| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,416 |
8,161 |
$2.93M |
| 99283 |
|
25,312 |
24,780 |
$2.17M |
| 11042 |
|
3,337 |
1,398 |
$1.36M |
| G0378 |
Hospital observation per hr |
1,858 |
1,139 |
$1.01M |
| 99285 |
|
1,854 |
1,819 |
$979K |
| 41899 |
|
378 |
274 |
$548K |
| 99282 |
|
3,532 |
3,443 |
$278K |
| 99281 |
|
3,205 |
3,174 |
$254K |
| 85025 |
|
19,545 |
16,670 |
$228K |
| 42820 |
|
72 |
71 |
$209K |
| 80053 |
|
12,769 |
10,951 |
$204K |
| 96413 |
|
842 |
512 |
$199K |
| 87389 |
|
3,089 |
3,028 |
$154K |
| 87502 |
|
1,342 |
1,310 |
$153K |
| G0463 |
Hospital outpt clinic visit |
4,795 |
4,204 |
$135K |
| 76770 |
|
539 |
513 |
$133K |
| 86780 |
|
3,193 |
3,053 |
$85K |
| 97530 |
|
1,888 |
597 |
$80K |
| U0002 |
Covid-19 lab test non-cdc |
2,915 |
2,814 |
$79K |
| 36415 |
|
15,770 |
13,653 |
$78K |
| 99212 |
|
471 |
390 |
$74K |
| 84443 |
|
2,201 |
2,133 |
$70K |
| 92507 |
|
605 |
178 |
$69K |
| 94640 |
|
577 |
511 |
$62K |
| 84702 |
|
2,114 |
1,722 |
$58K |
| 96375 |
|
947 |
597 |
$58K |
| 0202U |
|
493 |
484 |
$52K |
| 82306 |
|
773 |
762 |
$41K |
| 86762 |
|
1,281 |
1,247 |
$37K |
| 36591 |
|
867 |
563 |
$36K |
| 96365 |
|
367 |
299 |
$36K |
| 87651 |
|
841 |
831 |
$36K |
| 86850 |
|
1,941 |
1,842 |
$35K |
| 87340 |
|
1,651 |
1,616 |
$34K |
| 69436 |
|
27 |
26 |
$34K |
| 71046 |
|
792 |
783 |
$33K |
| 87591 |
|
444 |
433 |
$28K |
| 87491 |
|
445 |
434 |
$28K |
| 86803 |
|
801 |
778 |
$26K |
| 87635 |
|
531 |
526 |
$26K |
| 93005 |
|
463 |
446 |
$25K |
| 0353U |
|
711 |
683 |
$25K |
| 87086 |
|
1,586 |
1,544 |
$24K |
| 87880 |
|
1,572 |
1,544 |
$24K |
| 88305 |
|
191 |
174 |
$24K |
| 43239 |
|
40 |
37 |
$19K |
| 74018 |
|
385 |
351 |
$19K |
| 80061 |
|
648 |
647 |
$17K |
| 86900 |
|
1,877 |
1,767 |
$17K |
| J1100 |
Dexamethasone sodium phos |
2,149 |
1,743 |
$15K |
| 96372 |
|
400 |
335 |
$15K |
| 80307 |
|
297 |
285 |
$15K |
| J2405 |
Ondansetron hcl injection |
1,891 |
1,404 |
$15K |
| 82950 |
|
1,181 |
1,174 |
$14K |
| D2930 |
|
12 |
12 |
$14K |
| 96374 |
|
493 |
463 |
$14K |
| 70551 |
|
43 |
43 |
$13K |
| 86705 |
|
450 |
447 |
$13K |
| 84439 |
|
888 |
864 |
$13K |
| 83655 |
|
447 |
445 |
$13K |
| 86787 |
|
413 |
403 |
$12K |
| 86901 |
|
1,858 |
1,753 |
$11K |
| 83036 |
|
460 |
456 |
$9K |
| 96367 |
|
154 |
90 |
$9K |
| 84144 |
|
191 |
143 |
$9K |
| 81001 |
|
1,648 |
1,585 |
$8K |
| 86140 |
|
925 |
876 |
$7K |
| J0561 |
Penicillin g benzathine inj |
32 |
32 |
$7K |
| 88313 |
|
65 |
51 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
518 |
256 |
$6K |
| 85027 |
|
350 |
333 |
$6K |
| 87798 |
|
218 |
216 |
$5K |
| 97110 |
|
46 |
14 |
$5K |
| 83615 |
|
799 |
718 |
$5K |
| 99220 |
|
24 |
24 |
$5K |
| 80050 |
|
46 |
42 |
$5K |
| 81002 |
|
742 |
618 |
$4K |
| 82728 |
|
326 |
296 |
$4K |
| 86300 |
|
166 |
154 |
$4K |
| 81000 |
|
598 |
555 |
$3K |
| 88342 |
|
61 |
51 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
38 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
701 |
634 |
$3K |
| 88312 |
|
49 |
37 |
$3K |
| 71045 |
|
56 |
56 |
$3K |
| 76705 |
|
14 |
13 |
$3K |
| 87804 |
|
170 |
80 |
$3K |
| U0005 |
Infec agen detec ampli probe |
169 |
158 |
$3K |
| 96417 |
|
21 |
12 |
$3K |
| 76817 |
|
30 |
26 |
$2K |
| J3490 |
Drugs unclassified injection |
55 |
53 |
$2K |
| 87070 |
|
353 |
346 |
$2K |
| 74019 |
|
39 |
39 |
$2K |
| 81025 |
|
270 |
257 |
$2K |
| 70450 |
|
15 |
15 |
$2K |
| 96361 |
|
18 |
16 |
$2K |
| J0690 |
Cefazolin sodium injection |
334 |
256 |
$2K |
| 81003 |
|
482 |
475 |
$2K |
| 71260 |
|
13 |
13 |
$2K |
| 83550 |
|
186 |
181 |
$2K |
| 97112 |
|
24 |
12 |
$2K |
| J2270 |
Morphine sulfate injection |
156 |
112 |
$1K |
| 86706 |
|
53 |
52 |
$1K |
| 83540 |
|
202 |
196 |
$1K |
| J3010 |
Fentanyl citrate injection |
119 |
118 |
$1K |
| 90834 |
|
56 |
30 |
$990.63 |
| J1885 |
Ketorolac tromethamine inj |
130 |
89 |
$989.20 |
| 87040 |
|
89 |
86 |
$944.66 |
| 82570 |
|
96 |
71 |
$923.19 |
| 87634 |
|
13 |
13 |
$881.62 |
| 96376 |
|
17 |
12 |
$815.60 |
| 77067 |
|
36 |
36 |
$809.88 |
| 82784 |
|
71 |
64 |
$804.51 |
| 87807 |
|
84 |
84 |
$767.85 |
| 86364 |
|
24 |
24 |
$725.35 |
| 85018 |
|
122 |
121 |
$715.93 |
| 85014 |
|
122 |
121 |
$715.93 |
| J2001 |
Lidocaine injection |
117 |
99 |
$663.67 |
| 76642 |
|
12 |
12 |
$653.59 |
| J2795 |
Ropivacaine hcl injection |
59 |
45 |
$638.08 |
| 85652 |
|
136 |
123 |
$617.63 |
| J0735 |
Clonidine hydrochloride |
12 |
12 |
$570.58 |
| 84156 |
|
84 |
68 |
$552.00 |
| 82378 |
|
74 |
63 |
$492.51 |
| 90837 |
|
20 |
12 |
$359.70 |
| J2272 |
Inj, morphine (fresenius) |
75 |
69 |
$357.68 |
| 85046 |
|
30 |
26 |
$348.63 |
| 83735 |
|
29 |
24 |
$302.50 |
| J7510 |
Prednisolone oral per 5 mg |
134 |
126 |
$285.54 |
| J0131 |
Inj, acetaminophen (nos) |
16 |
13 |
$223.80 |
| A4216 |
Sterile water/saline, 10 ml |
19 |
12 |
$159.30 |
| 82657 |
|
14 |
12 |
$153.70 |
| 83690 |
|
15 |
13 |
$150.99 |
| 84550 |
|
13 |
13 |
$143.57 |
| 82951 |
|
13 |
13 |
$143.18 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
46 |
44 |
$127.35 |
| 77063 |
|
12 |
12 |
$123.11 |
| 85045 |
|
17 |
13 |
$80.14 |
| S0020 |
Injection, bupivicaine hydro |
15 |
12 |
$73.95 |
| 80143 |
|
13 |
13 |
$43.69 |
| 80179 |
|
13 |
13 |
$43.69 |
| 82952 |
|
12 |
12 |
$43.62 |
| 87077 |
|
12 |
12 |
$43.17 |
| 82077 |
|
13 |
13 |
$40.48 |
| G1004 |
Cdsm ndsc |
289 |
232 |
$0.00 |