| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
2,946 |
2,545 |
$384K |
| 99284 |
|
2,122 |
1,901 |
$230K |
| G0378 |
Hospital observation per hr |
294 |
258 |
$86K |
| 99281 |
|
7,903 |
6,341 |
$61K |
| 99283 |
|
946 |
870 |
$56K |
| G0463 |
Hospital outpt clinic visit |
1,727 |
1,239 |
$39K |
| 84484 |
|
3,482 |
2,546 |
$9K |
| 80053 |
|
5,096 |
3,948 |
$7K |
| 71045 |
|
2,679 |
2,311 |
$7K |
| 85025 |
|
5,882 |
4,251 |
$6K |
| 99282 |
|
784 |
692 |
$4K |
| 70450 |
|
944 |
868 |
$4K |
| 83735 |
|
3,146 |
2,300 |
$4K |
| 87502 |
|
49 |
47 |
$4K |
| 80048 |
|
1,477 |
1,116 |
$4K |
| 85610 |
|
2,054 |
1,677 |
$3K |
| 81001 |
|
1,175 |
1,044 |
$3K |
| 80307 |
|
96 |
81 |
$2K |
| 93005 |
|
4,137 |
3,115 |
$2K |
| 83690 |
|
1,081 |
969 |
$1K |
| 85730 |
|
181 |
167 |
$941.08 |
| 85027 |
|
177 |
148 |
$677.43 |
| 87088 |
|
172 |
157 |
$667.24 |
| 82948 |
|
1,911 |
1,122 |
$631.95 |
| 71046 |
|
79 |
77 |
$595.44 |
| 74176 |
|
128 |
118 |
$492.52 |
| J2405 |
Ondansetron hcl injection |
998 |
766 |
$429.30 |
| J2270 |
Morphine sulfate injection |
548 |
273 |
$398.03 |
| 81003 |
|
1,183 |
1,068 |
$341.13 |
| 83880 |
|
133 |
119 |
$231.81 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$110.71 |
| 94640 |
|
27 |
25 |
$105.94 |
| 93306 |
|
13 |
12 |
$88.73 |
| 94760 |
|
233 |
145 |
$30.32 |
| 83605 |
|
47 |
39 |
$18.18 |
| J2250 |
Inj midazolam hydrochloride |
29 |
26 |
$2.48 |
| 87635 |
|
145 |
136 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
39 |
24 |
$0.00 |
| J2001 |
Lidocaine injection |
46 |
38 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
14 |
12 |
$0.00 |
| 85379 |
|
24 |
24 |
$0.00 |
| 82077 |
|
50 |
39 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
40 |
26 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
28 |
25 |
$0.00 |
| 87426 |
|
15 |
14 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
565 |
504 |
$0.00 |
| 72125 |
|
12 |
12 |
$0.00 |
| 74177 |
|
12 |
12 |
$0.00 |