| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,754 |
5,738 |
$897K |
| 99284 |
|
4,195 |
2,738 |
$640K |
| 99285 |
|
2,770 |
1,008 |
$354K |
| 74176 |
|
1,399 |
854 |
$215K |
| G0378 |
Hospital observation per hr |
544 |
374 |
$150K |
| 70450 |
|
738 |
484 |
$115K |
| 93005 |
|
3,835 |
2,649 |
$110K |
| 99282 |
|
1,312 |
1,076 |
$109K |
| 71046 |
|
5,395 |
3,210 |
$98K |
| U0002 |
Covid-19 lab test non-cdc |
3,869 |
3,020 |
$96K |
| 96374 |
|
2,836 |
1,116 |
$93K |
| 94640 |
|
847 |
320 |
$71K |
| 87635 |
|
2,878 |
2,220 |
$67K |
| 96372 |
|
2,659 |
1,769 |
$61K |
| 36415 |
|
20,755 |
9,852 |
$56K |
| 80053 |
|
9,206 |
6,598 |
$51K |
| 85025 |
|
10,640 |
7,688 |
$43K |
| 86328 |
|
1,550 |
1,290 |
$40K |
| 80307 |
|
1,304 |
983 |
$39K |
| 71045 |
|
1,218 |
725 |
$34K |
| 96365 |
|
1,586 |
402 |
$32K |
| 84443 |
|
2,946 |
2,430 |
$24K |
| 76700 |
|
336 |
272 |
$23K |
| 80061 |
|
2,568 |
2,051 |
$17K |
| 84484 |
|
2,750 |
1,689 |
$17K |
| 82306 |
|
1,106 |
912 |
$16K |
| 96375 |
|
817 |
642 |
$16K |
| 87804 |
|
1,665 |
1,478 |
$15K |
| 80048 |
|
2,550 |
1,791 |
$13K |
| 87430 |
|
1,177 |
1,067 |
$12K |
| 72100 |
|
379 |
287 |
$11K |
| 82607 |
|
1,015 |
851 |
$8K |
| 87811 |
|
203 |
165 |
$6K |
| 84439 |
|
1,235 |
1,003 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
173 |
143 |
$5K |
| 94664 |
|
391 |
261 |
$5K |
| G2023 |
Specimen collect covid-19 |
305 |
283 |
$5K |
| 84703 |
|
1,009 |
854 |
$4K |
| 83690 |
|
1,211 |
973 |
$4K |
| 86769 |
|
161 |
151 |
$4K |
| 81001 |
|
2,437 |
1,976 |
$4K |
| 76536 |
|
74 |
60 |
$4K |
| 73562 |
|
185 |
129 |
$4K |
| 77067 |
|
66 |
56 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,361 |
1,759 |
$3K |
| 83735 |
|
1,008 |
813 |
$3K |
| 83036 |
|
706 |
593 |
$3K |
| 83550 |
|
742 |
629 |
$3K |
| 82550 |
|
746 |
585 |
$3K |
| 74177 |
|
15 |
12 |
$3K |
| 83540 |
|
783 |
659 |
$3K |
| 73610 |
|
65 |
50 |
$2K |
| 73030 |
|
132 |
91 |
$2K |
| 83605 |
|
325 |
239 |
$2K |
| 73630 |
|
82 |
65 |
$2K |
| 72040 |
|
114 |
81 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
538 |
372 |
$2K |
| 87086 |
|
510 |
400 |
$2K |
| 73130 |
|
67 |
53 |
$2K |
| 74018 |
|
48 |
42 |
$2K |
| 87420 |
|
192 |
178 |
$2K |
| 87040 |
|
227 |
122 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,790 |
1,220 |
$1K |
| 84436 |
|
335 |
252 |
$1K |
| 84550 |
|
406 |
322 |
$1K |
| 85610 |
|
229 |
176 |
$954.52 |
| 81003 |
|
794 |
687 |
$883.10 |
| 85379 |
|
193 |
154 |
$850.50 |
| 74022 |
|
22 |
13 |
$762.99 |
| 72070 |
|
35 |
29 |
$679.89 |
| 76856 |
|
15 |
12 |
$638.16 |
| J2704 |
Inj, propofol, 10 mg |
314 |
206 |
$628.11 |
| 82150 |
|
189 |
149 |
$604.21 |
| 82948 |
|
232 |
54 |
$550.62 |
| 0012A |
|
44 |
40 |
$506.53 |
| 99281 |
|
19 |
15 |
$497.26 |
| J7120 |
Ringers lactate infusion |
255 |
153 |
$479.95 |
| C9803 |
Hopd covid-19 spec collect |
344 |
176 |
$438.50 |
| 85652 |
|
351 |
279 |
$424.09 |
| 73502 |
|
21 |
12 |
$380.45 |
| 83880 |
|
24 |
16 |
$353.36 |
| 72110 |
|
15 |
12 |
$337.09 |
| 80320 |
|
16 |
12 |
$335.15 |
| 0011A |
|
41 |
37 |
$296.18 |
| 85730 |
|
91 |
78 |
$257.93 |
| J2270 |
Morphine sulfate injection |
210 |
110 |
$231.84 |
| J2930 |
Methylprednisolone injection |
55 |
28 |
$125.61 |
| 96366 |
|
23 |
15 |
$110.57 |
| 84153 |
|
20 |
12 |
$104.22 |
| 82728 |
|
15 |
14 |
$99.63 |
| J1956 |
Levofloxacin injection |
29 |
12 |
$99.55 |
| 87186 |
|
38 |
27 |
$95.15 |
| J3010 |
Fentanyl citrate injection |
171 |
79 |
$94.35 |
| J0690 |
Cefazolin sodium injection |
78 |
55 |
$64.02 |
| J1170 |
Hydromorphone injection |
25 |
12 |
$48.68 |
| J2250 |
Inj midazolam hydrochloride |
165 |
80 |
$40.29 |
| 87205 |
|
21 |
18 |
$40.13 |
| J7050 |
Normal saline solution infus |
34 |
13 |
$32.98 |
| 81015 |
|
35 |
34 |
$7.32 |