| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,287 |
5,554 |
$601K |
| 99284 |
|
5,108 |
4,283 |
$494K |
| 80053 |
|
7,266 |
6,208 |
$249K |
| 99285 |
|
2,256 |
1,800 |
$246K |
| 87637 |
|
2,155 |
1,908 |
$234K |
| 85025 |
|
11,015 |
9,259 |
$184K |
| G0378 |
Hospital observation per hr |
843 |
341 |
$158K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,268 |
1,176 |
$141K |
| 93005 |
|
2,686 |
2,347 |
$105K |
| 96374 |
|
1,865 |
1,683 |
$86K |
| 96375 |
|
1,150 |
1,013 |
$85K |
| 87880 |
|
2,958 |
2,847 |
$80K |
| 36415 |
|
5,121 |
4,234 |
$55K |
| 80048 |
|
1,355 |
1,198 |
$43K |
| 87804 |
|
1,045 |
896 |
$33K |
| 84484 |
|
1,432 |
1,207 |
$30K |
| 71046 |
|
536 |
489 |
$27K |
| 96361 |
|
804 |
643 |
$26K |
| 81001 |
|
2,544 |
2,249 |
$25K |
| 83605 |
|
1,226 |
1,053 |
$24K |
| 82553 |
|
1,064 |
897 |
$23K |
| 82550 |
|
1,279 |
1,069 |
$20K |
| 70450 |
|
69 |
63 |
$19K |
| 87426 |
|
493 |
462 |
$18K |
| 86140 |
|
1,147 |
1,030 |
$16K |
| 83880 |
|
448 |
404 |
$15K |
| 99282 |
|
250 |
232 |
$15K |
| 80305 |
|
356 |
293 |
$15K |
| 96372 |
|
748 |
681 |
$13K |
| 74177 |
|
21 |
13 |
$13K |
| 80061 |
|
398 |
377 |
$12K |
| J7030 |
Normal saline solution infus |
679 |
581 |
$10K |
| 83735 |
|
529 |
459 |
$9K |
| 96365 |
|
68 |
55 |
$9K |
| 71045 |
|
245 |
221 |
$9K |
| 87633 |
|
40 |
33 |
$9K |
| 88305 |
|
64 |
58 |
$8K |
| 73630 |
|
114 |
91 |
$8K |
| 83690 |
|
444 |
375 |
$8K |
| 87400 |
|
236 |
219 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
1,092 |
994 |
$6K |
| 84443 |
|
172 |
157 |
$5K |
| 87635 |
|
60 |
59 |
$5K |
| 83036 |
|
239 |
225 |
$4K |
| 87086 |
|
254 |
224 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
250 |
206 |
$3K |
| G0463 |
Hospital outpt clinic visit |
187 |
175 |
$3K |
| 0202U |
|
12 |
12 |
$2K |
| 85652 |
|
208 |
186 |
$2K |
| J2405 |
Ondansetron hcl injection |
354 |
305 |
$2K |
| 96376 |
|
22 |
12 |
$2K |
| 81025 |
|
146 |
124 |
$2K |
| 81003 |
|
298 |
259 |
$2K |
| 94760 |
|
150 |
66 |
$2K |
| 87430 |
|
55 |
52 |
$1K |
| 87798 |
|
40 |
33 |
$1K |
| G0480 |
Drug test def 1-7 classes |
20 |
12 |
$1K |
| 82306 |
|
26 |
26 |
$1K |
| 84146 |
|
25 |
25 |
$965.60 |
| 74021 |
|
14 |
12 |
$956.65 |
| 0241U |
|
17 |
13 |
$877.68 |
| 83655 |
|
27 |
24 |
$861.97 |
| J7040 |
Normal saline solution infus |
62 |
61 |
$750.16 |
| 87581 |
|
40 |
33 |
$725.97 |
| 87486 |
|
40 |
33 |
$721.73 |
| 84439 |
|
40 |
40 |
$615.24 |
| 82150 |
|
27 |
25 |
$493.59 |
| 82077 |
|
18 |
13 |
$458.55 |
| 84550 |
|
34 |
26 |
$388.33 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22 |
14 |
$375.65 |
| 82607 |
|
16 |
16 |
$367.18 |
| 80076 |
|
15 |
13 |
$344.08 |
| 85027 |
|
27 |
25 |
$337.58 |
| 82728 |
|
13 |
13 |
$330.99 |
| 87081 |
|
27 |
25 |
$309.16 |
| J3010 |
Fentanyl citrate injection |
25 |
15 |
$282.60 |
| 85018 |
|
25 |
24 |
$256.33 |
| 83550 |
|
13 |
13 |
$199.92 |
| 83540 |
|
13 |
13 |
$161.48 |
| J2270 |
Morphine sulfate injection |
16 |
16 |
$108.12 |
| 87807 |
|
15 |
15 |
$96.33 |
| J0690 |
Cefazolin sodium injection |
16 |
14 |
$94.40 |
| A9270 |
Non-covered item or service |
16 |
14 |
$0.00 |