| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
17,664 |
14,505 |
$1.34M |
| 99283 |
|
44,273 |
41,040 |
$1.22M |
| 99284 |
|
16,067 |
14,915 |
$661K |
| 99282 |
|
9,495 |
8,924 |
$652K |
| 87430 |
|
2,773 |
2,686 |
$598K |
| 99281 |
|
4,325 |
3,834 |
$427K |
| J7030 |
Normal saline solution infus |
1,727 |
1,444 |
$334K |
| 87636 |
|
3,381 |
3,260 |
$273K |
| 87077 |
|
3,375 |
3,135 |
$226K |
| 87804 |
|
2,766 |
2,520 |
$183K |
| 97110 |
|
3,600 |
936 |
$179K |
| 96372 |
|
9,299 |
7,802 |
$144K |
| 81003 |
|
4,920 |
4,587 |
$107K |
| 80053 |
|
8,801 |
7,680 |
$97K |
| 87880 |
|
3,905 |
3,697 |
$84K |
| 70450 |
|
1,523 |
1,424 |
$78K |
| 87088 |
|
2,393 |
2,241 |
$65K |
| 71045 |
|
4,417 |
4,065 |
$63K |
| 99285 |
|
2,812 |
2,607 |
$55K |
| 87635 |
|
992 |
900 |
$48K |
| 73610 |
|
578 |
527 |
$46K |
| 73630 |
|
615 |
570 |
$43K |
| 81025 |
|
2,902 |
2,742 |
$37K |
| 87807 |
|
180 |
176 |
$34K |
| 71046 |
|
1,856 |
1,640 |
$33K |
| 81000 |
|
2,003 |
1,763 |
$33K |
| 81001 |
|
2,411 |
2,173 |
$29K |
| 96361 |
|
2,829 |
2,261 |
$29K |
| 80048 |
|
6,763 |
5,967 |
$28K |
| 80307 |
|
1,527 |
1,394 |
$26K |
| J3490 |
Drugs unclassified injection |
638 |
363 |
$25K |
| 74176 |
|
1,537 |
1,490 |
$24K |
| 87070 |
|
1,775 |
1,716 |
$22K |
| 73030 |
|
357 |
324 |
$21K |
| 96374 |
|
2,576 |
2,357 |
$18K |
| 73130 |
|
203 |
184 |
$17K |
| 73110 |
|
204 |
185 |
$17K |
| 73564 |
|
427 |
378 |
$15K |
| 96365 |
|
1,303 |
1,171 |
$15K |
| 82962 |
|
411 |
293 |
$12K |
| J7040 |
Normal saline solution infus |
105 |
98 |
$10K |
| 72100 |
|
258 |
244 |
$9K |
| 74177 |
|
707 |
663 |
$8K |
| G2023 |
Specimen collect covid-19 |
408 |
389 |
$7K |
| 93005 |
|
3,876 |
3,454 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
140 |
138 |
$6K |
| 94640 |
|
2,012 |
1,362 |
$6K |
| J7120 |
Ringers lactate infusion |
29 |
24 |
$6K |
| 85027 |
|
10,705 |
9,494 |
$4K |
| J1170 |
Hydromorphone injection |
2,079 |
1,632 |
$3K |
| 85025 |
|
4,840 |
4,174 |
$3K |
| 73562 |
|
76 |
65 |
$2K |
| 77067 |
|
87 |
83 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,350 |
1,924 |
$2K |
| 93010 |
|
377 |
339 |
$2K |
| 87086 |
|
169 |
152 |
$2K |
| 72125 |
|
55 |
52 |
$2K |
| 76705 |
|
27 |
27 |
$2K |
| 96360 |
|
540 |
522 |
$2K |
| 83036 |
|
1,790 |
1,634 |
$1K |
| 96375 |
|
2,339 |
1,992 |
$1K |
| 83735 |
|
1,681 |
1,374 |
$920.20 |
| G0378 |
Hospital observation per hr |
26 |
14 |
$903.37 |
| 94760 |
|
1,477 |
1,062 |
$833.26 |
| 87491 |
|
27 |
24 |
$823.10 |
| U0003 |
Cov-19 amp prb hgh thruput |
571 |
549 |
$755.66 |
| 82150 |
|
3,675 |
3,286 |
$565.56 |
| J2405 |
Ondansetron hcl injection |
1,811 |
1,535 |
$446.21 |
| 99239 |
|
12 |
12 |
$394.86 |
| 80076 |
|
2,528 |
2,364 |
$393.60 |
| 74019 |
|
12 |
12 |
$371.08 |
| 84443 |
|
2,588 |
2,441 |
$315.21 |
| 80061 |
|
2,261 |
2,130 |
$308.68 |
| 70486 |
|
15 |
13 |
$239.40 |
| 73502 |
|
13 |
13 |
$160.35 |
| J1885 |
Ketorolac tromethamine inj |
3,005 |
2,708 |
$148.23 |
| 84484 |
|
3,332 |
2,611 |
$138.96 |
| 74021 |
|
34 |
26 |
$124.77 |
| 85379 |
|
926 |
880 |
$121.80 |
| A9270 |
Non-covered item or service |
3,056 |
2,555 |
$102.76 |
| 81002 |
|
27 |
26 |
$90.69 |
| 97161 |
|
13 |
13 |
$66.89 |
| 83690 |
|
4,211 |
3,756 |
$42.52 |
| 71020 |
|
19 |
13 |
$40.20 |
| 83880 |
|
252 |
230 |
$39.26 |
| 85610 |
|
1,045 |
880 |
$17.00 |
| J1100 |
Dexamethasone sodium phos |
1,532 |
1,432 |
$9.65 |
| J2550 |
Promethazine hcl injection |
3,451 |
2,985 |
$2.84 |
| 87040 |
|
734 |
481 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,116 |
1,013 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
317 |
282 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
134 |
132 |
$0.00 |
| 85730 |
|
640 |
589 |
$0.00 |
| 83605 |
|
811 |
695 |
$0.00 |
| 96376 |
|
116 |
76 |
$0.00 |
| 86140 |
|
30 |
28 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
70 |
61 |
$0.00 |
| 90471 |
|
15 |
12 |
$0.00 |
| 82607 |
|
14 |
12 |
$0.00 |
| 74022 |
|
32 |
30 |
$0.00 |
| 87591 |
|
27 |
24 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
17 |
14 |
$0.00 |
| 85651 |
|
28 |
27 |
$0.00 |
| 87205 |
|
15 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
504 |
433 |
$0.00 |
| 87186 |
|
910 |
821 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
298 |
290 |
$0.00 |
| 99218 |
|
13 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
14 |
13 |
$0.00 |
| 86703 |
|
35 |
29 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
32 |
14 |
$0.00 |
| 97530 |
|
39 |
12 |
$0.00 |
| 84439 |
|
40 |
38 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
132 |
124 |
$0.00 |
| 80074 |
|
31 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
51 |
$0.00 |
| 87075 |
|
15 |
13 |
$0.00 |