| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,300 |
20,583 |
$4.67M |
| 99283 |
|
29,721 |
28,059 |
$4.24M |
| 99285 |
|
4,262 |
3,821 |
$1.35M |
| 96374 |
|
8,482 |
7,736 |
$853K |
| H0035 |
Mh partial hosp tx under 24h |
1,939 |
298 |
$523K |
| 99282 |
|
2,375 |
2,285 |
$202K |
| 0241U |
|
1,977 |
1,839 |
$191K |
| 97597 |
|
1,650 |
680 |
$165K |
| 96375 |
|
3,864 |
3,487 |
$128K |
| 74177 |
|
646 |
597 |
$117K |
| 71046 |
|
1,535 |
1,430 |
$99K |
| 71045 |
|
1,846 |
1,709 |
$99K |
| 96361 |
|
2,290 |
2,067 |
$94K |
| 80050 |
|
1,728 |
1,641 |
$57K |
| G0463 |
Hospital outpt clinic visit |
791 |
451 |
$52K |
| 11042 |
|
252 |
116 |
$51K |
| 41899 |
|
12 |
12 |
$25K |
| 70450 |
|
214 |
196 |
$24K |
| 36415 |
|
18,021 |
15,803 |
$13K |
| U0004 |
Cov-19 test non-cdc hgh thru |
166 |
158 |
$10K |
| 96360 |
|
14 |
12 |
$9K |
| 97110 |
|
277 |
98 |
$7K |
| 80053 |
|
22,136 |
19,965 |
$5K |
| 96365 |
|
54 |
48 |
$5K |
| 93005 |
|
6,507 |
5,680 |
$4K |
| 85025 |
|
25,897 |
23,171 |
$4K |
| U0005 |
Infec agen detec ampli probe |
166 |
158 |
$3K |
| J8499 |
Oral prescrip drug non chemo |
3,880 |
2,298 |
$3K |
| G0378 |
Hospital observation per hr |
253 |
182 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,063 |
2,856 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,668 |
1,450 |
$1K |
| 96372 |
|
2,738 |
2,552 |
$1K |
| 80307 |
|
155 |
138 |
$766.66 |
| 87635 |
|
15 |
14 |
$746.24 |
| 81001 |
|
3,444 |
3,181 |
$728.73 |
| J7030 |
Normal saline solution infus |
6,192 |
5,531 |
$494.41 |
| J2704 |
Inj, propofol, 10 mg |
951 |
639 |
$490.20 |
| 83690 |
|
4,884 |
4,498 |
$462.62 |
| 87801 |
|
13 |
12 |
$213.81 |
| 84484 |
|
4,755 |
3,235 |
$134.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,082 |
1,914 |
$91.97 |
| J1100 |
Dexamethasone sodium phos |
108 |
86 |
$91.03 |
| 87480 |
|
15 |
14 |
$90.08 |
| J7120 |
Ringers lactate infusion |
1,133 |
845 |
$61.69 |
| 80061 |
|
15 |
14 |
$58.12 |
| J3490 |
Drugs unclassified injection |
3,576 |
1,892 |
$54.10 |
| 87804 |
|
2,280 |
1,089 |
$53.04 |
| 83880 |
|
138 |
126 |
$48.23 |
| 82077 |
|
440 |
388 |
$47.86 |
| 87510 |
|
15 |
14 |
$45.04 |
| 87660 |
|
15 |
14 |
$45.04 |
| 84703 |
|
1,925 |
1,777 |
$27.03 |
| 81003 |
|
2,223 |
2,032 |
$22.86 |
| 85730 |
|
893 |
806 |
$13.62 |
| 85610 |
|
1,093 |
1,000 |
$13.47 |
| 81025 |
|
1,166 |
1,095 |
$12.76 |
| 83605 |
|
736 |
656 |
$9.78 |
| 80048 |
|
1,304 |
1,189 |
$8.20 |
| J3010 |
Fentanyl citrate injection |
733 |
523 |
$0.04 |
| 85379 |
|
72 |
67 |
$0.00 |
| 87651 |
|
40 |
40 |
$0.00 |
| 87081 |
|
148 |
141 |
$0.00 |
| 87086 |
|
28 |
26 |
$0.00 |
| 83735 |
|
198 |
171 |
$0.00 |
| 94640 |
|
14 |
13 |
$0.00 |
| 87147 |
|
26 |
25 |
$0.00 |
| 82550 |
|
63 |
54 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
29 |
27 |
$0.00 |
| 82553 |
|
63 |
54 |
$0.00 |
| 94760 |
|
23 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
14 |
13 |
$0.00 |
| 86140 |
|
16 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
12 |
$0.00 |
| 80143 |
|
79 |
72 |
$0.00 |
| 87880 |
|
317 |
305 |
$0.00 |
| J7040 |
Normal saline solution infus |
278 |
244 |
$0.00 |
| J2270 |
Morphine sulfate injection |
129 |
109 |
$0.00 |
| 80179 |
|
78 |
72 |
$0.00 |
| 87420 |
|
28 |
28 |
$0.00 |
| 74018 |
|
14 |
14 |
$0.00 |