| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
5,116 |
4,674 |
$1.02M |
| 99283 |
|
3,013 |
2,863 |
$629K |
| G0378 |
Hospital observation per hr |
309 |
280 |
$293K |
| T1015 |
Clinic service |
1,920 |
522 |
$285K |
| 99285 |
|
668 |
618 |
$120K |
| 99282 |
|
410 |
401 |
$89K |
| 93306 |
|
112 |
109 |
$71K |
| 74177 |
|
151 |
144 |
$45K |
| 96374 |
|
918 |
863 |
$38K |
| 80053 |
|
2,473 |
2,163 |
$30K |
| 77067 |
|
129 |
125 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
317 |
306 |
$21K |
| G0480 |
Drug test def 1-7 classes |
870 |
770 |
$18K |
| 96360 |
|
319 |
307 |
$17K |
| 76700 |
|
49 |
48 |
$16K |
| 97161 |
|
156 |
143 |
$15K |
| 80307 |
|
687 |
632 |
$15K |
| 71046 |
|
476 |
462 |
$13K |
| 93005 |
|
1,365 |
1,194 |
$13K |
| 74176 |
|
104 |
103 |
$12K |
| 70450 |
|
355 |
345 |
$11K |
| 99281 |
|
46 |
46 |
$10K |
| 76856 |
|
55 |
54 |
$10K |
| 87631 |
|
116 |
113 |
$9K |
| 70553 |
|
13 |
13 |
$9K |
| 76830 |
|
45 |
44 |
$9K |
| 73630 |
|
86 |
83 |
$8K |
| 85025 |
|
3,028 |
2,578 |
$8K |
| 87635 |
|
777 |
743 |
$8K |
| 77063 |
|
129 |
125 |
$8K |
| 96365 |
|
257 |
244 |
$7K |
| 96361 |
|
870 |
781 |
$7K |
| 43239 |
|
12 |
12 |
$6K |
| 71045 |
|
559 |
526 |
$5K |
| 80048 |
|
590 |
526 |
$5K |
| 94060 |
|
13 |
12 |
$3K |
| 73610 |
|
45 |
45 |
$3K |
| 76642 |
|
14 |
14 |
$3K |
| 0001A |
|
90 |
90 |
$3K |
| 0002A |
|
83 |
83 |
$2K |
| 96375 |
|
706 |
638 |
$2K |
| 84484 |
|
922 |
774 |
$2K |
| 76705 |
|
19 |
17 |
$2K |
| 94729 |
|
13 |
12 |
$2K |
| 97140 |
|
113 |
27 |
$2K |
| 93922 |
|
13 |
12 |
$2K |
| 85610 |
|
524 |
486 |
$2K |
| 87491 |
|
56 |
55 |
$2K |
| 84443 |
|
277 |
267 |
$2K |
| 85027 |
|
95 |
91 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
425 |
409 |
$2K |
| J7030 |
Normal saline solution infus |
1,516 |
1,318 |
$2K |
| 94726 |
|
13 |
12 |
$1K |
| 73030 |
|
26 |
25 |
$1K |
| 85730 |
|
281 |
273 |
$1K |
| 73130 |
|
16 |
15 |
$1K |
| 96372 |
|
428 |
373 |
$1K |
| 83880 |
|
199 |
186 |
$1K |
| 83690 |
|
694 |
641 |
$929.72 |
| 93971 |
|
12 |
12 |
$896.82 |
| 72100 |
|
14 |
13 |
$856.67 |
| 82550 |
|
459 |
422 |
$753.91 |
| A9585 |
Gadobutrol injection |
33 |
31 |
$748.70 |
| 84703 |
|
83 |
73 |
$745.29 |
| 82248 |
|
329 |
316 |
$599.74 |
| 81025 |
|
649 |
619 |
$588.85 |
| 73110 |
|
12 |
12 |
$567.87 |
| 83735 |
|
368 |
314 |
$563.87 |
| 81001 |
|
726 |
687 |
$563.48 |
| 87591 |
|
56 |
55 |
$507.41 |
| 72125 |
|
28 |
25 |
$498.60 |
| J3490 |
Drugs unclassified injection |
463 |
379 |
$433.55 |
| 94760 |
|
167 |
131 |
$426.85 |
| 94640 |
|
96 |
80 |
$353.42 |
| 83605 |
|
164 |
152 |
$352.76 |
| 97110 |
|
36 |
12 |
$332.73 |
| 81003 |
|
405 |
387 |
$283.53 |
| 36415 |
|
216 |
204 |
$280.48 |
| 82962 |
|
361 |
223 |
$279.93 |
| 80061 |
|
27 |
27 |
$260.52 |
| 87040 |
|
45 |
39 |
$246.86 |
| 84145 |
|
61 |
55 |
$244.31 |
| J1885 |
Ketorolac tromethamine inj |
595 |
560 |
$236.15 |
| J7120 |
Ringers lactate infusion |
52 |
47 |
$234.56 |
| 84702 |
|
37 |
33 |
$225.94 |
| 87077 |
|
62 |
61 |
$221.07 |
| 86900 |
|
68 |
66 |
$215.51 |
| 83036 |
|
40 |
40 |
$191.72 |
| 96376 |
|
76 |
58 |
$188.94 |
| 85379 |
|
70 |
67 |
$180.20 |
| J2405 |
Ondansetron hcl injection |
505 |
445 |
$138.95 |
| J2270 |
Morphine sulfate injection |
89 |
79 |
$133.10 |
| 86901 |
|
55 |
54 |
$99.28 |
| 87086 |
|
59 |
56 |
$95.44 |
| 90471 |
|
18 |
12 |
$68.80 |
| J2765 |
Metoclopramide hcl injection |
129 |
118 |
$65.28 |
| J1170 |
Hydromorphone injection |
57 |
44 |
$64.93 |
| J2060 |
Lorazepam injection |
184 |
155 |
$59.16 |
| J1200 |
Diphenhydramine hcl injectio |
114 |
103 |
$43.42 |
| J2704 |
Inj, propofol, 10 mg |
43 |
41 |
$36.64 |
| J1100 |
Dexamethasone sodium phos |
74 |
64 |
$34.10 |
| J2001 |
Lidocaine injection |
91 |
83 |
$29.52 |
| J3010 |
Fentanyl citrate injection |
81 |
74 |
$25.83 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$15.84 |
| J2250 |
Inj midazolam hydrochloride |
69 |
69 |
$15.40 |
| J7512 |
Prednisone ir or dr oral 1mg |
31 |
29 |
$3.66 |
| J0696 |
Ceftriaxone sodium injection |
16 |
14 |
$3.14 |
| J7050 |
Normal saline solution infus |
63 |
52 |
$2.56 |
| 00000 |
|
649 |
287 |
$0.00 |