| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,622 |
16,883 |
$1.56M |
| 99284 |
|
12,291 |
10,674 |
$945K |
| 74177 |
|
1,453 |
1,345 |
$258K |
| 99282 |
|
3,153 |
2,949 |
$258K |
| 80053 |
|
9,178 |
7,649 |
$216K |
| 70450 |
|
1,820 |
1,558 |
$216K |
| 74176 |
|
709 |
626 |
$119K |
| 99285 |
|
1,703 |
1,461 |
$114K |
| 80048 |
|
3,001 |
2,346 |
$106K |
| 96361 |
|
930 |
825 |
$104K |
| 99281 |
|
829 |
797 |
$87K |
| 87070 |
|
3,190 |
3,025 |
$54K |
| 96360 |
|
342 |
311 |
$42K |
| U0002 |
Covid-19 lab test non-cdc |
2,279 |
2,067 |
$39K |
| 81003 |
|
6,506 |
5,731 |
$22K |
| 87426 |
|
1,595 |
1,474 |
$20K |
| 71275 |
|
132 |
122 |
$18K |
| 96372 |
|
2,253 |
2,024 |
$15K |
| 71045 |
|
4,121 |
3,529 |
$15K |
| G0378 |
Hospital observation per hr |
1,573 |
829 |
$14K |
| 87804 |
|
3,893 |
3,655 |
$13K |
| 59025 |
|
53 |
40 |
$11K |
| 87086 |
|
1,122 |
1,005 |
$11K |
| 87483 |
|
616 |
578 |
$10K |
| 71046 |
|
570 |
502 |
$8K |
| 80307 |
|
2,231 |
1,960 |
$8K |
| Q0111 |
Wet mounts/ w preparations |
490 |
452 |
$7K |
| 84703 |
|
1,670 |
1,512 |
$7K |
| 87430 |
|
3,147 |
2,982 |
$6K |
| 96374 |
|
6,316 |
5,389 |
$6K |
| J7050 |
Normal saline solution infus |
70 |
55 |
$5K |
| 72125 |
|
168 |
138 |
$5K |
| 85027 |
|
12,982 |
10,121 |
$5K |
| 81025 |
|
2,715 |
2,478 |
$5K |
| 73610 |
|
156 |
153 |
$5K |
| 81001 |
|
1,602 |
1,486 |
$5K |
| 96365 |
|
66 |
63 |
$4K |
| 94640 |
|
98 |
89 |
$3K |
| 87280 |
|
598 |
580 |
$3K |
| 73630 |
|
254 |
231 |
$3K |
| 84702 |
|
580 |
480 |
$3K |
| 93005 |
|
4,253 |
3,304 |
$3K |
| 76817 |
|
178 |
149 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,266 |
2,497 |
$2K |
| 87491 |
|
195 |
181 |
$2K |
| 73130 |
|
71 |
68 |
$2K |
| G0383 |
Lev 4 hosp type b ed visit |
14 |
13 |
$2K |
| 76856 |
|
122 |
116 |
$1K |
| 73562 |
|
85 |
79 |
$971.80 |
| J1100 |
Dexamethasone sodium phos |
614 |
510 |
$966.57 |
| 96375 |
|
2,209 |
1,871 |
$956.10 |
| J2405 |
Ondansetron hcl injection |
2,861 |
2,375 |
$756.27 |
| 76801 |
|
150 |
126 |
$703.96 |
| 83735 |
|
2,151 |
1,594 |
$635.70 |
| 84484 |
|
2,040 |
1,354 |
$607.85 |
| 85610 |
|
1,875 |
1,526 |
$587.39 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,439 |
1,200 |
$503.73 |
| J7030 |
Normal saline solution infus |
4,776 |
3,812 |
$485.50 |
| 85730 |
|
1,394 |
1,163 |
$436.91 |
| A9270 |
Non-covered item or service |
436 |
157 |
$389.10 |
| 82077 |
|
161 |
129 |
$382.00 |
| 74018 |
|
13 |
13 |
$371.64 |
| 86900 |
|
550 |
475 |
$300.27 |
| 84443 |
|
404 |
350 |
$296.70 |
| 85378 |
|
957 |
824 |
$288.83 |
| 80076 |
|
664 |
611 |
$281.67 |
| 86850 |
|
216 |
188 |
$271.62 |
| 90471 |
|
56 |
50 |
$184.60 |
| 83690 |
|
3,738 |
3,255 |
$183.44 |
| 87591 |
|
209 |
195 |
$175.83 |
| J0696 |
Ceftriaxone sodium injection |
1,275 |
1,089 |
$141.60 |
| 76705 |
|
12 |
12 |
$107.98 |
| J2270 |
Morphine sulfate injection |
1,486 |
1,060 |
$61.33 |
| J2930 |
Methylprednisolone injection |
197 |
174 |
$49.74 |
| J3010 |
Fentanyl citrate injection |
90 |
68 |
$15.62 |
| 86901 |
|
527 |
459 |
$2.76 |
| J7120 |
Ringers lactate infusion |
328 |
240 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
359 |
296 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
16 |
12 |
$0.00 |
| 87186 |
|
121 |
108 |
$0.00 |
| J2550 |
Promethazine hcl injection |
17 |
13 |
$0.00 |
| G1003 |
Cdsm medicalis |
21 |
17 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$0.00 |
| 73030 |
|
12 |
12 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| 83880 |
|
190 |
172 |
$0.00 |
| 88305 |
|
87 |
78 |
$0.00 |
| 83605 |
|
301 |
268 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
41 |
41 |
$0.00 |
| 36415 |
|
20 |
13 |
$0.00 |
| 96376 |
|
31 |
28 |
$0.00 |
| 87040 |
|
257 |
193 |
$0.00 |
| 80320 |
|
25 |
25 |
$0.00 |
| J1170 |
Hydromorphone injection |
66 |
52 |
$0.00 |
| 76830 |
|
27 |
27 |
$0.00 |
| 74022 |
|
13 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
35 |
32 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
15 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
60 |
46 |
$0.00 |
| 86140 |
|
13 |
12 |
$0.00 |