| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,523 |
14,663 |
$1.35M |
| 99284 |
|
11,348 |
9,239 |
$456K |
| 97110 |
|
7,703 |
1,371 |
$358K |
| 99285 |
|
3,371 |
1,628 |
$208K |
| 80053 |
|
11,936 |
9,114 |
$207K |
| 99282 |
|
2,365 |
2,165 |
$182K |
| 74177 |
|
1,052 |
901 |
$131K |
| 70450 |
|
2,351 |
1,768 |
$116K |
| 74176 |
|
993 |
810 |
$105K |
| 99281 |
|
915 |
824 |
$81K |
| G0378 |
Hospital observation per hr |
1,823 |
856 |
$50K |
| 80048 |
|
2,460 |
1,766 |
$26K |
| 72125 |
|
530 |
377 |
$22K |
| 87070 |
|
1,490 |
1,325 |
$21K |
| 85027 |
|
15,351 |
11,045 |
$17K |
| 97140 |
|
437 |
105 |
$17K |
| J1100 |
Dexamethasone sodium phos |
955 |
633 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
782 |
647 |
$15K |
| 87400 |
|
3,931 |
3,526 |
$14K |
| 87635 |
|
5,159 |
4,582 |
$13K |
| 93005 |
|
6,854 |
5,261 |
$13K |
| 71045 |
|
6,099 |
4,825 |
$13K |
| G0480 |
Drug test def 1-7 classes |
500 |
400 |
$12K |
| 94640 |
|
529 |
427 |
$12K |
| 81001 |
|
4,195 |
3,495 |
$10K |
| A9270 |
Non-covered item or service |
7,097 |
1,880 |
$10K |
| 85610 |
|
5,647 |
4,313 |
$9K |
| 85730 |
|
5,171 |
3,997 |
$9K |
| 96372 |
|
2,073 |
1,637 |
$9K |
| 71046 |
|
1,144 |
1,023 |
$8K |
| 71275 |
|
56 |
49 |
$8K |
| 96374 |
|
6,911 |
5,596 |
$7K |
| 80307 |
|
1,424 |
1,251 |
$6K |
| 81003 |
|
2,625 |
2,231 |
$5K |
| J3010 |
Fentanyl citrate injection |
641 |
485 |
$5K |
| J7030 |
Normal saline solution infus |
5,303 |
4,066 |
$5K |
| 81025 |
|
2,057 |
1,897 |
$4K |
| 97162 |
|
114 |
88 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,843 |
868 |
$4K |
| 83735 |
|
3,719 |
2,797 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,742 |
2,060 |
$3K |
| 84484 |
|
5,333 |
3,253 |
$3K |
| 87040 |
|
1,473 |
986 |
$3K |
| G8979 |
Mobility goal status |
47 |
40 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
327 |
241 |
$2K |
| J7050 |
Normal saline solution infus |
1,830 |
1,121 |
$2K |
| J1170 |
Hydromorphone injection |
1,359 |
917 |
$2K |
| 96375 |
|
2,834 |
2,152 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
85 |
28 |
$2K |
| 86850 |
|
606 |
466 |
$1K |
| 83690 |
|
3,962 |
3,241 |
$1K |
| C1725 |
Cath, translumin non-laser |
21 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
186 |
137 |
$1K |
| 86900 |
|
612 |
468 |
$1K |
| 86901 |
|
612 |
468 |
$1K |
| 87077 |
|
620 |
467 |
$1K |
| G8978 |
Mobility current status |
29 |
26 |
$1K |
| 87086 |
|
955 |
805 |
$1K |
| 97161 |
|
18 |
13 |
$977.23 |
| 83880 |
|
1,127 |
906 |
$930.01 |
| 84100 |
|
854 |
591 |
$913.60 |
| J1885 |
Ketorolac tromethamine inj |
2,631 |
1,650 |
$894.45 |
| J3370 |
Vancomycin hcl injection |
26 |
12 |
$877.77 |
| 76830 |
|
12 |
12 |
$775.45 |
| 73562 |
|
75 |
52 |
$689.30 |
| 74018 |
|
15 |
13 |
$673.23 |
| 96376 |
|
307 |
182 |
$650.09 |
| 72131 |
|
62 |
51 |
$625.44 |
| 87880 |
|
1,950 |
1,875 |
$487.54 |
| 76705 |
|
16 |
12 |
$465.39 |
| C1894 |
Intro/sheath, non-laser |
39 |
26 |
$458.66 |
| C1769 |
Guide wire |
47 |
33 |
$458.66 |
| J2060 |
Lorazepam injection |
430 |
296 |
$398.27 |
| 87186 |
|
359 |
273 |
$357.73 |
| 83605 |
|
1,392 |
1,061 |
$310.77 |
| 84703 |
|
817 |
724 |
$299.51 |
| J2550 |
Promethazine hcl injection |
58 |
44 |
$291.71 |
| 85379 |
|
378 |
315 |
$274.54 |
| 73610 |
|
47 |
37 |
$272.54 |
| 82150 |
|
149 |
120 |
$221.68 |
| 77067 |
|
13 |
13 |
$220.85 |
| J3490 |
Drugs unclassified injection |
85 |
62 |
$192.32 |
| 82550 |
|
264 |
218 |
$178.36 |
| J2270 |
Morphine sulfate injection |
417 |
321 |
$152.47 |
| J7999 |
Compounded drug, noc |
45 |
30 |
$49.20 |
| 84443 |
|
81 |
63 |
$18.81 |
| G0463 |
Hospital outpt clinic visit |
60 |
26 |
$15.22 |
| 87807 |
|
169 |
163 |
$8.18 |
| J1200 |
Diphenhydramine hcl injectio |
123 |
91 |
$5.04 |
| 87205 |
|
40 |
25 |
$3.04 |
| J2930 |
Methylprednisolone injection |
18 |
12 |
$0.00 |
| 82248 |
|
22 |
17 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
19 |
12 |
$0.00 |
| 73630 |
|
18 |
16 |
$0.00 |
| G1003 |
Cdsm medicalis |
188 |
136 |
$0.00 |
| 80076 |
|
94 |
82 |
$0.00 |
| 11042 |
|
51 |
12 |
$0.00 |
| 73130 |
|
14 |
14 |
$0.00 |
| 87426 |
|
37 |
29 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
207 |
167 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,032 |
632 |
$0.00 |
| Q0162 |
Ondansetron oral |
365 |
346 |
$0.00 |
| 82803 |
|
20 |
13 |
$0.00 |
| 36415 |
|
267 |
188 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
34 |
28 |
$0.00 |
| 86140 |
|
21 |
18 |
$0.00 |