| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,999 |
8,342 |
$1.69M |
| 99285 |
|
3,022 |
2,785 |
$1.00M |
| 99283 |
|
11,272 |
10,603 |
$686K |
| 74177 |
|
1,165 |
1,100 |
$228K |
| 80053 |
|
12,059 |
10,055 |
$194K |
| 87631 |
|
1,439 |
1,389 |
$158K |
| 85025 |
|
14,608 |
11,850 |
$124K |
| 99282 |
|
2,399 |
2,187 |
$124K |
| 93005 |
|
4,189 |
3,652 |
$122K |
| 70450 |
|
1,484 |
1,396 |
$108K |
| G0480 |
Drug test def 1-7 classes |
1,169 |
1,027 |
$72K |
| 71045 |
|
2,400 |
2,189 |
$52K |
| C9803 |
Hopd covid-19 spec collect |
3,862 |
3,663 |
$51K |
| 76801 |
|
597 |
523 |
$49K |
| 71046 |
|
1,229 |
1,177 |
$43K |
| 72125 |
|
497 |
478 |
$40K |
| 80307 |
|
993 |
886 |
$39K |
| 74176 |
|
239 |
234 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
913 |
861 |
$34K |
| 83880 |
|
1,164 |
1,067 |
$29K |
| 99281 |
|
655 |
429 |
$28K |
| 87502 |
|
414 |
399 |
$27K |
| 84484 |
|
2,994 |
2,172 |
$25K |
| 81001 |
|
6,153 |
5,606 |
$19K |
| U0002 |
Covid-19 lab test non-cdc |
596 |
554 |
$19K |
| 84703 |
|
2,976 |
2,767 |
$15K |
| 71275 |
|
95 |
93 |
$15K |
| 87635 |
|
181 |
174 |
$13K |
| J7030 |
Normal saline solution infus |
3,835 |
2,998 |
$13K |
| 80048 |
|
2,116 |
1,449 |
$11K |
| 93976 |
|
159 |
143 |
$11K |
| CP007 |
|
250 |
191 |
$11K |
| U0005 |
Infec agen detec ampli probe |
773 |
732 |
$11K |
| 86850 |
|
560 |
520 |
$9K |
| G0463 |
Hospital outpt clinic visit |
547 |
421 |
$9K |
| 76856 |
|
82 |
80 |
$9K |
| 96374 |
|
2,397 |
2,221 |
$9K |
| 96365 |
|
293 |
277 |
$9K |
| 84443 |
|
680 |
653 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,985 |
1,270 |
$8K |
| 84702 |
|
995 |
807 |
$8K |
| 76817 |
|
132 |
103 |
$8K |
| 83690 |
|
2,243 |
2,053 |
$8K |
| 94640 |
|
155 |
89 |
$8K |
| 96361 |
|
732 |
692 |
$7K |
| 94760 |
|
358 |
249 |
$7K |
| 87591 |
|
280 |
265 |
$7K |
| 96375 |
|
1,824 |
1,603 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
870 |
773 |
$7K |
| 87491 |
|
267 |
253 |
$6K |
| 83605 |
|
726 |
506 |
$6K |
| 81025 |
|
821 |
791 |
$6K |
| 76830 |
|
56 |
54 |
$6K |
| 83735 |
|
1,359 |
1,000 |
$5K |
| 87634 |
|
80 |
76 |
$5K |
| 93306 |
|
15 |
14 |
$5K |
| 87040 |
|
695 |
333 |
$5K |
| 85610 |
|
1,763 |
1,521 |
$4K |
| 71260 |
|
30 |
29 |
$4K |
| 87430 |
|
230 |
222 |
$3K |
| J7120 |
Ringers lactate infusion |
809 |
611 |
$3K |
| J2270 |
Morphine sulfate injection |
2,165 |
1,556 |
$3K |
| 87086 |
|
520 |
488 |
$3K |
| 85730 |
|
694 |
620 |
$3K |
| 85379 |
|
411 |
380 |
$3K |
| 96372 |
|
895 |
775 |
$3K |
| 87637 |
|
26 |
26 |
$2K |
| 86901 |
|
1,117 |
1,026 |
$2K |
| J2405 |
Ondansetron hcl injection |
3,270 |
2,699 |
$2K |
| 86900 |
|
766 |
602 |
$2K |
| 83036 |
|
277 |
258 |
$2K |
| 76805 |
|
13 |
13 |
$2K |
| 73560 |
|
36 |
24 |
$1K |
| 96376 |
|
430 |
318 |
$1K |
| 76705 |
|
12 |
12 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,012 |
922 |
$1K |
| 84100 |
|
336 |
236 |
$936.50 |
| 86140 |
|
292 |
237 |
$902.84 |
| J3010 |
Fentanyl citrate injection |
910 |
705 |
$673.97 |
| 96360 |
|
24 |
24 |
$658.71 |
| 85027 |
|
171 |
114 |
$637.01 |
| 73630 |
|
13 |
12 |
$573.17 |
| 81003 |
|
218 |
206 |
$397.95 |
| 84145 |
|
13 |
12 |
$309.72 |
| 82550 |
|
62 |
52 |
$301.48 |
| J0131 |
Inj, acetaminophen (nos) |
34 |
26 |
$263.32 |
| J1100 |
Dexamethasone sodium phos |
250 |
230 |
$253.83 |
| 82607 |
|
12 |
12 |
$166.15 |
| 80061 |
|
15 |
13 |
$138.20 |
| 82565 |
|
65 |
58 |
$135.92 |
| 85014 |
|
74 |
58 |
$122.53 |
| 87186 |
|
13 |
13 |
$117.30 |
| 36415 |
|
3,619 |
2,930 |
$107.36 |
| J0690 |
Cefazolin sodium injection |
100 |
79 |
$99.35 |
| J1644 |
Inj heparin sodium per 1000u |
48 |
26 |
$98.03 |
| 86769 |
|
13 |
13 |
$91.75 |
| J1170 |
Hydromorphone injection |
40 |
28 |
$91.38 |
| J2250 |
Inj midazolam hydrochloride |
134 |
124 |
$64.86 |
| 87210 |
|
14 |
13 |
$59.37 |
| J2060 |
Lorazepam injection |
52 |
39 |
$53.07 |
| 85652 |
|
12 |
12 |
$47.76 |
| J2550 |
Promethazine hcl injection |
66 |
52 |
$33.95 |
| J2704 |
Inj, propofol, 10 mg |
256 |
216 |
$24.52 |
| J0360 |
Hydralazine hcl injection |
43 |
37 |
$13.28 |
| Q0162 |
Ondansetron oral |
359 |
339 |
$11.85 |
| 80051 |
|
17 |
14 |
$10.94 |
| 84520 |
|
17 |
14 |
$6.17 |
| 82947 |
|
17 |
14 |
$6.12 |
| J1200 |
Diphenhydramine hcl injectio |
21 |
17 |
$4.08 |
| J0692 |
Cefepime hcl for injection |
13 |
12 |
$2.62 |
| J2765 |
Metoclopramide hcl injection |
15 |
14 |
$2.55 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
41 |
39 |
$1.95 |
| A9270 |
Non-covered item or service |
3,912 |
3,034 |
$0.00 |