| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,222 |
4,009 |
$422K |
| T1015 |
Clinic service |
5,947 |
1,562 |
$217K |
| 99282 |
|
6,462 |
6,253 |
$202K |
| 99283 |
|
1,948 |
1,837 |
$126K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,242 |
1,178 |
$91K |
| 80053 |
|
9,824 |
8,504 |
$91K |
| G0378 |
Hospital observation per hr |
301 |
217 |
$70K |
| 99285 |
|
548 |
521 |
$63K |
| 80050 |
|
1,203 |
1,159 |
$54K |
| 96374 |
|
2,014 |
1,919 |
$52K |
| 85025 |
|
10,600 |
9,076 |
$50K |
| 87635 |
|
1,312 |
1,254 |
$46K |
| 87426 |
|
1,199 |
1,158 |
$36K |
| 74176 |
|
453 |
438 |
$36K |
| 80061 |
|
2,244 |
2,209 |
$29K |
| 70450 |
|
426 |
406 |
$24K |
| 93005 |
|
3,049 |
2,899 |
$24K |
| 99281 |
|
1,223 |
1,179 |
$23K |
| 87633 |
|
91 |
90 |
$23K |
| 74177 |
|
141 |
135 |
$21K |
| 87428 |
|
655 |
645 |
$19K |
| 96375 |
|
1,079 |
934 |
$17K |
| G0480 |
Drug test def 1-7 classes |
294 |
274 |
$16K |
| 80307 |
|
257 |
225 |
$15K |
| U0005 |
Infec agen detec ampli probe |
862 |
814 |
$15K |
| 84443 |
|
730 |
711 |
$14K |
| 92507 |
|
641 |
154 |
$14K |
| 82306 |
|
368 |
364 |
$13K |
| 93306 |
|
212 |
211 |
$13K |
| 96361 |
|
1,218 |
1,108 |
$12K |
| 81001 |
|
4,219 |
4,025 |
$11K |
| 71045 |
|
1,514 |
1,456 |
$10K |
| 97161 |
|
233 |
230 |
$10K |
| 96365 |
|
450 |
345 |
$9K |
| 77067 |
|
120 |
119 |
$9K |
| 96372 |
|
698 |
634 |
$9K |
| 0001A |
|
299 |
295 |
$8K |
| 0002A |
|
199 |
199 |
$8K |
| 84484 |
|
1,044 |
956 |
$7K |
| 87480 |
|
270 |
266 |
$6K |
| 83735 |
|
968 |
672 |
$6K |
| 71046 |
|
499 |
480 |
$6K |
| 87086 |
|
850 |
808 |
$6K |
| 80048 |
|
708 |
608 |
$6K |
| 86618 |
|
168 |
165 |
$5K |
| 87660 |
|
266 |
262 |
$5K |
| 83036 |
|
679 |
668 |
$4K |
| 84439 |
|
482 |
443 |
$4K |
| 87624 |
|
90 |
90 |
$4K |
| 87491 |
|
161 |
158 |
$4K |
| 87591 |
|
161 |
158 |
$4K |
| 87486 |
|
92 |
91 |
$3K |
| 83690 |
|
816 |
770 |
$3K |
| 87510 |
|
211 |
207 |
$3K |
| 82728 |
|
287 |
282 |
$3K |
| 80305 |
|
304 |
279 |
$3K |
| 72125 |
|
45 |
44 |
$3K |
| 87490 |
|
125 |
120 |
$3K |
| 83540 |
|
317 |
311 |
$2K |
| 87186 |
|
321 |
314 |
$2K |
| 85027 |
|
402 |
362 |
$2K |
| 96360 |
|
94 |
91 |
$2K |
| 83605 |
|
408 |
374 |
$2K |
| 84702 |
|
141 |
121 |
$2K |
| 73564 |
|
108 |
102 |
$2K |
| 82043 |
|
272 |
268 |
$2K |
| 82607 |
|
167 |
165 |
$2K |
| 96413 |
|
21 |
13 |
$2K |
| 87631 |
|
12 |
12 |
$2K |
| 82553 |
|
280 |
261 |
$2K |
| 82550 |
|
370 |
337 |
$2K |
| 0003A |
|
44 |
44 |
$2K |
| 73610 |
|
103 |
93 |
$2K |
| 0011A |
|
39 |
39 |
$2K |
| 93971 |
|
28 |
27 |
$2K |
| 73030 |
|
102 |
91 |
$2K |
| 73630 |
|
153 |
144 |
$1K |
| 87040 |
|
92 |
87 |
$1K |
| 83655 |
|
131 |
130 |
$1K |
| 84703 |
|
134 |
134 |
$1K |
| 96523 |
|
110 |
96 |
$1K |
| 87389 |
|
48 |
48 |
$1K |
| 87797 |
|
61 |
57 |
$1K |
| 88164 |
|
172 |
172 |
$1K |
| 82570 |
|
103 |
95 |
$1K |
| 87636 |
|
15 |
14 |
$1K |
| 82248 |
|
170 |
157 |
$1K |
| 73130 |
|
95 |
90 |
$1K |
| 0012A |
|
24 |
24 |
$1K |
| 87070 |
|
165 |
157 |
$1K |
| 87088 |
|
156 |
152 |
$1K |
| A4216 |
Sterile water/saline, 10 ml |
537 |
404 |
$1K |
| 82565 |
|
167 |
151 |
$946.29 |
| 83880 |
|
59 |
58 |
$918.06 |
| J7030 |
Normal saline solution infus |
965 |
754 |
$866.84 |
| 86140 |
|
296 |
263 |
$844.87 |
| 82150 |
|
198 |
191 |
$843.00 |
| 85652 |
|
265 |
242 |
$748.19 |
| 36415 |
|
2,412 |
2,060 |
$738.43 |
| 83550 |
|
163 |
161 |
$723.14 |
| 72110 |
|
41 |
38 |
$698.07 |
| 81025 |
|
170 |
165 |
$644.51 |
| 85610 |
|
287 |
204 |
$626.86 |
| 0072A |
|
14 |
14 |
$616.00 |
| 80076 |
|
68 |
64 |
$583.21 |
| 84146 |
|
25 |
24 |
$528.00 |
| 87077 |
|
77 |
74 |
$476.55 |
| 76705 |
|
16 |
16 |
$448.00 |
| 96366 |
|
58 |
41 |
$443.07 |
| 85007 |
|
155 |
132 |
$433.18 |
| 74018 |
|
49 |
44 |
$430.45 |
| 85651 |
|
142 |
129 |
$408.00 |
| 87400 |
|
39 |
34 |
$402.00 |
| 94761 |
|
247 |
240 |
$399.36 |
| 85730 |
|
75 |
70 |
$378.49 |
| 93000 |
|
17 |
17 |
$357.46 |
| 73110 |
|
34 |
28 |
$354.20 |
| 93010 |
|
394 |
364 |
$349.94 |
| J3490 |
Drugs unclassified injection |
206 |
165 |
$342.76 |
| 84520 |
|
72 |
64 |
$319.77 |
| 85378 |
|
39 |
37 |
$312.67 |
| G0472 |
Hep c screen high risk/other |
16 |
16 |
$292.60 |
| 86803 |
|
16 |
16 |
$288.80 |
| 84481 |
|
14 |
14 |
$275.29 |
| 87205 |
|
65 |
62 |
$241.65 |
| 84460 |
|
33 |
29 |
$238.66 |
| 84450 |
|
33 |
29 |
$236.24 |
| 87880 |
|
39 |
39 |
$235.62 |
| 88305 |
|
28 |
26 |
$227.75 |
| 73502 |
|
16 |
13 |
$194.56 |
| 87075 |
|
12 |
12 |
$165.00 |
| 87340 |
|
13 |
13 |
$155.90 |
| 87081 |
|
30 |
30 |
$154.44 |
| 87581 |
|
50 |
49 |
$148.58 |
| 86900 |
|
52 |
50 |
$140.43 |
| 85379 |
|
14 |
14 |
$139.92 |
| J2704 |
Inj, propofol, 10 mg |
408 |
353 |
$134.72 |
| G0463 |
Hospital outpt clinic visit |
104 |
88 |
$131.17 |
| J1885 |
Ketorolac tromethamine inj |
455 |
415 |
$129.26 |
| 96367 |
|
16 |
12 |
$126.96 |
| 84100 |
|
23 |
13 |
$115.36 |
| 81003 |
|
38 |
38 |
$114.15 |
| 82542 |
|
15 |
13 |
$106.00 |
| 84550 |
|
15 |
12 |
$102.90 |
| 87430 |
|
12 |
12 |
$83.16 |
| J2270 |
Morphine sulfate injection |
77 |
65 |
$56.11 |
| 86901 |
|
26 |
25 |
$55.08 |
| 96376 |
|
18 |
13 |
$43.70 |
| 86592 |
|
12 |
12 |
$39.60 |
| J1100 |
Dexamethasone sodium phos |
245 |
214 |
$36.38 |
| 82948 |
|
20 |
12 |
$32.80 |
| J2405 |
Ondansetron hcl injection |
531 |
452 |
$32.29 |
| J1170 |
Hydromorphone injection |
65 |
50 |
$31.13 |
| J3010 |
Fentanyl citrate injection |
300 |
236 |
$22.88 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$15.87 |
| J0696 |
Ceftriaxone sodium injection |
15 |
14 |
$12.45 |
| J1644 |
Inj heparin sodium per 1000u |
70 |
55 |
$11.20 |
| J2250 |
Inj midazolam hydrochloride |
389 |
332 |
$5.19 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
14 |
$4.74 |
| J7060 |
5% dextrose/water |
17 |
13 |
$3.76 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15 |
15 |
$0.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.16 |
| J7040 |
Normal saline solution infus |
19 |
12 |
$0.00 |
| A0425 |
Ground mileage |
19 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
66 |
57 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
78 |
48 |
$0.00 |