| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
23,938 |
22,194 |
$4.34M |
| 99285 |
|
13,438 |
12,223 |
$3.42M |
| 99284 |
|
9,169 |
8,579 |
$1.76M |
| 0241U |
|
2,799 |
2,607 |
$458K |
| G0463 |
Hospital outpt clinic visit |
7,400 |
6,687 |
$204K |
| 96374 |
|
4,685 |
4,019 |
$202K |
| 87428 |
|
2,991 |
2,695 |
$200K |
| 93005 |
|
7,857 |
7,084 |
$195K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,214 |
1,993 |
$177K |
| 96375 |
|
2,023 |
1,679 |
$173K |
| 85025 |
|
22,320 |
19,927 |
$162K |
| 80053 |
|
19,619 |
17,468 |
$159K |
| 99281 |
|
1,756 |
1,557 |
$145K |
| 43239 |
|
323 |
292 |
$136K |
| 99282 |
|
970 |
918 |
$124K |
| 71046 |
|
2,359 |
2,226 |
$123K |
| 0240U |
|
739 |
676 |
$106K |
| 87502 |
|
1,692 |
1,612 |
$96K |
| 96372 |
|
1,893 |
1,716 |
$84K |
| 90836 |
|
2,091 |
1,946 |
$74K |
| 36415 |
|
30,603 |
26,319 |
$66K |
| 93306 |
|
292 |
277 |
$61K |
| 71045 |
|
962 |
862 |
$59K |
| 74177 |
|
55 |
52 |
$55K |
| 70450 |
|
138 |
120 |
$55K |
| 90837 |
|
969 |
439 |
$50K |
| 83690 |
|
6,020 |
5,404 |
$42K |
| U0005 |
Infec agen detec ampli probe |
1,590 |
1,408 |
$41K |
| 81005 |
|
18,544 |
16,802 |
$41K |
| 88305 |
|
305 |
285 |
$39K |
| 96361 |
|
472 |
390 |
$33K |
| 81025 |
|
4,144 |
3,789 |
$31K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
398 |
367 |
$30K |
| 84484 |
|
3,144 |
2,553 |
$30K |
| 90833 |
|
887 |
826 |
$27K |
| J3490 |
Drugs unclassified injection |
2,510 |
1,238 |
$25K |
| 87491 |
|
635 |
591 |
$21K |
| 87591 |
|
621 |
579 |
$20K |
| 83735 |
|
3,357 |
2,914 |
$19K |
| 87800 |
|
279 |
258 |
$17K |
| 80307 |
|
378 |
231 |
$17K |
| 87503 |
|
1,680 |
1,600 |
$17K |
| 90838 |
|
527 |
427 |
$15K |
| 87651 |
|
388 |
375 |
$14K |
| 45380 |
|
27 |
26 |
$13K |
| J7030 |
Normal saline solution infus |
1,324 |
1,030 |
$12K |
| 82306 |
|
310 |
278 |
$10K |
| 66984 |
|
32 |
27 |
$8K |
| J7120 |
Ringers lactate infusion |
1,352 |
1,199 |
$8K |
| G0378 |
Hospital observation per hr |
62 |
37 |
$8K |
| 87390 |
|
291 |
258 |
$7K |
| 45385 |
|
12 |
12 |
$7K |
| 86703 |
|
414 |
379 |
$6K |
| 83880 |
|
241 |
210 |
$6K |
| 87426 |
|
336 |
303 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
2,448 |
2,188 |
$5K |
| 86780 |
|
279 |
249 |
$5K |
| 85610 |
|
1,657 |
1,493 |
$5K |
| 87088 |
|
517 |
474 |
$5K |
| 94761 |
|
174 |
159 |
$5K |
| 84443 |
|
262 |
249 |
$4K |
| 76816 |
|
30 |
26 |
$4K |
| 80061 |
|
223 |
206 |
$3K |
| 59025 |
|
85 |
69 |
$3K |
| 93017 |
|
24 |
24 |
$3K |
| 85027 |
|
280 |
238 |
$2K |
| A9270 |
Non-covered item or service |
1,611 |
731 |
$2K |
| 87635 |
|
40 |
39 |
$2K |
| 76770 |
|
13 |
12 |
$2K |
| 80048 |
|
289 |
271 |
$2K |
| 76805 |
|
32 |
28 |
$2K |
| 83036 |
|
149 |
137 |
$1K |
| J2405 |
Ondansetron hcl injection |
633 |
522 |
$1K |
| J2001 |
Lidocaine injection |
616 |
527 |
$1K |
| V2632 |
Post chmbr intraocular lens |
18 |
14 |
$1K |
| J2270 |
Morphine sulfate injection |
190 |
127 |
$809.41 |
| 86941 |
|
44 |
41 |
$712.33 |
| 86850 |
|
44 |
41 |
$684.93 |
| 86762 |
|
27 |
26 |
$442.30 |
| 84702 |
|
40 |
28 |
$352.02 |
| 87040 |
|
15 |
14 |
$335.49 |
| J7040 |
Normal saline solution infus |
43 |
40 |
$333.50 |
| 85730 |
|
87 |
78 |
$326.95 |
| 84153 |
|
12 |
12 |
$278.54 |
| 94640 |
|
40 |
36 |
$276.26 |
| 87340 |
|
27 |
26 |
$274.84 |
| 82951 |
|
14 |
12 |
$208.52 |
| J3010 |
Fentanyl citrate injection |
110 |
92 |
$204.51 |
| J0696 |
Ceftriaxone sodium injection |
55 |
49 |
$204.02 |
| 82550 |
|
54 |
50 |
$199.03 |
| J1100 |
Dexamethasone sodium phos |
48 |
39 |
$193.41 |
| 83721 |
|
24 |
24 |
$193.14 |
| 86900 |
|
45 |
42 |
$178.82 |
| 86901 |
|
45 |
42 |
$171.40 |
| 87880 |
|
14 |
14 |
$171.36 |
| 87071 |
|
14 |
14 |
$152.75 |
| 83540 |
|
13 |
12 |
$80.80 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
14 |
13 |
$73.91 |
| J2250 |
Inj midazolam hydrochloride |
47 |
40 |
$54.06 |
| 86592 |
|
14 |
14 |
$53.10 |
| 81000 |
|
14 |
14 |
$39.50 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$32.85 |
| J3370 |
Vancomycin hcl injection |
14 |
13 |
$29.25 |
| J0171 |
Adrenalin epinephrine inject |
32 |
27 |
$14.94 |
| J1580 |
Garamycin gentamicin inj |
14 |
13 |
$7.74 |