| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,010 |
9,705 |
$2.89M |
| 99284 |
|
4,784 |
3,581 |
$2.52M |
| 99285 |
|
2,132 |
1,290 |
$956K |
| 80053 |
|
12,435 |
10,714 |
$627K |
| 97110 |
|
7,904 |
2,852 |
$504K |
| 85025 |
|
12,383 |
10,387 |
$482K |
| 84443 |
|
4,737 |
4,486 |
$329K |
| 74177 |
|
193 |
169 |
$311K |
| 99282 |
|
1,836 |
1,513 |
$265K |
| 71046 |
|
2,346 |
1,706 |
$245K |
| 36415 |
|
16,958 |
13,889 |
$240K |
| 97140 |
|
4,863 |
1,793 |
$237K |
| 80061 |
|
4,110 |
3,997 |
$221K |
| 96374 |
|
2,476 |
2,045 |
$197K |
| 96375 |
|
1,731 |
1,428 |
$186K |
| 96361 |
|
2,183 |
1,809 |
$181K |
| 87635 |
|
2,894 |
2,542 |
$177K |
| 96372 |
|
1,726 |
1,350 |
$151K |
| 93005 |
|
2,336 |
1,845 |
$144K |
| 83036 |
|
2,871 |
2,778 |
$142K |
| 80307 |
|
1,361 |
840 |
$141K |
| 80305 |
|
2,424 |
1,987 |
$117K |
| 84484 |
|
2,571 |
1,817 |
$110K |
| 96365 |
|
701 |
525 |
$108K |
| 82728 |
|
1,345 |
1,303 |
$101K |
| 70450 |
|
284 |
212 |
$98K |
| 83690 |
|
1,848 |
1,571 |
$88K |
| 81001 |
|
4,055 |
3,465 |
$86K |
| 73630 |
|
618 |
498 |
$80K |
| 83605 |
|
1,472 |
1,181 |
$70K |
| 84439 |
|
1,106 |
1,070 |
$66K |
| 71045 |
|
674 |
555 |
$57K |
| 87086 |
|
1,612 |
1,452 |
$53K |
| 99203 |
|
511 |
459 |
$46K |
| 97530 |
|
440 |
236 |
$43K |
| 82306 |
|
860 |
836 |
$40K |
| 96360 |
|
252 |
221 |
$39K |
| 85610 |
|
2,127 |
1,640 |
$38K |
| 83880 |
|
483 |
405 |
$37K |
| 87502 |
|
312 |
285 |
$37K |
| 80048 |
|
1,090 |
902 |
$37K |
| 87070 |
|
962 |
839 |
$34K |
| 83735 |
|
1,241 |
1,054 |
$32K |
| 87077 |
|
971 |
829 |
$32K |
| G0463 |
Hospital outpt clinic visit |
708 |
476 |
$27K |
| 85379 |
|
437 |
377 |
$26K |
| 99213 |
|
606 |
398 |
$25K |
| 97162 |
|
237 |
231 |
$23K |
| 82607 |
|
281 |
274 |
$21K |
| J7030 |
Normal saline solution infus |
1,109 |
751 |
$20K |
| 85730 |
|
863 |
743 |
$20K |
| 87186 |
|
504 |
437 |
$17K |
| J2405 |
Ondansetron hcl injection |
1,871 |
1,430 |
$17K |
| G0480 |
Drug test def 1-7 classes |
95 |
71 |
$16K |
| 99212 |
|
477 |
304 |
$15K |
| 73030 |
|
105 |
67 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
1,429 |
1,232 |
$14K |
| U0002 |
Covid-19 lab test non-cdc |
395 |
378 |
$14K |
| 85652 |
|
463 |
441 |
$13K |
| 97112 |
|
269 |
111 |
$13K |
| 85027 |
|
457 |
431 |
$12K |
| 73130 |
|
99 |
74 |
$11K |
| 87426 |
|
388 |
368 |
$10K |
| 87400 |
|
139 |
100 |
$9K |
| 99281 |
|
79 |
76 |
$9K |
| 73610 |
|
83 |
61 |
$9K |
| 87807 |
|
71 |
69 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
156 |
142 |
$8K |
| 81003 |
|
467 |
441 |
$8K |
| 99214 |
|
134 |
73 |
$7K |
| 81025 |
|
256 |
244 |
$7K |
| 87633 |
|
30 |
28 |
$7K |
| 87591 |
|
112 |
110 |
$7K |
| 87491 |
|
113 |
110 |
$7K |
| 82570 |
|
276 |
272 |
$6K |
| 87430 |
|
135 |
129 |
$6K |
| 82150 |
|
134 |
121 |
$6K |
| 87804 |
|
51 |
47 |
$6K |
| 82043 |
|
139 |
138 |
$5K |
| 94760 |
|
209 |
172 |
$4K |
| 94640 |
|
127 |
107 |
$4K |
| A4550 |
Surgical trays |
387 |
230 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
88 |
87 |
$4K |
| G0378 |
Hospital observation per hr |
28 |
12 |
$3K |
| 87880 |
|
58 |
57 |
$3K |
| 87040 |
|
79 |
43 |
$3K |
| 84703 |
|
104 |
95 |
$3K |
| 80306 |
|
29 |
25 |
$3K |
| J1170 |
Hydromorphone injection |
236 |
154 |
$3K |
| J8499 |
Oral prescrip drug non chemo |
703 |
549 |
$3K |
| 97161 |
|
26 |
26 |
$3K |
| 76705 |
|
14 |
13 |
$3K |
| 80143 |
|
32 |
28 |
$3K |
| J7040 |
Normal saline solution infus |
186 |
145 |
$3K |
| 74018 |
|
12 |
12 |
$2K |
| J7120 |
Ringers lactate infusion |
145 |
121 |
$2K |
| 87081 |
|
26 |
25 |
$2K |
| 80179 |
|
31 |
28 |
$2K |
| 73562 |
|
19 |
14 |
$2K |
| 86140 |
|
78 |
78 |
$2K |
| J3010 |
Fentanyl citrate injection |
210 |
151 |
$1K |
| 96376 |
|
15 |
15 |
$1K |
| 97014 |
|
41 |
17 |
$1K |
| 77067 |
|
16 |
12 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
15 |
15 |
$1K |
| 84481 |
|
13 |
12 |
$1K |
| 86038 |
|
16 |
14 |
$1K |
| 82746 |
|
12 |
12 |
$998.10 |
| 97164 |
|
29 |
24 |
$760.32 |
| 93000 |
|
17 |
16 |
$741.12 |
| 93041 |
|
16 |
14 |
$598.64 |
| 87389 |
|
12 |
12 |
$526.35 |
| 82948 |
|
20 |
12 |
$466.21 |
| 85007 |
|
22 |
20 |
$465.60 |
| J2270 |
Morphine sulfate injection |
67 |
25 |
$358.41 |
| J2060 |
Lorazepam injection |
39 |
36 |
$350.36 |
| 0002A |
|
33 |
31 |
$344.04 |
| 81015 |
|
18 |
12 |
$307.23 |
| J0690 |
Cefazolin sodium injection |
16 |
13 |
$293.62 |
| 87205 |
|
17 |
12 |
$270.00 |
| 83540 |
|
12 |
12 |
$238.47 |
| 86803 |
|
12 |
12 |
$227.85 |
| J1100 |
Dexamethasone sodium phos |
27 |
26 |
$215.89 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$153.52 |
| J7042 |
5% dextrose/normal saline |
168 |
92 |
$143.59 |
| J2250 |
Inj midazolam hydrochloride |
45 |
38 |
$132.10 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$108.30 |
| 0001A |
|
40 |
38 |
$87.59 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$86.33 |
| S0119 |
Ondansetron 4 mg |
27 |
26 |
$75.87 |
| J1800 |
Propranolol injection |
45 |
42 |
$57.57 |
| J2001 |
Lidocaine injection |
14 |
12 |
$53.18 |
| 93010 |
|
429 |
314 |
$34.98 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
12 |
$14.98 |
| T1015 |
Clinic service |
91 |
84 |
$0.00 |
| 80348 |
|
19 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
5,138 |
3,036 |
$0.00 |