| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,635 |
9,715 |
$2.27M |
| 99284 |
|
5,438 |
4,546 |
$2.20M |
| 99285 |
|
2,346 |
1,839 |
$1.37M |
| 99282 |
|
4,408 |
4,172 |
$578K |
| 97110 |
|
4,226 |
1,588 |
$398K |
| 80053 |
|
4,192 |
3,629 |
$358K |
| 96374 |
|
1,736 |
1,520 |
$236K |
| 97530 |
|
1,873 |
753 |
$213K |
| 96361 |
|
1,651 |
1,416 |
$212K |
| 93005 |
|
1,753 |
1,473 |
$117K |
| 85025 |
|
4,218 |
3,595 |
$114K |
| 87502 |
|
863 |
844 |
$106K |
| 36415 |
|
4,992 |
4,052 |
$105K |
| 96372 |
|
920 |
794 |
$101K |
| 71046 |
|
1,006 |
806 |
$92K |
| 96375 |
|
1,131 |
971 |
$86K |
| 99281 |
|
609 |
578 |
$70K |
| 70450 |
|
145 |
108 |
$66K |
| 87635 |
|
918 |
842 |
$63K |
| 87426 |
|
1,646 |
1,531 |
$57K |
| 80307 |
|
393 |
344 |
$54K |
| 74177 |
|
57 |
41 |
$49K |
| 85007 |
|
842 |
726 |
$40K |
| 81001 |
|
2,101 |
1,919 |
$36K |
| 83690 |
|
631 |
562 |
$35K |
| J7050 |
Normal saline solution infus |
889 |
688 |
$29K |
| 85027 |
|
915 |
782 |
$28K |
| 80150 |
|
399 |
309 |
$28K |
| 96365 |
|
152 |
117 |
$25K |
| 84484 |
|
468 |
393 |
$24K |
| 97162 |
|
192 |
182 |
$24K |
| Q0162 |
Ondansetron oral |
598 |
482 |
$21K |
| J7120 |
Ringers lactate infusion |
503 |
449 |
$20K |
| 84443 |
|
568 |
547 |
$20K |
| 87634 |
|
119 |
117 |
$19K |
| 76705 |
|
56 |
53 |
$18K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
399 |
363 |
$17K |
| 96360 |
|
178 |
158 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
1,027 |
914 |
$16K |
| J7030 |
Normal saline solution infus |
497 |
444 |
$16K |
| 71045 |
|
228 |
158 |
$14K |
| 87086 |
|
706 |
651 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
1,177 |
1,066 |
$12K |
| 77067 |
|
58 |
57 |
$12K |
| J2405 |
Ondansetron hcl injection |
1,353 |
1,096 |
$12K |
| 80048 |
|
146 |
124 |
$10K |
| 92507 |
|
196 |
70 |
$9K |
| 59025 |
|
57 |
39 |
$9K |
| 99213 |
|
141 |
136 |
$9K |
| 81003 |
|
632 |
584 |
$9K |
| 82077 |
|
58 |
50 |
$8K |
| G0378 |
Hospital observation per hr |
29 |
14 |
$7K |
| 87880 |
|
130 |
129 |
$6K |
| 87088 |
|
434 |
393 |
$6K |
| 81025 |
|
261 |
253 |
$6K |
| J3490 |
Drugs unclassified injection |
345 |
156 |
$5K |
| 73562 |
|
32 |
28 |
$5K |
| 80047 |
|
72 |
62 |
$5K |
| 76805 |
|
12 |
12 |
$4K |
| A4649 |
Surgical supplies |
122 |
25 |
$4K |
| 83735 |
|
174 |
161 |
$3K |
| 77063 |
|
58 |
57 |
$3K |
| 36000 |
|
98 |
88 |
$3K |
| J3010 |
Fentanyl citrate injection |
210 |
137 |
$3K |
| 73630 |
|
18 |
14 |
$3K |
| 73610 |
|
15 |
14 |
$2K |
| 90834 |
|
82 |
52 |
$2K |
| 73110 |
|
18 |
15 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
161 |
137 |
$2K |
| A0427 |
Als1-emergency |
31 |
27 |
$2K |
| 97140 |
|
22 |
13 |
$2K |
| 97161 |
|
13 |
13 |
$2K |
| 76816 |
|
19 |
13 |
$1K |
| 85610 |
|
30 |
26 |
$1K |
| 87800 |
|
12 |
12 |
$1K |
| 87798 |
|
30 |
30 |
$1K |
| A0425 |
Ground mileage |
95 |
75 |
$912.80 |
| G0463 |
Hospital outpt clinic visit |
13 |
12 |
$753.00 |
| T1015 |
Clinic service |
374 |
336 |
$751.70 |
| 94640 |
|
13 |
13 |
$682.66 |
| 87275 |
|
15 |
15 |
$682.37 |
| 85379 |
|
15 |
12 |
$643.95 |
| 87077 |
|
84 |
78 |
$628.08 |
| 80061 |
|
13 |
13 |
$620.03 |
| 84703 |
|
18 |
16 |
$577.42 |
| J1170 |
Hydromorphone injection |
17 |
12 |
$389.79 |
| 83036 |
|
24 |
24 |
$340.28 |
| J2270 |
Morphine sulfate injection |
26 |
12 |
$252.93 |
| 87186 |
|
37 |
36 |
$249.15 |
| J1100 |
Dexamethasone sodium phos |
17 |
12 |
$200.36 |
| 83519 |
|
19 |
13 |
$183.17 |
| G0480 |
Drug test def 1-7 classes |
13 |
13 |
$143.58 |
| 87081 |
|
12 |
12 |
$82.61 |
| 86480 |
|
18 |
15 |
$76.38 |
| 82140 |
|
31 |
28 |
$73.77 |
| J2001 |
Lidocaine injection |
19 |
16 |
$57.18 |
| 90853 |
|
158 |
69 |
$44.49 |
| A9270 |
Non-covered item or service |
1,189 |
1,009 |
$0.00 |
| 93224 |
|
17 |
12 |
$0.00 |