| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
14,728 |
12,581 |
$1.49M |
| 99284 |
|
9,128 |
8,277 |
$711K |
| 99283 |
|
7,093 |
6,639 |
$640K |
| 36415 |
|
10,949 |
8,284 |
$301K |
| 99282 |
|
4,296 |
3,941 |
$245K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,074 |
976 |
$227K |
| 93306 |
|
1,191 |
1,051 |
$218K |
| 87635 |
|
5,315 |
4,941 |
$170K |
| 74177 |
|
2,180 |
1,958 |
$140K |
| 70450 |
|
2,574 |
2,224 |
$140K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,145 |
2,686 |
$139K |
| 96360 |
|
1,242 |
1,125 |
$126K |
| 96361 |
|
1,411 |
1,154 |
$122K |
| 80053 |
|
8,272 |
7,009 |
$83K |
| 99281 |
|
699 |
662 |
$64K |
| 96374 |
|
6,632 |
5,365 |
$55K |
| 94640 |
|
1,251 |
972 |
$54K |
| 80047 |
|
2,848 |
2,383 |
$46K |
| A9270 |
Non-covered item or service |
3,940 |
1,651 |
$43K |
| 74176 |
|
854 |
763 |
$41K |
| 76856 |
|
1,144 |
1,023 |
$40K |
| 78452 |
|
190 |
170 |
$40K |
| 71045 |
|
6,424 |
5,624 |
$31K |
| 71275 |
|
487 |
449 |
$29K |
| 80048 |
|
2,927 |
2,298 |
$28K |
| 96372 |
|
2,191 |
1,554 |
$26K |
| 87400 |
|
2,064 |
1,095 |
$25K |
| 71046 |
|
1,431 |
1,255 |
$25K |
| G0378 |
Hospital observation per hr |
2,230 |
1,021 |
$25K |
| 87081 |
|
869 |
787 |
$25K |
| 81001 |
|
5,994 |
5,172 |
$22K |
| 76705 |
|
630 |
567 |
$22K |
| 81002 |
|
1,606 |
1,327 |
$21K |
| 82962 |
|
1,725 |
1,098 |
$20K |
| 73630 |
|
735 |
636 |
$18K |
| 99212 |
|
654 |
555 |
$17K |
| 73130 |
|
407 |
355 |
$16K |
| J7030 |
Normal saline solution infus |
5,632 |
4,528 |
$16K |
| 85025 |
|
12,581 |
9,961 |
$14K |
| 80307 |
|
1,195 |
1,082 |
$13K |
| 84484 |
|
4,877 |
3,808 |
$13K |
| 87502 |
|
2,138 |
2,026 |
$13K |
| 81025 |
|
3,185 |
2,828 |
$11K |
| 76830 |
|
699 |
620 |
$11K |
| 81003 |
|
2,127 |
1,904 |
$11K |
| 73610 |
|
348 |
323 |
$11K |
| J2405 |
Ondansetron hcl injection |
4,129 |
3,375 |
$11K |
| 95810 |
|
26 |
25 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
956 |
796 |
$10K |
| 73562 |
|
485 |
398 |
$10K |
| 93005 |
|
5,503 |
4,600 |
$9K |
| 71250 |
|
196 |
169 |
$9K |
| J1100 |
Dexamethasone sodium phos |
1,505 |
1,239 |
$9K |
| 93017 |
|
268 |
238 |
$8K |
| 86901 |
|
835 |
708 |
$8K |
| 87086 |
|
1,277 |
1,143 |
$7K |
| 70551 |
|
68 |
62 |
$7K |
| 96376 |
|
704 |
475 |
$6K |
| 76700 |
|
80 |
69 |
$6K |
| 85610 |
|
1,438 |
1,196 |
$6K |
| J2270 |
Morphine sulfate injection |
1,844 |
1,397 |
$5K |
| 96375 |
|
4,178 |
3,341 |
$5K |
| 96365 |
|
171 |
137 |
$5K |
| J7120 |
Ringers lactate infusion |
1,837 |
1,513 |
$5K |
| 93971 |
|
289 |
262 |
$4K |
| 73030 |
|
249 |
203 |
$4K |
| 59025 |
|
40 |
38 |
$4K |
| 11042 |
|
29 |
14 |
$3K |
| 84112 |
|
99 |
85 |
$3K |
| 85730 |
|
1,025 |
856 |
$3K |
| J3010 |
Fentanyl citrate injection |
591 |
488 |
$3K |
| 86850 |
|
204 |
173 |
$3K |
| 83690 |
|
3,119 |
2,703 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,175 |
2,701 |
$3K |
| 12001 |
|
15 |
14 |
$3K |
| 83880 |
|
852 |
725 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
425 |
348 |
$3K |
| J1170 |
Hydromorphone injection |
190 |
119 |
$3K |
| 80076 |
|
1,005 |
858 |
$2K |
| 76801 |
|
305 |
261 |
$2K |
| 76817 |
|
213 |
189 |
$2K |
| 76770 |
|
55 |
52 |
$2K |
| 84702 |
|
933 |
731 |
$2K |
| 86900 |
|
391 |
325 |
$2K |
| 73110 |
|
72 |
68 |
$2K |
| 87430 |
|
904 |
826 |
$2K |
| 74018 |
|
99 |
93 |
$2K |
| 85014 |
|
1,043 |
885 |
$2K |
| 93970 |
|
46 |
41 |
$1K |
| 72110 |
|
162 |
148 |
$1K |
| 72125 |
|
301 |
257 |
$1K |
| 77067 |
|
42 |
40 |
$1K |
| 99213 |
|
41 |
37 |
$1K |
| J0690 |
Cefazolin sodium injection |
117 |
94 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
960 |
795 |
$1K |
| 87807 |
|
260 |
254 |
$1K |
| 84703 |
|
2,232 |
1,964 |
$1K |
| J0330 |
Succinycholine chloride inj |
29 |
24 |
$742.00 |
| 76815 |
|
46 |
42 |
$728.89 |
| J1200 |
Diphenhydramine hcl injectio |
559 |
479 |
$724.29 |
| 72040 |
|
12 |
12 |
$654.76 |
| 87210 |
|
89 |
83 |
$478.45 |
| 77063 |
|
30 |
25 |
$415.17 |
| 87634 |
|
617 |
583 |
$351.30 |
| 80061 |
|
89 |
78 |
$348.29 |
| 87651 |
|
704 |
673 |
$320.62 |
| 74021 |
|
13 |
13 |
$283.94 |
| 83036 |
|
245 |
211 |
$250.73 |
| 87186 |
|
101 |
83 |
$168.20 |
| 70486 |
|
12 |
12 |
$148.80 |
| 82247 |
|
57 |
38 |
$126.24 |
| 99406 |
|
74 |
67 |
$98.22 |
| 72072 |
|
15 |
12 |
$83.20 |
| 83605 |
|
1,017 |
883 |
$82.46 |
| J7512 |
Prednisone ir or dr oral 1mg |
154 |
135 |
$79.84 |
| 36416 |
|
20 |
14 |
$79.03 |
| 85027 |
|
29 |
27 |
$68.24 |
| 85379 |
|
85 |
73 |
$67.74 |
| 83735 |
|
1,093 |
789 |
$53.58 |
| 88305 |
|
30 |
29 |
$45.83 |
| J7050 |
Normal saline solution infus |
440 |
326 |
$32.09 |
| 84443 |
|
514 |
437 |
$30.88 |
| 82248 |
|
57 |
38 |
$8.97 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
32 |
29 |
$3.13 |
| J2550 |
Promethazine hcl injection |
190 |
156 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
12 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
30 |
25 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
26 |
14 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
19 |
12 |
$0.00 |
| 43239 |
|
16 |
15 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
12 |
12 |
$0.00 |
| 87147 |
|
105 |
81 |
$0.00 |
| A9500 |
Tc99m sestamibi |
55 |
51 |
$0.00 |
| 82077 |
|
38 |
38 |
$0.00 |
| 80320 |
|
28 |
25 |
$0.00 |
| J1815 |
Insulin injection |
47 |
27 |
$0.00 |
| 87040 |
|
60 |
53 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
186 |
174 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
91 |
79 |
$0.00 |
| 85652 |
|
30 |
26 |
$0.00 |
| 83615 |
|
15 |
12 |
$0.00 |
| 80329 |
|
25 |
24 |
$0.00 |
| J2360 |
Orphenadrine injection |
14 |
12 |
$0.00 |
| 87077 |
|
16 |
13 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |