| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,146 |
11,310 |
$2.67M |
| 99285 |
|
7,490 |
6,245 |
$1.79M |
| 99283 |
|
15,118 |
14,485 |
$681K |
| G0378 |
Hospital observation per hr |
1,731 |
1,362 |
$400K |
| 87428 |
|
3,787 |
3,727 |
$206K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,169 |
2,120 |
$155K |
| 96361 |
|
3,994 |
3,353 |
$137K |
| 71045 |
|
5,652 |
5,282 |
$136K |
| 80053 |
|
12,608 |
11,468 |
$126K |
| 85025 |
|
18,630 |
15,892 |
$125K |
| 87651 |
|
2,480 |
2,386 |
$121K |
| 96374 |
|
5,616 |
5,253 |
$101K |
| 59025 |
|
1,097 |
723 |
$100K |
| 87633 |
|
196 |
180 |
$99K |
| 96365 |
|
1,614 |
1,245 |
$95K |
| 93005 |
|
3,875 |
3,445 |
$72K |
| 76805 |
|
475 |
442 |
$51K |
| 87880 |
|
2,867 |
2,766 |
$51K |
| 70450 |
|
934 |
894 |
$49K |
| 96366 |
|
494 |
293 |
$43K |
| 96360 |
|
684 |
574 |
$43K |
| 74176 |
|
255 |
245 |
$42K |
| 96375 |
|
4,457 |
4,079 |
$38K |
| 76801 |
|
335 |
304 |
$36K |
| 76818 |
|
287 |
237 |
$31K |
| 80307 |
|
642 |
612 |
$30K |
| 83690 |
|
4,513 |
4,298 |
$29K |
| 96372 |
|
3,861 |
3,309 |
$28K |
| 99282 |
|
606 |
574 |
$26K |
| 87070 |
|
2,589 |
2,512 |
$25K |
| 84703 |
|
2,800 |
2,684 |
$22K |
| 82150 |
|
3,644 |
3,478 |
$22K |
| 83880 |
|
1,454 |
1,338 |
$20K |
| 81003 |
|
9,097 |
8,573 |
$19K |
| G0379 |
Direct refer hospital observ |
159 |
144 |
$14K |
| 94640 |
|
215 |
203 |
$13K |
| 84484 |
|
2,625 |
2,150 |
$13K |
| 84702 |
|
934 |
843 |
$12K |
| 84443 |
|
555 |
551 |
$10K |
| 80048 |
|
2,500 |
1,631 |
$10K |
| G0463 |
Hospital outpt clinic visit |
2,128 |
943 |
$9K |
| 87486 |
|
197 |
180 |
$8K |
| 87581 |
|
194 |
178 |
$8K |
| 11042 |
|
620 |
363 |
$8K |
| 82306 |
|
232 |
231 |
$8K |
| 85730 |
|
3,123 |
2,792 |
$8K |
| 71046 |
|
214 |
211 |
$7K |
| 87040 |
|
1,061 |
570 |
$6K |
| 76705 |
|
94 |
91 |
$6K |
| 74177 |
|
29 |
29 |
$6K |
| 87088 |
|
997 |
971 |
$6K |
| 85610 |
|
3,119 |
2,787 |
$6K |
| 80061 |
|
356 |
353 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,675 |
3,322 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
3,463 |
3,195 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,501 |
1,247 |
$4K |
| 87426 |
|
161 |
136 |
$4K |
| 82607 |
|
203 |
202 |
$3K |
| 82948 |
|
2,039 |
679 |
$3K |
| 82746 |
|
189 |
189 |
$3K |
| 96376 |
|
216 |
144 |
$3K |
| 83525 |
|
178 |
177 |
$3K |
| 83036 |
|
235 |
232 |
$2K |
| 83605 |
|
471 |
411 |
$2K |
| 84439 |
|
153 |
152 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
75 |
75 |
$2K |
| 72125 |
|
69 |
66 |
$1K |
| 0202U |
|
1,125 |
1,090 |
$1K |
| 87186 |
|
354 |
318 |
$1K |
| 99281 |
|
24 |
24 |
$1K |
| 87077 |
|
347 |
327 |
$1K |
| 86901 |
|
547 |
516 |
$1K |
| 80076 |
|
98 |
97 |
$1K |
| 88305 |
|
50 |
49 |
$807.11 |
| 87635 |
|
12 |
12 |
$642.91 |
| J2270 |
Morphine sulfate injection |
798 |
667 |
$641.42 |
| 87400 |
|
50 |
26 |
$591.30 |
| 86900 |
|
240 |
233 |
$529.13 |
| 87798 |
|
34 |
34 |
$524.99 |
| 82947 |
|
116 |
109 |
$498.07 |
| 36415 |
|
21,327 |
17,143 |
$426.99 |
| 83735 |
|
82 |
60 |
$232.70 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$157.84 |
| J0360 |
Hydralazine hcl injection |
15 |
12 |
$145.63 |
| S0028 |
Injection, famotidine, 20 mg |
296 |
274 |
$122.71 |
| 87340 |
|
27 |
25 |
$115.96 |
| J1100 |
Dexamethasone sodium phos |
55 |
50 |
$105.69 |
| 85651 |
|
17 |
17 |
$85.94 |
| 87071 |
|
51 |
42 |
$78.28 |
| 72100 |
|
13 |
12 |
$75.58 |
| J3010 |
Fentanyl citrate injection |
171 |
165 |
$32.51 |
| 86140 |
|
26 |
26 |
$30.01 |
| J2250 |
Inj midazolam hydrochloride |
219 |
210 |
$20.90 |
| 83520 |
|
169 |
160 |
$15.71 |
| 87205 |
|
19 |
12 |
$7.00 |
| J2001 |
Lidocaine injection |
286 |
266 |
$4.32 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
47 |
46 |
$0.12 |
| G0101 |
Ca screen;pelvic/breast exam |
48 |
43 |
$0.00 |
| 77067 |
|
72 |
72 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
44 |
12 |
$0.00 |