| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,347 |
12,766 |
$2.47M |
| 99284 |
|
10,897 |
10,352 |
$1.88M |
| 99285 |
|
6,192 |
5,788 |
$1.06M |
| U0003 |
Cov-19 amp prb hgh thruput |
7,133 |
6,403 |
$611K |
| 99282 |
|
3,135 |
3,059 |
$576K |
| 70450 |
|
2,224 |
2,160 |
$356K |
| 36415 |
|
27,496 |
17,008 |
$349K |
| 99214 |
|
2,495 |
2,376 |
$349K |
| 74177 |
|
2,260 |
2,217 |
$328K |
| 80053 |
|
13,583 |
12,545 |
$234K |
| 96361 |
|
936 |
906 |
$156K |
| 96374 |
|
5,886 |
5,514 |
$98K |
| U0005 |
Infec agen detec ampli probe |
5,047 |
4,632 |
$88K |
| 43239 |
|
120 |
120 |
$78K |
| C9803 |
Hopd covid-19 spec collect |
3,616 |
3,282 |
$77K |
| 86901 |
|
3,766 |
3,639 |
$73K |
| 93005 |
|
8,528 |
7,990 |
$73K |
| 86850 |
|
3,762 |
3,636 |
$71K |
| 80048 |
|
3,536 |
3,263 |
$67K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,703 |
2,643 |
$65K |
| C1889 |
Implant/insert device, noc |
119 |
119 |
$58K |
| 86900 |
|
3,763 |
3,638 |
$57K |
| 80307 |
|
2,293 |
2,015 |
$52K |
| 96375 |
|
3,140 |
2,967 |
$49K |
| 85025 |
|
14,602 |
13,540 |
$42K |
| 71046 |
|
2,676 |
2,635 |
$41K |
| 87635 |
|
884 |
781 |
$40K |
| 0241U |
|
2,840 |
2,794 |
$29K |
| 76705 |
|
814 |
797 |
$27K |
| 88305 |
|
740 |
735 |
$25K |
| 96360 |
|
211 |
198 |
$25K |
| 85730 |
|
4,363 |
4,200 |
$23K |
| 81001 |
|
6,193 |
5,965 |
$23K |
| 93975 |
|
76 |
73 |
$17K |
| 74176 |
|
138 |
138 |
$17K |
| 71275 |
|
97 |
97 |
$15K |
| 84702 |
|
2,920 |
2,793 |
$15K |
| 59025 |
|
110 |
95 |
$14K |
| J0131 |
Inj, acetaminophen (nos) |
1,447 |
1,395 |
$14K |
| J7030 |
Normal saline solution infus |
6,760 |
6,335 |
$13K |
| 87086 |
|
4,319 |
4,181 |
$13K |
| 85610 |
|
3,952 |
3,817 |
$12K |
| 0225U |
|
1,614 |
1,591 |
$12K |
| 83880 |
|
733 |
711 |
$11K |
| 83036 |
|
626 |
613 |
$11K |
| J3490 |
Drugs unclassified injection |
2,837 |
2,329 |
$10K |
| 87631 |
|
225 |
224 |
$9K |
| 96372 |
|
1,030 |
966 |
$8K |
| 94640 |
|
978 |
874 |
$8K |
| 81025 |
|
2,138 |
2,109 |
$6K |
| 88304 |
|
163 |
162 |
$6K |
| 83690 |
|
3,679 |
3,517 |
$6K |
| 71045 |
|
3,171 |
3,068 |
$6K |
| 81003 |
|
2,256 |
2,204 |
$4K |
| 36000 |
|
306 |
302 |
$4K |
| 96365 |
|
29 |
28 |
$4K |
| 99212 |
|
70 |
51 |
$2K |
| 85027 |
|
733 |
633 |
$2K |
| 72125 |
|
196 |
187 |
$2K |
| 93306 |
|
12 |
12 |
$2K |
| 82962 |
|
1,712 |
1,449 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,033 |
2,874 |
$2K |
| J2270 |
Morphine sulfate injection |
1,285 |
1,091 |
$2K |
| 84484 |
|
3,292 |
3,018 |
$2K |
| 90715 |
|
97 |
97 |
$2K |
| C9399 |
Unclassified drugs or biolog |
25 |
25 |
$2K |
| 88312 |
|
79 |
79 |
$2K |
| 76830 |
|
104 |
103 |
$2K |
| 87040 |
|
915 |
877 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
828 |
783 |
$1K |
| J2405 |
Ondansetron hcl injection |
3,708 |
3,467 |
$1K |
| 83605 |
|
1,193 |
1,128 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,483 |
1,314 |
$1K |
| 83735 |
|
1,867 |
1,740 |
$895.25 |
| J1100 |
Dexamethasone sodium phos |
1,077 |
1,042 |
$791.95 |
| 96376 |
|
70 |
65 |
$776.34 |
| 84443 |
|
502 |
493 |
$755.23 |
| 87633 |
|
29 |
29 |
$718.15 |
| 85379 |
|
908 |
898 |
$714.28 |
| 87880 |
|
491 |
490 |
$703.95 |
| 87591 |
|
37 |
37 |
$522.82 |
| 73110 |
|
33 |
32 |
$478.74 |
| 82803 |
|
42 |
40 |
$465.97 |
| 73562 |
|
39 |
36 |
$432.75 |
| 88307 |
|
12 |
12 |
$430.24 |
| J0690 |
Cefazolin sodium injection |
265 |
246 |
$409.63 |
| 87486 |
|
29 |
29 |
$371.16 |
| 73630 |
|
87 |
85 |
$367.51 |
| 87081 |
|
406 |
405 |
$338.47 |
| J2765 |
Metoclopramide hcl injection |
514 |
495 |
$334.20 |
| 86703 |
|
52 |
51 |
$333.32 |
| J7050 |
Normal saline solution infus |
127 |
64 |
$308.21 |
| J2250 |
Inj midazolam hydrochloride |
560 |
554 |
$293.25 |
| J1170 |
Hydromorphone injection |
114 |
87 |
$281.19 |
| J0696 |
Ceftriaxone sodium injection |
228 |
202 |
$272.21 |
| 87798 |
|
29 |
29 |
$270.45 |
| J7120 |
Ringers lactate infusion |
121 |
119 |
$267.49 |
| 87581 |
|
29 |
29 |
$255.10 |
| J2060 |
Lorazepam injection |
250 |
202 |
$247.23 |
| J2001 |
Lidocaine injection |
111 |
111 |
$231.37 |
| 87186 |
|
170 |
166 |
$228.05 |
| 86803 |
|
65 |
64 |
$223.87 |
| 82040 |
|
37 |
37 |
$187.39 |
| 73610 |
|
85 |
83 |
$167.28 |
| 87491 |
|
13 |
13 |
$116.62 |
| Q3014 |
Telehealth facility fee |
13 |
13 |
$106.25 |
| J1200 |
Diphenhydramine hcl injectio |
245 |
231 |
$98.44 |
| 84100 |
|
32 |
29 |
$87.47 |
| 73030 |
|
12 |
12 |
$55.11 |
| 87077 |
|
64 |
63 |
$48.48 |
| 90471 |
|
53 |
52 |
$39.09 |
| 73130 |
|
57 |
57 |
$20.63 |
| 76376 |
|
27 |
27 |
$0.00 |
| 88313 |
|
12 |
12 |
$0.00 |
| 73590 |
|
14 |
14 |
$0.00 |
| 99080 |
|
89 |
12 |
$0.00 |
| 82550 |
|
12 |
12 |
$0.00 |
| 73090 |
|
30 |
30 |
$0.00 |