| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,724 |
9,914 |
$3.46M |
| 99285 |
|
4,721 |
3,983 |
$1.66M |
| 99283 |
|
20,561 |
19,700 |
$995K |
| 87502 |
|
3,224 |
3,095 |
$511K |
| 93005 |
|
3,203 |
2,331 |
$184K |
| 71045 |
|
4,411 |
3,807 |
$144K |
| 87637 |
|
484 |
466 |
$142K |
| 80053 |
|
10,381 |
8,741 |
$129K |
| 74177 |
|
345 |
307 |
$111K |
| 87430 |
|
3,069 |
2,969 |
$104K |
| 85025 |
|
10,323 |
8,532 |
$95K |
| 87428 |
|
1,161 |
1,122 |
$91K |
| 87651 |
|
1,320 |
1,290 |
$80K |
| 70450 |
|
878 |
737 |
$68K |
| U0002 |
Covid-19 lab test non-cdc |
1,006 |
941 |
$56K |
| G0480 |
Drug test def 1-7 classes |
425 |
354 |
$54K |
| 74176 |
|
191 |
172 |
$37K |
| 99282 |
|
681 |
666 |
$32K |
| U0003 |
Cov-19 amp prb hgh thruput |
277 |
271 |
$29K |
| 81001 |
|
7,246 |
6,459 |
$29K |
| 69436 |
|
31 |
31 |
$23K |
| 84443 |
|
1,059 |
972 |
$20K |
| 84484 |
|
1,971 |
1,220 |
$19K |
| 83880 |
|
679 |
554 |
$17K |
| 96365 |
|
468 |
376 |
$15K |
| 94640 |
|
293 |
208 |
$14K |
| 80061 |
|
893 |
813 |
$13K |
| J7030 |
Normal saline solution infus |
1,253 |
980 |
$13K |
| 87081 |
|
650 |
623 |
$13K |
| 99001 |
|
323 |
304 |
$12K |
| 87420 |
|
362 |
355 |
$11K |
| 99281 |
|
223 |
219 |
$11K |
| 84703 |
|
1,090 |
979 |
$11K |
| 71046 |
|
262 |
228 |
$10K |
| CP008 |
|
217 |
197 |
$10K |
| G0378 |
Hospital observation per hr |
14 |
12 |
$9K |
| 83690 |
|
1,177 |
1,013 |
$8K |
| 83036 |
|
550 |
505 |
$7K |
| 76805 |
|
26 |
26 |
$6K |
| 77067 |
|
50 |
49 |
$6K |
| 59050 |
|
45 |
40 |
$6K |
| 96374 |
|
965 |
849 |
$5K |
| 87086 |
|
609 |
526 |
$4K |
| 72125 |
|
100 |
75 |
$4K |
| 87040 |
|
413 |
207 |
$4K |
| 96361 |
|
55 |
41 |
$4K |
| 83735 |
|
839 |
662 |
$4K |
| J1100 |
Dexamethasone sodium phos |
778 |
727 |
$3K |
| 83605 |
|
295 |
226 |
$3K |
| 85610 |
|
977 |
831 |
$3K |
| 59025 |
|
50 |
42 |
$2K |
| 87804 |
|
154 |
76 |
$2K |
| 93306 |
|
12 |
12 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
529 |
440 |
$2K |
| J7050 |
Normal saline solution infus |
912 |
476 |
$1K |
| J2270 |
Morphine sulfate injection |
315 |
191 |
$1K |
| 96375 |
|
686 |
552 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
249 |
170 |
$947.67 |
| 80307 |
|
25 |
24 |
$864.66 |
| J2405 |
Ondansetron hcl injection |
1,339 |
1,064 |
$838.04 |
| J0696 |
Ceftriaxone sodium injection |
200 |
170 |
$764.06 |
| 36415 |
|
12,391 |
10,003 |
$712.56 |
| 80048 |
|
73 |
56 |
$684.54 |
| G0463 |
Hospital outpt clinic visit |
305 |
244 |
$627.67 |
| 82550 |
|
96 |
87 |
$557.86 |
| 87077 |
|
47 |
38 |
$548.34 |
| 87186 |
|
45 |
37 |
$398.75 |
| 85027 |
|
174 |
153 |
$375.42 |
| 84439 |
|
51 |
39 |
$360.05 |
| 87635 |
|
19 |
19 |
$307.98 |
| J3010 |
Fentanyl citrate injection |
273 |
215 |
$247.88 |
| 85730 |
|
176 |
155 |
$228.50 |
| 87880 |
|
72 |
71 |
$212.64 |
| 85007 |
|
164 |
146 |
$192.23 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
806 |
716 |
$187.66 |
| 84030 |
|
13 |
13 |
$140.08 |
| J0131 |
Inj, acetaminophen (nos) |
33 |
31 |
$128.19 |
| 96372 |
|
170 |
126 |
$85.90 |
| J7040 |
Normal saline solution infus |
14 |
13 |
$85.50 |
| J7120 |
Ringers lactate infusion |
13 |
13 |
$61.10 |
| 85018 |
|
13 |
13 |
$42.25 |
| J0134 |
Inj acetaminophen -fresenius |
13 |
13 |
$37.67 |
| 82150 |
|
14 |
12 |
$26.93 |
| 82962 |
|
682 |
410 |
$6.56 |
| J2704 |
Inj, propofol, 10 mg |
91 |
73 |
$0.44 |
| A9270 |
Non-covered item or service |
1,447 |
794 |
$0.00 |
| 96376 |
|
14 |
12 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
635 |
492 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
12 |
$0.00 |