| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,904 |
12,615 |
$2.58M |
| 99283 |
|
16,660 |
14,360 |
$2.14M |
| G0463 |
Hospital outpt clinic visit |
46,076 |
36,069 |
$1.38M |
| 99285 |
|
3,340 |
2,622 |
$789K |
| G0378 |
Hospital observation per hr |
2,462 |
1,305 |
$333K |
| 96413 |
|
857 |
476 |
$93K |
| 85025 |
|
21,952 |
16,649 |
$65K |
| 99282 |
|
754 |
654 |
$63K |
| 80053 |
|
21,528 |
16,368 |
$54K |
| 87635 |
|
1,789 |
1,539 |
$53K |
| 92507 |
|
654 |
253 |
$39K |
| 36415 |
|
24,133 |
18,400 |
$35K |
| 96374 |
|
3,014 |
2,463 |
$26K |
| 84484 |
|
3,130 |
2,175 |
$24K |
| 92012 |
|
1,003 |
687 |
$20K |
| 77067 |
|
475 |
447 |
$14K |
| 96375 |
|
488 |
372 |
$14K |
| 93005 |
|
3,082 |
2,069 |
$8K |
| 96361 |
|
1,081 |
841 |
$7K |
| 80306 |
|
865 |
715 |
$7K |
| 92014 |
|
246 |
194 |
$7K |
| 87086 |
|
1,806 |
1,541 |
$7K |
| 92134 |
|
1,163 |
813 |
$7K |
| 81001 |
|
11,466 |
9,650 |
$7K |
| 87633 |
|
161 |
113 |
$6K |
| 81025 |
|
3,346 |
3,011 |
$6K |
| 20610 |
|
87 |
68 |
$6K |
| G0480 |
Drug test def 1-7 classes |
409 |
319 |
$5K |
| 96372 |
|
1,828 |
1,022 |
$5K |
| 92002 |
|
194 |
158 |
$5K |
| 80048 |
|
2,298 |
1,202 |
$4K |
| 71045 |
|
2,191 |
1,718 |
$3K |
| 83036 |
|
2,059 |
1,657 |
$3K |
| 90471 |
|
423 |
346 |
$3K |
| 71260 |
|
27 |
25 |
$3K |
| 90686 |
|
404 |
361 |
$3K |
| 80061 |
|
900 |
733 |
$3K |
| 85610 |
|
1,318 |
999 |
$2K |
| 85730 |
|
987 |
773 |
$2K |
| 85027 |
|
1,654 |
807 |
$2K |
| 82550 |
|
952 |
592 |
$2K |
| 84443 |
|
337 |
294 |
$2K |
| J1650 |
Inj enoxaparin sodium |
120 |
60 |
$2K |
| 83880 |
|
320 |
249 |
$2K |
| 97110 |
|
122 |
27 |
$2K |
| 81000 |
|
890 |
766 |
$1K |
| 96417 |
|
40 |
24 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
270 |
131 |
$1K |
| 92250 |
|
44 |
36 |
$1K |
| 93306 |
|
18 |
12 |
$1K |
| 74177 |
|
15 |
14 |
$1K |
| 70450 |
|
36 |
26 |
$1K |
| 92015 |
|
281 |
219 |
$1K |
| 87486 |
|
179 |
128 |
$1K |
| 87581 |
|
179 |
128 |
$1K |
| 87798 |
|
179 |
128 |
$1K |
| 82652 |
|
188 |
152 |
$964.81 |
| 87880 |
|
181 |
166 |
$878.07 |
| 84481 |
|
85 |
74 |
$829.29 |
| 87400 |
|
622 |
543 |
$806.59 |
| 84153 |
|
431 |
323 |
$773.20 |
| 82553 |
|
572 |
358 |
$739.01 |
| 84439 |
|
189 |
168 |
$668.45 |
| 83690 |
|
233 |
189 |
$581.89 |
| 87070 |
|
137 |
122 |
$537.42 |
| 76815 |
|
18 |
18 |
$532.08 |
| 83735 |
|
244 |
195 |
$493.08 |
| 71046 |
|
173 |
138 |
$485.78 |
| Q3014 |
Telehealth facility fee |
27 |
26 |
$456.72 |
| 87591 |
|
14 |
13 |
$447.95 |
| 87491 |
|
14 |
13 |
$447.95 |
| U0002 |
Covid-19 lab test non-cdc |
17 |
13 |
$359.17 |
| 86769 |
|
39 |
27 |
$320.00 |
| 80074 |
|
12 |
12 |
$296.09 |
| 83605 |
|
48 |
36 |
$282.34 |
| 86160 |
|
14 |
14 |
$233.38 |
| 85651 |
|
106 |
98 |
$218.22 |
| 94664 |
|
63 |
54 |
$214.70 |
| 85014 |
|
284 |
215 |
$214.27 |
| 85018 |
|
284 |
215 |
$211.81 |
| 94640 |
|
63 |
54 |
$202.83 |
| 80069 |
|
145 |
101 |
$178.19 |
| J2405 |
Ondansetron hcl injection |
44 |
40 |
$152.28 |
| 84100 |
|
368 |
296 |
$142.88 |
| 88305 |
|
66 |
37 |
$108.56 |
| 11721 |
|
16 |
14 |
$103.95 |
| 86140 |
|
52 |
47 |
$92.38 |
| 87205 |
|
59 |
51 |
$89.04 |
| 92020 |
|
24 |
12 |
$78.09 |
| 86225 |
|
12 |
12 |
$71.48 |
| 86256 |
|
12 |
12 |
$70.16 |
| 92133 |
|
29 |
13 |
$68.56 |
| 99396 |
|
15 |
12 |
$58.85 |
| 11719 |
|
58 |
40 |
$52.38 |
| 81003 |
|
58 |
51 |
$29.70 |
| J1885 |
Ketorolac tromethamine inj |
344 |
323 |
$25.82 |
| 96376 |
|
36 |
13 |
$10.70 |
| J1030 |
Methylprednisolone 40 mg inj |
32 |
26 |
$10.60 |
| J2704 |
Inj, propofol, 10 mg |
183 |
149 |
$7.52 |
| 0064A |
|
17 |
12 |
$0.05 |
| J2250 |
Inj midazolam hydrochloride |
14 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
218 |
107 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
19 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |