| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,084 |
20,605 |
$3.72M |
| G0463 |
Hospital outpt clinic visit |
32,565 |
26,379 |
$2.66M |
| 99284 |
|
10,538 |
9,707 |
$2.30M |
| 99285 |
|
5,558 |
4,944 |
$1.63M |
| 96374 |
|
9,248 |
8,526 |
$1.19M |
| 99282 |
|
11,932 |
11,250 |
$1.03M |
| 87637 |
|
3,840 |
3,710 |
$398K |
| 96375 |
|
5,497 |
4,974 |
$229K |
| 71045 |
|
3,793 |
3,471 |
$198K |
| 0202U |
|
670 |
649 |
$196K |
| 11042 |
|
1,307 |
508 |
$158K |
| 74177 |
|
666 |
631 |
$122K |
| 71046 |
|
1,684 |
1,549 |
$78K |
| G0379 |
Direct refer hospital observ |
685 |
361 |
$68K |
| 20610 |
|
376 |
345 |
$67K |
| 70450 |
|
438 |
402 |
$54K |
| 87635 |
|
859 |
800 |
$38K |
| 59025 |
|
240 |
133 |
$35K |
| 93306 |
|
57 |
56 |
$22K |
| 11721 |
|
994 |
955 |
$14K |
| 87070 |
|
1,538 |
1,488 |
$14K |
| 97110 |
|
513 |
96 |
$13K |
| 97597 |
|
157 |
81 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
323 |
250 |
$10K |
| 43239 |
|
18 |
14 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
67 |
63 |
$4K |
| 93017 |
|
66 |
62 |
$4K |
| 76816 |
|
55 |
51 |
$4K |
| 73630 |
|
295 |
277 |
$2K |
| 80053 |
|
18,714 |
16,838 |
$2K |
| 88305 |
|
180 |
127 |
$2K |
| 93005 |
|
7,980 |
7,029 |
$2K |
| 36415 |
|
25,557 |
22,424 |
$2K |
| 96365 |
|
13 |
13 |
$2K |
| 85025 |
|
18,425 |
16,525 |
$2K |
| 80061 |
|
124 |
118 |
$1K |
| G0008 |
Admin influenza virus vac |
57 |
55 |
$1K |
| 80048 |
|
1,954 |
1,778 |
$943.12 |
| 96372 |
|
6,052 |
5,473 |
$811.69 |
| 87502 |
|
295 |
258 |
$717.04 |
| 81001 |
|
6,609 |
6,062 |
$649.44 |
| U0005 |
Infec agen detec ampli probe |
42 |
38 |
$619.50 |
| G0378 |
Hospital observation per hr |
748 |
402 |
$548.33 |
| 87086 |
|
186 |
175 |
$446.00 |
| 84443 |
|
432 |
392 |
$419.27 |
| 83036 |
|
154 |
133 |
$414.59 |
| 97140 |
|
51 |
12 |
$373.50 |
| 87591 |
|
14 |
14 |
$336.08 |
| 87491 |
|
14 |
14 |
$336.08 |
| 87651 |
|
1,437 |
1,392 |
$332.26 |
| 93242 |
|
14 |
12 |
$322.81 |
| 87631 |
|
695 |
665 |
$303.93 |
| 85027 |
|
1,195 |
1,060 |
$288.11 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
39 |
38 |
$277.11 |
| 97602 |
|
134 |
36 |
$137.40 |
| G0480 |
Drug test def 1-7 classes |
189 |
156 |
$108.71 |
| J8540 |
Oral dexamethasone |
357 |
344 |
$89.21 |
| 83690 |
|
4,730 |
4,351 |
$76.47 |
| 80307 |
|
624 |
539 |
$68.24 |
| 82306 |
|
14 |
13 |
$61.48 |
| 83735 |
|
4,429 |
3,964 |
$56.47 |
| 84484 |
|
4,834 |
3,397 |
$55.67 |
| J1885 |
Ketorolac tromethamine inj |
3,227 |
2,913 |
$44.91 |
| 81025 |
|
679 |
634 |
$40.81 |
| J7030 |
Normal saline solution infus |
3,702 |
3,242 |
$35.88 |
| 85610 |
|
2,891 |
2,640 |
$34.90 |
| J1630 |
Haloperidol injection |
852 |
749 |
$30.11 |
| 85730 |
|
1,541 |
1,417 |
$24.99 |
| 83605 |
|
2,818 |
2,344 |
$23.66 |
| 81003 |
|
2,569 |
2,387 |
$16.92 |
| 87880 |
|
154 |
141 |
$15.70 |
| 80076 |
|
528 |
488 |
$15.68 |
| J3301 |
Triamcinolone acet inj nos |
361 |
337 |
$13.44 |
| J3360 |
Diazepam injection |
681 |
604 |
$13.16 |
| 85379 |
|
107 |
88 |
$10.61 |
| 84703 |
|
410 |
388 |
$9.36 |
| 84100 |
|
154 |
100 |
$6.88 |
| 83615 |
|
32 |
29 |
$5.85 |
| J8597 |
Antiemetic drug oral nos |
242 |
232 |
$1.15 |
| J1100 |
Dexamethasone sodium phos |
100 |
84 |
$0.00 |
| 82803 |
|
80 |
68 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
411 |
268 |
$0.00 |
| 82150 |
|
82 |
66 |
$0.00 |
| 82077 |
|
52 |
49 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
488 |
390 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
66 |
58 |
$0.00 |
| 86141 |
|
268 |
239 |
$0.00 |
| 83880 |
|
520 |
485 |
$0.00 |
| 87040 |
|
97 |
49 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
195 |
139 |
$0.00 |
| 94640 |
|
258 |
207 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
121 |
50 |
$0.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 86738 |
|
64 |
53 |
$0.00 |
| 87077 |
|
13 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
15 |
$0.00 |
| 85651 |
|
38 |
30 |
$0.00 |
| 83520 |
|
38 |
27 |
$0.00 |
| 82553 |
|
28 |
24 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
17 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
461 |
391 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
771 |
695 |
$0.00 |
| 85007 |
|
230 |
208 |
$0.00 |
| J7120 |
Ringers lactate infusion |
158 |
122 |
$0.00 |
| J2270 |
Morphine sulfate injection |
34 |
28 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
130 |
121 |
$0.00 |
| 92504 |
|
12 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
17 |
17 |
$0.00 |
| 80143 |
|
33 |
15 |
$0.00 |
| 87186 |
|
13 |
12 |
$0.00 |