| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
3,120 |
2,484 |
$1.46M |
| 97110 |
|
10,638 |
2,882 |
$1.13M |
| 99284 |
|
4,516 |
3,779 |
$1.06M |
| 99283 |
|
5,115 |
4,088 |
$918K |
| 80053 |
|
5,029 |
3,790 |
$704K |
| 85025 |
|
8,611 |
6,131 |
$642K |
| 74177 |
|
762 |
597 |
$440K |
| 77067 |
|
2,452 |
2,108 |
$419K |
| 80048 |
|
3,533 |
2,740 |
$403K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,607 |
1,258 |
$351K |
| 99282 |
|
1,693 |
1,192 |
$330K |
| 97140 |
|
3,711 |
1,196 |
$311K |
| 93005 |
|
2,621 |
2,008 |
$267K |
| 82248 |
|
2,654 |
2,071 |
$266K |
| 96374 |
|
1,756 |
1,370 |
$251K |
| 96375 |
|
1,188 |
825 |
$222K |
| 71046 |
|
2,668 |
2,138 |
$217K |
| J7030 |
Normal saline solution infus |
896 |
658 |
$207K |
| 87624 |
|
1,804 |
1,422 |
$188K |
| 88175 |
|
2,620 |
2,099 |
$181K |
| J2405 |
Ondansetron hcl injection |
957 |
606 |
$181K |
| 87491 |
|
2,039 |
1,556 |
$174K |
| 87591 |
|
2,028 |
1,547 |
$173K |
| 81003 |
|
1,948 |
1,619 |
$170K |
| G0480 |
Drug test def 1-7 classes |
972 |
714 |
$167K |
| 80061 |
|
2,501 |
2,200 |
$165K |
| 96361 |
|
1,016 |
770 |
$161K |
| 83690 |
|
1,396 |
1,088 |
$160K |
| 84484 |
|
1,712 |
1,168 |
$155K |
| G0378 |
Hospital observation per hr |
331 |
203 |
$144K |
| 85027 |
|
2,992 |
2,283 |
$144K |
| 80050 |
|
567 |
520 |
$135K |
| 82948 |
|
588 |
277 |
$133K |
| U0003 |
Cov-19 amp prb hgh thruput |
920 |
857 |
$126K |
| 80307 |
|
888 |
622 |
$125K |
| 83735 |
|
1,143 |
757 |
$123K |
| 87801 |
|
579 |
356 |
$122K |
| 76856 |
|
390 |
275 |
$117K |
| 76830 |
|
514 |
376 |
$114K |
| 82306 |
|
1,127 |
969 |
$111K |
| 85610 |
|
1,379 |
821 |
$110K |
| 96372 |
|
694 |
362 |
$107K |
| 87086 |
|
1,827 |
1,466 |
$106K |
| 81001 |
|
1,333 |
1,079 |
$99K |
| 70450 |
|
560 |
475 |
$90K |
| 87481 |
|
596 |
354 |
$85K |
| 83036 |
|
1,947 |
1,689 |
$82K |
| 81514 |
|
186 |
180 |
$81K |
| J1170 |
Hydromorphone injection |
337 |
165 |
$80K |
| 86850 |
|
759 |
534 |
$79K |
| 88305 |
|
363 |
232 |
$78K |
| 97161 |
|
698 |
530 |
$78K |
| 87661 |
|
649 |
386 |
$77K |
| 84443 |
|
1,796 |
1,487 |
$76K |
| 70553 |
|
51 |
50 |
$71K |
| 96376 |
|
289 |
163 |
$70K |
| H0035 |
Mh partial hosp tx under 24h |
80 |
14 |
$69K |
| 86900 |
|
766 |
539 |
$66K |
| 77063 |
|
1,648 |
1,632 |
$61K |
| 36415 |
|
4,247 |
3,400 |
$59K |
| 86901 |
|
766 |
539 |
$59K |
| 86803 |
|
702 |
579 |
$58K |
| G1004 |
Cdsm ndsc |
589 |
448 |
$58K |
| J2704 |
Inj, propofol, 10 mg |
385 |
275 |
$54K |
| J1885 |
Ketorolac tromethamine inj |
478 |
340 |
$53K |
| J2250 |
Inj midazolam hydrochloride |
239 |
173 |
$50K |
| 86780 |
|
679 |
571 |
$48K |
| J3490 |
Drugs unclassified injection |
269 |
154 |
$48K |
| 87389 |
|
744 |
633 |
$46K |
| 93306 |
|
52 |
39 |
$44K |
| 76642 |
|
240 |
239 |
$41K |
| 97530 |
|
292 |
66 |
$40K |
| 87340 |
|
548 |
438 |
$40K |
| A9585 |
Gadobutrol injection |
366 |
279 |
$39K |
| 76801 |
|
122 |
114 |
$37K |
| J3010 |
Fentanyl citrate injection |
147 |
115 |
$32K |
| 87081 |
|
225 |
155 |
$26K |
| 73721 |
|
43 |
37 |
$22K |
| 72148 |
|
38 |
38 |
$22K |
| 70551 |
|
30 |
12 |
$21K |
| 85651 |
|
499 |
297 |
$19K |
| J2270 |
Morphine sulfate injection |
222 |
143 |
$19K |
| 82728 |
|
217 |
214 |
$19K |
| 82607 |
|
290 |
287 |
$19K |
| 84703 |
|
193 |
147 |
$18K |
| 96365 |
|
102 |
77 |
$18K |
| 94640 |
|
290 |
102 |
$17K |
| 87088 |
|
413 |
330 |
$17K |
| U0005 |
Infec agen detec ampli probe |
229 |
218 |
$17K |
| 87480 |
|
226 |
192 |
$16K |
| 80076 |
|
146 |
69 |
$16K |
| 87502 |
|
162 |
124 |
$15K |
| 73030 |
|
160 |
115 |
$14K |
| 73562 |
|
201 |
138 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
99 |
93 |
$12K |
| 72100 |
|
92 |
81 |
$11K |
| 86787 |
|
121 |
91 |
$11K |
| 83605 |
|
93 |
72 |
$11K |
| 82565 |
|
591 |
347 |
$10K |
| 99214 |
|
73 |
61 |
$10K |
| 83540 |
|
167 |
167 |
$10K |
| 0241U |
|
55 |
53 |
$10K |
| 87637 |
|
46 |
42 |
$10K |
| 81025 |
|
138 |
101 |
$9K |
| 83550 |
|
93 |
93 |
$9K |
| 87186 |
|
87 |
68 |
$8K |
| J1100 |
Dexamethasone sodium phos |
115 |
88 |
$8K |
| 83880 |
|
54 |
29 |
$8K |
| 87510 |
|
226 |
192 |
$7K |
| 87660 |
|
226 |
192 |
$7K |
| 86762 |
|
122 |
90 |
$7K |
| 72125 |
|
50 |
40 |
$7K |
| 84100 |
|
120 |
43 |
$7K |
| 96360 |
|
44 |
38 |
$6K |
| 86140 |
|
118 |
92 |
$6K |
| 84702 |
|
47 |
41 |
$6K |
| 72141 |
|
13 |
13 |
$6K |
| 84439 |
|
117 |
115 |
$6K |
| 99281 |
|
29 |
16 |
$5K |
| 73560 |
|
69 |
25 |
$5K |
| 76705 |
|
24 |
24 |
$3K |
| 73502 |
|
52 |
41 |
$3K |
| 97162 |
|
42 |
27 |
$3K |
| 76816 |
|
14 |
13 |
$3K |
| 11042 |
|
15 |
12 |
$2K |
| 84520 |
|
172 |
71 |
$2K |
| J0690 |
Cefazolin sodium injection |
28 |
20 |
$2K |
| 84481 |
|
25 |
24 |
$2K |
| 73630 |
|
19 |
13 |
$1K |
| 82105 |
|
25 |
24 |
$1K |
| 85379 |
|
17 |
14 |
$1K |
| 82947 |
|
41 |
25 |
$1K |
| 87077 |
|
35 |
25 |
$1K |
| 84460 |
|
32 |
27 |
$1K |
| G0463 |
Hospital outpt clinic visit |
51 |
28 |
$1K |
| G8979 |
Mobility goal status |
62 |
27 |
$1K |
| 84450 |
|
29 |
26 |
$1K |
| 80051 |
|
27 |
13 |
$994.63 |
| J2060 |
Lorazepam injection |
15 |
12 |
$755.50 |
| 87651 |
|
20 |
20 |
$739.73 |
| 85730 |
|
24 |
17 |
$676.11 |
| 87070 |
|
18 |
13 |
$490.86 |
| 87205 |
|
19 |
14 |
$414.41 |
| G8978 |
Mobility current status |
17 |
12 |
$349.05 |
| J7040 |
Normal saline solution infus |
21 |
12 |
$346.35 |
| 82950 |
|
12 |
12 |
$303.66 |
| 82310 |
|
20 |
13 |
$273.83 |