| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
6,228 |
5,624 |
$1.97M |
| 99283 |
|
5,784 |
5,368 |
$1.03M |
| 99284 |
|
6,366 |
5,893 |
$867K |
| G0378 |
Hospital observation per hr |
9,283 |
3,404 |
$712K |
| 74177 |
|
2,623 |
2,426 |
$631K |
| 97110 |
|
8,872 |
2,728 |
$567K |
| 96361 |
|
6,490 |
4,704 |
$351K |
| 99282 |
|
2,834 |
2,645 |
$291K |
| 97140 |
|
6,136 |
1,981 |
$187K |
| 70450 |
|
2,505 |
2,326 |
$175K |
| 72125 |
|
355 |
333 |
$159K |
| 74176 |
|
640 |
597 |
$123K |
| 43239 |
|
83 |
80 |
$75K |
| 11042 |
|
631 |
290 |
$72K |
| 97112 |
|
1,255 |
417 |
$51K |
| 96366 |
|
1,384 |
755 |
$47K |
| U0003 |
Cov-19 amp prb hgh thruput |
410 |
374 |
$20K |
| 97161 |
|
1,517 |
1,393 |
$19K |
| 71275 |
|
353 |
330 |
$17K |
| 45380 |
|
35 |
34 |
$12K |
| 97530 |
|
623 |
344 |
$9K |
| 97535 |
|
772 |
533 |
$7K |
| 99213 |
|
832 |
443 |
$6K |
| 96375 |
|
6,317 |
5,061 |
$6K |
| 96374 |
|
7,044 |
6,356 |
$6K |
| 93005 |
|
9,031 |
7,223 |
$6K |
| 80053 |
|
10,482 |
7,786 |
$4K |
| 93306 |
|
110 |
103 |
$2K |
| 96365 |
|
1,896 |
1,700 |
$2K |
| 71046 |
|
560 |
512 |
$2K |
| 96376 |
|
3,988 |
2,312 |
$2K |
| 80048 |
|
9,632 |
7,237 |
$2K |
| 85025 |
|
14,970 |
11,951 |
$1K |
| 96360 |
|
1,260 |
1,181 |
$1K |
| 71045 |
|
5,217 |
4,695 |
$1K |
| 84484 |
|
6,504 |
4,285 |
$1K |
| 96372 |
|
3,829 |
2,232 |
$1K |
| 0241U |
|
1,093 |
1,054 |
$1K |
| 97165 |
|
45 |
40 |
$1K |
| J2405 |
Ondansetron hcl injection |
7,933 |
5,928 |
$724.70 |
| 87635 |
|
1,489 |
1,342 |
$662.27 |
| J7030 |
Normal saline solution infus |
3,395 |
2,385 |
$551.65 |
| 99214 |
|
52 |
37 |
$421.03 |
| 80306 |
|
1,392 |
1,303 |
$408.36 |
| 81001 |
|
7,299 |
6,524 |
$393.82 |
| J3010 |
Fentanyl citrate injection |
4,854 |
3,843 |
$374.85 |
| J1885 |
Ketorolac tromethamine inj |
3,833 |
3,189 |
$344.60 |
| 83690 |
|
4,663 |
4,096 |
$313.15 |
| J2270 |
Morphine sulfate injection |
3,898 |
2,746 |
$285.14 |
| 81025 |
|
1,976 |
1,848 |
$277.10 |
| 87040 |
|
1,149 |
583 |
$240.17 |
| 94760 |
|
6,067 |
2,749 |
$231.08 |
| G0463 |
Hospital outpt clinic visit |
122 |
38 |
$189.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,355 |
3,952 |
$182.90 |
| J2060 |
Lorazepam injection |
1,725 |
1,214 |
$175.59 |
| 83735 |
|
3,879 |
2,454 |
$172.15 |
| 82248 |
|
3,797 |
3,406 |
$153.07 |
| 87502 |
|
131 |
119 |
$149.96 |
| 85730 |
|
1,168 |
1,037 |
$149.34 |
| 87086 |
|
2,307 |
2,094 |
$146.53 |
| 85379 |
|
1,369 |
1,243 |
$140.19 |
| 97116 |
|
237 |
108 |
$123.72 |
| J1100 |
Dexamethasone sodium phos |
2,542 |
2,306 |
$117.66 |
| 84703 |
|
2,445 |
2,288 |
$106.51 |
| 36415 |
|
5,829 |
4,272 |
$105.87 |
| 83605 |
|
1,166 |
950 |
$97.86 |
| J1650 |
Inj enoxaparin sodium |
1,912 |
969 |
$97.26 |
| J0696 |
Ceftriaxone sodium injection |
804 |
560 |
$94.77 |
| 84443 |
|
1,097 |
1,020 |
$86.80 |
| J2704 |
Inj, propofol, 10 mg |
3,353 |
2,895 |
$83.87 |
| 82962 |
|
5,506 |
2,148 |
$81.77 |
| 82550 |
|
588 |
460 |
$77.13 |
| 83880 |
|
681 |
590 |
$76.47 |
| 85027 |
|
4,981 |
3,231 |
$71.29 |
| 94640 |
|
317 |
227 |
$71.18 |
| J7120 |
Ringers lactate infusion |
3,105 |
2,583 |
$60.74 |
| 87186 |
|
389 |
317 |
$58.50 |
| 85610 |
|
3,332 |
2,880 |
$58.20 |
| 87077 |
|
558 |
442 |
$47.59 |
| 86900 |
|
67 |
64 |
$31.82 |
| 87491 |
|
12 |
12 |
$24.94 |
| 87591 |
|
12 |
12 |
$24.86 |
| 80329 |
|
436 |
277 |
$24.22 |
| 80320 |
|
1,657 |
1,477 |
$24.22 |
| J2250 |
Inj midazolam hydrochloride |
2,883 |
2,586 |
$22.74 |
| 84100 |
|
494 |
347 |
$22.61 |
| J2765 |
Metoclopramide hcl injection |
787 |
694 |
$22.53 |
| J1170 |
Hydromorphone injection |
1,501 |
954 |
$18.97 |
| 76705 |
|
14 |
14 |
$13.51 |
| U0002 |
Covid-19 lab test non-cdc |
21 |
21 |
$12.49 |
| A9270 |
Non-covered item or service |
2,551 |
291 |
$12.02 |
| J7050 |
Normal saline solution infus |
93 |
48 |
$5.08 |
| 87205 |
|
146 |
126 |
$3.57 |
| 84132 |
|
391 |
273 |
$3.44 |
| J3490 |
Drugs unclassified injection |
100 |
67 |
$2.17 |
| 88305 |
|
1,240 |
789 |
$0.00 |
| C1769 |
Guide wire |
560 |
470 |
$0.00 |
| 83036 |
|
162 |
147 |
$0.00 |
| 87070 |
|
55 |
50 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,982 |
1,410 |
$0.00 |
| 93971 |
|
71 |
64 |
$0.00 |
| J3480 |
Inj potassium chloride |
402 |
223 |
$0.00 |
| 87651 |
|
14 |
14 |
$0.00 |
| 86901 |
|
107 |
100 |
$0.00 |
| Q0162 |
Ondansetron oral |
87 |
72 |
$0.00 |
| 88342 |
|
75 |
68 |
$0.00 |
| 86140 |
|
87 |
77 |
$0.00 |
| 87081 |
|
17 |
13 |
$0.00 |
| 85652 |
|
41 |
38 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
25 |
12 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
12 |
$0.00 |
| 87400 |
|
292 |
137 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
571 |
453 |
$0.00 |
| 80061 |
|
72 |
66 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
92 |
82 |
$0.00 |
| G1004 |
Cdsm ndsc |
719 |
443 |
$0.00 |
| 99152 |
|
89 |
81 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
270 |
242 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
38 |
14 |
$0.00 |
| J7040 |
Normal saline solution infus |
30 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
14 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
26 |
26 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
75 |
37 |
$0.00 |
| 87880 |
|
26 |
25 |
$0.00 |
| 96367 |
|
13 |
13 |
$0.00 |