| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,097 |
11,511 |
$2.84M |
| G0378 |
Hospital observation per hr |
1,715 |
1,453 |
$2.38M |
| 99284 |
|
8,279 |
7,846 |
$1.75M |
| 99285 |
|
4,877 |
4,654 |
$803K |
| 96374 |
|
2,925 |
2,712 |
$384K |
| 96372 |
|
1,581 |
1,309 |
$214K |
| 99281 |
|
512 |
495 |
$110K |
| 96361 |
|
874 |
811 |
$98K |
| 97140 |
|
701 |
199 |
$12K |
| 96375 |
|
675 |
599 |
$10K |
| 80053 |
|
4,117 |
3,482 |
$10K |
| 97110 |
|
806 |
215 |
$9K |
| 99282 |
|
31 |
31 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
449 |
399 |
$6K |
| 77067 |
|
79 |
79 |
$6K |
| 80307 |
|
655 |
600 |
$6K |
| 96365 |
|
42 |
41 |
$5K |
| 96360 |
|
69 |
66 |
$5K |
| 85025 |
|
4,253 |
3,674 |
$5K |
| 74177 |
|
104 |
99 |
$5K |
| 93005 |
|
1,998 |
1,766 |
$4K |
| 70450 |
|
254 |
235 |
$3K |
| 10060 |
|
12 |
12 |
$3K |
| 93306 |
|
29 |
26 |
$2K |
| 71046 |
|
247 |
238 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,294 |
1,045 |
$2K |
| 71045 |
|
794 |
729 |
$2K |
| 87426 |
|
327 |
317 |
$2K |
| OP250 |
|
292 |
226 |
$1K |
| 84484 |
|
689 |
576 |
$1K |
| 80048 |
|
757 |
698 |
$1K |
| 77063 |
|
54 |
54 |
$1K |
| 74176 |
|
25 |
25 |
$962.76 |
| 83690 |
|
1,028 |
957 |
$920.46 |
| 36415 |
|
4,933 |
4,132 |
$878.07 |
| 80320 |
|
396 |
358 |
$797.72 |
| 73630 |
|
140 |
122 |
$770.09 |
| 76856 |
|
14 |
14 |
$646.40 |
| 87086 |
|
503 |
465 |
$635.32 |
| 85027 |
|
476 |
425 |
$618.58 |
| 81025 |
|
861 |
820 |
$603.45 |
| 81003 |
|
1,053 |
983 |
$491.59 |
| 72110 |
|
26 |
26 |
$480.27 |
| 85730 |
|
425 |
380 |
$460.20 |
| 80329 |
|
329 |
221 |
$458.11 |
| 87804 |
|
246 |
124 |
$423.72 |
| 81001 |
|
727 |
673 |
$376.12 |
| 72125 |
|
30 |
26 |
$356.20 |
| C9803 |
Hopd covid-19 spec collect |
243 |
205 |
$336.38 |
| 85610 |
|
460 |
407 |
$318.64 |
| 83880 |
|
77 |
68 |
$303.52 |
| 84443 |
|
88 |
81 |
$258.33 |
| 85007 |
|
255 |
235 |
$210.79 |
| 73610 |
|
14 |
12 |
$204.78 |
| 83735 |
|
396 |
214 |
$196.53 |
| J7030 |
Normal saline solution infus |
2,507 |
2,097 |
$174.14 |
| J1885 |
Ketorolac tromethamine inj |
1,741 |
1,403 |
$165.18 |
| 87040 |
|
36 |
26 |
$140.00 |
| 83605 |
|
52 |
48 |
$104.00 |
| 85379 |
|
44 |
39 |
$95.40 |
| J2405 |
Ondansetron hcl injection |
1,103 |
972 |
$92.97 |
| U0005 |
Infec agen detec ampli probe |
194 |
160 |
$87.50 |
| J1100 |
Dexamethasone sodium phos |
593 |
503 |
$79.24 |
| 82550 |
|
98 |
86 |
$71.90 |
| 99406 |
|
20 |
19 |
$71.65 |
| J3490 |
Drugs unclassified injection |
1,408 |
793 |
$58.52 |
| 82962 |
|
221 |
150 |
$57.20 |
| J2270 |
Morphine sulfate injection |
185 |
137 |
$39.36 |
| 80061 |
|
59 |
50 |
$30.68 |
| 84100 |
|
245 |
119 |
$26.20 |
| 87186 |
|
12 |
12 |
$24.00 |
| 84703 |
|
14 |
13 |
$21.76 |
| 87077 |
|
12 |
12 |
$21.30 |
| 86900 |
|
29 |
24 |
$17.23 |
| 82947 |
|
51 |
42 |
$9.90 |
| J3010 |
Fentanyl citrate injection |
46 |
37 |
$7.83 |
| 83036 |
|
26 |
24 |
$7.00 |
| 80076 |
|
30 |
29 |
$6.54 |
| J2060 |
Lorazepam injection |
153 |
128 |
$5.11 |
| J7512 |
Prednisone ir or dr oral 1mg |
338 |
301 |
$3.78 |
| J1200 |
Diphenhydramine hcl injectio |
337 |
298 |
$1.76 |
| J2250 |
Inj midazolam hydrochloride |
22 |
12 |
$0.24 |
| J0696 |
Ceftriaxone sodium injection |
113 |
99 |
$0.00 |
| J1170 |
Hydromorphone injection |
32 |
26 |
$0.00 |
| OP257 |
|
52 |
25 |
$0.00 |
| 94640 |
|
23 |
17 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
25 |
25 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
29 |
28 |
$0.00 |