| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,991 |
9,264 |
$2.46M |
| G0330 |
Facility svs dental rehab |
999 |
986 |
$2.26M |
| 99285 |
|
6,022 |
5,418 |
$1.90M |
| H0015 |
Alcohol and/or drug services |
11,433 |
1,642 |
$981K |
| H0035 |
Mh partial hosp tx under 24h |
6,179 |
989 |
$954K |
| 99283 |
|
5,655 |
5,216 |
$895K |
| D2930 |
|
1,794 |
1,732 |
$889K |
| 99211 |
|
43,943 |
41,229 |
$788K |
| D1206 |
|
1,474 |
1,430 |
$726K |
| 96374 |
|
2,692 |
2,424 |
$378K |
| 90853 |
|
5,221 |
1,453 |
$330K |
| S9480 |
Intensive outpatient psychia |
2,999 |
548 |
$326K |
| D1120 |
|
566 |
558 |
$293K |
| D1351 |
|
557 |
541 |
$272K |
| G0463 |
Hospital outpt clinic visit |
3,065 |
2,854 |
$265K |
| D7140 |
|
222 |
219 |
$254K |
| 90791 |
|
1,697 |
1,619 |
$204K |
| D3220 |
|
288 |
285 |
$138K |
| 96361 |
|
899 |
790 |
$87K |
| 0202U |
|
210 |
202 |
$67K |
| H0017 |
Alcohol and/or drug services |
344 |
26 |
$48K |
| 93306 |
|
102 |
102 |
$36K |
| 36415 |
|
18,723 |
15,993 |
$36K |
| 90832 |
|
178 |
175 |
$19K |
| 87636 |
|
170 |
131 |
$17K |
| 71046 |
|
203 |
189 |
$14K |
| D2934 |
|
26 |
25 |
$14K |
| 99281 |
|
1,919 |
1,858 |
$12K |
| 96375 |
|
255 |
230 |
$9K |
| 95913 |
|
16 |
15 |
$7K |
| 85025 |
|
15,569 |
14,209 |
$5K |
| 93005 |
|
1,890 |
1,669 |
$4K |
| J0485 |
Belatacept injection |
16 |
12 |
$4K |
| 96413 |
|
51 |
36 |
$4K |
| 74177 |
|
14 |
14 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
1,639 |
1,557 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,977 |
1,876 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,665 |
1,579 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,236 |
2,114 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,037 |
1,875 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,916 |
1,617 |
$2K |
| 80048 |
|
1,245 |
1,106 |
$2K |
| 77067 |
|
13 |
13 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
13 |
$1K |
| 80053 |
|
7,601 |
6,971 |
$1K |
| 87635 |
|
14 |
14 |
$706.19 |
| 77063 |
|
13 |
13 |
$651.04 |
| 81025 |
|
225 |
215 |
$602.91 |
| J2270 |
Morphine sulfate injection |
807 |
754 |
$575.04 |
| 81001 |
|
5,337 |
4,862 |
$226.73 |
| J2175 |
Meperidine hydrochl /100 mg |
28 |
28 |
$106.36 |
| 83690 |
|
753 |
681 |
$36.19 |
| 83735 |
|
256 |
233 |
$12.50 |
| 96372 |
|
52 |
48 |
$11.38 |
| 85027 |
|
186 |
152 |
$10.27 |
| J0690 |
Cefazolin sodium injection |
12 |
12 |
$8.80 |
| J1170 |
Hydromorphone injection |
12 |
12 |
$4.87 |
| J2250 |
Inj midazolam hydrochloride |
13 |
12 |
$3.21 |
| J7120 |
Ringers lactate infusion |
1,619 |
1,532 |
$3.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
14 |
$3.00 |
| 84484 |
|
117 |
76 |
$2.58 |
| 80076 |
|
73 |
66 |
$1.88 |
| J0137 |
Inj, acetaminophen (hikma) |
62 |
61 |
$1.60 |
| J2004 |
Inj, lidocaine w epinephrine |
38 |
38 |
$0.45 |
| 82077 |
|
111 |
106 |
$0.00 |
| 96127 |
|
236 |
229 |
$0.00 |
| 87581 |
|
31 |
29 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
108 |
84 |
$0.00 |
| 95886 |
|
33 |
31 |
$0.00 |
| 83605 |
|
19 |
19 |
$0.00 |
| 87486 |
|
31 |
29 |
$0.00 |
| 80179 |
|
58 |
55 |
$0.00 |
| 80307 |
|
279 |
250 |
$0.00 |
| 87400 |
|
60 |
27 |
$0.00 |
| D2929 |
|
14 |
14 |
$0.00 |
| 87798 |
|
60 |
29 |
$0.00 |
| 87633 |
|
31 |
29 |
$0.00 |
| 80305 |
|
25 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15 |
15 |
$0.00 |
| 80143 |
|
12 |
12 |
$0.00 |