| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,366 |
12,528 |
$5.58M |
| 99283 |
|
29,288 |
28,359 |
$2.16M |
| 99285 |
|
1,842 |
1,681 |
$955K |
| 93005 |
|
5,575 |
4,870 |
$238K |
| 87428 |
|
3,119 |
3,050 |
$169K |
| 99214 |
|
2,791 |
2,739 |
$166K |
| 85025 |
|
17,975 |
16,214 |
$119K |
| 80053 |
|
14,984 |
13,626 |
$116K |
| 87804 |
|
4,229 |
2,185 |
$99K |
| 87635 |
|
2,249 |
2,203 |
$79K |
| 99282 |
|
1,073 |
1,046 |
$73K |
| 99215 |
Prolong outpt/office vis |
833 |
828 |
$73K |
| G0378 |
Hospital observation per hr |
54 |
50 |
$68K |
| 87880 |
|
3,045 |
2,982 |
$68K |
| 74177 |
|
500 |
470 |
$68K |
| 96361 |
|
580 |
524 |
$53K |
| C9803 |
Hopd covid-19 spec collect |
2,528 |
2,457 |
$48K |
| 71045 |
|
3,090 |
2,855 |
$47K |
| D0120 |
|
1,519 |
1,519 |
$43K |
| 70450 |
|
1,225 |
1,150 |
$42K |
| 87426 |
|
916 |
886 |
$31K |
| D1120 |
|
830 |
830 |
$30K |
| 81001 |
|
8,984 |
8,185 |
$26K |
| D1208 |
|
1,602 |
1,602 |
$23K |
| 43239 |
|
43 |
42 |
$22K |
| 76801 |
|
247 |
213 |
$20K |
| 84484 |
|
3,503 |
2,654 |
$20K |
| 96374 |
|
2,661 |
2,457 |
$18K |
| 87081 |
|
1,902 |
1,862 |
$18K |
| D1110 |
|
267 |
267 |
$14K |
| 83690 |
|
3,009 |
2,769 |
$14K |
| 84702 |
|
1,011 |
870 |
$12K |
| 83880 |
|
1,109 |
1,030 |
$12K |
| 76817 |
|
175 |
143 |
$12K |
| 84703 |
|
1,641 |
1,520 |
$10K |
| J7030 |
Normal saline solution infus |
3,546 |
2,860 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
215 |
203 |
$10K |
| 74176 |
|
157 |
149 |
$9K |
| 11042 |
|
280 |
131 |
$8K |
| 80307 |
|
175 |
164 |
$8K |
| 80048 |
|
2,132 |
1,752 |
$8K |
| 87651 |
|
161 |
161 |
$6K |
| 43235 |
|
13 |
13 |
$6K |
| 71046 |
|
343 |
333 |
$6K |
| 72125 |
|
246 |
233 |
$6K |
| 87086 |
|
1,165 |
1,062 |
$5K |
| 82803 |
|
563 |
497 |
$5K |
| 99212 |
|
159 |
155 |
$5K |
| G0463 |
Hospital outpt clinic visit |
2,158 |
1,867 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,187 |
1,081 |
$5K |
| 94760 |
|
221 |
137 |
$4K |
| 83605 |
|
887 |
702 |
$4K |
| 87420 |
|
163 |
160 |
$3K |
| 99204 |
|
44 |
44 |
$3K |
| 96375 |
|
1,136 |
969 |
$3K |
| D0220 |
|
292 |
288 |
$3K |
| D0272 |
|
143 |
143 |
$3K |
| 85610 |
|
2,035 |
1,871 |
$3K |
| J2270 |
Morphine sulfate injection |
780 |
566 |
$3K |
| 85730 |
|
1,578 |
1,464 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,069 |
1,705 |
$3K |
| U0005 |
Infec agen detec ampli probe |
202 |
192 |
$2K |
| 99281 |
|
56 |
54 |
$2K |
| 83735 |
|
1,123 |
907 |
$2K |
| 82375 |
|
510 |
457 |
$2K |
| 73564 |
|
34 |
32 |
$2K |
| 82330 |
|
563 |
505 |
$2K |
| 99213 |
|
36 |
24 |
$2K |
| 0240U |
|
570 |
556 |
$2K |
| 81025 |
|
288 |
263 |
$2K |
| D0145 |
|
15 |
15 |
$2K |
| 83050 |
|
494 |
444 |
$2K |
| 93976 |
|
17 |
14 |
$1K |
| 85027 |
|
958 |
807 |
$1K |
| D1351 |
|
48 |
13 |
$1K |
| 86850 |
|
93 |
79 |
$1K |
| D0274 |
|
44 |
44 |
$1K |
| 87040 |
|
268 |
137 |
$1K |
| 36415 |
|
21,297 |
18,048 |
$991.20 |
| D0230 |
|
95 |
38 |
$955.33 |
| 84443 |
|
235 |
221 |
$937.50 |
| 72100 |
|
12 |
12 |
$903.50 |
| 86900 |
|
569 |
504 |
$878.37 |
| 86901 |
|
569 |
504 |
$850.42 |
| J7120 |
Ringers lactate infusion |
567 |
419 |
$800.75 |
| J3010 |
Fentanyl citrate injection |
547 |
419 |
$767.64 |
| 80320 |
|
70 |
66 |
$761.11 |
| J0696 |
Ceftriaxone sodium injection |
425 |
373 |
$734.77 |
| 96372 |
|
450 |
389 |
$696.55 |
| 81003 |
|
706 |
663 |
$653.29 |
| 87186 |
|
195 |
158 |
$581.32 |
| J7040 |
Normal saline solution infus |
287 |
240 |
$553.22 |
| 83036 |
|
172 |
163 |
$484.81 |
| 82077 |
|
45 |
40 |
$462.48 |
| J1100 |
Dexamethasone sodium phos |
251 |
231 |
$448.53 |
| 84132 |
|
309 |
282 |
$425.85 |
| 82435 |
|
283 |
258 |
$395.30 |
| 80076 |
|
58 |
56 |
$392.44 |
| 84295 |
|
251 |
232 |
$379.87 |
| 82947 |
|
284 |
259 |
$348.15 |
| 87077 |
|
111 |
99 |
$303.43 |
| 0241U |
|
81 |
80 |
$241.00 |
| D0140 |
|
12 |
12 |
$225.36 |
| J1170 |
Hydromorphone injection |
91 |
48 |
$177.39 |
| 73030 |
|
12 |
12 |
$153.50 |
| 80179 |
|
13 |
12 |
$133.42 |
| 80143 |
|
13 |
12 |
$133.42 |
| 80061 |
|
27 |
25 |
$105.75 |
| J2250 |
Inj midazolam hydrochloride |
200 |
173 |
$101.24 |
| J0690 |
Cefazolin sodium injection |
79 |
62 |
$92.89 |
| 82962 |
|
2,390 |
975 |
$82.67 |
| 96365 |
|
13 |
12 |
$62.60 |
| J1644 |
Inj heparin sodium per 1000u |
17 |
12 |
$57.25 |
| 96376 |
|
71 |
53 |
$21.17 |
| J8540 |
Oral dexamethasone |
25 |
25 |
$17.92 |
| 84100 |
|
14 |
12 |
$14.96 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$13.27 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
427 |
394 |
$13.00 |
| A9270 |
Non-covered item or service |
2,646 |
1,582 |
$7.82 |
| J2704 |
Inj, propofol, 10 mg |
153 |
120 |
$2.02 |
| D0603 |
|
1,203 |
1,203 |
$0.00 |
| D0602 |
|
275 |
275 |
$0.00 |
| 77063 |
|
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
14 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
152 |
145 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
27 |
12 |
$0.00 |
| 77080 |
|
28 |
28 |
$0.00 |
| 77067 |
|
13 |
13 |
$0.00 |