| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
67,945 |
64,878 |
$18.12M |
| 99283 |
|
83,849 |
80,685 |
$14.20M |
| H2035 |
A/d tx program, per hour |
43,464 |
5,119 |
$3.47M |
| 99285 |
|
4,524 |
4,102 |
$1.47M |
| H0035 |
Mh partial hosp tx under 24h |
4,272 |
535 |
$1.41M |
| 96374 |
|
11,341 |
10,632 |
$933K |
| G0463 |
Hospital outpt clinic visit |
15,662 |
14,172 |
$905K |
| H2012 |
Behav hlth day treat, per hr |
6,571 |
1,225 |
$886K |
| 80048 |
|
35,352 |
32,792 |
$761K |
| 93005 |
|
27,801 |
24,996 |
$720K |
| 96361 |
|
8,285 |
6,713 |
$641K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,311 |
1,188 |
$580K |
| 85025 |
|
63,049 |
59,262 |
$530K |
| Q3014 |
Telehealth facility fee |
13,001 |
11,569 |
$432K |
| H0001 |
Alcohol and/or drug assess |
2,471 |
2,360 |
$418K |
| 80053 |
|
10,852 |
10,066 |
$373K |
| 70450 |
|
1,368 |
1,252 |
$224K |
| 71046 |
|
4,718 |
4,462 |
$215K |
| G0378 |
Hospital observation per hr |
931 |
479 |
$199K |
| 99233 |
Prolong inpt eval add15 m |
2,714 |
718 |
$195K |
| 96375 |
|
3,911 |
3,314 |
$178K |
| 99282 |
|
1,821 |
1,778 |
$163K |
| 87636 |
|
1,285 |
1,259 |
$158K |
| 80307 |
|
2,129 |
1,308 |
$146K |
| 92507 |
|
1,390 |
443 |
$137K |
| 74177 |
|
609 |
552 |
$105K |
| 99232 |
|
1,777 |
557 |
$91K |
| 36415 |
|
3,810 |
2,505 |
$87K |
| 93798 |
|
1,256 |
235 |
$82K |
| 90870 |
|
374 |
110 |
$82K |
| 99223 |
Prolong inpt eval add15 m |
551 |
442 |
$75K |
| 71045 |
|
1,104 |
1,039 |
$74K |
| 90853 |
|
2,467 |
935 |
$56K |
| J7030 |
Normal saline solution infus |
15,081 |
12,862 |
$56K |
| 96372 |
|
2,830 |
1,174 |
$53K |
| 85027 |
|
2,732 |
2,534 |
$44K |
| 0241U |
|
355 |
348 |
$44K |
| 84484 |
|
8,982 |
7,118 |
$41K |
| 93306 |
|
525 |
518 |
$34K |
| 87635 |
|
787 |
750 |
$30K |
| 99239 |
|
407 |
392 |
$30K |
| J7050 |
Normal saline solution infus |
9,773 |
5,283 |
$28K |
| 76811 |
|
135 |
132 |
$25K |
| 81001 |
|
3,105 |
2,859 |
$24K |
| 90834 |
|
475 |
270 |
$21K |
| 99222 |
|
230 |
206 |
$21K |
| 82248 |
|
4,779 |
4,490 |
$19K |
| 83690 |
|
3,959 |
3,711 |
$17K |
| 87804 |
|
1,746 |
910 |
$14K |
| U0005 |
Infec agen detec ampli probe |
633 |
577 |
$13K |
| 97530 |
|
158 |
61 |
$12K |
| 87426 |
|
239 |
236 |
$10K |
| 76816 |
|
80 |
66 |
$9K |
| 96365 |
|
209 |
142 |
$8K |
| 74176 |
|
57 |
52 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,649 |
3,276 |
$7K |
| J7060 |
5% dextrose/water |
109 |
39 |
$7K |
| 99220 |
|
59 |
58 |
$7K |
| 84703 |
|
985 |
957 |
$7K |
| 90792 |
|
112 |
106 |
$6K |
| 84145 |
|
247 |
241 |
$6K |
| 71260 |
|
32 |
30 |
$6K |
| 87502 |
|
234 |
231 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,082 |
1,694 |
$6K |
| 99226 |
|
60 |
27 |
$5K |
| 99231 |
|
149 |
77 |
$4K |
| J1170 |
Hydromorphone injection |
449 |
321 |
$4K |
| 99221 |
|
62 |
59 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
975 |
870 |
$4K |
| 86140 |
|
745 |
727 |
$4K |
| 72125 |
|
82 |
79 |
$4K |
| 87651 |
|
197 |
196 |
$4K |
| J3010 |
Fentanyl citrate injection |
519 |
409 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,044 |
730 |
$4K |
| 96360 |
|
27 |
24 |
$4K |
| 99255 |
|
26 |
26 |
$4K |
| 99238 |
|
69 |
64 |
$3K |
| 90791 |
|
37 |
37 |
$2K |
| 99253 |
|
33 |
32 |
$2K |
| 99217 |
|
45 |
44 |
$2K |
| 96376 |
|
122 |
74 |
$2K |
| 87880 |
|
166 |
165 |
$2K |
| 83605 |
|
480 |
386 |
$2K |
| J7120 |
Ringers lactate infusion |
827 |
667 |
$2K |
| 85610 |
|
680 |
509 |
$2K |
| 99254 |
|
15 |
14 |
$2K |
| 82565 |
|
214 |
162 |
$1K |
| 81003 |
|
290 |
261 |
$1K |
| 94640 |
|
82 |
67 |
$1K |
| J2001 |
Lidocaine injection |
702 |
555 |
$1K |
| 59025 |
|
15 |
12 |
$1K |
| 76820 |
|
17 |
12 |
$1K |
| 93016 |
|
66 |
66 |
$1K |
| 85379 |
|
88 |
84 |
$937.91 |
| J2250 |
Inj midazolam hydrochloride |
186 |
144 |
$745.61 |
| 78452 |
|
12 |
12 |
$681.85 |
| 93018 |
|
66 |
66 |
$674.48 |
| Q0162 |
Ondansetron oral |
788 |
765 |
$649.49 |
| 93308 |
|
35 |
29 |
$633.09 |
| 83735 |
|
203 |
132 |
$527.89 |
| 93321 |
|
92 |
87 |
$439.57 |
| J1200 |
Diphenhydramine hcl injectio |
99 |
96 |
$437.24 |
| J0330 |
Succinycholine chloride inj |
226 |
65 |
$434.03 |
| 99152 |
|
46 |
45 |
$364.02 |
| 87081 |
|
61 |
61 |
$341.33 |
| 83880 |
|
60 |
55 |
$340.37 |
| J1100 |
Dexamethasone sodium phos |
73 |
68 |
$308.15 |
| J1642 |
Inj heparin sodium per 10 u |
242 |
113 |
$272.65 |
| 81025 |
|
43 |
40 |
$260.57 |
| 80306 |
|
12 |
12 |
$234.06 |
| 99497 |
|
12 |
12 |
$232.32 |
| 87086 |
|
112 |
99 |
$216.03 |
| J2060 |
Lorazepam injection |
28 |
24 |
$209.44 |
| 93325 |
|
92 |
88 |
$198.32 |
| J1790 |
Droperidol injection |
31 |
30 |
$189.06 |
| 87807 |
|
27 |
26 |
$186.14 |
| 84512 |
|
13 |
12 |
$184.11 |
| J2270 |
Morphine sulfate injection |
13 |
12 |
$171.94 |
| 84702 |
|
13 |
13 |
$117.88 |
| 84132 |
|
98 |
45 |
$97.11 |
| C1751 |
Cath, inf, per/cent/midline |
46 |
25 |
$89.55 |
| J7040 |
Normal saline solution infus |
28 |
27 |
$67.67 |
| 82550 |
|
12 |
12 |
$40.96 |
| J0690 |
Cefazolin sodium injection |
16 |
15 |
$23.82 |
| 84295 |
|
26 |
12 |
$19.23 |
| A9270 |
Non-covered item or service |
1,607 |
883 |
$13.98 |
| C1769 |
Guide wire |
15 |
12 |
$1.84 |
| G1004 |
Cdsm ndsc |
13,463 |
9,940 |
$0.57 |
| 88305 |
|
29 |
13 |
$0.00 |