| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
51,081 |
42,605 |
$7.76M |
| 99283 |
|
53,459 |
47,309 |
$7.75M |
| 71045 |
|
22,073 |
18,707 |
$2.85M |
| 99285 |
|
16,706 |
13,755 |
$2.30M |
| 11042 |
|
3,931 |
1,455 |
$1.85M |
| 93005 |
|
24,289 |
19,786 |
$1.64M |
| 99282 |
|
9,723 |
8,756 |
$1.47M |
| C9803 |
Hopd covid-19 spec collect |
16,427 |
14,586 |
$1.15M |
| 74177 |
|
2,863 |
2,393 |
$1.00M |
| 92507 |
|
8,359 |
3,072 |
$852K |
| J7030 |
Normal saline solution infus |
19,875 |
15,728 |
$786K |
| 97530 |
|
9,259 |
3,452 |
$778K |
| 87502 |
|
9,839 |
8,788 |
$768K |
| 96374 |
|
19,560 |
16,415 |
$680K |
| 99218 |
|
1,214 |
666 |
$592K |
| 87635 |
|
13,033 |
11,412 |
$548K |
| 70450 |
|
5,881 |
4,725 |
$542K |
| 96361 |
|
15,859 |
12,874 |
$531K |
| 43239 |
|
495 |
385 |
$513K |
| 71046 |
|
4,221 |
3,639 |
$380K |
| 85025 |
|
53,316 |
43,551 |
$284K |
| 87636 |
|
2,607 |
2,453 |
$275K |
| 99211 |
|
2,945 |
2,002 |
$251K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,998 |
2,785 |
$228K |
| 80053 |
|
28,080 |
23,054 |
$219K |
| G0463 |
Hospital outpt clinic visit |
2,710 |
1,935 |
$185K |
| 80307 |
|
4,448 |
3,644 |
$160K |
| 96360 |
|
3,950 |
3,410 |
$133K |
| 99221 |
|
220 |
119 |
$125K |
| 96413 |
|
727 |
362 |
$125K |
| 84484 |
|
13,900 |
10,255 |
$111K |
| 97110 |
|
3,895 |
1,361 |
$102K |
| 80048 |
|
21,018 |
17,405 |
$99K |
| 81025 |
|
16,429 |
13,993 |
$95K |
| 87634 |
|
1,572 |
1,445 |
$87K |
| 36415 |
|
26,730 |
22,581 |
$82K |
| 96375 |
|
3,492 |
2,930 |
$77K |
| 45385 |
|
49 |
42 |
$75K |
| 99212 |
|
700 |
600 |
$72K |
| 87804 |
|
10,016 |
4,180 |
$65K |
| 87651 |
|
2,205 |
2,026 |
$62K |
| 97140 |
|
2,416 |
1,017 |
$60K |
| H2011 |
Crisis interven svc, 15 min |
684 |
559 |
$59K |
| 81001 |
|
24,898 |
20,974 |
$55K |
| 83690 |
|
13,530 |
11,254 |
$49K |
| 88305 |
|
1,715 |
1,358 |
$47K |
| J7050 |
Normal saline solution infus |
1,504 |
476 |
$42K |
| 87430 |
|
4,730 |
4,187 |
$41K |
| 80076 |
|
9,090 |
7,640 |
$40K |
| 96372 |
|
488 |
434 |
$32K |
| Q3014 |
Telehealth facility fee |
741 |
563 |
$31K |
| 94640 |
|
2,308 |
1,724 |
$27K |
| 74176 |
|
141 |
102 |
$26K |
| 96365 |
|
1,554 |
1,237 |
$23K |
| 83735 |
|
5,374 |
4,368 |
$21K |
| 97112 |
|
773 |
428 |
$20K |
| 87086 |
|
3,903 |
3,246 |
$20K |
| 72125 |
|
119 |
90 |
$19K |
| 76805 |
|
131 |
122 |
$19K |
| 80061 |
|
1,966 |
1,831 |
$18K |
| 97162 |
|
221 |
177 |
$16K |
| U0005 |
Infec agen detec ampli probe |
727 |
699 |
$16K |
| 85610 |
|
7,111 |
4,546 |
$14K |
| 83880 |
|
706 |
606 |
$14K |
| 11043 |
|
23 |
12 |
$14K |
| 87081 |
|
3,340 |
2,940 |
$13K |
| 87591 |
|
568 |
440 |
$11K |
| 87491 |
|
568 |
440 |
$11K |
| 83605 |
|
2,170 |
1,603 |
$11K |
| 87631 |
|
96 |
86 |
$11K |
| 80050 |
|
81 |
77 |
$10K |
| 81003 |
|
5,729 |
4,910 |
$9K |
| 71275 |
|
17 |
17 |
$8K |
| 87807 |
|
1,058 |
908 |
$7K |
| 97163 |
|
95 |
84 |
$7K |
| 82306 |
|
344 |
324 |
$7K |
| 80179 |
|
443 |
375 |
$7K |
| 83036 |
|
999 |
912 |
$7K |
| 80143 |
|
407 |
354 |
$6K |
| 82077 |
|
462 |
381 |
$6K |
| 94010 |
|
78 |
71 |
$6K |
| 90839 |
|
166 |
113 |
$4K |
| 84443 |
|
432 |
384 |
$4K |
| 97167 |
|
46 |
39 |
$3K |
| 94761 |
|
1,286 |
1,090 |
$3K |
| 84100 |
|
399 |
295 |
$2K |
| 82607 |
|
251 |
225 |
$2K |
| 71250 |
|
13 |
12 |
$2K |
| 92523 |
|
13 |
12 |
$2K |
| 85379 |
|
288 |
241 |
$2K |
| 85730 |
|
738 |
559 |
$2K |
| 84702 |
|
205 |
155 |
$1K |
| 87077 |
|
385 |
307 |
$1K |
| 84145 |
|
68 |
52 |
$1K |
| 83970 |
|
47 |
37 |
$990.46 |
| 73630 |
|
52 |
40 |
$870.42 |
| 82570 |
|
274 |
226 |
$787.95 |
| 82652 |
|
38 |
36 |
$759.39 |
| 84439 |
|
135 |
119 |
$732.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,670 |
1,321 |
$617.73 |
| 84550 |
|
250 |
212 |
$610.81 |
| 87801 |
|
15 |
12 |
$575.64 |
| 84156 |
|
273 |
224 |
$574.91 |
| 82150 |
|
144 |
127 |
$539.91 |
| 87210 |
|
194 |
149 |
$377.24 |
| 97116 |
|
18 |
12 |
$365.51 |
| 87186 |
|
69 |
64 |
$361.20 |
| 73110 |
|
17 |
12 |
$343.44 |
| 88342 |
|
42 |
34 |
$321.90 |
| 96376 |
|
92 |
75 |
$317.40 |
| 83525 |
|
25 |
25 |
$177.84 |
| 84481 |
|
14 |
12 |
$165.83 |
| 84681 |
|
14 |
14 |
$162.21 |
| 86803 |
|
13 |
12 |
$143.26 |
| 82550 |
|
30 |
28 |
$99.80 |
| 87070 |
|
28 |
25 |
$97.25 |
| 82043 |
|
14 |
14 |
$43.61 |
| J1885 |
Ketorolac tromethamine inj |
7,419 |
6,100 |
$40.52 |
| 85045 |
|
16 |
13 |
$40.24 |
| J2405 |
Ondansetron hcl injection |
11,755 |
9,411 |
$31.67 |
| G1004 |
Cdsm ndsc |
469 |
265 |
$0.54 |
| J3010 |
Fentanyl citrate injection |
174 |
109 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,740 |
765 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
651 |
528 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
76 |
50 |
$0.00 |
| J1170 |
Hydromorphone injection |
333 |
213 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
42 |
27 |
$0.00 |
| A9270 |
Non-covered item or service |
57 |
36 |
$0.00 |
| J2060 |
Lorazepam injection |
74 |
52 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
603 |
481 |
$0.00 |
| J2270 |
Morphine sulfate injection |
427 |
293 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
72 |
34 |
$0.00 |
| J2930 |
Methylprednisolone injection |
54 |
52 |
$0.00 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
36 |
34 |
$0.00 |