| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
29,335 |
25,952 |
$1.70M |
| 99285 |
|
5,938 |
5,268 |
$1.48M |
| 99283 |
|
22,852 |
20,061 |
$745K |
| 80053 |
|
20,598 |
18,110 |
$186K |
| 87635 |
|
2,603 |
2,349 |
$98K |
| 87637 |
|
629 |
618 |
$80K |
| 85027 |
|
18,642 |
16,535 |
$67K |
| 86710 |
|
4,929 |
4,352 |
$66K |
| 71045 |
|
10,184 |
9,149 |
$48K |
| 87086 |
|
4,763 |
4,067 |
$44K |
| 93005 |
|
4,243 |
3,731 |
$42K |
| 87880 |
|
2,971 |
2,614 |
$40K |
| 87804 |
|
2,596 |
1,489 |
$33K |
| 85025 |
|
3,732 |
3,020 |
$31K |
| 81003 |
|
11,481 |
9,928 |
$27K |
| 70450 |
|
330 |
295 |
$23K |
| 80081 |
|
344 |
295 |
$20K |
| G0378 |
Hospital observation per hr |
504 |
335 |
$19K |
| D9420 |
|
75 |
69 |
$19K |
| 69436 |
|
142 |
82 |
$17K |
| 93010 |
|
6,885 |
3,670 |
$16K |
| 71046 |
|
1,565 |
1,367 |
$14K |
| 43239 |
|
107 |
99 |
$13K |
| 83690 |
|
2,153 |
1,880 |
$12K |
| 42820 |
|
30 |
28 |
$12K |
| 81001 |
|
3,634 |
2,980 |
$12K |
| 74177 |
|
55 |
53 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
260 |
238 |
$11K |
| J7030 |
Normal saline solution infus |
4,664 |
4,134 |
$9K |
| 84703 |
|
1,616 |
1,424 |
$8K |
| 87807 |
|
689 |
629 |
$7K |
| 87801 |
|
303 |
258 |
$6K |
| 87661 |
|
294 |
257 |
$5K |
| 87070 |
|
457 |
363 |
$5K |
| 11042 |
|
42 |
24 |
$4K |
| 86787 |
|
258 |
232 |
$4K |
| 83605 |
|
445 |
405 |
$4K |
| 86803 |
|
252 |
215 |
$4K |
| 84443 |
|
260 |
232 |
$4K |
| U0005 |
Infec agen detec ampli probe |
265 |
250 |
$4K |
| 84484 |
|
567 |
485 |
$4K |
| 80307 |
|
97 |
76 |
$4K |
| G0463 |
Hospital outpt clinic visit |
49 |
26 |
$3K |
| 81025 |
|
871 |
642 |
$2K |
| 94640 |
|
242 |
216 |
$2K |
| 74176 |
|
33 |
28 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
378 |
323 |
$2K |
| 97110 |
|
56 |
12 |
$1K |
| 80048 |
|
146 |
112 |
$1K |
| 83735 |
|
199 |
163 |
$1K |
| 80055 |
|
19 |
15 |
$1K |
| 82553 |
|
136 |
106 |
$977.00 |
| 82550 |
|
201 |
159 |
$975.56 |
| 87040 |
|
84 |
81 |
$921.30 |
| 99282 |
|
28 |
25 |
$902.29 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$878.76 |
| J2405 |
Ondansetron hcl injection |
3,241 |
2,842 |
$830.68 |
| 83036 |
|
63 |
42 |
$619.84 |
| 86780 |
|
31 |
30 |
$615.84 |
| 74018 |
|
72 |
51 |
$535.26 |
| J1100 |
Dexamethasone sodium phos |
933 |
817 |
$515.03 |
| 85610 |
|
108 |
99 |
$510.54 |
| J0696 |
Ceftriaxone sodium injection |
327 |
292 |
$452.23 |
| 85014 |
|
179 |
157 |
$447.63 |
| 80061 |
|
30 |
27 |
$436.25 |
| 83525 |
|
46 |
43 |
$404.40 |
| 96374 |
|
3,571 |
3,179 |
$381.88 |
| 59025 |
|
63 |
46 |
$368.16 |
| 87389 |
|
16 |
15 |
$367.51 |
| J7120 |
Ringers lactate infusion |
888 |
698 |
$356.77 |
| J1885 |
Ketorolac tromethamine inj |
743 |
637 |
$349.26 |
| 86765 |
|
30 |
12 |
$300.84 |
| 86592 |
|
64 |
60 |
$290.88 |
| 87081 |
|
41 |
25 |
$267.00 |
| 80076 |
|
43 |
39 |
$264.96 |
| 85730 |
|
91 |
86 |
$227.15 |
| 82607 |
|
12 |
12 |
$226.08 |
| 82105 |
|
12 |
12 |
$225.10 |
| 82950 |
|
30 |
28 |
$197.96 |
| J1790 |
Droperidol injection |
68 |
58 |
$192.96 |
| 85379 |
|
18 |
16 |
$192.66 |
| 82803 |
|
13 |
13 |
$171.18 |
| 86850 |
|
25 |
25 |
$167.58 |
| 96372 |
|
3,903 |
3,459 |
$167.20 |
| 87186 |
|
13 |
12 |
$120.15 |
| 82306 |
|
12 |
12 |
$107.76 |
| J2270 |
Morphine sulfate injection |
81 |
63 |
$76.12 |
| J2272 |
Inj, morphine (fresenius) |
14 |
12 |
$67.20 |
| 86140 |
|
29 |
13 |
$26.37 |
| 86900 |
|
12 |
12 |
$26.04 |
| 86901 |
|
12 |
12 |
$25.80 |
| J2250 |
Inj midazolam hydrochloride |
125 |
119 |
$1.04 |
| J7040 |
Normal saline solution infus |
15 |
15 |
$0.00 |
| 88312 |
|
47 |
43 |
$0.00 |
| 0353U |
|
13 |
12 |
$0.00 |
| 0240U |
|
554 |
528 |
$0.00 |
| 88305 |
|
364 |
339 |
$0.00 |
| A9270 |
Non-covered item or service |
5,149 |
3,684 |
$0.00 |
| 96375 |
|
813 |
727 |
$0.00 |
| 0241U |
|
160 |
150 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
26 |
25 |
$0.00 |
| 96365 |
|
42 |
39 |
$0.00 |
| 96361 |
|
26 |
26 |
$0.00 |