| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,737 |
3,416 |
$1.05M |
| 99284 |
|
2,293 |
2,068 |
$702K |
| 99285 |
|
2,208 |
1,922 |
$689K |
| G0378 |
Hospital observation per hr |
415 |
294 |
$206K |
| 99282 |
|
760 |
727 |
$90K |
| 96374 |
|
1,518 |
1,327 |
$49K |
| 97110 |
|
2,001 |
459 |
$49K |
| 99281 |
|
327 |
314 |
$35K |
| 93005 |
|
1,984 |
1,661 |
$34K |
| 74177 |
|
444 |
416 |
$27K |
| 77067 |
|
279 |
263 |
$15K |
| 87635 |
|
1,311 |
1,156 |
$14K |
| 70450 |
|
620 |
550 |
$13K |
| 71046 |
|
924 |
857 |
$12K |
| 94640 |
|
502 |
370 |
$12K |
| 96372 |
|
764 |
688 |
$12K |
| 80307 |
|
742 |
619 |
$12K |
| 96375 |
|
964 |
848 |
$11K |
| 97140 |
|
367 |
108 |
$11K |
| 96361 |
|
589 |
555 |
$11K |
| 74176 |
|
225 |
208 |
$9K |
| OP259 |
|
4,100 |
3,224 |
$9K |
| 76856 |
|
89 |
85 |
$6K |
| 97530 |
|
277 |
113 |
$6K |
| 72110 |
|
208 |
190 |
$6K |
| OP710 |
|
264 |
235 |
$6K |
| 97161 |
|
224 |
193 |
$6K |
| 77063 |
|
278 |
262 |
$6K |
| 71045 |
|
818 |
720 |
$6K |
| 36415 |
|
4,541 |
3,589 |
$6K |
| 80048 |
|
3,106 |
2,472 |
$5K |
| 73630 |
|
316 |
297 |
$5K |
| 76830 |
|
53 |
51 |
$5K |
| 96360 |
|
78 |
78 |
$4K |
| 85025 |
|
3,449 |
2,699 |
$4K |
| 73130 |
|
276 |
258 |
$4K |
| 93306 |
|
33 |
32 |
$4K |
| 73564 |
|
152 |
145 |
$3K |
| 73030 |
|
223 |
210 |
$3K |
| 87804 |
|
570 |
535 |
$3K |
| 88305 |
|
135 |
125 |
$2K |
| 96365 |
|
83 |
74 |
$2K |
| 87491 |
|
212 |
203 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
651 |
567 |
$2K |
| 84484 |
|
1,062 |
825 |
$2K |
| 76700 |
|
28 |
26 |
$2K |
| 73610 |
|
165 |
153 |
$2K |
| 87591 |
|
212 |
203 |
$2K |
| 71275 |
|
41 |
38 |
$2K |
| OP250 |
|
1,508 |
1,187 |
$2K |
| 86901 |
|
101 |
88 |
$2K |
| 72125 |
|
75 |
68 |
$2K |
| 90715 |
|
107 |
101 |
$2K |
| 84703 |
|
1,260 |
1,147 |
$1K |
| 80053 |
|
579 |
497 |
$1K |
| 96376 |
|
218 |
189 |
$1K |
| 82553 |
|
862 |
716 |
$1K |
| 83880 |
|
254 |
216 |
$1K |
| 80076 |
|
915 |
808 |
$1K |
| 82962 |
|
1,410 |
1,041 |
$1K |
| 87637 |
|
55 |
54 |
$1K |
| 86850 |
|
98 |
88 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
275 |
249 |
$959.07 |
| 81001 |
|
2,048 |
1,837 |
$912.82 |
| 86900 |
|
101 |
88 |
$910.45 |
| 82550 |
|
903 |
737 |
$872.97 |
| 83690 |
|
861 |
762 |
$863.82 |
| 73562 |
|
97 |
81 |
$855.63 |
| 83735 |
|
827 |
647 |
$807.87 |
| 90471 |
|
134 |
105 |
$765.08 |
| 87880 |
|
282 |
274 |
$736.52 |
| 84443 |
|
228 |
197 |
$720.97 |
| 73110 |
|
43 |
42 |
$563.45 |
| 74018 |
|
50 |
44 |
$560.20 |
| 97010 |
|
358 |
123 |
$539.58 |
| J1650 |
Inj enoxaparin sodium |
173 |
74 |
$538.21 |
| 88342 |
|
14 |
12 |
$519.36 |
| C1767 |
Generator, neuro non-recharg |
128 |
122 |
$503.60 |
| 73502 |
|
43 |
37 |
$464.39 |
| 77080 |
|
14 |
12 |
$449.63 |
| 85027 |
|
173 |
151 |
$423.87 |
| 87086 |
|
321 |
295 |
$388.82 |
| G0463 |
Hospital outpt clinic visit |
221 |
73 |
$369.18 |
| J3490 |
Drugs unclassified injection |
1,344 |
781 |
$342.83 |
| J2405 |
Ondansetron hcl injection |
797 |
626 |
$342.16 |
| 93971 |
|
12 |
12 |
$267.34 |
| Q0162 |
Ondansetron oral |
331 |
302 |
$263.57 |
| 87420 |
|
70 |
67 |
$252.19 |
| 85610 |
|
267 |
224 |
$251.72 |
| 85379 |
|
171 |
155 |
$236.00 |
| 80061 |
|
112 |
98 |
$179.53 |
| 85730 |
|
129 |
107 |
$165.58 |
| 83036 |
|
108 |
97 |
$137.34 |
| J1885 |
Ketorolac tromethamine inj |
833 |
678 |
$122.99 |
| J1170 |
Hydromorphone injection |
329 |
190 |
$119.51 |
| OP637 |
|
698 |
414 |
$117.47 |
| 83605 |
|
61 |
51 |
$114.96 |
| 97014 |
|
55 |
13 |
$99.47 |
| J2704 |
Inj, propofol, 10 mg |
298 |
242 |
$87.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
255 |
212 |
$83.45 |
| 87081 |
|
46 |
44 |
$74.45 |
| J1100 |
Dexamethasone sodium phos |
285 |
236 |
$72.78 |
| J3475 |
Inj magnesium sulfate |
81 |
50 |
$68.96 |
| 84100 |
|
84 |
78 |
$57.46 |
| J2270 |
Morphine sulfate injection |
431 |
308 |
$46.65 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
125 |
114 |
$46.11 |
| 82803 |
|
16 |
14 |
$45.89 |
| J2930 |
Methylprednisolone injection |
35 |
26 |
$45.47 |
| J2060 |
Lorazepam injection |
79 |
59 |
$41.74 |
| 82248 |
|
27 |
25 |
$38.72 |
| J2250 |
Inj midazolam hydrochloride |
181 |
149 |
$37.01 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$26.40 |
| J2765 |
Metoclopramide hcl injection |
33 |
29 |
$16.08 |
| J1630 |
Haloperidol injection |
40 |
29 |
$14.78 |
| 87040 |
|
17 |
12 |
$11.79 |
| J0696 |
Ceftriaxone sodium injection |
210 |
147 |
$11.44 |
| A9270 |
Non-covered item or service |
276 |
263 |
$4.77 |
| J2919 |
Inj, methylpred sod succ 5mg |
56 |
38 |
$4.74 |
| J1200 |
Diphenhydramine hcl injectio |
153 |
107 |
$4.03 |
| J0780 |
Prochlorperazine injection |
35 |
28 |
$3.52 |
| C9113 |
Inj pantoprazole sodium, via |
35 |
25 |
$3.46 |
| J3010 |
Fentanyl citrate injection |
35 |
32 |
$1.72 |
| J0690 |
Cefazolin sodium injection |
15 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
16 |
12 |
$0.00 |