| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,128 |
5,879 |
$145K |
| 99284 |
|
4,859 |
3,686 |
$71K |
| 97530 |
|
5,347 |
1,539 |
$55K |
| 99285 |
|
3,550 |
2,524 |
$47K |
| 97110 |
|
10,567 |
3,006 |
$39K |
| 92507 |
|
2,036 |
745 |
$37K |
| 74177 |
|
576 |
529 |
$17K |
| G0378 |
Hospital observation per hr |
1,320 |
805 |
$16K |
| 70450 |
|
353 |
304 |
$10K |
| 0241U |
|
1,002 |
946 |
$10K |
| 80053 |
|
10,569 |
8,456 |
$9K |
| J3490 |
Drugs unclassified injection |
19,326 |
4,550 |
$8K |
| 85025 |
|
11,985 |
9,233 |
$7K |
| 71045 |
|
1,754 |
1,532 |
$7K |
| 71046 |
|
721 |
645 |
$6K |
| 94640 |
|
672 |
475 |
$6K |
| 97161 |
|
1,033 |
949 |
$6K |
| 96374 |
|
3,115 |
2,440 |
$5K |
| 93005 |
|
3,004 |
2,519 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,329 |
1,110 |
$4K |
| 80306 |
|
1,477 |
1,307 |
$4K |
| 97112 |
|
1,326 |
484 |
$4K |
| 36415 |
|
17,685 |
13,235 |
$4K |
| 81001 |
|
5,854 |
4,889 |
$3K |
| 96375 |
|
2,520 |
1,938 |
$3K |
| 87651 |
|
610 |
581 |
$3K |
| 96365 |
|
1,149 |
813 |
$3K |
| 96361 |
|
1,319 |
1,011 |
$2K |
| 83690 |
|
1,840 |
1,581 |
$2K |
| 96372 |
|
2,002 |
1,377 |
$2K |
| 99282 |
|
95 |
84 |
$2K |
| 97140 |
|
1,773 |
630 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,308 |
1,169 |
$2K |
| 87631 |
|
48 |
45 |
$2K |
| 80048 |
|
1,961 |
1,434 |
$1K |
| U0005 |
Infec agen detec ampli probe |
1,322 |
1,109 |
$1K |
| J7120 |
Ringers lactate infusion |
1,772 |
1,419 |
$1K |
| 87086 |
|
1,893 |
1,670 |
$1K |
| G0512 |
Cocm by rhc/fqhc 60 min mo |
152 |
149 |
$1K |
| J7030 |
Normal saline solution infus |
2,172 |
1,565 |
$982.74 |
| 87400 |
|
283 |
256 |
$922.44 |
| 81025 |
|
1,130 |
999 |
$870.22 |
| 87502 |
|
55 |
55 |
$805.43 |
| 84484 |
|
2,302 |
1,590 |
$759.87 |
| 86140 |
|
733 |
619 |
$704.55 |
| 83605 |
|
1,266 |
916 |
$673.18 |
| 83880 |
|
251 |
208 |
$576.66 |
| 84443 |
|
3,166 |
2,946 |
$516.66 |
| 87088 |
|
899 |
781 |
$501.94 |
| 83735 |
|
1,563 |
1,104 |
$498.73 |
| 80061 |
|
1,925 |
1,843 |
$496.30 |
| 87635 |
|
520 |
452 |
$475.42 |
| 94760 |
|
78 |
63 |
$406.00 |
| 87186 |
|
643 |
550 |
$398.24 |
| 90471 |
|
60 |
55 |
$380.73 |
| 73610 |
|
29 |
27 |
$362.61 |
| U0002 |
Covid-19 lab test non-cdc |
181 |
173 |
$346.35 |
| J2704 |
Inj, propofol, 10 mg |
763 |
646 |
$311.38 |
| 82306 |
|
234 |
229 |
$295.24 |
| 80050 |
|
1,273 |
1,207 |
$292.68 |
| 85610 |
|
982 |
795 |
$284.65 |
| 97165 |
|
27 |
24 |
$276.86 |
| 87040 |
|
485 |
255 |
$223.38 |
| J1885 |
Ketorolac tromethamine inj |
1,925 |
1,539 |
$214.33 |
| 96376 |
|
239 |
165 |
$175.50 |
| 90686 |
|
40 |
37 |
$175.00 |
| 73630 |
|
30 |
26 |
$168.62 |
| J2405 |
Ondansetron hcl injection |
1,964 |
1,551 |
$168.11 |
| 80307 |
|
123 |
96 |
$161.41 |
| 94762 |
|
37 |
32 |
$145.43 |
| J1100 |
Dexamethasone sodium phos |
99 |
86 |
$143.93 |
| 87070 |
|
75 |
65 |
$119.47 |
| 87077 |
|
179 |
157 |
$117.58 |
| 83036 |
|
2,659 |
2,528 |
$116.79 |
| J3010 |
Fentanyl citrate injection |
667 |
487 |
$94.48 |
| Q0162 |
Ondansetron oral |
250 |
184 |
$91.73 |
| 87426 |
|
36 |
27 |
$88.83 |
| 85027 |
|
323 |
230 |
$87.42 |
| J7050 |
Normal saline solution infus |
1,302 |
802 |
$83.35 |
| 85730 |
|
43 |
36 |
$82.57 |
| J2270 |
Morphine sulfate injection |
300 |
238 |
$75.55 |
| 84703 |
|
98 |
85 |
$69.74 |
| G0480 |
Drug test def 1-7 classes |
484 |
412 |
$49.41 |
| 73130 |
|
14 |
12 |
$45.04 |
| J2250 |
Inj midazolam hydrochloride |
377 |
324 |
$44.48 |
| 82962 |
|
839 |
145 |
$32.15 |
| 87081 |
|
12 |
12 |
$26.85 |
| 83550 |
|
25 |
25 |
$11.71 |
| 83540 |
|
85 |
82 |
$8.67 |
| 82947 |
|
930 |
167 |
$5.31 |
| 85652 |
|
138 |
125 |
$3.62 |
| G0463 |
Hospital outpt clinic visit |
4,921 |
3,741 |
$0.00 |
| A9270 |
Non-covered item or service |
996 |
311 |
$0.00 |
| 84478 |
|
13 |
13 |
$0.00 |
| 86850 |
|
32 |
25 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
126 |
77 |
$0.00 |
| 85379 |
|
20 |
17 |
$0.00 |
| 85651 |
|
77 |
68 |
$0.00 |
| 87591 |
|
80 |
77 |
$0.00 |
| 99234 |
|
73 |
26 |
$0.00 |
| Q3014 |
Telehealth facility fee |
15 |
13 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| G0432 |
Eia hiv-1/hiv-2 screen |
26 |
25 |
$0.00 |
| G0379 |
Direct refer hospital observ |
20 |
12 |
$0.00 |
| 0352U |
|
12 |
12 |
$0.00 |
| 86901 |
|
42 |
36 |
$0.00 |
| 99459 |
|
13 |
12 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 82607 |
|
13 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
20 |
15 |
$0.00 |
| 76816 |
|
16 |
12 |
$0.00 |
| 0011A |
|
18 |
13 |
$0.00 |
| 97162 |
|
12 |
12 |
$0.00 |
| 87205 |
|
13 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
95 |
79 |
$0.00 |
| 59025 |
|
137 |
66 |
$0.00 |
| 87210 |
|
90 |
78 |
$0.00 |
| 82570 |
|
97 |
89 |
$0.00 |
| G1004 |
Cdsm ndsc |
82 |
71 |
$0.00 |
| 87420 |
|
12 |
12 |
$0.00 |
| 87491 |
|
80 |
77 |
$0.00 |
| 86900 |
|
43 |
36 |
$0.00 |
| 84100 |
|
99 |
54 |
$0.00 |
| 87798 |
|
17 |
14 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
12 |
12 |
$0.00 |
| 82465 |
|
12 |
12 |
$0.00 |
| 84439 |
|
25 |
25 |
$0.00 |
| 72100 |
|
16 |
15 |
$0.00 |
| 73562 |
|
16 |
16 |
$0.00 |
| 83718 |
|
12 |
12 |
$0.00 |