| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,214 |
2,009 |
$423K |
| 99284 |
|
1,467 |
1,321 |
$229K |
| 96361 |
|
382 |
305 |
$183K |
| 0202U |
|
512 |
484 |
$159K |
| 93306 |
|
187 |
180 |
$82K |
| 74177 |
|
199 |
187 |
$57K |
| 99282 |
|
346 |
315 |
$52K |
| 87631 |
|
182 |
175 |
$32K |
| G0378 |
Hospital observation per hr |
242 |
179 |
$24K |
| 70450 |
|
91 |
82 |
$24K |
| 80053 |
|
4,505 |
3,811 |
$19K |
| 84443 |
|
1,114 |
1,073 |
$12K |
| 85025 |
|
4,080 |
3,411 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
287 |
275 |
$11K |
| 71046 |
|
264 |
250 |
$11K |
| 36415 |
|
5,215 |
4,277 |
$11K |
| G0463 |
Hospital outpt clinic visit |
2,768 |
2,121 |
$11K |
| 94640 |
|
56 |
40 |
$7K |
| 80061 |
|
816 |
779 |
$6K |
| 93005 |
|
870 |
678 |
$6K |
| 87502 |
|
28 |
27 |
$5K |
| 97110 |
|
34 |
12 |
$5K |
| 83036 |
|
623 |
589 |
$4K |
| 96365 |
|
43 |
39 |
$4K |
| 76700 |
|
12 |
12 |
$3K |
| 86140 |
|
1,014 |
860 |
$3K |
| 87426 |
|
116 |
92 |
$3K |
| 82306 |
|
95 |
92 |
$3K |
| 87651 |
|
165 |
163 |
$3K |
| 93296 |
|
143 |
136 |
$3K |
| 99285 |
|
26 |
26 |
$2K |
| 73630 |
|
36 |
27 |
$2K |
| 87086 |
|
370 |
335 |
$2K |
| 85027 |
|
561 |
466 |
$2K |
| 84439 |
|
234 |
232 |
$2K |
| 80048 |
|
442 |
334 |
$2K |
| 83880 |
|
287 |
208 |
$2K |
| 82607 |
|
139 |
137 |
$2K |
| 0241U |
|
24 |
24 |
$1K |
| 71045 |
|
444 |
380 |
$1K |
| G2066 |
Inter devc remote 30d |
137 |
133 |
$1K |
| 83735 |
|
823 |
594 |
$1K |
| 96375 |
|
503 |
372 |
$1K |
| 96374 |
|
790 |
666 |
$1K |
| 81003 |
|
393 |
354 |
$934.02 |
| 85652 |
|
388 |
343 |
$853.10 |
| 88305 |
|
144 |
136 |
$848.45 |
| 81001 |
|
639 |
585 |
$749.28 |
| 83690 |
|
419 |
378 |
$729.26 |
| 97161 |
|
43 |
37 |
$717.35 |
| 84484 |
|
571 |
436 |
$711.71 |
| 80050 |
|
66 |
60 |
$703.70 |
| 97530 |
|
34 |
12 |
$666.75 |
| 85610 |
|
609 |
506 |
$578.54 |
| 84100 |
|
522 |
408 |
$524.42 |
| 81025 |
|
350 |
329 |
$516.83 |
| 85007 |
|
319 |
244 |
$458.60 |
| 82550 |
|
591 |
466 |
$379.13 |
| 85379 |
|
214 |
196 |
$355.07 |
| 83605 |
|
32 |
26 |
$323.20 |
| 84145 |
|
87 |
58 |
$252.47 |
| 85730 |
|
417 |
356 |
$250.07 |
| 82150 |
|
333 |
299 |
$243.73 |
| 96376 |
|
82 |
63 |
$193.44 |
| 96372 |
|
416 |
345 |
$190.90 |
| 83874 |
|
511 |
393 |
$179.50 |
| 82553 |
|
516 |
401 |
$149.04 |
| 82948 |
|
237 |
90 |
$120.86 |
| 83540 |
|
42 |
37 |
$110.22 |
| 87077 |
|
42 |
38 |
$99.15 |
| 87186 |
|
27 |
24 |
$83.69 |
| 87804 |
|
25 |
16 |
$49.91 |
| 84703 |
|
13 |
12 |
$17.78 |
| 80306 |
|
28 |
27 |
$7.29 |
| J7030 |
Normal saline solution infus |
979 |
689 |
$5.48 |
| J3010 |
Fentanyl citrate injection |
597 |
415 |
$0.67 |
| J2704 |
Inj, propofol, 10 mg |
423 |
369 |
$0.00 |
| J1630 |
Haloperidol injection |
26 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
329 |
39 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
402 |
330 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
254 |
176 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
257 |
225 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |
| J1170 |
Hydromorphone injection |
76 |
51 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
184 |
168 |
$0.00 |
| 94761 |
|
55 |
28 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
451 |
326 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
638 |
489 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
316 |
296 |
$0.00 |