| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,690 |
10,914 |
$1.07M |
| 96361 |
|
4,488 |
3,517 |
$994K |
| 99284 |
|
7,836 |
6,409 |
$720K |
| 99285 |
|
3,292 |
2,592 |
$368K |
| 74176 |
|
1,861 |
1,524 |
$366K |
| 70450 |
|
1,630 |
1,338 |
$268K |
| 99282 |
|
3,277 |
3,034 |
$259K |
| 74177 |
|
809 |
638 |
$186K |
| 96365 |
|
1,756 |
1,331 |
$162K |
| 96360 |
|
815 |
651 |
$130K |
| 97110 |
|
2,152 |
535 |
$123K |
| 80053 |
|
17,625 |
13,566 |
$119K |
| G0378 |
Hospital observation per hr |
1,296 |
520 |
$112K |
| 87426 |
|
11,645 |
9,698 |
$101K |
| 94640 |
|
1,254 |
858 |
$97K |
| 99281 |
|
1,191 |
1,114 |
$91K |
| 87502 |
|
4,962 |
4,091 |
$75K |
| 71275 |
|
253 |
207 |
$53K |
| 76856 |
|
362 |
332 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
2,037 |
1,698 |
$49K |
| 84443 |
|
3,972 |
3,468 |
$47K |
| 85025 |
|
17,093 |
13,097 |
$40K |
| 71046 |
|
1,602 |
1,366 |
$36K |
| 80307 |
|
2,980 |
2,102 |
$36K |
| 80061 |
|
3,379 |
3,068 |
$32K |
| 82306 |
|
1,791 |
1,609 |
$32K |
| 83036 |
|
2,717 |
2,453 |
$30K |
| 87491 |
|
897 |
773 |
$29K |
| 97014 |
|
981 |
241 |
$28K |
| 82607 |
|
1,089 |
985 |
$19K |
| 84439 |
|
1,293 |
1,158 |
$19K |
| 36415 |
|
8,944 |
6,865 |
$18K |
| 80048 |
|
1,356 |
1,078 |
$17K |
| 88142 |
|
1,082 |
996 |
$17K |
| 72125 |
|
454 |
388 |
$15K |
| 87591 |
|
900 |
775 |
$15K |
| 93005 |
|
5,381 |
4,150 |
$15K |
| 77063 |
|
385 |
353 |
$13K |
| 36000 |
|
1,834 |
1,338 |
$12K |
| 76830 |
|
328 |
303 |
$12K |
| 72131 |
|
173 |
133 |
$12K |
| 73630 |
|
605 |
495 |
$12K |
| 87086 |
|
2,731 |
2,263 |
$12K |
| 71045 |
|
5,333 |
4,294 |
$12K |
| 81001 |
|
9,463 |
7,734 |
$11K |
| 73030 |
|
502 |
431 |
$10K |
| 73130 |
|
530 |
415 |
$10K |
| 73610 |
|
585 |
478 |
$10K |
| 85027 |
|
1,483 |
1,245 |
$10K |
| 97140 |
|
725 |
204 |
$10K |
| 72110 |
|
219 |
177 |
$6K |
| 71250 |
|
138 |
107 |
$6K |
| 83735 |
|
2,492 |
1,665 |
$6K |
| 82746 |
|
483 |
438 |
$6K |
| 84484 |
|
4,943 |
3,313 |
$6K |
| 86140 |
|
571 |
495 |
$5K |
| 87651 |
|
2,469 |
2,043 |
$5K |
| 87070 |
|
511 |
391 |
$5K |
| 74018 |
|
335 |
283 |
$5K |
| 85610 |
|
2,652 |
2,015 |
$5K |
| 96374 |
|
5,948 |
4,831 |
$5K |
| 88305 |
|
284 |
241 |
$5K |
| 97530 |
|
322 |
101 |
$5K |
| 97112 |
|
114 |
38 |
$4K |
| 87633 |
|
36 |
33 |
$4K |
| 73562 |
|
93 |
81 |
$4K |
| 77067 |
|
386 |
354 |
$4K |
| 86850 |
|
236 |
187 |
$4K |
| 76705 |
|
44 |
39 |
$4K |
| 73110 |
|
243 |
208 |
$4K |
| 87480 |
|
349 |
295 |
$3K |
| 97162 |
|
305 |
236 |
$3K |
| 95886 |
|
16 |
13 |
$3K |
| 83540 |
|
330 |
293 |
$3K |
| 87660 |
|
349 |
295 |
$3K |
| 84153 |
|
181 |
169 |
$3K |
| 94375 |
|
25 |
24 |
$2K |
| 82043 |
|
451 |
413 |
$2K |
| 96372 |
|
2,599 |
2,188 |
$2K |
| 87205 |
|
481 |
369 |
$2K |
| 73560 |
|
70 |
55 |
$2K |
| 82140 |
|
422 |
254 |
$2K |
| 86900 |
|
256 |
205 |
$2K |
| 87510 |
|
349 |
295 |
$2K |
| 83690 |
|
2,819 |
2,244 |
$2K |
| 73502 |
|
88 |
78 |
$2K |
| 80076 |
|
151 |
123 |
$2K |
| 87634 |
|
558 |
470 |
$2K |
| 96375 |
|
4,822 |
3,810 |
$2K |
| 82550 |
|
2,426 |
1,871 |
$1K |
| 80320 |
|
235 |
165 |
$1K |
| J3490 |
Drugs unclassified injection |
878 |
483 |
$1K |
| 73564 |
|
245 |
203 |
$1K |
| 85730 |
|
2,104 |
1,659 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
384 |
266 |
$1K |
| 83605 |
|
1,343 |
918 |
$1K |
| 97161 |
|
27 |
25 |
$1K |
| 87389 |
|
82 |
73 |
$1K |
| 85651 |
|
484 |
410 |
$1K |
| 86901 |
|
256 |
205 |
$1K |
| 82728 |
|
61 |
56 |
$1K |
| 87798 |
|
910 |
753 |
$1K |
| 73100 |
|
19 |
13 |
$998.04 |
| 81025 |
|
2,137 |
1,688 |
$966.84 |
| 83880 |
|
728 |
562 |
$953.13 |
| J1170 |
Hydromorphone injection |
1,538 |
731 |
$755.72 |
| 90715 |
|
74 |
66 |
$723.24 |
| 82805 |
|
23 |
12 |
$647.70 |
| 84703 |
|
265 |
213 |
$565.72 |
| 96376 |
|
573 |
405 |
$551.16 |
| 83550 |
|
75 |
68 |
$519.81 |
| 84702 |
|
41 |
30 |
$461.63 |
| 87624 |
|
16 |
14 |
$446.52 |
| 87040 |
|
961 |
433 |
$433.23 |
| 80143 |
|
349 |
293 |
$420.52 |
| 82077 |
|
264 |
234 |
$418.43 |
| 84145 |
|
367 |
278 |
$405.49 |
| 84436 |
|
27 |
25 |
$395.11 |
| J1885 |
Ketorolac tromethamine inj |
3,381 |
2,605 |
$361.49 |
| 85379 |
|
822 |
659 |
$344.83 |
| J2270 |
Morphine sulfate injection |
978 |
630 |
$330.74 |
| 73090 |
|
18 |
14 |
$289.27 |
| J7030 |
Normal saline solution infus |
1,342 |
1,001 |
$282.95 |
| 83001 |
|
13 |
12 |
$281.80 |
| 80179 |
|
347 |
290 |
$266.50 |
| J2930 |
Methylprednisolone injection |
632 |
512 |
$235.19 |
| 82565 |
|
22 |
15 |
$228.83 |
| 80164 |
|
13 |
13 |
$196.29 |
| J2405 |
Ondansetron hcl injection |
4,983 |
3,369 |
$169.73 |
| 80074 |
|
13 |
13 |
$168.39 |
| J2704 |
Inj, propofol, 10 mg |
1,323 |
717 |
$166.84 |
| 84403 |
|
13 |
12 |
$162.00 |
| J0696 |
Ceftriaxone sodium injection |
721 |
514 |
$160.99 |
| 87081 |
|
197 |
160 |
$158.08 |
| 94760 |
|
3,816 |
3,500 |
$156.71 |
| 99291 |
|
18 |
14 |
$152.64 |
| 84146 |
|
22 |
13 |
$147.35 |
| 70486 |
|
13 |
12 |
$123.81 |
| J2920 |
Methylprednisolone injection |
93 |
63 |
$117.81 |
| 86308 |
|
32 |
27 |
$115.08 |
| 84100 |
|
138 |
114 |
$110.92 |
| 84520 |
|
17 |
12 |
$92.70 |
| J2060 |
Lorazepam injection |
529 |
326 |
$78.31 |
| J2919 |
Inj, methylpred sod succ 5mg |
298 |
229 |
$76.46 |
| 90471 |
|
126 |
105 |
$67.68 |
| J1100 |
Dexamethasone sodium phos |
1,157 |
861 |
$61.25 |
| 87428 |
|
20 |
20 |
$55.70 |
| J3010 |
Fentanyl citrate injection |
1,217 |
710 |
$51.14 |
| J1200 |
Diphenhydramine hcl injectio |
528 |
367 |
$43.32 |
| J3475 |
Inj magnesium sulfate |
136 |
93 |
$28.40 |
| J0690 |
Cefazolin sodium injection |
291 |
164 |
$19.91 |
| 86618 |
|
15 |
15 |
$15.77 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,669 |
1,315 |
$13.10 |
| J0780 |
Prochlorperazine injection |
45 |
26 |
$11.85 |
| J7512 |
Prednisone ir or dr oral 1mg |
633 |
500 |
$3.40 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
79 |
41 |
$2.70 |
| J7120 |
Ringers lactate infusion |
78 |
73 |
$2.45 |
| 94761 |
|
700 |
562 |
$1.93 |
| J7040 |
Normal saline solution infus |
74 |
51 |
$1.35 |
| A9270 |
Non-covered item or service |
1,010 |
746 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
17 |
12 |
$0.00 |
| 29125 |
|
32 |
29 |
$0.00 |