| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
9,035 |
7,826 |
$1.98M |
| 99283 |
|
9,564 |
8,638 |
$1.56M |
| 99285 |
|
4,629 |
3,935 |
$568K |
| 99282 |
|
2,079 |
1,919 |
$217K |
| 96365 |
|
5,773 |
3,372 |
$181K |
| 74177 |
|
1,662 |
1,498 |
$171K |
| 70450 |
|
2,207 |
1,976 |
$113K |
| 74176 |
|
1,191 |
1,056 |
$112K |
| 96375 |
|
4,895 |
3,752 |
$97K |
| G0378 |
Hospital observation per hr |
1,095 |
762 |
$90K |
| 80053 |
|
14,963 |
11,136 |
$67K |
| U0004 |
Cov-19 test non-cdc hgh thru |
878 |
813 |
$55K |
| 96361 |
|
4,653 |
3,492 |
$50K |
| 96372 |
|
4,016 |
3,091 |
$50K |
| 97597 |
|
804 |
440 |
$50K |
| 71046 |
|
2,357 |
2,197 |
$48K |
| 85025 |
|
15,091 |
11,236 |
$47K |
| 96374 |
|
4,149 |
3,512 |
$46K |
| 80307 |
|
1,365 |
1,149 |
$39K |
| 99213 |
|
1,109 |
909 |
$33K |
| 93005 |
|
2,361 |
1,902 |
$32K |
| 71045 |
|
4,955 |
4,128 |
$31K |
| 84484 |
|
4,631 |
3,248 |
$31K |
| 36415 |
|
8,155 |
5,977 |
$30K |
| 93010 |
|
2,646 |
2,546 |
$28K |
| 87635 |
|
2,261 |
2,033 |
$27K |
| 83880 |
|
1,712 |
1,486 |
$27K |
| 87804 |
|
4,760 |
3,386 |
$26K |
| 0241U |
|
731 |
696 |
$24K |
| 97110 |
|
1,996 |
616 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,205 |
801 |
$22K |
| 83735 |
|
7,849 |
5,664 |
$20K |
| 97530 |
|
1,596 |
438 |
$18K |
| 96360 |
|
530 |
479 |
$17K |
| 87040 |
|
2,748 |
2,109 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
2,166 |
1,957 |
$14K |
| 83605 |
|
2,993 |
2,516 |
$14K |
| 84443 |
|
1,459 |
1,350 |
$13K |
| 73564 |
|
349 |
286 |
$13K |
| J3490 |
Drugs unclassified injection |
188 |
84 |
$13K |
| 96366 |
|
1,256 |
761 |
$12K |
| 99212 |
|
405 |
285 |
$11K |
| 87070 |
|
3,326 |
2,986 |
$11K |
| 81000 |
|
7,966 |
6,587 |
$11K |
| 71250 |
|
84 |
83 |
$10K |
| 83690 |
|
3,307 |
2,746 |
$10K |
| 87086 |
|
2,867 |
2,547 |
$10K |
| 97161 |
|
366 |
330 |
$9K |
| 87186 |
|
2,060 |
1,808 |
$9K |
| 99214 |
|
384 |
251 |
$9K |
| J7030 |
Normal saline solution infus |
1,916 |
1,523 |
$9K |
| 87880 |
|
2,347 |
2,191 |
$8K |
| 96376 |
|
1,435 |
902 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,018 |
1,829 |
$8K |
| 93325 |
|
313 |
301 |
$7K |
| J7040 |
Normal saline solution infus |
3,147 |
1,656 |
$7K |
| 73630 |
|
154 |
134 |
$7K |
| 86140 |
|
3,433 |
2,968 |
$7K |
| 80061 |
|
1,121 |
1,055 |
$7K |
| J7120 |
Ringers lactate infusion |
254 |
204 |
$7K |
| 80048 |
|
1,600 |
1,297 |
$6K |
| 93306 |
|
66 |
63 |
$6K |
| 85027 |
|
1,711 |
1,398 |
$6K |
| 88305 |
|
247 |
215 |
$5K |
| 82803 |
|
459 |
349 |
$4K |
| 99211 |
|
213 |
159 |
$4K |
| 97140 |
|
699 |
250 |
$4K |
| 73030 |
|
182 |
157 |
$4K |
| 99281 |
|
91 |
85 |
$4K |
| 85610 |
|
2,119 |
1,807 |
$4K |
| 82150 |
|
1,405 |
1,225 |
$4K |
| 81025 |
|
1,251 |
1,075 |
$4K |
| 85730 |
|
1,501 |
1,303 |
$4K |
| 93304 |
|
70 |
68 |
$4K |
| 83036 |
|
730 |
681 |
$4K |
| 73610 |
|
102 |
101 |
$4K |
| 94640 |
|
168 |
121 |
$3K |
| 85007 |
|
1,728 |
1,415 |
$3K |
| 87077 |
|
518 |
442 |
$3K |
| 93321 |
|
145 |
141 |
$2K |
| 87088 |
|
707 |
635 |
$2K |
| 72125 |
|
24 |
24 |
$2K |
| 81001 |
|
1,367 |
1,142 |
$2K |
| 82962 |
|
2,140 |
812 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,855 |
1,861 |
$2K |
| 84703 |
|
1,109 |
1,001 |
$2K |
| 82077 |
|
244 |
202 |
$2K |
| 00170 |
|
13 |
13 |
$2K |
| 94060 |
|
19 |
18 |
$2K |
| J1170 |
Hydromorphone injection |
1,509 |
999 |
$2K |
| 0202U |
|
37 |
36 |
$2K |
| 87280 |
|
818 |
771 |
$1K |
| 97602 |
|
87 |
41 |
$1K |
| 82306 |
|
87 |
84 |
$1K |
| 76801 |
|
16 |
12 |
$1K |
| 71275 |
|
17 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
580 |
485 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,283 |
2,070 |
$1K |
| 84702 |
|
211 |
157 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,984 |
1,647 |
$1K |
| J2270 |
Morphine sulfate injection |
683 |
543 |
$1K |
| 80143 |
|
136 |
111 |
$1K |
| 80179 |
|
136 |
110 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
621 |
542 |
$965.40 |
| J2405 |
Ondansetron hcl injection |
4,229 |
3,349 |
$845.01 |
| 73560 |
|
27 |
24 |
$712.70 |
| 85379 |
|
141 |
124 |
$660.85 |
| 84439 |
|
122 |
114 |
$650.83 |
| 96367 |
|
160 |
127 |
$648.72 |
| Q0162 |
Ondansetron oral |
119 |
111 |
$647.66 |
| 88304 |
|
27 |
25 |
$589.78 |
| 81003 |
|
593 |
501 |
$587.40 |
| 80358 |
|
35 |
32 |
$466.83 |
| 83992 |
|
35 |
32 |
$446.46 |
| 93000 |
|
14 |
14 |
$421.54 |
| 73110 |
|
12 |
12 |
$395.30 |
| 87651 |
|
185 |
182 |
$390.83 |
| 73502 |
|
20 |
12 |
$350.84 |
| 77067 |
|
13 |
13 |
$348.41 |
| J3475 |
Inj magnesium sulfate |
293 |
207 |
$337.21 |
| 85651 |
|
193 |
152 |
$314.58 |
| 80346 |
|
21 |
19 |
$303.37 |
| 80324 |
|
21 |
19 |
$292.24 |
| 80361 |
|
21 |
19 |
$288.68 |
| 87205 |
|
179 |
150 |
$259.32 |
| 74018 |
|
15 |
14 |
$249.08 |
| J0131 |
Inj, acetaminophen (nos) |
124 |
100 |
$227.75 |
| 80345 |
|
21 |
19 |
$227.08 |
| J0136 |
Inj, acetaminophen (b braun) |
89 |
85 |
$226.08 |
| 80320 |
|
31 |
28 |
$220.09 |
| 36600 |
|
32 |
28 |
$217.35 |
| 94762 |
|
14 |
14 |
$215.44 |
| 80353 |
|
21 |
19 |
$195.21 |
| J2930 |
Methylprednisolone injection |
72 |
41 |
$173.23 |
| 86901 |
|
76 |
66 |
$140.40 |
| 81015 |
|
403 |
330 |
$126.37 |
| 86900 |
|
78 |
66 |
$116.89 |
| J2274 |
Inj morphine pf epid ithc |
372 |
296 |
$103.55 |
| 82565 |
|
29 |
25 |
$101.83 |
| 80050 |
|
990 |
799 |
$98.18 |
| 82728 |
|
25 |
12 |
$94.78 |
| J7050 |
Normal saline solution infus |
53 |
43 |
$65.35 |
| J0690 |
Cefazolin sodium injection |
103 |
85 |
$63.03 |
| J2001 |
Lidocaine injection |
390 |
312 |
$59.54 |
| 36416 |
|
255 |
108 |
$57.40 |
| 82607 |
|
13 |
12 |
$55.73 |
| 82550 |
|
44 |
15 |
$45.62 |
| 84100 |
|
69 |
66 |
$43.13 |
| 80349 |
|
20 |
18 |
$31.18 |
| J2250 |
Inj midazolam hydrochloride |
354 |
276 |
$27.89 |
| J2272 |
Inj, morphine (fresenius) |
15 |
14 |
$24.93 |
| J2550 |
Promethazine hcl injection |
28 |
27 |
$13.27 |
| J1030 |
Methylprednisolone 40 mg inj |
18 |
12 |
$6.56 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$5.57 |
| S0028 |
Injection, famotidine, 20 mg |
29 |
27 |
$3.78 |
| J2060 |
Lorazepam injection |
19 |
13 |
$3.71 |
| J1642 |
Inj heparin sodium per 10 u |
15 |
12 |
$1.41 |
| G1004 |
Cdsm ndsc |
368 |
339 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
39 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
5,406 |
1,594 |
$0.00 |
| 1036F |
|
28 |
24 |
$0.00 |
| 3008F |
|
28 |
27 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |