| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,844 |
11,177 |
$951K |
| 99284 |
|
13,940 |
11,523 |
$941K |
| 99285 |
|
7,008 |
5,662 |
$449K |
| 74177 |
|
1,711 |
1,482 |
$280K |
| 70450 |
|
2,872 |
2,317 |
$244K |
| G0378 |
Hospital observation per hr |
5,960 |
3,112 |
$228K |
| 96361 |
|
3,769 |
3,182 |
$183K |
| 36415 |
|
18,826 |
11,983 |
$144K |
| 99282 |
|
2,162 |
1,955 |
$140K |
| 74176 |
|
947 |
779 |
$117K |
| 96372 |
|
3,605 |
2,741 |
$89K |
| 96374 |
|
7,391 |
6,190 |
$78K |
| 80053 |
|
17,335 |
13,516 |
$61K |
| 96360 |
|
1,905 |
1,568 |
$52K |
| 80307 |
|
2,025 |
1,708 |
$38K |
| 87631 |
|
378 |
363 |
$37K |
| 87635 |
|
3,858 |
3,487 |
$31K |
| 80048 |
|
4,412 |
2,885 |
$23K |
| G0463 |
Hospital outpt clinic visit |
2,518 |
778 |
$20K |
| 76705 |
|
313 |
263 |
$19K |
| 85025 |
|
21,725 |
14,706 |
$19K |
| 87086 |
|
3,819 |
3,197 |
$19K |
| 87070 |
|
1,148 |
1,005 |
$19K |
| 88305 |
|
486 |
360 |
$18K |
| 71046 |
|
1,568 |
1,328 |
$17K |
| 96365 |
|
591 |
489 |
$17K |
| 71045 |
|
7,164 |
5,846 |
$15K |
| 94640 |
|
1,565 |
936 |
$13K |
| 81001 |
|
8,042 |
6,765 |
$11K |
| 87486 |
|
347 |
323 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
2,453 |
1,630 |
$11K |
| 72125 |
|
441 |
319 |
$11K |
| J2001 |
Lidocaine injection |
381 |
251 |
$10K |
| 83735 |
|
7,274 |
5,037 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
2,111 |
1,635 |
$8K |
| J2405 |
Ondansetron hcl injection |
4,234 |
3,306 |
$8K |
| 81025 |
|
2,024 |
1,878 |
$8K |
| 93005 |
|
6,918 |
5,369 |
$7K |
| G0480 |
Drug test def 1-7 classes |
2,512 |
2,039 |
$7K |
| J2270 |
Morphine sulfate injection |
3,015 |
1,720 |
$6K |
| 81003 |
|
1,334 |
1,085 |
$6K |
| 87077 |
|
646 |
474 |
$6K |
| 84484 |
|
4,115 |
2,707 |
$5K |
| 85610 |
|
4,265 |
3,337 |
$5K |
| 87804 |
|
2,720 |
1,534 |
$5K |
| 85730 |
|
3,960 |
3,132 |
$5K |
| 76805 |
|
694 |
595 |
$4K |
| 96375 |
|
3,828 |
3,170 |
$4K |
| 87426 |
|
389 |
338 |
$4K |
| 83690 |
|
3,418 |
2,889 |
$3K |
| 87186 |
|
1,168 |
872 |
$3K |
| 82550 |
|
3,135 |
2,497 |
$3K |
| 87210 |
|
152 |
141 |
$2K |
| 93306 |
|
34 |
27 |
$2K |
| 73630 |
|
154 |
130 |
$2K |
| 83880 |
|
912 |
713 |
$2K |
| 84703 |
|
3,630 |
3,213 |
$2K |
| 0202U |
|
13 |
13 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,969 |
1,326 |
$2K |
| 87040 |
|
1,467 |
1,081 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
4,028 |
3,383 |
$1K |
| J7030 |
Normal saline solution infus |
4,037 |
2,816 |
$1K |
| 83605 |
|
1,508 |
1,151 |
$1K |
| 86850 |
|
864 |
708 |
$1K |
| 76817 |
|
325 |
279 |
$1K |
| 84702 |
|
919 |
759 |
$916.93 |
| 87801 |
|
316 |
294 |
$809.12 |
| 87798 |
|
545 |
323 |
$772.00 |
| 76830 |
|
68 |
66 |
$629.47 |
| U0003 |
Cov-19 amp prb hgh thruput |
19 |
16 |
$604.36 |
| 43239 |
|
13 |
12 |
$536.71 |
| 73030 |
|
115 |
77 |
$534.33 |
| 93971 |
|
84 |
65 |
$506.67 |
| 85379 |
|
319 |
289 |
$476.01 |
| 76856 |
|
28 |
28 |
$444.89 |
| 71275 |
|
15 |
14 |
$422.54 |
| 87581 |
|
347 |
323 |
$412.39 |
| A9270 |
Non-covered item or service |
1,430 |
600 |
$382.55 |
| 87633 |
|
348 |
325 |
$367.33 |
| 87088 |
|
553 |
435 |
$325.52 |
| J0690 |
Cefazolin sodium injection |
494 |
356 |
$314.06 |
| 80329 |
|
74 |
71 |
$281.18 |
| 87430 |
|
715 |
684 |
$270.12 |
| 86900 |
|
1,039 |
868 |
$265.50 |
| 74022 |
|
86 |
73 |
$158.89 |
| 87591 |
|
73 |
60 |
$154.08 |
| 80320 |
|
103 |
98 |
$151.60 |
| 84443 |
|
1,456 |
1,222 |
$147.68 |
| J2765 |
Metoclopramide hcl injection |
447 |
381 |
$128.81 |
| 87205 |
|
22 |
14 |
$112.82 |
| J1100 |
Dexamethasone sodium phos |
805 |
656 |
$102.41 |
| 86901 |
|
1,039 |
867 |
$100.32 |
| J0131 |
Inj, acetaminophen (nos) |
124 |
88 |
$100.00 |
| 73564 |
|
17 |
12 |
$51.66 |
| 80061 |
|
27 |
26 |
$44.01 |
| J2060 |
Lorazepam injection |
634 |
442 |
$40.00 |
| J3490 |
Drugs unclassified injection |
338 |
178 |
$34.23 |
| 83036 |
|
147 |
126 |
$31.14 |
| 84100 |
|
85 |
53 |
$23.78 |
| 86140 |
|
133 |
104 |
$20.77 |
| J1630 |
Haloperidol injection |
248 |
190 |
$2.66 |
| J0360 |
Hydralazine hcl injection |
109 |
66 |
$2.58 |
| 84439 |
|
20 |
12 |
$2.57 |
| 84132 |
|
93 |
76 |
$0.00 |
| J1170 |
Hydromorphone injection |
215 |
124 |
$0.00 |
| J2360 |
Orphenadrine injection |
106 |
77 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
61 |
36 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
49 |
28 |
$0.00 |
| 96376 |
|
67 |
51 |
$0.00 |
| 85651 |
|
17 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
90 |
42 |
$0.00 |
| 00731 |
|
14 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
44 |
29 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| 87491 |
|
73 |
60 |
$0.00 |
| 74018 |
|
12 |
12 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
65 |
62 |
$0.00 |
| 72110 |
|
32 |
18 |
$0.00 |
| 88313 |
|
12 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
13 |
13 |
$0.00 |
| 73130 |
|
15 |
14 |
$0.00 |