| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
20,825 |
19,265 |
$7.23M |
| 99284 |
|
14,824 |
13,826 |
$3.36M |
| 99283 |
|
8,678 |
8,252 |
$1.56M |
| G0463 |
Hospital outpt clinic visit |
16,327 |
14,562 |
$1.05M |
| 96374 |
|
8,876 |
8,079 |
$1.01M |
| 36415 |
|
23,617 |
20,728 |
$424K |
| H2035 |
A/d tx program, per hour |
3,409 |
560 |
$403K |
| 11042 |
|
1,873 |
1,467 |
$398K |
| 96361 |
|
4,590 |
4,017 |
$393K |
| 76816 |
|
2,643 |
2,229 |
$270K |
| 90834 |
|
2,839 |
1,497 |
$250K |
| 87637 |
|
1,761 |
1,724 |
$234K |
| 80053 |
|
15,113 |
13,017 |
$212K |
| 93005 |
|
7,950 |
7,087 |
$131K |
| 96375 |
|
2,826 |
2,435 |
$112K |
| 80048 |
|
7,321 |
6,471 |
$90K |
| 76811 |
|
311 |
292 |
$73K |
| 74177 |
|
419 |
381 |
$69K |
| 71046 |
|
2,043 |
1,855 |
$65K |
| 99282 |
|
792 |
749 |
$49K |
| 93798 |
|
581 |
90 |
$49K |
| 87636 |
|
373 |
360 |
$44K |
| 96413 |
|
238 |
160 |
$44K |
| 93010 |
|
12,375 |
8,937 |
$37K |
| C9803 |
Hopd covid-19 spec collect |
2,194 |
2,091 |
$34K |
| G0378 |
Hospital observation per hr |
207 |
134 |
$32K |
| T1013 |
Sign lang/oral interpreter |
545 |
427 |
$25K |
| 76819 |
|
234 |
148 |
$24K |
| 85025 |
|
19,705 |
16,962 |
$21K |
| 76820 |
|
321 |
200 |
$18K |
| A9270 |
Non-covered item or service |
1,923 |
1,057 |
$15K |
| 76801 |
|
130 |
118 |
$15K |
| 59025 |
|
86 |
56 |
$14K |
| 90837 |
|
283 |
161 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
214 |
183 |
$11K |
| 80307 |
|
638 |
612 |
$10K |
| 11043 |
|
16 |
12 |
$9K |
| 71045 |
|
213 |
197 |
$9K |
| 99281 |
|
105 |
101 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
180 |
173 |
$8K |
| 85027 |
|
10,399 |
9,277 |
$7K |
| 84484 |
|
3,607 |
2,673 |
$6K |
| J7030 |
Normal saline solution infus |
8,138 |
6,083 |
$6K |
| 96365 |
|
38 |
25 |
$5K |
| 96360 |
|
59 |
55 |
$5K |
| 90832 |
|
52 |
30 |
$5K |
| 81001 |
|
6,437 |
5,948 |
$4K |
| 74176 |
|
13 |
12 |
$4K |
| 70450 |
|
87 |
78 |
$4K |
| 76815 |
|
40 |
26 |
$4K |
| 97597 |
|
123 |
83 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,075 |
3,565 |
$3K |
| J3490 |
Drugs unclassified injection |
1,404 |
1,091 |
$3K |
| 87804 |
|
2,090 |
986 |
$3K |
| 96372 |
|
290 |
224 |
$2K |
| 83690 |
|
3,350 |
3,046 |
$2K |
| G0480 |
Drug test def 1-7 classes |
106 |
105 |
$2K |
| 82962 |
|
392 |
122 |
$2K |
| 77067 |
|
31 |
31 |
$2K |
| 83735 |
|
2,143 |
1,937 |
$2K |
| 82248 |
|
3,099 |
2,849 |
$2K |
| 76805 |
|
13 |
13 |
$2K |
| 73630 |
|
14 |
12 |
$1K |
| 20552 |
|
13 |
13 |
$978.33 |
| 83880 |
|
15 |
12 |
$686.71 |
| J1642 |
Inj heparin sodium per 10 u |
309 |
186 |
$435.70 |
| 85610 |
|
338 |
273 |
$429.50 |
| 87086 |
|
769 |
694 |
$426.52 |
| J2405 |
Ondansetron hcl injection |
1,526 |
1,236 |
$395.80 |
| 96040 |
|
14 |
13 |
$315.15 |
| 87635 |
|
16 |
13 |
$289.66 |
| 81003 |
|
370 |
339 |
$267.90 |
| 81025 |
|
671 |
614 |
$267.81 |
| J1885 |
Ketorolac tromethamine inj |
1,457 |
1,337 |
$189.47 |
| 82607 |
|
14 |
12 |
$181.51 |
| 87650 |
|
403 |
381 |
$177.40 |
| 85379 |
|
48 |
40 |
$164.87 |
| 83605 |
|
60 |
49 |
$123.41 |
| J3010 |
Fentanyl citrate injection |
77 |
47 |
$95.23 |
| 86140 |
|
82 |
79 |
$93.18 |
| A9585 |
Gadobutrol injection |
12 |
12 |
$86.09 |
| J2270 |
Morphine sulfate injection |
117 |
93 |
$74.36 |
| J7050 |
Normal saline solution infus |
706 |
230 |
$61.66 |
| 82570 |
|
14 |
14 |
$54.10 |
| J7040 |
Normal saline solution infus |
322 |
233 |
$52.53 |
| 85730 |
|
25 |
24 |
$28.14 |
| J3301 |
Triamcinolone acet inj nos |
26 |
25 |
$24.60 |
| J1040 |
Methylprednisolone 80 mg inj |
70 |
64 |
$22.59 |
| 84443 |
|
12 |
12 |
$21.13 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$16.80 |
| J1100 |
Dexamethasone sodium phos |
120 |
108 |
$15.52 |
| J8597 |
Antiemetic drug oral nos |
13 |
13 |
$13.75 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
32 |
31 |
$13.42 |
| 84703 |
|
29 |
26 |
$7.66 |
| J7120 |
Ringers lactate infusion |
60 |
52 |
$5.90 |
| J2795 |
Ropivacaine hcl injection |
17 |
12 |
$2.45 |
| 84702 |
|
12 |
12 |
$0.00 |
| G1010 |
Cdsm stanson |
104 |
87 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| 87651 |
|
39 |
39 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
20 |
14 |
$0.00 |
| 87807 |
|
12 |
12 |
$0.00 |