| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,145 |
14,405 |
$1.65M |
| 99284 |
|
9,463 |
8,325 |
$1.18M |
| 99285 |
|
5,289 |
4,454 |
$899K |
| 99282 |
|
4,246 |
3,949 |
$340K |
| 87635 |
|
2,562 |
2,390 |
$97K |
| 85025 |
|
14,961 |
12,365 |
$78K |
| 80053 |
|
13,417 |
11,172 |
$49K |
| 74176 |
|
1,103 |
978 |
$46K |
| 96372 |
|
9,142 |
7,170 |
$40K |
| 70450 |
|
1,069 |
890 |
$38K |
| 84484 |
|
2,937 |
2,307 |
$32K |
| 99281 |
|
452 |
428 |
$30K |
| 87276 |
|
2,344 |
2,180 |
$23K |
| 96374 |
|
2,267 |
1,872 |
$22K |
| 87275 |
|
2,799 |
2,503 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
1,487 |
1,384 |
$18K |
| 87430 |
|
1,422 |
1,369 |
$17K |
| 93005 |
|
3,679 |
2,968 |
$14K |
| 87880 |
|
850 |
825 |
$13K |
| 71045 |
|
4,262 |
3,512 |
$12K |
| 83690 |
|
2,179 |
1,921 |
$11K |
| 96361 |
|
1,225 |
959 |
$10K |
| 36415 |
|
7,899 |
6,546 |
$10K |
| 82150 |
|
1,889 |
1,665 |
$9K |
| 96375 |
|
1,849 |
1,366 |
$8K |
| J2405 |
Ondansetron hcl injection |
1,762 |
1,352 |
$6K |
| 83735 |
|
1,333 |
1,138 |
$6K |
| 66984 |
|
22 |
12 |
$5K |
| 81025 |
|
1,292 |
1,206 |
$5K |
| 84443 |
|
319 |
293 |
$5K |
| 80061 |
|
461 |
427 |
$5K |
| G0378 |
Hospital observation per hr |
122 |
54 |
$5K |
| 87804 |
|
437 |
424 |
$4K |
| 80307 |
|
172 |
157 |
$4K |
| 81003 |
|
4,160 |
3,433 |
$4K |
| 76856 |
|
74 |
63 |
$3K |
| 81001 |
|
2,832 |
2,512 |
$3K |
| 96365 |
|
517 |
439 |
$3K |
| 83880 |
|
365 |
294 |
$2K |
| 87280 |
|
159 |
154 |
$2K |
| G0480 |
Drug test def 1-7 classes |
75 |
69 |
$2K |
| 80306 |
|
210 |
186 |
$2K |
| 83036 |
|
282 |
261 |
$2K |
| 71046 |
|
108 |
98 |
$1K |
| 74177 |
|
12 |
12 |
$858.63 |
| 72125 |
|
13 |
12 |
$743.49 |
| 94760 |
|
362 |
298 |
$699.01 |
| 80048 |
|
318 |
236 |
$659.71 |
| 82306 |
|
29 |
27 |
$589.54 |
| 83605 |
|
74 |
62 |
$554.58 |
| J2930 |
Methylprednisolone injection |
167 |
139 |
$438.38 |
| 96360 |
|
15 |
12 |
$325.10 |
| 87210 |
|
55 |
52 |
$309.97 |
| J1100 |
Dexamethasone sodium phos |
691 |
621 |
$249.76 |
| 87086 |
|
63 |
59 |
$247.06 |
| 74018 |
|
18 |
14 |
$204.97 |
| 82607 |
|
20 |
18 |
$197.38 |
| 94640 |
|
30 |
27 |
$170.21 |
| 73630 |
|
14 |
13 |
$136.44 |
| 85027 |
|
55 |
46 |
$103.64 |
| J2550 |
Promethazine hcl injection |
138 |
107 |
$69.75 |
| 73030 |
|
14 |
12 |
$48.36 |
| 84439 |
|
13 |
12 |
$39.00 |
| 99000 |
|
238 |
136 |
$37.72 |
| J2270 |
Morphine sulfate injection |
118 |
85 |
$35.73 |
| J1885 |
Ketorolac tromethamine inj |
3,658 |
3,066 |
$16.74 |
| J0696 |
Ceftriaxone sodium injection |
1,207 |
966 |
$0.00 |
| J8540 |
Oral dexamethasone |
313 |
304 |
$0.00 |
| A9270 |
Non-covered item or service |
141 |
72 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
37 |
24 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
66 |
52 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
164 |
135 |
$0.00 |
| J7030 |
Normal saline solution infus |
2,022 |
1,420 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
114 |
79 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
39 |
25 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
55 |
31 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
16 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
33 |
27 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
22 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
22 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
14 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
22 |
12 |
$0.00 |