| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
9,031 |
8,094 |
$894K |
| 99282 |
|
7,241 |
6,810 |
$595K |
| 87637 |
|
5,588 |
5,325 |
$547K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,730 |
2,831 |
$418K |
| 80048 |
|
2,762 |
2,456 |
$230K |
| 11042 |
|
306 |
223 |
$229K |
| 99283 |
|
12,929 |
12,041 |
$158K |
| 96361 |
|
2,143 |
1,918 |
$126K |
| 36415 |
|
10,802 |
9,259 |
$118K |
| 81003 |
|
4,389 |
3,958 |
$99K |
| 70450 |
|
2,092 |
1,929 |
$86K |
| 96372 |
|
3,238 |
2,910 |
$64K |
| 81025 |
|
4,776 |
4,484 |
$57K |
| 87210 |
|
614 |
594 |
$56K |
| 87430 |
|
477 |
414 |
$53K |
| 87491 |
|
1,304 |
1,248 |
$47K |
| 97110 |
|
1,554 |
446 |
$46K |
| 87804 |
|
236 |
212 |
$44K |
| 87426 |
|
1,060 |
885 |
$42K |
| C9803 |
Hopd covid-19 spec collect |
201 |
162 |
$37K |
| 71045 |
|
4,480 |
4,091 |
$37K |
| 73630 |
|
477 |
439 |
$35K |
| 81001 |
|
4,189 |
3,936 |
$35K |
| 73130 |
|
375 |
342 |
$35K |
| 99281 |
|
282 |
275 |
$34K |
| 73560 |
|
781 |
670 |
$33K |
| 99284 |
|
7,283 |
6,826 |
$33K |
| 71046 |
|
1,372 |
1,289 |
$32K |
| 73610 |
|
359 |
333 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
427 |
361 |
$28K |
| 84702 |
|
692 |
636 |
$27K |
| 73030 |
|
419 |
390 |
$26K |
| 87651 |
|
1,493 |
1,470 |
$25K |
| 87086 |
|
685 |
623 |
$25K |
| 99285 |
|
2,286 |
2,104 |
$18K |
| 72100 |
|
465 |
443 |
$18K |
| 96360 |
|
507 |
487 |
$17K |
| 96365 |
|
1,090 |
1,010 |
$17K |
| 96374 |
|
4,682 |
4,257 |
$16K |
| 86900 |
|
90 |
86 |
$14K |
| 97597 |
|
228 |
139 |
$14K |
| 69436 |
|
96 |
95 |
$13K |
| 85025 |
|
10,938 |
9,713 |
$13K |
| 73110 |
|
115 |
109 |
$12K |
| 74176 |
|
918 |
845 |
$12K |
| 42820 |
|
83 |
83 |
$11K |
| A9585 |
Gadobutrol injection |
12 |
12 |
$11K |
| 82947 |
|
771 |
560 |
$8K |
| 74177 |
|
1,886 |
1,762 |
$8K |
| 80307 |
|
602 |
581 |
$7K |
| G0480 |
Drug test def 1-7 classes |
285 |
237 |
$7K |
| 88304 |
|
149 |
148 |
$6K |
| 87077 |
|
129 |
95 |
$5K |
| G0463 |
Hospital outpt clinic visit |
178 |
148 |
$5K |
| 72040 |
|
76 |
75 |
$4K |
| 72125 |
|
462 |
432 |
$4K |
| 93005 |
|
4,650 |
4,173 |
$3K |
| 74018 |
|
27 |
25 |
$3K |
| 71260 |
|
675 |
651 |
$3K |
| 86140 |
|
84 |
74 |
$3K |
| 87420 |
|
67 |
54 |
$2K |
| 10060 |
|
15 |
13 |
$2K |
| 97530 |
|
246 |
94 |
$2K |
| 82962 |
|
35 |
31 |
$2K |
| 83690 |
|
3,322 |
3,045 |
$1K |
| 71275 |
|
240 |
218 |
$1K |
| 84484 |
|
3,829 |
3,088 |
$1K |
| 73502 |
|
25 |
25 |
$1K |
| 87635 |
|
12 |
12 |
$1K |
| 90471 |
|
107 |
97 |
$1K |
| A9270 |
Non-covered item or service |
2,137 |
1,778 |
$1K |
| 93971 |
|
64 |
61 |
$1K |
| 85379 |
|
1,354 |
1,286 |
$1K |
| 99212 |
|
16 |
15 |
$916.42 |
| 83735 |
|
3,318 |
2,936 |
$837.52 |
| 73590 |
|
15 |
13 |
$774.79 |
| 84703 |
|
719 |
695 |
$765.13 |
| 85027 |
|
755 |
620 |
$758.79 |
| 94640 |
|
773 |
709 |
$736.21 |
| 96375 |
|
2,733 |
2,380 |
$624.02 |
| 84443 |
|
631 |
598 |
$434.49 |
| 83036 |
|
102 |
97 |
$426.84 |
| 83880 |
|
769 |
690 |
$404.16 |
| J1170 |
Hydromorphone injection |
1,148 |
855 |
$376.73 |
| 87661 |
|
1,002 |
969 |
$297.00 |
| G0378 |
Hospital observation per hr |
155 |
77 |
$235.85 |
| 85610 |
|
371 |
313 |
$215.38 |
| 87081 |
|
437 |
381 |
$200.23 |
| 87591 |
|
1,281 |
1,216 |
$132.92 |
| J2270 |
Morphine sulfate injection |
1,646 |
1,466 |
$46.87 |
| 83605 |
|
237 |
207 |
$43.60 |
| 96376 |
|
578 |
459 |
$41.27 |
| J0696 |
Ceftriaxone sodium injection |
1,445 |
1,301 |
$29.85 |
| J2405 |
Ondansetron hcl injection |
3,748 |
3,394 |
$28.47 |
| J1885 |
Ketorolac tromethamine inj |
3,322 |
3,050 |
$22.26 |
| 84100 |
|
40 |
36 |
$12.83 |
| J2930 |
Methylprednisolone injection |
184 |
163 |
$5.96 |
| J1100 |
Dexamethasone sodium phos |
1,486 |
1,388 |
$5.27 |
| J2765 |
Metoclopramide hcl injection |
317 |
298 |
$1.87 |
| J2704 |
Inj, propofol, 10 mg |
1,448 |
785 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
891 |
765 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
153 |
128 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
186 |
179 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| 87040 |
|
73 |
43 |
$0.00 |
| 86901 |
|
90 |
86 |
$0.00 |
| Q0162 |
Ondansetron oral |
255 |
225 |
$0.00 |
| J7050 |
Normal saline solution infus |
45 |
41 |
$0.00 |
| 97140 |
|
69 |
24 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
39 |
39 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
62 |
56 |
$0.00 |
| 85730 |
|
44 |
41 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
162 |
132 |
$0.00 |
| 94644 |
|
14 |
12 |
$0.00 |
| 80320 |
|
15 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
38 |
29 |
$0.00 |
| J1790 |
Droperidol injection |
17 |
12 |
$0.00 |
| 85651 |
|
16 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
363 |
320 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
807 |
699 |
$0.00 |
| 90715 |
|
75 |
67 |
$0.00 |
| 87880 |
|
21 |
17 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
41 |
$0.00 |
| 87631 |
|
16 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
32 |
25 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
57 |
45 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
37 |
31 |
$0.00 |
| 87186 |
|
53 |
43 |
$0.00 |
| 80076 |
|
23 |
19 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$0.00 |