| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
1,548 |
1,037 |
$560K |
| G0378 |
Hospital observation per hr |
1,954 |
1,213 |
$512K |
| 99284 |
|
1,859 |
1,450 |
$484K |
| 80053 |
|
13,285 |
7,301 |
$440K |
| 43239 |
|
1,257 |
1,015 |
$436K |
| 99283 |
|
2,461 |
1,935 |
$385K |
| 74177 |
|
364 |
288 |
$260K |
| 85025 |
|
10,837 |
6,755 |
$195K |
| 80061 |
|
3,072 |
2,310 |
$136K |
| 93005 |
|
2,354 |
1,684 |
$131K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,024 |
1,617 |
$129K |
| 71046 |
|
2,300 |
1,727 |
$128K |
| 84443 |
|
3,408 |
2,985 |
$115K |
| 36415 |
|
13,870 |
6,578 |
$75K |
| 74022 |
|
747 |
513 |
$71K |
| 99282 |
|
788 |
635 |
$52K |
| 87635 |
|
635 |
564 |
$50K |
| 84439 |
|
2,146 |
1,886 |
$49K |
| 84484 |
|
871 |
506 |
$42K |
| 82306 |
|
1,735 |
1,529 |
$36K |
| 96372 |
|
1,405 |
912 |
$35K |
| 85730 |
|
1,424 |
1,001 |
$31K |
| 83036 |
|
1,107 |
964 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
2,470 |
1,883 |
$27K |
| 96376 |
|
343 |
105 |
$27K |
| 82607 |
|
990 |
860 |
$25K |
| S1015 |
Iv tubing extension set |
170 |
138 |
$24K |
| 97110 |
|
448 |
104 |
$22K |
| J2704 |
Inj, propofol, 10 mg |
1,332 |
1,080 |
$21K |
| 83690 |
|
1,459 |
932 |
$21K |
| 87081 |
|
1,298 |
944 |
$20K |
| 87086 |
|
899 |
723 |
$20K |
| 82150 |
|
1,390 |
879 |
$19K |
| 96375 |
|
324 |
172 |
$19K |
| 81003 |
|
1,880 |
1,474 |
$18K |
| 76705 |
|
149 |
136 |
$17K |
| 82553 |
|
412 |
241 |
$17K |
| 99214 |
|
628 |
379 |
$15K |
| 85610 |
|
1,576 |
1,094 |
$15K |
| 96374 |
|
449 |
165 |
$14K |
| 82746 |
|
643 |
574 |
$13K |
| 81001 |
|
995 |
730 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
1,330 |
776 |
$12K |
| J7040 |
Normal saline solution infus |
2,211 |
793 |
$12K |
| 87502 |
|
145 |
123 |
$11K |
| 43248 |
|
22 |
12 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
146 |
111 |
$10K |
| 80306 |
|
149 |
121 |
$10K |
| 94664 |
|
228 |
185 |
$9K |
| 81025 |
|
530 |
449 |
$9K |
| 96365 |
|
288 |
96 |
$9K |
| 94760 |
|
660 |
233 |
$9K |
| 83880 |
|
119 |
86 |
$8K |
| 85379 |
|
126 |
98 |
$7K |
| 77067 |
|
59 |
51 |
$6K |
| 82550 |
|
443 |
262 |
$6K |
| J7120 |
Ringers lactate infusion |
1,169 |
837 |
$6K |
| 96366 |
|
163 |
38 |
$5K |
| 99213 |
|
133 |
123 |
$5K |
| A9270 |
Non-covered item or service |
2,336 |
458 |
$5K |
| 96367 |
|
133 |
60 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
74 |
12 |
$4K |
| 70450 |
|
16 |
12 |
$4K |
| J2405 |
Ondansetron hcl injection |
1,474 |
785 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
152 |
100 |
$4K |
| 43249 |
|
21 |
17 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
572 |
148 |
$2K |
| 87804 |
|
86 |
74 |
$2K |
| 96360 |
|
59 |
43 |
$2K |
| 83605 |
|
48 |
41 |
$2K |
| J3490 |
Drugs unclassified injection |
639 |
265 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
1,041 |
863 |
$1K |
| 85027 |
|
68 |
60 |
$1K |
| 71045 |
|
30 |
26 |
$977.20 |
| A4216 |
Sterile water/saline, 10 ml |
710 |
338 |
$785.26 |
| J1885 |
Ketorolac tromethamine inj |
467 |
292 |
$695.50 |
| 99051 |
|
132 |
119 |
$673.69 |
| 83735 |
|
27 |
25 |
$529.46 |
| 82728 |
|
29 |
24 |
$499.99 |
| J3010 |
Fentanyl citrate injection |
340 |
260 |
$493.26 |
| 83550 |
|
26 |
25 |
$426.75 |
| S0164 |
Injection pantroprazole |
52 |
24 |
$391.90 |
| 96361 |
|
14 |
13 |
$374.51 |
| 87186 |
|
30 |
25 |
$300.65 |
| 83540 |
|
26 |
25 |
$189.63 |
| 81015 |
|
32 |
27 |
$159.02 |
| J2550 |
Promethazine hcl injection |
146 |
74 |
$114.39 |
| J1100 |
Dexamethasone sodium phos |
19 |
14 |
$14.16 |