| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
|
4,401 |
4,095 |
$1.07M |
| 99283 |
|
23,231 |
21,457 |
$1.03M |
| 36415 |
|
13,900 |
9,667 |
$744K |
| 99282 |
|
11,029 |
10,225 |
$689K |
| 80053 |
|
11,440 |
8,886 |
$566K |
| 99284 |
|
12,910 |
11,598 |
$373K |
| 81001 |
|
9,887 |
8,483 |
$247K |
| 97110 |
|
7,983 |
2,170 |
$210K |
| 87086 |
|
3,212 |
2,798 |
$173K |
| 99285 |
|
4,531 |
4,001 |
$122K |
| 96372 |
|
3,908 |
3,014 |
$106K |
| C9803 |
Hopd covid-19 spec collect |
959 |
870 |
$92K |
| 71046 |
|
2,425 |
2,164 |
$79K |
| 81025 |
|
3,927 |
3,568 |
$66K |
| 93306 |
|
554 |
519 |
$64K |
| 70450 |
|
1,425 |
1,244 |
$57K |
| 80048 |
|
1,776 |
1,393 |
$51K |
| 87880 |
|
1,257 |
1,207 |
$50K |
| 71045 |
|
3,593 |
3,029 |
$37K |
| 73562 |
|
500 |
411 |
$34K |
| 80305 |
|
1,888 |
1,695 |
$31K |
| 94640 |
|
857 |
614 |
$27K |
| 87635 |
|
2,872 |
2,578 |
$26K |
| 85025 |
|
12,583 |
9,781 |
$20K |
| G2023 |
Specimen collect covid-19 |
173 |
161 |
$15K |
| 74177 |
|
1,143 |
953 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,307 |
1,240 |
$12K |
| 77063 |
|
102 |
98 |
$11K |
| 73630 |
|
150 |
129 |
$10K |
| 86756 |
|
742 |
700 |
$10K |
| 81003 |
|
177 |
165 |
$8K |
| 93005 |
|
4,831 |
3,976 |
$7K |
| 96360 |
|
3,220 |
2,861 |
$6K |
| 74176 |
|
204 |
189 |
$5K |
| 85027 |
|
762 |
573 |
$5K |
| 73610 |
|
41 |
40 |
$5K |
| 96374 |
|
4,264 |
3,628 |
$5K |
| 96365 |
|
907 |
754 |
$4K |
| 73130 |
|
45 |
40 |
$4K |
| 99281 |
|
225 |
215 |
$4K |
| 83735 |
|
2,618 |
2,072 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,484 |
1,938 |
$3K |
| 74018 |
|
130 |
118 |
$3K |
| 87040 |
|
1,969 |
1,452 |
$3K |
| 97162 |
|
107 |
105 |
$3K |
| 99239 |
|
53 |
42 |
$3K |
| G0378 |
Hospital observation per hr |
342 |
158 |
$3K |
| 82553 |
|
2,949 |
2,209 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,230 |
2,754 |
$3K |
| 77067 |
|
160 |
155 |
$2K |
| 82550 |
|
1,357 |
1,051 |
$2K |
| 83690 |
|
2,884 |
2,408 |
$2K |
| 85610 |
|
662 |
556 |
$2K |
| 73030 |
|
29 |
25 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,454 |
1,205 |
$2K |
| 97161 |
|
89 |
84 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
16 |
14 |
$2K |
| 85379 |
|
801 |
689 |
$1K |
| 80061 |
|
582 |
529 |
$1K |
| A9270 |
Non-covered item or service |
8,616 |
6,512 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
29 |
12 |
$1K |
| 87210 |
|
15 |
12 |
$1K |
| 88305 |
|
62 |
41 |
$1K |
| 72100 |
|
46 |
41 |
$949.15 |
| 84484 |
|
3,815 |
2,838 |
$923.83 |
| 80320 |
|
397 |
343 |
$828.70 |
| 99232 |
|
17 |
12 |
$823.63 |
| J1170 |
Hydromorphone injection |
1,060 |
702 |
$812.84 |
| J2270 |
Morphine sulfate injection |
1,556 |
1,115 |
$698.17 |
| 72020 |
|
13 |
12 |
$605.72 |
| 97530 |
|
39 |
12 |
$538.55 |
| 36000 |
|
14 |
12 |
$434.48 |
| 87491 |
|
30 |
26 |
$397.01 |
| 86900 |
|
13 |
12 |
$392.03 |
| 87070 |
|
13 |
13 |
$318.86 |
| 83880 |
|
987 |
825 |
$313.88 |
| 80307 |
|
18 |
17 |
$258.77 |
| 83605 |
|
2,156 |
1,761 |
$247.76 |
| 84443 |
|
1,074 |
997 |
$234.59 |
| 86140 |
|
458 |
381 |
$158.99 |
| 96375 |
|
2,163 |
1,850 |
$154.11 |
| 87088 |
|
615 |
528 |
$133.92 |
| 84439 |
|
149 |
140 |
$112.35 |
| 94760 |
|
672 |
558 |
$80.76 |
| 83036 |
|
175 |
159 |
$10.11 |
| J2930 |
Methylprednisolone injection |
105 |
69 |
$0.00 |
| G1004 |
Cdsm ndsc |
17 |
15 |
$0.00 |
| 43239 |
|
18 |
12 |
$0.00 |
| 84100 |
|
35 |
25 |
$0.00 |
| 82570 |
|
41 |
38 |
$0.00 |
| 87185 |
|
127 |
109 |
$0.00 |
| J2550 |
Promethazine hcl injection |
41 |
37 |
$0.00 |
| 80299 |
|
28 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
641 |
525 |
$0.00 |
| 87184 |
|
999 |
856 |
$0.00 |
| J2001 |
Lidocaine injection |
296 |
228 |
$0.00 |
| 82306 |
|
18 |
14 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
550 |
421 |
$0.00 |
| 85730 |
|
808 |
695 |
$0.00 |
| Q3014 |
Telehealth facility fee |
18 |
12 |
$0.00 |
| 85018 |
|
14 |
13 |
$0.00 |
| 96361 |
|
166 |
150 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
182 |
144 |
$0.00 |
| 87591 |
|
43 |
38 |
$0.00 |
| 82150 |
|
31 |
25 |
$0.00 |
| J2060 |
Lorazepam injection |
19 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
42 |
39 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
82 |
61 |
$0.00 |
| 81015 |
|
36 |
29 |
$0.00 |
| 87081 |
|
69 |
50 |
$0.00 |
| 82044 |
|
14 |
13 |
$0.00 |
| 71275 |
|
28 |
15 |
$0.00 |
| 86901 |
|
13 |
12 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |