| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,441 |
9,157 |
$1.11M |
| 99283 |
|
6,407 |
5,882 |
$715K |
| 99285 |
|
8,520 |
6,084 |
$695K |
| 74176 |
|
1,780 |
1,468 |
$676K |
| 70450 |
|
1,610 |
1,368 |
$428K |
| 80053 |
|
13,217 |
7,362 |
$318K |
| 74177 |
|
511 |
471 |
$287K |
| G0378 |
Hospital observation per hr |
6,535 |
2,351 |
$233K |
| 96361 |
|
2,861 |
2,542 |
$132K |
| 93306 |
|
274 |
235 |
$129K |
| 99282 |
|
778 |
639 |
$74K |
| 11042 |
|
598 |
207 |
$73K |
| 72131 |
|
220 |
208 |
$67K |
| 80048 |
|
3,949 |
3,239 |
$24K |
| 72125 |
|
208 |
183 |
$16K |
| 99281 |
|
147 |
136 |
$15K |
| 71045 |
|
7,545 |
5,594 |
$10K |
| A4216 |
Sterile water/saline, 10 ml |
1,558 |
701 |
$10K |
| 96360 |
|
843 |
765 |
$9K |
| 71250 |
|
62 |
51 |
$9K |
| 76815 |
|
221 |
197 |
$8K |
| 36415 |
|
14,145 |
7,822 |
$8K |
| 93005 |
|
6,757 |
4,605 |
$8K |
| 96365 |
|
668 |
601 |
$8K |
| 76856 |
|
332 |
314 |
$8K |
| 71275 |
|
18 |
15 |
$8K |
| 85025 |
|
18,235 |
10,733 |
$7K |
| J7030 |
Normal saline solution infus |
7,330 |
5,394 |
$6K |
| 80307 |
|
1,025 |
863 |
$5K |
| 43239 |
|
13 |
12 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
2,215 |
1,907 |
$5K |
| 96374 |
|
7,048 |
5,548 |
$5K |
| 81001 |
|
6,922 |
5,645 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
608 |
550 |
$3K |
| 96372 |
|
3,589 |
2,972 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,748 |
1,226 |
$3K |
| 84703 |
|
2,522 |
2,238 |
$2K |
| 81025 |
|
3,363 |
3,087 |
$2K |
| 76705 |
|
398 |
354 |
$2K |
| 96366 |
|
52 |
46 |
$2K |
| 84484 |
|
4,666 |
2,719 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
5,479 |
4,560 |
$2K |
| 76830 |
|
76 |
73 |
$2K |
| J7050 |
Normal saline solution infus |
1,047 |
497 |
$1K |
| 87426 |
|
3,407 |
2,966 |
$1K |
| J1956 |
Levofloxacin injection |
42 |
24 |
$1K |
| 85610 |
|
3,336 |
2,406 |
$992.14 |
| 84702 |
|
1,087 |
940 |
$977.68 |
| U0003 |
Cov-19 amp prb hgh thruput |
101 |
86 |
$972.85 |
| 96375 |
|
3,889 |
3,143 |
$956.67 |
| 85730 |
|
2,611 |
1,937 |
$756.01 |
| 87070 |
|
1,233 |
1,112 |
$719.12 |
| 87086 |
|
2,236 |
1,985 |
$665.92 |
| 76817 |
|
117 |
107 |
$662.21 |
| 87804 |
|
5,922 |
3,095 |
$655.65 |
| A9270 |
Non-covered item or service |
733 |
314 |
$506.22 |
| J2405 |
Ondansetron hcl injection |
3,069 |
2,370 |
$475.90 |
| 83735 |
|
4,603 |
1,555 |
$384.45 |
| J7120 |
Ringers lactate infusion |
564 |
465 |
$383.60 |
| 73130 |
|
117 |
102 |
$359.97 |
| 76770 |
|
16 |
12 |
$344.91 |
| 82962 |
|
3,309 |
928 |
$332.73 |
| 70486 |
|
14 |
12 |
$301.49 |
| 83690 |
|
2,233 |
1,928 |
$292.64 |
| J0690 |
Cefazolin sodium injection |
693 |
511 |
$287.88 |
| 70551 |
|
15 |
12 |
$284.15 |
| 97166 |
|
28 |
25 |
$274.83 |
| U0004 |
Cov-19 test non-cdc hgh thru |
136 |
126 |
$266.94 |
| 87186 |
|
685 |
572 |
$262.35 |
| 90715 |
|
245 |
226 |
$260.10 |
| 84100 |
|
4,342 |
1,418 |
$239.71 |
| S0030 |
Injection, metronidazole |
189 |
95 |
$225.15 |
| 90471 |
|
170 |
140 |
$193.43 |
| 82550 |
|
1,344 |
757 |
$190.69 |
| J2270 |
Morphine sulfate injection |
1,084 |
642 |
$189.58 |
| J3010 |
Fentanyl citrate injection |
790 |
672 |
$188.23 |
| J2060 |
Lorazepam injection |
417 |
266 |
$179.26 |
| 73610 |
|
140 |
127 |
$172.39 |
| 94664 |
|
146 |
115 |
$167.14 |
| 97162 |
|
14 |
12 |
$161.41 |
| 86850 |
|
737 |
675 |
$150.98 |
| 86901 |
|
807 |
731 |
$147.57 |
| 86900 |
|
806 |
731 |
$146.96 |
| 73630 |
|
149 |
127 |
$144.41 |
| 76801 |
|
154 |
143 |
$133.56 |
| 88305 |
|
490 |
429 |
$130.39 |
| 84443 |
|
322 |
273 |
$118.15 |
| 93970 |
|
17 |
14 |
$113.25 |
| 73562 |
|
86 |
62 |
$107.64 |
| J1100 |
Dexamethasone sodium phos |
748 |
653 |
$107.12 |
| J2704 |
Inj, propofol, 10 mg |
1,053 |
882 |
$107.12 |
| 94640 |
|
151 |
101 |
$105.36 |
| 83880 |
|
648 |
520 |
$79.20 |
| 73030 |
|
118 |
95 |
$76.45 |
| J2360 |
Orphenadrine injection |
547 |
496 |
$73.18 |
| 73110 |
|
14 |
13 |
$72.74 |
| 87880 |
|
1,259 |
1,183 |
$68.06 |
| 82803 |
|
174 |
128 |
$59.67 |
| 87077 |
|
498 |
406 |
$55.16 |
| 87040 |
|
1,416 |
726 |
$53.73 |
| J2250 |
Inj midazolam hydrochloride |
752 |
666 |
$50.83 |
| 36600 |
|
42 |
37 |
$43.22 |
| G0480 |
Drug test def 1-7 classes |
123 |
112 |
$42.18 |
| 81003 |
|
888 |
805 |
$40.67 |
| 83605 |
|
934 |
710 |
$38.09 |
| S0028 |
Injection, famotidine, 20 mg |
760 |
654 |
$34.70 |
| 87635 |
|
13 |
12 |
$33.34 |
| C1751 |
Cath, inf, per/cent/midline |
97 |
71 |
$22.50 |
| J2765 |
Metoclopramide hcl injection |
413 |
365 |
$17.25 |
| J1200 |
Diphenhydramine hcl injectio |
516 |
442 |
$17.25 |
| 80076 |
|
183 |
153 |
$2.67 |
| 81015 |
|
20 |
17 |
$2.08 |
| 87147 |
|
13 |
12 |
$0.00 |
| J1815 |
Insulin injection |
64 |
23 |
$0.00 |
| 82607 |
|
16 |
14 |
$0.00 |
| 85027 |
|
58 |
50 |
$0.00 |
| J1170 |
Hydromorphone injection |
195 |
111 |
$0.00 |
| 85379 |
|
147 |
118 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
78 |
71 |
$0.00 |
| 93971 |
|
13 |
13 |
$0.00 |
| 82728 |
|
53 |
43 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
35 |
24 |
$0.00 |
| 88304 |
|
103 |
94 |
$0.00 |
| 83615 |
|
19 |
14 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
19 |
16 |
$0.00 |
| 86140 |
|
18 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
255 |
96 |
$0.00 |
| A4215 |
Sterile needle |
32 |
31 |
$0.00 |
| 87205 |
|
164 |
134 |
$0.00 |
| 36410 |
|
19 |
12 |
$0.00 |
| 76819 |
|
22 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
13 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| J0456 |
Azithromycin |
86 |
42 |
$0.00 |
| 86738 |
|
15 |
15 |
$0.00 |
| 80047 |
|
27 |
20 |
$0.00 |
| J2930 |
Methylprednisolone injection |
481 |
431 |
$0.00 |
| J7040 |
Normal saline solution infus |
236 |
203 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
729 |
318 |
$0.00 |
| 85007 |
|
32 |
30 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
503 |
291 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
138 |
107 |
$0.00 |
| 82805 |
|
16 |
14 |
$0.00 |
| 97530 |
|
21 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
28 |
25 |
$0.00 |
| 80061 |
|
21 |
16 |
$0.00 |