| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,323 |
5,938 |
$813K |
| 99283 |
|
6,217 |
5,325 |
$396K |
| 74177 |
|
1,801 |
924 |
$393K |
| 99285 |
|
4,249 |
2,668 |
$352K |
| 80053 |
|
16,138 |
10,982 |
$189K |
| 70450 |
|
1,284 |
885 |
$158K |
| 99282 |
|
1,501 |
1,409 |
$63K |
| 96365 |
|
2,619 |
1,264 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
458 |
404 |
$19K |
| 77067 |
|
268 |
233 |
$19K |
| 99281 |
|
865 |
822 |
$16K |
| 71046 |
|
1,489 |
1,273 |
$13K |
| 80307 |
|
721 |
519 |
$13K |
| 93005 |
|
5,490 |
3,502 |
$12K |
| 85025 |
|
16,093 |
10,544 |
$10K |
| 96374 |
|
4,879 |
3,078 |
$10K |
| G0378 |
Hospital observation per hr |
90 |
72 |
$9K |
| 80050 |
|
219 |
218 |
$8K |
| 96375 |
|
4,449 |
2,537 |
$8K |
| 72148 |
|
40 |
39 |
$6K |
| 84443 |
|
3,335 |
2,680 |
$6K |
| 96361 |
|
4,098 |
2,490 |
$6K |
| 87086 |
|
3,617 |
2,625 |
$6K |
| 93306 |
|
30 |
24 |
$5K |
| 87428 |
|
1,038 |
689 |
$5K |
| 11042 |
|
77 |
27 |
$4K |
| 82306 |
|
820 |
725 |
$4K |
| 71045 |
|
4,144 |
2,757 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
1,812 |
1,279 |
$3K |
| 96372 |
|
2,402 |
1,685 |
$2K |
| 87088 |
|
1,944 |
1,460 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,311 |
1,139 |
$2K |
| 80048 |
|
585 |
444 |
$2K |
| 85610 |
|
1,734 |
1,222 |
$2K |
| 87426 |
|
315 |
168 |
$2K |
| 87400 |
|
738 |
530 |
$2K |
| 80061 |
|
3,313 |
2,862 |
$2K |
| 83880 |
|
655 |
434 |
$1K |
| 87077 |
|
855 |
653 |
$1K |
| 83036 |
|
2,926 |
2,454 |
$1K |
| 84484 |
|
4,344 |
2,426 |
$955.54 |
| 36415 |
|
9,847 |
7,789 |
$861.12 |
| 0241U |
|
576 |
482 |
$817.56 |
| 83690 |
|
4,533 |
2,783 |
$801.39 |
| 73562 |
|
65 |
51 |
$783.08 |
| 83735 |
|
4,212 |
2,571 |
$750.26 |
| 73630 |
|
47 |
44 |
$741.56 |
| 82607 |
|
483 |
432 |
$740.91 |
| 96360 |
|
223 |
184 |
$708.58 |
| G0463 |
Hospital outpt clinic visit |
90 |
41 |
$696.37 |
| 81001 |
|
4,845 |
3,352 |
$506.31 |
| 83605 |
|
1,988 |
971 |
$497.50 |
| 96376 |
|
142 |
82 |
$427.41 |
| 85027 |
|
1,687 |
1,280 |
$403.82 |
| 81003 |
|
2,538 |
1,734 |
$382.26 |
| 81025 |
|
743 |
493 |
$360.60 |
| J2274 |
Inj morphine pf epid ithc |
66 |
52 |
$333.80 |
| J2405 |
Ondansetron hcl injection |
2,621 |
1,329 |
$309.21 |
| J1170 |
Hydromorphone injection |
862 |
430 |
$289.71 |
| 84703 |
|
1,256 |
880 |
$239.54 |
| 73030 |
|
27 |
24 |
$207.66 |
| 87186 |
|
1,021 |
794 |
$153.14 |
| J1885 |
Ketorolac tromethamine inj |
1,834 |
1,066 |
$150.69 |
| J2704 |
Inj, propofol, 10 mg |
1,077 |
547 |
$131.00 |
| 87081 |
|
641 |
416 |
$117.31 |
| 86140 |
|
560 |
420 |
$90.48 |
| 84702 |
|
23 |
12 |
$65.27 |
| 84439 |
|
1,959 |
1,600 |
$64.23 |
| J3010 |
Fentanyl citrate injection |
1,141 |
575 |
$59.14 |
| J2550 |
Promethazine hcl injection |
75 |
57 |
$58.17 |
| J0696 |
Ceftriaxone sodium injection |
316 |
176 |
$51.87 |
| 87651 |
|
14 |
14 |
$48.12 |
| 83550 |
|
58 |
43 |
$40.09 |
| J1100 |
Dexamethasone sodium phos |
566 |
308 |
$37.28 |
| 82550 |
|
93 |
71 |
$36.40 |
| 82746 |
|
313 |
289 |
$31.40 |
| 82728 |
|
51 |
39 |
$23.28 |
| 94760 |
|
162 |
136 |
$19.44 |
| 85652 |
|
639 |
500 |
$17.04 |
| 94640 |
|
219 |
139 |
$16.40 |
| 86850 |
|
63 |
43 |
$16.35 |
| 87040 |
|
67 |
40 |
$12.88 |
| J2060 |
Lorazepam injection |
361 |
200 |
$11.39 |
| J3475 |
Inj magnesium sulfate |
15 |
13 |
$9.55 |
| 94761 |
|
113 |
96 |
$9.02 |
| 85730 |
|
155 |
119 |
$8.20 |
| 87420 |
|
14 |
14 |
$8.18 |
| 82962 |
|
180 |
99 |
$6.46 |
| 86901 |
|
128 |
91 |
$2.04 |
| J2250 |
Inj midazolam hydrochloride |
759 |
340 |
$1.76 |
| Q0162 |
Ondansetron oral |
103 |
88 |
$1.30 |
| 36416 |
|
176 |
122 |
$0.00 |
| 86592 |
|
39 |
28 |
$0.00 |
| 82043 |
|
60 |
54 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
52 |
14 |
$0.00 |
| 80320 |
|
91 |
68 |
$0.00 |
| 88305 |
|
52 |
24 |
$0.00 |
| J2001 |
Lidocaine injection |
51 |
24 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
31 |
24 |
$0.00 |
| 86900 |
|
63 |
43 |
$0.00 |
| 83540 |
|
86 |
69 |
$0.00 |
| J2270 |
Morphine sulfate injection |
140 |
87 |
$0.00 |
| 85007 |
|
41 |
37 |
$0.00 |
| 82570 |
|
99 |
81 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
13 |
$0.00 |