| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
69,681 |
61,424 |
$18.07M |
| 99283 |
|
60,839 |
55,522 |
$10.90M |
| 99285 |
|
13,479 |
11,281 |
$4.09M |
| 96374 |
|
30,991 |
26,770 |
$3.31M |
| 11042 |
|
17,429 |
6,534 |
$2.47M |
| U0004 |
Cov-19 test non-cdc hgh thru |
32,855 |
16,723 |
$965K |
| 99282 |
|
9,126 |
8,478 |
$952K |
| 96375 |
|
22,562 |
19,407 |
$834K |
| 96361 |
|
17,890 |
15,498 |
$492K |
| 71045 |
|
10,555 |
8,951 |
$429K |
| 99281 |
|
7,676 |
7,075 |
$427K |
| 71046 |
|
8,866 |
7,872 |
$424K |
| 74177 |
|
1,382 |
1,205 |
$379K |
| 97597 |
|
3,970 |
1,959 |
$227K |
| G0463 |
Hospital outpt clinic visit |
4,210 |
2,750 |
$223K |
| 70450 |
|
2,310 |
1,943 |
$200K |
| 96365 |
|
838 |
700 |
$90K |
| S9480 |
Intensive outpatient psychia |
76 |
27 |
$72K |
| 74176 |
|
168 |
150 |
$28K |
| C9803 |
Hopd covid-19 spec collect |
1,978 |
1,609 |
$22K |
| 87631 |
|
4,320 |
3,978 |
$19K |
| 96360 |
|
138 |
119 |
$14K |
| 87635 |
|
340 |
307 |
$10K |
| 96372 |
|
14,163 |
12,788 |
$4K |
| 10060 |
|
13 |
12 |
$2K |
| 87811 |
|
220 |
203 |
$2K |
| 93005 |
|
26,901 |
22,503 |
$2K |
| 87491 |
|
64 |
63 |
$1K |
| 87591 |
|
64 |
63 |
$1K |
| 86900 |
|
13 |
12 |
$859.63 |
| 76705 |
|
16 |
13 |
$723.88 |
| 80053 |
|
60,455 |
52,237 |
$677.95 |
| 85025 |
|
65,101 |
56,182 |
$522.35 |
| 36415 |
|
54,983 |
47,450 |
$421.49 |
| 94640 |
|
1,514 |
1,095 |
$315.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
175 |
159 |
$280.63 |
| 81025 |
|
9,626 |
8,652 |
$217.67 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,187 |
3,613 |
$209.42 |
| 84484 |
|
19,408 |
12,114 |
$160.18 |
| A9270 |
Non-covered item or service |
4,207 |
3,623 |
$144.37 |
| 81001 |
|
34,837 |
30,487 |
$91.94 |
| 87502 |
|
996 |
859 |
$86.22 |
| 83690 |
|
15,894 |
13,924 |
$82.70 |
| 73562 |
|
50 |
41 |
$71.51 |
| 87077 |
|
1,654 |
1,256 |
$63.41 |
| 80307 |
|
516 |
396 |
$55.93 |
| 87186 |
|
1,079 |
823 |
$54.04 |
| J0780 |
Prochlorperazine injection |
155 |
113 |
$31.82 |
| J3010 |
Fentanyl citrate injection |
303 |
226 |
$18.47 |
| J1200 |
Diphenhydramine hcl injectio |
1,259 |
1,100 |
$17.63 |
| 87086 |
|
3,468 |
3,026 |
$15.61 |
| 83735 |
|
1,509 |
1,196 |
$15.61 |
| 84702 |
|
160 |
148 |
$13.30 |
| 87070 |
|
1,249 |
901 |
$11.82 |
| 80048 |
|
1,320 |
1,068 |
$7.44 |
| 87205 |
|
1,198 |
856 |
$5.86 |
| J1885 |
Ketorolac tromethamine inj |
14,944 |
13,531 |
$4.27 |
| G1004 |
Cdsm ndsc |
11,820 |
10,185 |
$0.03 |
| J7030 |
Normal saline solution infus |
6,794 |
6,113 |
$0.00 |
| J2270 |
Morphine sulfate injection |
78 |
58 |
$0.00 |
| 84145 |
|
248 |
217 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
11,801 |
10,260 |
$0.00 |
| 73030 |
|
16 |
13 |
$0.00 |
| 87075 |
|
203 |
136 |
$0.00 |
| J7040 |
Normal saline solution infus |
148 |
129 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
15 |
13 |
$0.00 |
| 85610 |
|
69 |
48 |
$0.00 |
| 87210 |
|
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |
| 73630 |
|
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
4,266 |
3,330 |
$0.00 |
| 87430 |
|
138 |
132 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,265 |
1,176 |
$0.00 |
| 83605 |
|
158 |
136 |
$0.00 |
| 83880 |
|
1,070 |
913 |
$0.00 |
| 96376 |
|
346 |
305 |
$0.00 |
| 94761 |
|
1,892 |
1,497 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
164 |
156 |
$0.00 |
| 82962 |
|
108 |
90 |
$0.00 |
| 84703 |
|
231 |
218 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
224 |
200 |
$0.00 |
| J2060 |
Lorazepam injection |
63 |
54 |
$0.00 |
| 11045 |
|
285 |
107 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
39 |
36 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
66 |
42 |
$0.00 |
| J1790 |
Droperidol injection |
251 |
226 |
$0.00 |
| 87040 |
|
71 |
38 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
15 |
13 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |
| G0378 |
Hospital observation per hr |
58 |
43 |
$0.00 |
| 84443 |
|
32 |
25 |
$0.00 |
| 85730 |
|
13 |
12 |
$0.00 |
| 87081 |
|
12 |
12 |
$0.00 |
| 86901 |
|
13 |
12 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| 88305 |
|
16 |
12 |
$0.00 |