$427.46 |
| 85730 |
|
1,405 |
1,158 |
$361.86 |
| 87210 |
|
56 |
51 |
$325.18 |
| 87591 |
|
654 |
585 |
$300.30 |
| 96376 |
|
467 |
342 |
$252.51 |
| 83735 |
|
831 |
626 |
$240.46 |
| J1100 |
Dexamethasone sodium phos |
762 |
588 |
$226.69 |
| J2060 |
Lorazepam injection |
134 |
103 |
$177.24 |
| 86900 |
|
246 |
204 |
$174.93 |
| 84443 |
|
395 |
321 |
$171.97 |
| J2270 |
Morphine sulfate injection |
1,365 |
1,085 |
$149.60 |
| J0696 |
Ceftriaxone sodium injection |
1,170 |
1,026 |
$135.30 |
| 73140 |
|
13 |
13 |
$118.18 |
| 82550 |
|
1,050 |
858 |
$107.70 |
| 94760 |
|
316 |
253 |
$103.51 |
| 80320 |
|
419 |
366 |
$100.44 |
| J7040 |
Normal saline solution infus |
405 |
360 |
$92.16 |
| J7060 |
5% dextrose/water |
692 |
535 |
$90.91 |
| 76705 |
|
18 |
15 |
$56.83 |
| 94762 |
|
140 |
121 |
$48.31 |
| 87070 |
|
1,657 |
1,575 |
$29.44 |
| 85014 |
|
513 |
480 |
$25.74 |
| 85018 |
|
513 |
480 |
$25.74 |
| 88312 |
|
304 |
275 |
$7.54 |
| 86140 |
|
125 |
106 |
$6.61 |
| 86901 |
|
230 |
192 |
$4.17 |
| Q0162 |
Ondansetron oral |
1,079 |
990 |
$0.08 |
| J2930 |
Methylprednisolone injection |
54 |
51 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
281 |
254 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
77 |
55 |
$0.00 |
| J7120 |
Ringers lactate infusion |
76 |
65 |
$0.00 |
| 80061 |
|
104 |
85 |
$0.00 |
| 90715 |
|
88 |
76 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
68 |
64 |
$0.00 |
| 84145 |
|
36 |
25 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
25 |
25 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| 71250 |
|
17 |
12 |
$0.00 |
| 29125 |
|
14 |
13 |
$0.00 |
| 72100 |
|
13 |
13 |
$0.00 |
| 12011 |
|
12 |
12 |
$0.00 |
| 76817 |
|
14 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
406 |
369 |
$0.00 |
| 85027 |
|
15 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
276 |
265 |
$0.00 |
| J1170 |
Hydromorphone injection |
136 |
110 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
56 |
39 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
137 |
121 |
$0.00 |
| 90471 |
|
101 |
87 |
$0.00 |
| J1815 |
Insulin injection |
21 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
14 |
$0.00 |
| J0500 |
Dicyclomine injection |
19 |
17 |
$0.00 |
| J3490 |
Drugs unclassified injection |
24 |
24 |
$0.00 |
| J8540 |
Oral dexamethasone |
16 |
16 |
$0.00 |