| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
5,458 |
4,970 |
$1.08M |
| 99283 |
|
6,547 |
6,115 |
$910K |
| 99285 |
|
2,343 |
2,203 |
$853K |
| G0463 |
Hospital outpt clinic visit |
4,677 |
3,807 |
$311K |
| 96374 |
|
2,757 |
2,582 |
$304K |
| 96365 |
|
1,735 |
1,027 |
$196K |
| 11042 |
|
1,202 |
460 |
$182K |
| 99282 |
|
1,743 |
1,636 |
$130K |
| 74177 |
|
560 |
545 |
$111K |
| 96361 |
|
1,892 |
1,690 |
$80K |
| 96375 |
|
2,240 |
1,975 |
$79K |
| 71046 |
|
1,830 |
1,772 |
$70K |
| 70450 |
|
461 |
446 |
$49K |
| 97110 |
|
1,673 |
502 |
$48K |
| 71045 |
|
935 |
894 |
$42K |
| 86886 |
|
1,523 |
1,456 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
650 |
627 |
$30K |
| 93306 |
|
113 |
113 |
$29K |
| 80061 |
|
2,631 |
2,582 |
$26K |
| 82306 |
|
1,746 |
1,719 |
$25K |
| 62323 |
|
64 |
49 |
$25K |
| 77067 |
|
415 |
414 |
$24K |
| 84443 |
|
3,237 |
3,163 |
$23K |
| 80053 |
|
9,855 |
8,862 |
$22K |
| 96360 |
|
174 |
172 |
$20K |
| 87635 |
|
694 |
667 |
$19K |
| 85025 |
|
11,228 |
9,897 |
$19K |
| 76811 |
|
101 |
100 |
$17K |
| 73630 |
|
691 |
660 |
$15K |
| 76816 |
|
203 |
185 |
$12K |
| 87491 |
|
823 |
814 |
$11K |
| 36415 |
|
12,400 |
10,664 |
$11K |
| 87591 |
|
775 |
767 |
$11K |
| 80307 |
|
822 |
800 |
$10K |
| 97140 |
|
544 |
192 |
$10K |
| 93005 |
|
2,869 |
2,610 |
$8K |
| 83036 |
|
1,804 |
1,776 |
$8K |
| 74176 |
|
43 |
42 |
$7K |
| 96372 |
|
2,845 |
2,564 |
$5K |
| 87502 |
|
227 |
226 |
$5K |
| 77063 |
|
336 |
336 |
$5K |
| 99213 |
|
128 |
116 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,422 |
1,320 |
$4K |
| 84439 |
|
1,047 |
1,025 |
$4K |
| 80048 |
|
1,797 |
1,537 |
$4K |
| 87086 |
|
2,316 |
2,194 |
$4K |
| 87634 |
|
75 |
75 |
$3K |
| 85027 |
|
1,890 |
1,757 |
$3K |
| 01936 |
|
62 |
59 |
$3K |
| 76817 |
|
86 |
83 |
$3K |
| 01967 |
|
13 |
12 |
$3K |
| 76830 |
|
57 |
56 |
$3K |
| 87070 |
|
848 |
833 |
$3K |
| 97530 |
|
71 |
46 |
$2K |
| 87660 |
|
296 |
294 |
$2K |
| 87480 |
|
295 |
293 |
$2K |
| 87510 |
|
295 |
293 |
$2K |
| 83735 |
|
3,968 |
3,516 |
$2K |
| 88142 |
|
202 |
202 |
$2K |
| 82607 |
|
279 |
277 |
$2K |
| 76705 |
|
28 |
24 |
$2K |
| 80305 |
|
1,173 |
1,098 |
$2K |
| 87651 |
|
173 |
172 |
$2K |
| 01992 |
|
89 |
80 |
$2K |
| 97162 |
|
26 |
25 |
$2K |
| 84702 |
|
455 |
360 |
$2K |
| 73130 |
|
78 |
78 |
$2K |
| 87389 |
|
185 |
184 |
$1K |
| 73562 |
|
50 |
50 |
$991.38 |
| 85610 |
|
2,329 |
2,012 |
$865.72 |
| G0482 |
Drug test def 15-21 classes |
45 |
41 |
$863.80 |
| 81001 |
|
2,552 |
2,326 |
$831.95 |
| 86900 |
|
1,710 |
1,623 |
$822.07 |
| 81003 |
|
2,396 |
2,303 |
$719.70 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
42 |
42 |
$657.97 |
| 73030 |
|
25 |
25 |
$654.42 |
| 84100 |
|
2,386 |
2,181 |
$646.92 |
| 0241U |
|
527 |
518 |
$644.82 |
| 87186 |
|
254 |
241 |
$617.95 |
| 87340 |
|
225 |
224 |
$612.37 |
| 86762 |
|
158 |
157 |
$589.02 |
| 88305 |
|
104 |
97 |
$550.44 |
| 72110 |
|
12 |
12 |
$530.89 |
| 73610 |
|
26 |
26 |
$521.56 |
| 87503 |
|
77 |
77 |
$511.87 |
| 86592 |
|
186 |
185 |
$483.51 |
| 87653 |
|
26 |
25 |
$412.33 |
| 83880 |
|
471 |
450 |
$404.26 |
| 86901 |
|
1,733 |
1,645 |
$378.92 |
| 83690 |
|
2,382 |
2,226 |
$352.93 |
| 86140 |
|
400 |
344 |
$341.84 |
| 85730 |
|
1,288 |
1,211 |
$326.53 |
| G0123 |
Screen cerv/vag thin layer |
24 |
24 |
$317.44 |
| 87081 |
|
68 |
68 |
$301.30 |
| 83605 |
|
2,433 |
2,173 |
$286.00 |
| 81025 |
|
1,833 |
1,765 |
$284.16 |
| 83540 |
|
81 |
81 |
$261.99 |
| 82550 |
|
1,381 |
1,040 |
$259.59 |
| 82150 |
|
1,205 |
1,135 |
$173.10 |
| 84484 |
|
2,083 |
1,523 |
$127.47 |
| 82565 |
|
43 |
38 |
$107.19 |
| 87077 |
|
13 |
13 |
$60.30 |
| 81015 |
|
334 |
317 |
$54.71 |
| 82950 |
|
18 |
18 |
$37.90 |
| 84520 |
|
16 |
12 |
$35.57 |
| 87040 |
|
53 |
52 |
$22.20 |
| 83516 |
|
21 |
13 |
$17.60 |
| J7030 |
Normal saline solution infus |
3,604 |
3,234 |
$10.15 |
| 85018 |
|
12 |
12 |
$7.99 |
| 85014 |
|
12 |
12 |
$7.99 |
| 85379 |
|
46 |
45 |
$7.68 |
| 85651 |
|
12 |
12 |
$6.81 |
| 85652 |
|
18 |
13 |
$6.42 |
| J2250 |
Inj midazolam hydrochloride |
1,564 |
1,514 |
$3.52 |
| J1885 |
Ketorolac tromethamine inj |
3,824 |
3,583 |
$3.14 |
| J1100 |
Dexamethasone sodium phos |
1,583 |
1,454 |
$2.22 |
| J2704 |
Inj, propofol, 10 mg |
1,712 |
1,650 |
$2.20 |
| J2405 |
Ondansetron hcl injection |
2,862 |
2,590 |
$1.40 |
| J3010 |
Fentanyl citrate injection |
1,673 |
1,614 |
$0.01 |
| J7050 |
Normal saline solution infus |
262 |
207 |
$0.00 |
| A9270 |
Non-covered item or service |
2,361 |
1,448 |
$0.00 |
| J3490 |
Drugs unclassified injection |
2,380 |
1,505 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
279 |
257 |
$0.00 |
| 94640 |
|
44 |
39 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
17 |
14 |
$0.00 |
| J1170 |
Hydromorphone injection |
40 |
38 |
$0.00 |
| G0378 |
Hospital observation per hr |
13 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
23 |
12 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
822 |
803 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
273 |
266 |
$0.00 |
| J2270 |
Morphine sulfate injection |
191 |
171 |
$0.00 |
| 87880 |
|
12 |
12 |
$0.00 |
| 82948 |
|
23 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
71 |
66 |
$0.00 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$0.00 |