| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,657 |
4,060 |
$587K |
| 99283 |
|
3,672 |
3,253 |
$305K |
| G0378 |
Hospital observation per hr |
443 |
389 |
$291K |
| 99285 |
|
1,674 |
1,477 |
$246K |
| 93005 |
|
4,864 |
4,182 |
$50K |
| 99282 |
|
881 |
794 |
$49K |
| 85025 |
|
8,811 |
7,240 |
$23K |
| 80048 |
|
5,702 |
4,441 |
$17K |
| 71046 |
|
1,864 |
1,752 |
$16K |
| 74177 |
|
405 |
379 |
$14K |
| 80053 |
|
3,450 |
2,985 |
$10K |
| 70450 |
|
988 |
892 |
$7K |
| 74176 |
|
314 |
298 |
$7K |
| 84484 |
|
3,229 |
2,231 |
$6K |
| G0463 |
Hospital outpt clinic visit |
235 |
151 |
$6K |
| 71045 |
|
1,410 |
1,244 |
$4K |
| 81001 |
|
2,073 |
1,832 |
$4K |
| 71250 |
|
67 |
66 |
$3K |
| 87635 |
|
57 |
51 |
$3K |
| 99281 |
|
1,004 |
821 |
$3K |
| 84703 |
|
367 |
309 |
$3K |
| 93306 |
|
120 |
113 |
$2K |
| 93971 |
|
13 |
13 |
$2K |
| 83690 |
|
938 |
816 |
$2K |
| 80307 |
|
138 |
122 |
$2K |
| J2270 |
Morphine sulfate injection |
578 |
388 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,389 |
1,165 |
$918.89 |
| 87086 |
|
445 |
416 |
$886.11 |
| 84443 |
|
407 |
379 |
$834.43 |
| 80061 |
|
465 |
446 |
$759.40 |
| 80076 |
|
209 |
196 |
$569.49 |
| 85610 |
|
681 |
604 |
$559.26 |
| 81003 |
|
506 |
475 |
$516.86 |
| J2405 |
Ondansetron hcl injection |
1,391 |
988 |
$465.47 |
| U0002 |
Covid-19 lab test non-cdc |
29 |
28 |
$389.24 |
| 83605 |
|
162 |
134 |
$368.80 |
| 85027 |
|
612 |
535 |
$316.70 |
| 83036 |
|
267 |
256 |
$273.31 |
| 87804 |
|
107 |
104 |
$266.71 |
| 87040 |
|
59 |
40 |
$232.24 |
| J1170 |
Hydromorphone injection |
63 |
40 |
$146.19 |
| 96372 |
|
17 |
12 |
$137.24 |
| 85730 |
|
167 |
156 |
$137.07 |
| 87186 |
|
55 |
53 |
$99.39 |
| J1100 |
Dexamethasone sodium phos |
31 |
25 |
$79.76 |
| J1650 |
Inj enoxaparin sodium |
15 |
12 |
$65.59 |
| 82948 |
|
15 |
15 |
$12.39 |
| J0696 |
Ceftriaxone sodium injection |
18 |
13 |
$8.41 |
| J3010 |
Fentanyl citrate injection |
74 |
49 |
$8.08 |
| J2060 |
Lorazepam injection |
33 |
24 |
$5.68 |
| 80051 |
|
251 |
240 |
$0.00 |
| 88305 |
|
159 |
123 |
$0.00 |
| 83880 |
|
102 |
90 |
$0.00 |
| 0241U |
|
29 |
28 |
$0.00 |
| 83735 |
|
22 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
47 |
22 |
$0.00 |
| 78452 |
|
13 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$0.00 |
| 84520 |
|
253 |
242 |
$0.00 |
| 82565 |
|
255 |
244 |
$0.00 |
| 82947 |
|
247 |
236 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
208 |
198 |
$0.00 |
| 93017 |
|
14 |
14 |
$0.00 |