| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,168 |
7,233 |
$2.75M |
| 99284 |
|
3,739 |
3,211 |
$1.52M |
| 99285 |
|
1,465 |
1,238 |
$1.15M |
| 99282 |
|
2,100 |
1,932 |
$591K |
| 74177 |
|
48 |
43 |
$56K |
| 59025 |
|
243 |
108 |
$30K |
| 87502 |
|
363 |
348 |
$29K |
| 96365 |
|
593 |
455 |
$16K |
| 97110 |
|
247 |
93 |
$12K |
| 74176 |
|
50 |
27 |
$11K |
| 96361 |
|
2,251 |
1,770 |
$11K |
| 77067 |
|
57 |
53 |
$8K |
| 71046 |
|
576 |
474 |
$7K |
| G0378 |
Hospital observation per hr |
28 |
12 |
$5K |
| 71045 |
|
1,441 |
1,099 |
$3K |
| 76856 |
|
12 |
12 |
$2K |
| 70450 |
|
87 |
76 |
$2K |
| 0241U |
|
803 |
745 |
$962.28 |
| C9803 |
Hopd covid-19 spec collect |
90 |
83 |
$601.32 |
| 80053 |
|
4,001 |
3,207 |
$319.79 |
| 87804 |
|
433 |
401 |
$246.00 |
| 84484 |
|
1,228 |
992 |
$240.39 |
| 84703 |
|
1,373 |
1,229 |
$237.36 |
| 76817 |
|
12 |
12 |
$186.08 |
| 87635 |
|
625 |
407 |
$102.62 |
| J1100 |
Dexamethasone sodium phos |
1,465 |
1,340 |
$101.28 |
| 96375 |
|
1,841 |
1,487 |
$93.22 |
| 96372 |
|
2,260 |
1,863 |
$79.60 |
| 93005 |
|
2,162 |
1,713 |
$77.72 |
| 96374 |
|
2,299 |
1,923 |
$49.82 |
| 73564 |
|
13 |
12 |
$46.48 |
| 85025 |
|
3,871 |
3,055 |
$37.40 |
| 94640 |
|
382 |
228 |
$29.06 |
| 80048 |
|
157 |
141 |
$26.94 |
| 94762 |
|
758 |
641 |
$16.30 |
| C1751 |
Cath, inf, per/cent/midline |
1,706 |
1,448 |
$11.92 |
| J7030 |
Normal saline solution infus |
709 |
609 |
$6.96 |
| J1885 |
Ketorolac tromethamine inj |
1,552 |
1,385 |
$6.66 |
| 83690 |
|
1,130 |
944 |
$6.08 |
| J3010 |
Fentanyl citrate injection |
373 |
305 |
$0.81 |
| 93041 |
|
262 |
223 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
1,393 |
1,168 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,127 |
1,548 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
237 |
210 |
$0.00 |
| 96360 |
|
111 |
105 |
$0.00 |
| J7120 |
Ringers lactate infusion |
863 |
745 |
$0.00 |
| 80305 |
|
13 |
12 |
$0.00 |
| 87186 |
|
41 |
38 |
$0.00 |
| 87880 |
|
26 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
109 |
89 |
$0.00 |
| 85610 |
|
73 |
63 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
13 |
$0.00 |
| 36415 |
|
403 |
340 |
$0.00 |
| 87040 |
|
19 |
15 |
$0.00 |
| J2001 |
Lidocaine injection |
840 |
726 |
$0.00 |
| Q0162 |
Ondansetron oral |
218 |
201 |
$0.00 |
| 81001 |
|
2,615 |
2,286 |
$0.00 |
| 87077 |
|
166 |
155 |
$0.00 |
| J1170 |
Hydromorphone injection |
50 |
43 |
$0.00 |
| 83605 |
|
520 |
436 |
$0.00 |
| A9270 |
Non-covered item or service |
105 |
86 |
$0.00 |
| 87086 |
|
339 |
304 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
38 |
$0.00 |
| 85027 |
|
752 |
609 |
$0.00 |
| J2060 |
Lorazepam injection |
15 |
12 |
$0.00 |
| 87651 |
|
139 |
130 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
271 |
248 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
72 |
64 |
$0.00 |
| 96376 |
|
83 |
64 |
$0.00 |
| 88305 |
|
56 |
53 |
$0.00 |
| 83735 |
|
67 |
57 |
$0.00 |
| 77063 |
|
12 |
12 |
$0.00 |
| 83880 |
|
59 |
52 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| 81015 |
|
12 |
12 |
$0.00 |
| 76830 |
|
13 |
13 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
12 |
12 |
$0.00 |
| 85730 |
|
28 |
25 |
$0.00 |