| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
37,623 |
34,927 |
$13.25M |
| 99283 |
|
30,889 |
29,694 |
$5.55M |
| 99284 |
|
20,427 |
19,483 |
$5.24M |
| 96374 |
|
12,700 |
11,638 |
$1.45M |
| 87637 |
|
7,889 |
7,725 |
$1.01M |
| 96361 |
|
9,744 |
8,568 |
$711K |
| 36415 |
|
32,111 |
28,218 |
$454K |
| 93005 |
|
16,302 |
14,422 |
$325K |
| G0463 |
Hospital outpt clinic visit |
3,271 |
3,100 |
$278K |
| J7050 |
Normal saline solution infus |
509 |
445 |
$207K |
| 87636 |
|
1,411 |
1,384 |
$170K |
| C9803 |
Hopd covid-19 spec collect |
8,916 |
8,619 |
$149K |
| 96375 |
|
3,129 |
2,766 |
$135K |
| 71046 |
|
2,981 |
2,745 |
$110K |
| 80048 |
|
20,191 |
17,805 |
$100K |
| 80053 |
|
13,460 |
12,271 |
$73K |
| 76816 |
|
742 |
627 |
$66K |
| 99281 |
|
681 |
656 |
$60K |
| 76811 |
|
260 |
251 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
821 |
232 |
$55K |
| G0378 |
Hospital observation per hr |
399 |
274 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
768 |
713 |
$49K |
| 85025 |
|
50,640 |
46,390 |
$46K |
| 99282 |
|
615 |
596 |
$45K |
| 99223 |
Prolong inpt eval add15 m |
292 |
266 |
$37K |
| 88305 |
|
1,157 |
664 |
$31K |
| U0002 |
Covid-19 lab test non-cdc |
660 |
639 |
$29K |
| 99232 |
|
606 |
231 |
$28K |
| 74177 |
|
272 |
241 |
$25K |
| 99239 |
|
271 |
265 |
$19K |
| 96360 |
|
78 |
74 |
$19K |
| T1013 |
Sign lang/oral interpreter |
405 |
201 |
$15K |
| 99220 |
|
126 |
124 |
$15K |
| J3490 |
Drugs unclassified injection |
73 |
68 |
$13K |
| 81001 |
|
12,077 |
11,106 |
$13K |
| 84484 |
|
5,439 |
4,222 |
$11K |
| 71045 |
|
148 |
144 |
$9K |
| J7040 |
Normal saline solution infus |
7,935 |
5,790 |
$8K |
| 92015 |
|
317 |
299 |
$7K |
| 88307 |
|
53 |
49 |
$5K |
| 99217 |
|
112 |
112 |
$5K |
| A9270 |
Non-covered item or service |
3,191 |
1,015 |
$5K |
| G0500 |
Mod sedat endo service >5yrs |
105 |
103 |
$5K |
| J7030 |
Normal saline solution infus |
9,305 |
8,276 |
$5K |
| 87651 |
|
1,038 |
1,029 |
$4K |
| 76819 |
|
34 |
24 |
$3K |
| 99222 |
|
33 |
32 |
$3K |
| U0005 |
Infec agen detec ampli probe |
175 |
167 |
$2K |
| 83690 |
|
2,022 |
1,835 |
$2K |
| 70450 |
|
131 |
114 |
$2K |
| 84703 |
|
594 |
568 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,695 |
1,484 |
$1K |
| 94640 |
|
13 |
13 |
$1K |
| 76820 |
|
39 |
25 |
$1K |
| 87804 |
|
1,632 |
947 |
$908.01 |
| 99460 |
|
12 |
12 |
$875.40 |
| 83036 |
|
264 |
256 |
$871.11 |
| 85027 |
|
978 |
857 |
$738.47 |
| 80076 |
|
38 |
37 |
$685.78 |
| 92060 |
|
14 |
13 |
$653.10 |
| 84702 |
|
583 |
521 |
$568.61 |
| 97803 |
|
29 |
27 |
$527.77 |
| 87635 |
|
15 |
15 |
$310.31 |
| 85610 |
|
49 |
44 |
$265.22 |
| J7120 |
Ringers lactate infusion |
306 |
261 |
$181.60 |
| J3010 |
Fentanyl citrate injection |
460 |
394 |
$150.40 |
| J2405 |
Ondansetron hcl injection |
1,360 |
1,155 |
$117.81 |
| 83735 |
|
129 |
119 |
$113.63 |
| 83605 |
|
183 |
133 |
$109.61 |
| J8597 |
Antiemetic drug oral nos |
411 |
384 |
$104.64 |
| 81025 |
|
51 |
50 |
$74.18 |
| J1885 |
Ketorolac tromethamine inj |
933 |
856 |
$71.06 |
| 82077 |
|
12 |
12 |
$37.37 |
| 83880 |
|
14 |
12 |
$34.07 |
| J2250 |
Inj midazolam hydrochloride |
473 |
404 |
$19.22 |
| 87086 |
|
290 |
258 |
$18.35 |
| J1170 |
Hydromorphone injection |
35 |
25 |
$13.80 |
| 82962 |
|
198 |
40 |
$11.31 |
| 85379 |
|
12 |
12 |
$7.49 |
| J1200 |
Diphenhydramine hcl injectio |
29 |
26 |
$0.99 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$0.00 |
| 87081 |
|
137 |
130 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |
| 87880 |
|
197 |
190 |
$0.00 |
| 80307 |
|
19 |
13 |
$0.00 |