| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
81,853 |
77,439 |
$20.29M |
| 99284 |
|
70,695 |
65,915 |
$16.90M |
| 99285 |
|
32,450 |
29,839 |
$7.60M |
| 87636 |
|
20,513 |
19,210 |
$3.28M |
| 93005 |
|
26,609 |
24,285 |
$1.04M |
| 71046 |
|
21,983 |
20,743 |
$782K |
| G0463 |
Hospital outpt clinic visit |
27,581 |
24,150 |
$674K |
| 96374 |
|
30,413 |
28,225 |
$580K |
| 99282 |
|
8,906 |
8,528 |
$509K |
| 80053 |
|
51,077 |
47,215 |
$508K |
| 85025 |
|
59,886 |
55,202 |
$491K |
| 74177 |
|
974 |
925 |
$490K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,351 |
3,118 |
$287K |
| G0378 |
Hospital observation per hr |
1,263 |
984 |
$245K |
| 64483 |
|
1,069 |
1,027 |
$234K |
| 27096 |
|
1,556 |
1,476 |
$185K |
| J3490 |
Drugs unclassified injection |
69,409 |
35,374 |
$163K |
| 95714 |
|
260 |
225 |
$162K |
| 95700 |
|
245 |
227 |
$120K |
| 70450 |
|
625 |
587 |
$118K |
| 81025 |
|
14,807 |
13,801 |
$114K |
| 59025 |
|
1,397 |
1,190 |
$109K |
| 92507 |
|
2,991 |
913 |
$106K |
| 80048 |
|
9,556 |
8,790 |
$89K |
| 96375 |
|
13,782 |
12,578 |
$84K |
| 84484 |
|
8,910 |
7,997 |
$82K |
| 88305 |
|
935 |
896 |
$80K |
| 83690 |
|
10,371 |
9,728 |
$78K |
| 81003 |
|
30,108 |
28,207 |
$72K |
| U0005 |
Infec agen detec ampli probe |
2,491 |
2,307 |
$72K |
| C9803 |
Hopd covid-19 spec collect |
3,952 |
3,650 |
$70K |
| 11042 |
|
1,694 |
823 |
$67K |
| 87086 |
|
6,832 |
6,403 |
$67K |
| J8499 |
Oral prescrip drug non chemo |
34,345 |
17,589 |
$52K |
| 71045 |
|
1,785 |
1,667 |
$48K |
| 80307 |
|
1,589 |
1,362 |
$47K |
| 87430 |
|
2,927 |
2,831 |
$46K |
| 0002A |
|
853 |
843 |
$46K |
| 96361 |
|
9,350 |
8,516 |
$45K |
| 0001A |
|
803 |
786 |
$42K |
| 43239 |
|
172 |
166 |
$34K |
| J2405 |
Ondansetron hcl injection |
8,238 |
7,536 |
$33K |
| 74176 |
|
72 |
68 |
$31K |
| 81001 |
|
7,916 |
7,368 |
$30K |
| 95951 |
|
49 |
39 |
$25K |
| 85027 |
|
3,253 |
2,989 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
11,912 |
11,014 |
$21K |
| G0480 |
Drug test def 1-7 classes |
972 |
819 |
$20K |
| 83735 |
|
2,306 |
2,189 |
$17K |
| 87070 |
|
1,172 |
1,136 |
$16K |
| G0379 |
Direct refer hospital observ |
157 |
150 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,233 |
3,946 |
$14K |
| 83605 |
|
1,226 |
1,132 |
$13K |
| 96372 |
|
1,778 |
1,545 |
$12K |
| J1040 |
Methylprednisolone 80 mg inj |
4,531 |
4,348 |
$10K |
| J3010 |
Fentanyl citrate injection |
5,341 |
5,113 |
$6K |
| 87081 |
|
727 |
706 |
$5K |
| 87591 |
|
185 |
167 |
$5K |
| 87491 |
|
183 |
166 |
$5K |
| 83880 |
|
133 |
124 |
$5K |
| G0483 |
Drug test def 22+ classes |
45 |
38 |
$5K |
| 95810 |
|
12 |
12 |
$4K |
| S0020 |
Injection, bupivicaine hydro |
2,784 |
2,638 |
$4K |
| 84702 |
|
332 |
311 |
$4K |
| 87635 |
|
382 |
308 |
$3K |
| 70551 |
|
12 |
12 |
$3K |
| 94640 |
|
179 |
145 |
$3K |
| 82803 |
|
231 |
207 |
$3K |
| 87633 |
|
12 |
12 |
$3K |
| J2270 |
Morphine sulfate injection |
1,203 |
1,104 |
$3K |
| 87637 |
|
14 |
14 |
$3K |
| Q3014 |
Telehealth facility fee |
644 |
435 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,541 |
958 |
$2K |
| 81002 |
|
714 |
653 |
$2K |
| 74018 |
|
52 |
52 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,364 |
2,289 |
$2K |
| 87420 |
|
96 |
94 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,627 |
5,361 |
$2K |
| 97110 |
|
31 |
13 |
$1K |
| 96360 |
|
63 |
62 |
$1K |
| J8597 |
Antiemetic drug oral nos |
1,252 |
1,175 |
$1K |
| 82962 |
|
849 |
779 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
389 |
378 |
$994.07 |
| 97597 |
|
48 |
25 |
$989.85 |
| 36415 |
|
354 |
331 |
$837.84 |
| Q0162 |
Ondansetron oral |
949 |
896 |
$746.98 |
| 76817 |
|
16 |
12 |
$719.40 |
| 82657 |
|
27 |
26 |
$682.72 |
| J1010 |
Inj, methylpred acetate 1 mg |
434 |
412 |
$640.86 |
| J1030 |
Methylprednisolone 40 mg inj |
208 |
197 |
$601.66 |
| 73630 |
|
12 |
12 |
$598.57 |
| 83036 |
|
74 |
72 |
$548.70 |
| 84443 |
|
25 |
25 |
$432.99 |
| 77072 |
|
12 |
12 |
$428.16 |
| A4216 |
Sterile water/saline, 10 ml |
1,793 |
1,712 |
$427.93 |
| 87210 |
|
102 |
89 |
$409.87 |
| 90471 |
|
52 |
52 |
$389.67 |
| 87486 |
|
12 |
12 |
$377.29 |
| 87581 |
|
12 |
12 |
$377.29 |
| 96365 |
|
13 |
13 |
$375.36 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
184 |
164 |
$351.10 |
| J1100 |
Dexamethasone sodium phos |
277 |
265 |
$329.65 |
| 85610 |
|
67 |
66 |
$260.97 |
| 82330 |
|
12 |
12 |
$199.28 |
| 80076 |
|
27 |
26 |
$182.85 |
| 80061 |
|
13 |
12 |
$153.05 |
| 94760 |
|
24 |
24 |
$131.00 |
| 96376 |
|
24 |
24 |
$115.92 |
| J8540 |
Oral dexamethasone |
165 |
153 |
$108.57 |
| J2272 |
Inj, morphine (fresenius) |
39 |
36 |
$105.10 |
| 80051 |
|
12 |
12 |
$100.56 |
| 82075 |
|
13 |
13 |
$65.77 |
| 96127 |
|
12 |
12 |
$65.52 |
| 97602 |
|
18 |
12 |
$65.05 |
| 82947 |
|
12 |
12 |
$57.28 |
| J2550 |
Promethazine hcl injection |
27 |
25 |
$41.16 |
| J1644 |
Inj heparin sodium per 1000u |
44 |
36 |
$25.23 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$13.72 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$8.81 |
| A9270 |
Non-covered item or service |
303 |
166 |
$0.05 |
| 91300 |
|
1,662 |
1,479 |
$0.00 |