| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
12,712 |
3,935 |
$878K |
| 99282 |
|
8,974 |
8,349 |
$755K |
| 81025 |
|
5,015 |
4,684 |
$732K |
| 87635 |
|
3,751 |
3,553 |
$633K |
| 97110 |
|
9,643 |
2,574 |
$600K |
| 99283 |
|
18,087 |
16,608 |
$496K |
| 85025 |
|
14,879 |
11,539 |
$477K |
| 92507 |
|
10,198 |
3,471 |
$476K |
| 99281 |
|
3,873 |
3,720 |
$446K |
| 96372 |
|
4,955 |
3,981 |
$342K |
| 87502 |
|
1,751 |
1,673 |
$319K |
| 87651 |
|
2,663 |
2,619 |
$191K |
| 87637 |
|
1,789 |
1,697 |
$187K |
| 81003 |
|
11,635 |
10,142 |
$164K |
| 36415 |
|
3,305 |
2,311 |
$146K |
| 71046 |
|
2,686 |
2,515 |
$91K |
| 80048 |
|
3,327 |
2,733 |
$90K |
| 70450 |
|
1,882 |
1,735 |
$87K |
| 87804 |
|
3,805 |
1,969 |
$86K |
| 71045 |
|
4,977 |
4,431 |
$74K |
| 80320 |
|
253 |
242 |
$59K |
| 99284 |
|
9,740 |
8,918 |
$57K |
| 87086 |
|
2,755 |
2,484 |
$53K |
| 73630 |
|
655 |
604 |
$52K |
| 93005 |
|
5,812 |
4,911 |
$36K |
| 87631 |
|
196 |
189 |
$33K |
| 96374 |
|
4,055 |
3,592 |
$32K |
| 73560 |
|
500 |
468 |
$32K |
| 80053 |
|
12,721 |
9,976 |
$29K |
| 99285 |
|
3,997 |
3,576 |
$27K |
| 97140 |
|
3,615 |
1,029 |
$27K |
| 96365 |
|
2,751 |
2,277 |
$23K |
| 73610 |
|
256 |
247 |
$22K |
| 0241U |
|
173 |
168 |
$21K |
| 0353U |
|
76 |
72 |
$17K |
| 87801 |
|
899 |
869 |
$16K |
| 87634 |
|
50 |
49 |
$15K |
| 73110 |
|
90 |
87 |
$15K |
| 80307 |
|
1,497 |
1,379 |
$14K |
| 73130 |
|
97 |
95 |
$14K |
| 82248 |
|
854 |
490 |
$13K |
| A9270 |
Non-covered item or service |
3,660 |
2,537 |
$12K |
| 77063 |
|
106 |
106 |
$11K |
| 73030 |
|
110 |
102 |
$10K |
| 97162 |
|
311 |
287 |
$8K |
| 74176 |
|
546 |
512 |
$8K |
| 96361 |
|
4,564 |
3,241 |
$8K |
| 84702 |
|
152 |
133 |
$7K |
| 83735 |
|
13,264 |
9,979 |
$7K |
| 74018 |
|
133 |
121 |
$7K |
| 96375 |
|
3,339 |
2,722 |
$7K |
| 87491 |
|
462 |
443 |
$7K |
| 96366 |
|
511 |
339 |
$6K |
| 99211 |
|
1,481 |
1,116 |
$6K |
| 92526 |
|
125 |
55 |
$6K |
| 96360 |
|
1,390 |
1,174 |
$6K |
| 94640 |
|
1,711 |
1,156 |
$6K |
| 97010 |
|
29 |
14 |
$6K |
| 72148 |
|
12 |
12 |
$6K |
| 85027 |
|
1,525 |
1,282 |
$6K |
| 90715 |
|
154 |
153 |
$5K |
| 97112 |
|
134 |
44 |
$3K |
| J2405 |
Ondansetron hcl injection |
4,998 |
4,106 |
$3K |
| 93306 |
|
27 |
26 |
$3K |
| 84484 |
|
3,412 |
2,775 |
$2K |
| 42820 |
|
12 |
12 |
$2K |
| 85610 |
|
584 |
483 |
$2K |
| 72100 |
|
65 |
64 |
$2K |
| 85379 |
|
321 |
303 |
$2K |
| 73070 |
|
15 |
13 |
$2K |
| 77067 |
|
146 |
145 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
3,240 |
3,088 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
364 |
179 |
$1K |
| 97166 |
|
33 |
32 |
$1K |
| 74177 |
|
1,410 |
1,346 |
$1K |
| 76705 |
|
12 |
12 |
$917.50 |
| 88305 |
|
78 |
73 |
$867.11 |
| 97116 |
|
165 |
65 |
$767.21 |
| G0463 |
Hospital outpt clinic visit |
485 |
216 |
$764.45 |
| G0378 |
Hospital observation per hr |
544 |
258 |
$761.30 |
| J0696 |
Ceftriaxone sodium injection |
1,582 |
1,102 |
$757.58 |
| J2550 |
Promethazine hcl injection |
1,271 |
1,014 |
$757.58 |
| J1885 |
Ketorolac tromethamine inj |
157 |
117 |
$755.80 |
| 80061 |
|
28 |
27 |
$747.37 |
| J1100 |
Dexamethasone sodium phos |
4,185 |
2,299 |
$519.93 |
| 76642 |
|
13 |
13 |
$518.61 |
| J1200 |
Diphenhydramine hcl injectio |
211 |
162 |
$491.76 |
| 76856 |
|
13 |
13 |
$488.93 |
| 83036 |
|
12 |
12 |
$266.02 |
| J0690 |
Cefazolin sodium injection |
826 |
725 |
$215.42 |
| 84443 |
|
856 |
796 |
$199.82 |
| 87088 |
|
1,054 |
968 |
$72.56 |
| 87591 |
|
462 |
443 |
$66.75 |
| G8978 |
Mobility current status |
13 |
12 |
$31.68 |
| 83690 |
|
2,761 |
2,469 |
$20.39 |
| 82550 |
|
370 |
326 |
$13.67 |
| J2250 |
Inj midazolam hydrochloride |
693 |
628 |
$0.00 |
| 87040 |
|
312 |
230 |
$0.00 |
| 85730 |
|
46 |
37 |
$0.00 |
| 83880 |
|
750 |
628 |
$0.00 |
| 86140 |
|
158 |
138 |
$0.00 |
| 96376 |
|
444 |
292 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
15 |
$0.00 |
| J3490 |
Drugs unclassified injection |
98 |
75 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
48 |
42 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$0.00 |
| 83605 |
|
506 |
445 |
$0.00 |
| 80329 |
|
17 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
12 |
12 |
$0.00 |
| 94760 |
|
40 |
14 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
88 |
59 |
$0.00 |
| 82553 |
|
14 |
12 |
$0.00 |
| 85652 |
|
16 |
13 |
$0.00 |
| J2060 |
Lorazepam injection |
70 |
51 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
13 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,853 |
1,527 |
$0.00 |
| 87210 |
|
84 |
82 |
$0.00 |
| 87186 |
|
1,431 |
1,275 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
90 |
67 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
59 |
55 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
12 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
13 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
20 |
13 |
$0.00 |