| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
23,982 |
19,516 |
$2.76M |
| 99284 |
|
13,641 |
10,402 |
$1.52M |
| 99282 |
|
6,741 |
5,692 |
$905K |
| 71045 |
|
6,691 |
5,181 |
$569K |
| 93005 |
|
8,843 |
6,707 |
$366K |
| 97110 |
|
3,531 |
727 |
$331K |
| 80053 |
|
38,230 |
26,314 |
$185K |
| 87502 |
|
3,993 |
3,253 |
$178K |
| 99285 |
|
2,605 |
1,885 |
$177K |
| 62323 |
|
294 |
220 |
$156K |
| 74177 |
|
436 |
367 |
$127K |
| 87426 |
|
6,139 |
4,956 |
$124K |
| 96413 |
|
634 |
260 |
$109K |
| 99281 |
|
763 |
667 |
$108K |
| 11042 |
|
315 |
148 |
$106K |
| 85025 |
|
33,608 |
23,515 |
$101K |
| 96374 |
|
5,505 |
4,031 |
$66K |
| 36415 |
|
35,440 |
22,805 |
$58K |
| 80307 |
|
1,557 |
1,165 |
$56K |
| 94760 |
|
1,288 |
1,008 |
$55K |
| 99218 |
|
269 |
169 |
$49K |
| 96361 |
|
2,063 |
1,425 |
$46K |
| 70450 |
|
652 |
522 |
$45K |
| G0463 |
Hospital outpt clinic visit |
808 |
486 |
$44K |
| 93306 |
|
164 |
131 |
$41K |
| 92507 |
|
276 |
84 |
$39K |
| 99217 |
|
230 |
154 |
$38K |
| 87631 |
|
452 |
407 |
$38K |
| 97597 |
|
460 |
191 |
$36K |
| 87635 |
|
808 |
717 |
$30K |
| C9803 |
Hopd covid-19 spec collect |
708 |
592 |
$30K |
| 71046 |
|
531 |
431 |
$30K |
| 45385 |
|
21 |
14 |
$26K |
| 43235 |
|
31 |
24 |
$25K |
| 84484 |
|
4,358 |
3,122 |
$25K |
| 80061 |
|
3,369 |
2,980 |
$24K |
| 96375 |
|
2,558 |
1,896 |
$24K |
| 84443 |
|
1,915 |
1,636 |
$20K |
| 80050 |
|
325 |
262 |
$20K |
| 85027 |
|
4,282 |
3,345 |
$18K |
| 87086 |
|
4,295 |
3,476 |
$18K |
| 83036 |
|
3,711 |
3,248 |
$15K |
| 87491 |
|
568 |
492 |
$14K |
| 96372 |
|
922 |
663 |
$14K |
| G0378 |
Hospital observation per hr |
429 |
155 |
$14K |
| 87591 |
|
553 |
480 |
$14K |
| 36591 |
|
234 |
85 |
$13K |
| 43239 |
|
16 |
14 |
$12K |
| 87651 |
|
358 |
328 |
$10K |
| 81001 |
|
8,350 |
6,628 |
$10K |
| 82306 |
|
621 |
573 |
$10K |
| 71250 |
|
74 |
69 |
$8K |
| 87661 |
|
274 |
245 |
$7K |
| 84439 |
|
1,084 |
983 |
$5K |
| 80048 |
|
2,463 |
1,551 |
$5K |
| 97602 |
|
88 |
27 |
$5K |
| 83690 |
|
1,941 |
1,547 |
$5K |
| 82607 |
|
509 |
455 |
$4K |
| 83735 |
|
1,116 |
900 |
$4K |
| 83874 |
|
651 |
493 |
$3K |
| 87880 |
|
298 |
258 |
$3K |
| 87420 |
|
307 |
260 |
$3K |
| 97161 |
|
18 |
14 |
$2K |
| 81025 |
|
785 |
658 |
$2K |
| 81003 |
|
2,482 |
2,042 |
$2K |
| 45384 |
|
28 |
12 |
$2K |
| 96365 |
|
45 |
41 |
$2K |
| 96367 |
|
50 |
12 |
$1K |
| 83605 |
|
279 |
234 |
$1K |
| 87040 |
|
375 |
274 |
$1K |
| 83880 |
|
79 |
65 |
$1K |
| 94060 |
|
17 |
17 |
$1K |
| 88142 |
|
75 |
61 |
$1K |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$663.24 |
| 85610 |
|
427 |
316 |
$602.50 |
| J2405 |
Ondansetron hcl injection |
2,170 |
1,556 |
$587.94 |
| J1885 |
Ketorolac tromethamine inj |
1,752 |
1,389 |
$411.67 |
| 83655 |
|
30 |
29 |
$406.00 |
| J2469 |
Palonosetron hcl |
55 |
12 |
$294.58 |
| 94726 |
|
62 |
57 |
$279.04 |
| 82248 |
|
127 |
119 |
$247.78 |
| J3490 |
Drugs unclassified injection |
130 |
109 |
$238.41 |
| 82805 |
|
14 |
12 |
$187.30 |
| 82746 |
|
28 |
25 |
$159.27 |
| 86803 |
|
16 |
12 |
$119.56 |
| 86703 |
|
16 |
12 |
$114.87 |
| J7040 |
Normal saline solution infus |
688 |
604 |
$110.90 |
| 87077 |
|
27 |
13 |
$103.33 |
| 87186 |
|
22 |
12 |
$84.09 |
| 87340 |
|
16 |
12 |
$59.29 |
| 86850 |
|
13 |
13 |
$56.51 |
| 94799 |
|
67 |
41 |
$55.41 |
| 82550 |
|
12 |
12 |
$52.08 |
| 82043 |
|
52 |
41 |
$49.40 |
| 84550 |
|
13 |
12 |
$46.32 |
| 82570 |
|
50 |
39 |
$37.33 |
| 82962 |
|
59 |
16 |
$37.22 |
| 86592 |
|
16 |
12 |
$35.77 |
| 85730 |
|
29 |
25 |
$30.52 |
| 94729 |
|
34 |
33 |
$16.90 |
| J2250 |
Inj midazolam hydrochloride |
1,342 |
1,078 |
$0.75 |
| J0461 |
Atropine sulfate injection |
622 |
510 |
$0.00 |
| 88305 |
|
180 |
130 |
$0.00 |
| A9270 |
Non-covered item or service |
2,140 |
1,252 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
359 |
282 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
584 |
488 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
94 |
41 |
$0.00 |
| Q0162 |
Ondansetron oral |
96 |
80 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
41 |
40 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
93 |
63 |
$0.00 |
| J1170 |
Hydromorphone injection |
44 |
29 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
30 |
15 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
28 |
26 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
86 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
42 |
28 |
$0.00 |