| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
1,354 |
1,241 |
$3.08M |
| 99283 |
|
6,331 |
6,032 |
$1.91M |
| 99284 |
|
4,781 |
4,574 |
$1.38M |
| 99285 |
|
4,839 |
4,590 |
$1.26M |
| 99281 |
|
1,249 |
1,219 |
$357K |
| A0429 |
Bls-emergency |
832 |
747 |
$220K |
| 99282 |
|
756 |
727 |
$217K |
| 76816 |
|
1,648 |
1,553 |
$208K |
| 77067 |
|
927 |
921 |
$172K |
| A0427 |
Als1-emergency |
505 |
474 |
$161K |
| 78452 |
|
231 |
226 |
$148K |
| 76811 |
|
562 |
549 |
$138K |
| 87635 |
|
1,933 |
1,882 |
$125K |
| 74177 |
|
359 |
354 |
$83K |
| 59025 |
|
1,329 |
660 |
$70K |
| 76830 |
|
510 |
502 |
$62K |
| 76700 |
|
421 |
410 |
$56K |
| 77063 |
|
918 |
912 |
$46K |
| 76805 |
|
329 |
324 |
$45K |
| 76856 |
|
487 |
479 |
$37K |
| 77066 |
Tomosynthesis, mammo |
172 |
170 |
$37K |
| 76801 |
|
382 |
358 |
$31K |
| 76642 |
|
314 |
309 |
$31K |
| 93017 |
|
224 |
219 |
$28K |
| 76819 |
|
136 |
84 |
$27K |
| 76815 |
|
219 |
155 |
$26K |
| 76813 |
|
149 |
145 |
$21K |
| 76817 |
|
209 |
184 |
$20K |
| 71046 |
|
664 |
641 |
$20K |
| 96374 |
|
647 |
610 |
$19K |
| A9502 |
Tc99m tetrofosmin |
220 |
209 |
$18K |
| 76536 |
|
125 |
121 |
$17K |
| 96372 |
|
278 |
258 |
$16K |
| 93971 |
|
105 |
103 |
$16K |
| 72100 |
|
248 |
243 |
$15K |
| 76820 |
|
175 |
89 |
$15K |
| 71250 |
|
87 |
87 |
$14K |
| 72148 |
|
30 |
30 |
$13K |
| 71260 |
|
62 |
62 |
$13K |
| G0279 |
Tomosynthesis, mammo |
256 |
254 |
$12K |
| 97110 |
|
245 |
74 |
$11K |
| 80053 |
|
1,434 |
1,241 |
$11K |
| 97140 |
|
148 |
61 |
$10K |
| 77065 |
Tomosynthesis, mammo |
58 |
54 |
$9K |
| 70553 |
|
14 |
14 |
$9K |
| 93005 |
|
1,421 |
1,284 |
$7K |
| 96365 |
|
144 |
139 |
$7K |
| 70450 |
|
358 |
335 |
$7K |
| 73030 |
|
139 |
130 |
$6K |
| 73562 |
|
118 |
85 |
$6K |
| 80048 |
|
1,150 |
968 |
$5K |
| 73630 |
|
156 |
124 |
$5K |
| 96360 |
|
180 |
176 |
$4K |
| 80307 |
|
221 |
211 |
$4K |
| 85025 |
|
2,183 |
1,849 |
$4K |
| 96361 |
|
433 |
393 |
$3K |
| 77080 |
|
25 |
24 |
$3K |
| 87631 |
|
49 |
46 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
555 |
532 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
386 |
367 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
173 |
167 |
$3K |
| 88305 |
|
85 |
79 |
$3K |
| 84484 |
|
877 |
741 |
$2K |
| 71045 |
|
779 |
726 |
$2K |
| 85027 |
|
489 |
445 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
709 |
695 |
$2K |
| 71275 |
|
29 |
29 |
$2K |
| 01999 |
|
32 |
30 |
$2K |
| 93970 |
|
13 |
13 |
$2K |
| 76770 |
|
13 |
13 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
79 |
76 |
$2K |
| A0425 |
Ground mileage |
1,064 |
932 |
$1K |
| 83735 |
|
636 |
480 |
$1K |
| 0241U |
|
179 |
170 |
$1K |
| 73502 |
|
28 |
26 |
$1K |
| 85730 |
|
577 |
531 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
84 |
69 |
$1K |
| 87086 |
|
414 |
397 |
$1K |
| J3490 |
Drugs unclassified injection |
337 |
203 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
387 |
367 |
$1K |
| 97597 |
|
28 |
13 |
$1K |
| 74176 |
|
13 |
13 |
$1K |
| 85610 |
|
620 |
567 |
$1K |
| 81001 |
|
910 |
870 |
$1K |
| 73610 |
|
44 |
37 |
$1K |
| 97162 |
|
14 |
14 |
$910.83 |
| 99211 |
|
12 |
12 |
$910.41 |
| 86850 |
|
168 |
159 |
$759.50 |
| 87491 |
|
226 |
222 |
$750.09 |
| 73564 |
|
49 |
37 |
$724.72 |
| 83880 |
|
110 |
99 |
$715.69 |
| 0002A |
|
92 |
85 |
$709.00 |
| 84100 |
|
318 |
226 |
$697.04 |
| 86900 |
|
168 |
159 |
$677.07 |
| 84703 |
|
256 |
248 |
$611.40 |
| 83690 |
|
462 |
432 |
$598.16 |
| 87591 |
|
226 |
222 |
$581.45 |
| 0001A |
|
114 |
109 |
$556.94 |
| 94640 |
|
44 |
26 |
$546.18 |
| 84702 |
|
97 |
87 |
$522.29 |
| 36415 |
|
1,102 |
903 |
$488.23 |
| 97535 |
|
27 |
16 |
$472.29 |
| 96375 |
|
307 |
285 |
$412.13 |
| J2704 |
Inj, propofol, 10 mg |
39 |
37 |
$377.89 |
| 90715 |
|
14 |
13 |
$304.64 |
| 86901 |
|
158 |
149 |
$303.85 |
| 82077 |
|
128 |
120 |
$287.61 |
| 73130 |
|
16 |
14 |
$271.88 |
| 83605 |
|
152 |
143 |
$270.43 |
| 85379 |
|
74 |
73 |
$250.74 |
| 87088 |
|
154 |
151 |
$223.59 |
| J2405 |
Ondansetron hcl injection |
268 |
239 |
$207.44 |
| 81025 |
|
950 |
904 |
$201.44 |
| 87186 |
|
51 |
49 |
$167.04 |
| J2270 |
Morphine sulfate injection |
68 |
53 |
$156.90 |
| 81003 |
|
125 |
116 |
$129.42 |
| 84443 |
|
12 |
12 |
$112.85 |
| 87481 |
|
18 |
18 |
$83.79 |
| 72125 |
|
12 |
12 |
$83.10 |
| 87661 |
|
16 |
16 |
$76.60 |
| 83615 |
|
14 |
12 |
$49.99 |
| 84550 |
|
14 |
12 |
$43.38 |
| 87040 |
|
13 |
12 |
$28.00 |
| J2765 |
Metoclopramide hcl injection |
49 |
45 |
$23.72 |
| 80320 |
|
23 |
22 |
$23.52 |
| 82550 |
|
19 |
17 |
$21.57 |
| J7030 |
Normal saline solution infus |
155 |
139 |
$18.37 |
| J2250 |
Inj midazolam hydrochloride |
58 |
54 |
$11.31 |
| 87077 |
|
12 |
12 |
$7.10 |
| J3010 |
Fentanyl citrate injection |
27 |
26 |
$3.35 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
14 |
$2.72 |
| 0202U |
|
151 |
147 |
$0.00 |
| 94664 |
|
16 |
14 |
$0.00 |
| 87511 |
|
16 |
16 |
$0.00 |
| 96376 |
|
36 |
26 |
$0.00 |