| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,444 |
19,299 |
$3.47M |
| 99285 |
|
13,257 |
10,730 |
$2.69M |
| 99283 |
|
22,216 |
20,073 |
$2.41M |
| 96413 |
|
6,300 |
3,007 |
$511K |
| 96374 |
|
11,645 |
9,534 |
$459K |
| 99282 |
|
5,865 |
5,355 |
$369K |
| 85025 |
|
67,702 |
44,812 |
$360K |
| G0463 |
Hospital outpt clinic visit |
16,077 |
11,541 |
$325K |
| 99214 |
|
14,629 |
9,898 |
$277K |
| 80053 |
|
62,041 |
41,707 |
$232K |
| U0002 |
Covid-19 lab test non-cdc |
5,188 |
4,460 |
$180K |
| 87635 |
|
4,174 |
3,774 |
$180K |
| 87804 |
|
23,251 |
10,713 |
$178K |
| 96375 |
|
9,193 |
6,872 |
$173K |
| 99281 |
|
3,241 |
3,031 |
$163K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,276 |
2,080 |
$145K |
| 74177 |
|
1,067 |
880 |
$125K |
| G0378 |
Hospital observation per hr |
1,188 |
469 |
$113K |
| C9803 |
Hopd covid-19 spec collect |
9,507 |
8,407 |
$110K |
| 96372 |
|
11,451 |
8,620 |
$107K |
| 84484 |
|
7,936 |
4,607 |
$106K |
| 71045 |
|
9,041 |
7,415 |
$105K |
| 36415 |
|
57,667 |
40,673 |
$92K |
| 87651 |
|
2,400 |
2,245 |
$85K |
| 97530 |
|
1,449 |
401 |
$73K |
| 96365 |
|
1,658 |
1,288 |
$71K |
| 80307 |
|
2,049 |
1,759 |
$69K |
| 96361 |
|
2,965 |
2,360 |
$67K |
| J1439 |
Inj ferric carboxymaltos 1mg |
46 |
26 |
$62K |
| 93005 |
|
11,542 |
7,655 |
$54K |
| 76811 |
|
315 |
295 |
$52K |
| 70450 |
|
888 |
709 |
$50K |
| 87880 |
|
4,157 |
3,849 |
$48K |
| 99213 |
|
3,126 |
2,328 |
$37K |
| 71046 |
|
1,734 |
1,587 |
$34K |
| U0005 |
Infec agen detec ampli probe |
1,521 |
1,411 |
$32K |
| 99215 |
Prolong outpt/office vis |
889 |
622 |
$27K |
| 83735 |
|
6,151 |
4,509 |
$27K |
| 81025 |
|
6,422 |
5,805 |
$26K |
| 81003 |
|
22,638 |
18,910 |
$21K |
| 83690 |
|
2,814 |
2,316 |
$16K |
| 82728 |
|
5,391 |
3,645 |
$15K |
| 87807 |
|
1,272 |
1,238 |
$13K |
| 99211 |
|
8,843 |
6,233 |
$12K |
| 76856 |
|
198 |
178 |
$11K |
| 74176 |
|
156 |
127 |
$11K |
| 96360 |
|
145 |
127 |
$11K |
| 83550 |
|
5,142 |
3,456 |
$10K |
| 83540 |
|
5,149 |
3,456 |
$7K |
| 70551 |
|
26 |
25 |
$7K |
| 83605 |
|
808 |
598 |
$5K |
| G1004 |
Cdsm ndsc |
476 |
394 |
$4K |
| 82607 |
|
2,352 |
1,601 |
$4K |
| 83880 |
|
312 |
250 |
$3K |
| 80048 |
|
794 |
657 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,867 |
2,311 |
$3K |
| 82746 |
|
2,356 |
1,616 |
$3K |
| 87086 |
|
324 |
260 |
$3K |
| 96367 |
|
130 |
73 |
$2K |
| 85027 |
|
494 |
422 |
$2K |
| 87040 |
|
201 |
105 |
$2K |
| 83615 |
|
3,098 |
1,893 |
$2K |
| 99204 |
|
30 |
24 |
$2K |
| 96417 |
|
35 |
24 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,328 |
987 |
$1K |
| 84703 |
|
155 |
134 |
$1K |
| 84443 |
|
120 |
88 |
$1K |
| 85379 |
|
106 |
92 |
$962.71 |
| G2211 |
Complex e/m visit add on |
841 |
527 |
$955.16 |
| 94640 |
|
107 |
93 |
$819.85 |
| 0031A |
|
19 |
19 |
$704.00 |
| 96376 |
|
72 |
27 |
$678.55 |
| 84100 |
|
1,136 |
682 |
$666.96 |
| U0003 |
Cov-19 amp prb hgh thruput |
24 |
14 |
$600.00 |
| 99212 |
|
33 |
31 |
$575.07 |
| 84702 |
|
16 |
14 |
$372.19 |
| 82150 |
|
66 |
52 |
$297.44 |
| J2270 |
Morphine sulfate injection |
606 |
454 |
$256.17 |
| 84132 |
|
19 |
13 |
$224.98 |
| J2930 |
Methylprednisolone injection |
45 |
36 |
$185.04 |
| 36416 |
|
106 |
72 |
$140.00 |
| 82378 |
|
110 |
68 |
$115.93 |
| 86300 |
|
160 |
76 |
$112.02 |
| 99442 |
|
17 |
12 |
$106.91 |
| 85652 |
|
72 |
51 |
$95.66 |
| J1170 |
Hydromorphone injection |
134 |
117 |
$91.39 |
| 80061 |
|
28 |
28 |
$90.23 |
| J1200 |
Diphenhydramine hcl injectio |
210 |
126 |
$85.86 |
| J2550 |
Promethazine hcl injection |
102 |
93 |
$85.05 |
| 73610 |
|
13 |
12 |
$82.77 |
| 87210 |
|
19 |
12 |
$71.29 |
| J0780 |
Prochlorperazine injection |
30 |
24 |
$60.91 |
| 86140 |
|
71 |
50 |
$59.56 |
| 81001 |
|
44 |
40 |
$52.00 |
| 85610 |
|
34 |
29 |
$41.73 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,427 |
1,973 |
$21.42 |
| J7050 |
Normal saline solution infus |
145 |
64 |
$20.14 |
| J3420 |
Vitamin b12 injection |
25 |
13 |
$2.16 |
| J1885 |
Ketorolac tromethamine inj |
5,525 |
4,536 |
$1.85 |
| 91303 |
|
19 |
19 |
$0.03 |
| Q0162 |
Ondansetron oral |
777 |
672 |
$0.02 |
| J2360 |
Orphenadrine injection |
17 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
3,455 |
2,436 |
$0.00 |
| 84238 |
|
100 |
68 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
274 |
221 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
96 |
77 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
85 |
66 |
$0.00 |
| J8540 |
Oral dexamethasone |
22 |
13 |
$0.00 |
| J7030 |
Normal saline solution infus |
3,217 |
2,643 |
$0.00 |
| J7120 |
Ringers lactate infusion |
823 |
595 |
$0.00 |
| 85045 |
|
44 |
25 |
$0.00 |
| 84439 |
|
17 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
16 |
15 |
$0.00 |