| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,365 |
13,611 |
$3.03M |
| 99285 |
|
8,920 |
7,669 |
$2.48M |
| 99283 |
|
15,400 |
14,020 |
$1.55M |
| 96374 |
|
6,561 |
5,679 |
$203K |
| 87636 |
|
1,922 |
1,762 |
$195K |
| G0378 |
Hospital observation per hr |
536 |
341 |
$98K |
| 71045 |
|
5,003 |
4,300 |
$52K |
| 87637 |
|
639 |
584 |
$33K |
| 59025 |
|
481 |
267 |
$30K |
| 99282 |
|
470 |
427 |
$28K |
| 85025 |
|
26,429 |
22,735 |
$27K |
| 87635 |
|
730 |
675 |
$27K |
| 69436 |
|
26 |
26 |
$27K |
| 99281 |
|
601 |
536 |
$24K |
| 96375 |
|
2,111 |
1,777 |
$23K |
| 96361 |
|
1,818 |
1,582 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
2,967 |
2,687 |
$21K |
| 80053 |
|
9,558 |
8,382 |
$19K |
| 70450 |
|
449 |
395 |
$18K |
| 80307 |
|
1,453 |
1,295 |
$16K |
| 84484 |
|
3,707 |
2,963 |
$10K |
| 74177 |
|
152 |
130 |
$10K |
| 87804 |
|
2,194 |
1,897 |
$9K |
| G0463 |
Hospital outpt clinic visit |
256 |
128 |
$8K |
| 93005 |
|
6,365 |
5,330 |
$6K |
| U0004 |
Cov-19 test non-cdc hgh thru |
89 |
80 |
$6K |
| 71046 |
|
392 |
352 |
$5K |
| 84443 |
|
704 |
642 |
$5K |
| 96365 |
|
176 |
149 |
$5K |
| 87430 |
|
1,186 |
1,060 |
$4K |
| M0243 |
Casirivi and imdevi inj |
18 |
13 |
$4K |
| 71250 |
|
87 |
79 |
$3K |
| 74176 |
|
79 |
73 |
$3K |
| 96372 |
|
1,075 |
906 |
$2K |
| 81025 |
|
1,916 |
1,728 |
$2K |
| 80061 |
|
277 |
258 |
$2K |
| 81001 |
|
9,594 |
8,325 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
74 |
65 |
$2K |
| 83690 |
|
3,405 |
2,899 |
$1K |
| 85730 |
|
1,144 |
950 |
$1K |
| 87086 |
|
943 |
759 |
$1K |
| 80048 |
|
17,603 |
13,803 |
$940.53 |
| J2405 |
Ondansetron hcl injection |
803 |
652 |
$800.70 |
| 85610 |
|
1,452 |
1,212 |
$759.98 |
| 87420 |
|
37 |
32 |
$319.52 |
| 36415 |
|
456 |
216 |
$284.92 |
| 81003 |
|
1,011 |
906 |
$273.88 |
| 82306 |
|
14 |
12 |
$246.02 |
| 83735 |
|
226 |
196 |
$242.66 |
| 80076 |
|
11,759 |
10,063 |
$229.94 |
| 96360 |
|
15 |
12 |
$172.07 |
| 85379 |
|
12 |
12 |
$162.12 |
| 99212 |
|
18 |
12 |
$147.36 |
| 83880 |
|
21 |
12 |
$135.72 |
| 82607 |
|
14 |
12 |
$125.28 |
| 85027 |
|
587 |
292 |
$109.77 |
| 82150 |
|
58 |
54 |
$106.76 |
| 83036 |
|
15 |
13 |
$84.47 |
| 83605 |
|
50 |
45 |
$62.31 |
| 94760 |
|
12 |
12 |
$39.15 |
| 94640 |
|
15 |
13 |
$25.06 |
| 87186 |
|
12 |
12 |
$17.82 |
| J1100 |
Dexamethasone sodium phos |
28 |
28 |
$13.80 |
| J2270 |
Morphine sulfate injection |
12 |
12 |
$5.18 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
19 |
$0.02 |
| J7030 |
Normal saline solution infus |
1,209 |
1,059 |
$0.00 |
| 84702 |
|
153 |
133 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
206 |
176 |
$0.00 |
| 87880 |
|
83 |
80 |
$0.00 |
| 87631 |
|
229 |
218 |
$0.00 |
| 72125 |
|
12 |
12 |
$0.00 |
| 86900 |
|
12 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
1,673 |
1,435 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
287 |
234 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
41 |
37 |
$0.00 |
| J3490 |
Drugs unclassified injection |
53 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
50 |
39 |
$0.00 |
| 87651 |
|
40 |
37 |
$0.00 |
| 82077 |
|
61 |
51 |
$0.00 |
| J2001 |
Lidocaine injection |
28 |
24 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
33 |
27 |
$0.00 |
| L8699 |
Prosthetic implant nos |
26 |
26 |
$0.00 |
| 87081 |
|
15 |
15 |
$0.00 |
| 86901 |
|
12 |
12 |
$0.00 |