| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,593 |
15,678 |
$3.70M |
| 99283 |
|
19,742 |
18,873 |
$2.94M |
| 99285 |
|
5,580 |
5,187 |
$1.63M |
| 96374 |
|
7,877 |
7,246 |
$923K |
| 99211 |
|
44,701 |
42,170 |
$548K |
| 96361 |
|
6,302 |
5,782 |
$381K |
| 69436 |
|
356 |
341 |
$290K |
| 0202U |
|
624 |
611 |
$204K |
| 87428 |
|
5,649 |
5,522 |
$195K |
| 96375 |
|
4,446 |
4,108 |
$176K |
| 43239 |
|
415 |
405 |
$143K |
| 87880 |
|
10,040 |
9,766 |
$142K |
| 71046 |
|
2,740 |
2,581 |
$128K |
| 43249 |
|
112 |
107 |
$109K |
| 87804 |
|
3,084 |
2,962 |
$87K |
| 94060 |
|
416 |
405 |
$77K |
| 85025 |
|
26,410 |
23,869 |
$60K |
| 42820 |
|
13 |
13 |
$58K |
| G0463 |
Hospital outpt clinic visit |
580 |
542 |
$47K |
| U0003 |
Cov-19 amp prb hgh thruput |
648 |
604 |
$42K |
| 71045 |
|
726 |
683 |
$35K |
| 99282 |
|
402 |
383 |
$35K |
| 80053 |
|
20,425 |
18,418 |
$33K |
| 0241U |
|
313 |
257 |
$32K |
| 11042 |
|
231 |
106 |
$29K |
| G0379 |
Direct refer hospital observ |
12 |
12 |
$25K |
| 99281 |
|
3,435 |
3,289 |
$23K |
| 87426 |
|
509 |
500 |
$22K |
| 87491 |
|
609 |
591 |
$19K |
| 62323 |
|
44 |
41 |
$16K |
| 36415 |
|
7,508 |
6,450 |
$16K |
| 87591 |
|
609 |
591 |
$16K |
| 80061 |
|
1,105 |
1,073 |
$12K |
| 87070 |
|
1,508 |
1,402 |
$11K |
| 84443 |
|
1,204 |
1,139 |
$10K |
| 45380 |
|
12 |
12 |
$10K |
| 83655 |
|
825 |
811 |
$9K |
| U0005 |
Infec agen detec ampli probe |
414 |
385 |
$9K |
| 70450 |
|
52 |
49 |
$9K |
| 80050 |
|
169 |
166 |
$7K |
| 96365 |
|
66 |
64 |
$7K |
| 87807 |
|
599 |
582 |
$7K |
| 43235 |
|
14 |
13 |
$6K |
| 86900 |
|
64 |
56 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,520 |
4,241 |
$6K |
| 70553 |
|
12 |
12 |
$4K |
| 45378 |
|
13 |
12 |
$4K |
| 87081 |
|
784 |
740 |
$4K |
| 96372 |
|
3,812 |
3,611 |
$4K |
| 96360 |
|
28 |
26 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,058 |
1,894 |
$3K |
| 81001 |
|
6,176 |
5,711 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,871 |
1,386 |
$3K |
| 83721 |
|
442 |
428 |
$3K |
| 86780 |
|
283 |
268 |
$3K |
| 93005 |
|
4,739 |
4,175 |
$3K |
| 97110 |
|
85 |
25 |
$2K |
| 85027 |
|
747 |
709 |
$2K |
| 80048 |
|
627 |
593 |
$2K |
| 87086 |
|
733 |
685 |
$2K |
| 97597 |
|
25 |
15 |
$2K |
| S9455 |
Diabetic management program, |
14 |
12 |
$2K |
| 83036 |
|
266 |
251 |
$2K |
| J2175 |
Meperidine hydrochl /100 mg |
1,300 |
1,131 |
$2K |
| 59025 |
|
13 |
12 |
$2K |
| 36591 |
|
31 |
25 |
$1K |
| J3010 |
Fentanyl citrate injection |
812 |
644 |
$1K |
| J7042 |
5% dextrose/normal saline |
1,315 |
1,260 |
$1K |
| 81003 |
|
1,559 |
1,462 |
$1K |
| 84439 |
|
140 |
137 |
$990.36 |
| J1100 |
Dexamethasone sodium phos |
361 |
341 |
$981.07 |
| 85018 |
|
289 |
287 |
$624.99 |
| 86803 |
|
61 |
54 |
$542.40 |
| 86762 |
|
60 |
53 |
$534.57 |
| 86787 |
|
63 |
55 |
$503.14 |
| 86703 |
|
59 |
52 |
$494.76 |
| G0480 |
Drug test def 1-7 classes |
541 |
484 |
$488.92 |
| 81002 |
|
177 |
172 |
$486.74 |
| 84703 |
|
326 |
302 |
$454.89 |
| 82947 |
|
173 |
162 |
$444.19 |
| 87653 |
|
16 |
15 |
$433.42 |
| 87502 |
|
211 |
198 |
$421.96 |
| 87340 |
|
60 |
53 |
$382.59 |
| 84460 |
|
87 |
87 |
$367.30 |
| J2704 |
Inj, propofol, 10 mg |
106 |
103 |
$328.53 |
| 84702 |
|
24 |
19 |
$302.55 |
| 82306 |
|
14 |
13 |
$256.84 |
| 81025 |
|
387 |
371 |
$222.26 |
| 87660 |
|
12 |
12 |
$212.36 |
| 87510 |
|
12 |
12 |
$212.36 |
| 87480 |
|
12 |
12 |
$209.55 |
| 86850 |
|
101 |
93 |
$180.81 |
| J3301 |
Triamcinolone acet inj nos |
256 |
241 |
$158.16 |
| 82950 |
|
28 |
26 |
$141.88 |
| 82550 |
|
130 |
103 |
$131.08 |
| 85004 |
|
17 |
16 |
$128.86 |
| 84484 |
|
1,546 |
1,269 |
$96.63 |
| J7120 |
Ringers lactate infusion |
122 |
99 |
$94.46 |
| 87077 |
|
13 |
13 |
$92.16 |
| 86704 |
|
13 |
13 |
$91.60 |
| 80306 |
|
1,737 |
1,594 |
$83.12 |
| A0427 |
Als1-emergency |
19 |
15 |
$82.24 |
| 86706 |
|
13 |
13 |
$81.60 |
| 83550 |
|
12 |
12 |
$66.40 |
| 83735 |
|
588 |
547 |
$64.03 |
| 80307 |
|
124 |
102 |
$63.85 |
| 87147 |
|
14 |
13 |
$59.04 |
| G0500 |
Mod sedat endo service >5yrs |
1,398 |
1,343 |
$57.23 |
| 88305 |
|
877 |
562 |
$53.49 |
| 83540 |
|
12 |
12 |
$49.20 |
| J2060 |
Lorazepam injection |
114 |
103 |
$38.44 |
| 82077 |
|
878 |
755 |
$28.55 |
| A0425 |
Ground mileage |
94 |
65 |
$24.58 |
| J1200 |
Diphenhydramine hcl injectio |
127 |
111 |
$22.53 |
| J0780 |
Prochlorperazine injection |
15 |
14 |
$18.31 |
| 80143 |
|
62 |
55 |
$15.84 |
| 80179 |
|
60 |
54 |
$15.84 |
| 99153 |
Mod sedat endo service >5yrs |
455 |
440 |
$14.49 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$6.76 |
| 83690 |
|
1,274 |
1,183 |
$6.55 |
| C1729 |
Cath, drainage |
72 |
69 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
107 |
101 |
$0.00 |
| 94726 |
|
276 |
269 |
$0.00 |
| 87633 |
|
60 |
56 |
$0.00 |
| 94729 |
|
292 |
285 |
$0.00 |
| 87798 |
|
60 |
56 |
$0.00 |
| 80076 |
|
19 |
17 |
$0.00 |
| 84145 |
|
28 |
28 |
$0.00 |
| 74019 |
|
43 |
38 |
$0.00 |
| 94640 |
|
161 |
153 |
$0.00 |
| 86901 |
|
64 |
56 |
$0.00 |
| 88304 |
|
134 |
119 |
$0.00 |
| A9585 |
Gadobutrol injection |
38 |
38 |
$0.00 |
| 82962 |
|
60 |
40 |
$0.00 |
| 0064U |
|
35 |
29 |
$0.00 |
| 0352U |
|
111 |
106 |
$0.00 |
| 86140 |
|
474 |
448 |
$0.00 |
| 82150 |
|
81 |
75 |
$0.00 |
| 87581 |
|
60 |
56 |
$0.00 |
| 83605 |
|
293 |
272 |
$0.00 |
| 87651 |
|
13 |
13 |
$0.00 |
| 87486 |
|
60 |
56 |
$0.00 |
| 85379 |
|
27 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
14 |
$0.00 |
| 83615 |
|
12 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
14 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
15 |
13 |
$0.00 |