| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
15,504 |
11,314 |
$655K |
| 96372 |
|
3,341 |
2,296 |
$218K |
| 99282 |
|
1,548 |
1,386 |
$190K |
| 99283 |
|
8,006 |
6,984 |
$176K |
| 96361 |
|
2,630 |
2,116 |
$156K |
| 81001 |
|
6,594 |
5,757 |
$114K |
| 80053 |
|
12,446 |
10,077 |
$108K |
| 96374 |
|
3,282 |
2,829 |
$99K |
| 99284 |
|
5,723 |
5,077 |
$94K |
| 96365 |
|
1,179 |
959 |
$82K |
| U0004 |
Cov-19 test non-cdc hgh thru |
813 |
702 |
$44K |
| 71046 |
|
2,167 |
1,972 |
$35K |
| 99285 |
|
1,546 |
1,303 |
$34K |
| 87491 |
|
1,675 |
1,455 |
$34K |
| 99281 |
|
840 |
758 |
$30K |
| 84703 |
|
2,260 |
2,002 |
$24K |
| 80048 |
|
2,796 |
2,079 |
$19K |
| 93306 |
|
604 |
587 |
$17K |
| 87400 |
|
428 |
398 |
$15K |
| 70450 |
|
1,161 |
1,058 |
$14K |
| 87651 |
|
305 |
277 |
$13K |
| 96360 |
|
243 |
221 |
$13K |
| 87086 |
|
3,419 |
2,954 |
$11K |
| 93296 |
|
357 |
348 |
$11K |
| 74176 |
|
1,094 |
1,016 |
$9K |
| 93005 |
|
5,187 |
4,365 |
$9K |
| 85610 |
|
1,817 |
1,450 |
$9K |
| 71045 |
|
2,619 |
2,253 |
$9K |
| 87077 |
|
809 |
676 |
$7K |
| 81003 |
|
1,145 |
950 |
$7K |
| G2066 |
Inter devc remote 30d |
211 |
201 |
$6K |
| 82306 |
|
190 |
173 |
$5K |
| 82565 |
|
42 |
38 |
$4K |
| 0241U |
|
80 |
65 |
$3K |
| 85025 |
|
12,720 |
9,989 |
$3K |
| 82948 |
|
12 |
12 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,404 |
1,266 |
$2K |
| 86850 |
|
489 |
422 |
$2K |
| 80307 |
|
490 |
436 |
$2K |
| 85027 |
|
1,918 |
1,585 |
$2K |
| J7030 |
Normal saline solution infus |
1,113 |
942 |
$1K |
| 88305 |
|
68 |
66 |
$1K |
| 82947 |
|
124 |
69 |
$1K |
| 87635 |
|
51 |
48 |
$1K |
| 84484 |
|
4,978 |
2,903 |
$1K |
| G0463 |
Hospital outpt clinic visit |
785 |
661 |
$1K |
| 87081 |
|
30 |
29 |
$1K |
| 84443 |
|
2,158 |
1,948 |
$1K |
| 74177 |
|
120 |
115 |
$901.98 |
| 96375 |
|
2,359 |
1,944 |
$856.20 |
| 83735 |
|
1,144 |
868 |
$839.03 |
| 84702 |
|
1,244 |
1,016 |
$623.48 |
| 80061 |
|
1,191 |
1,077 |
$592.87 |
| G0378 |
Hospital observation per hr |
57 |
24 |
$591.26 |
| 99211 |
|
13 |
13 |
$342.80 |
| 83615 |
|
194 |
135 |
$292.95 |
| 83880 |
|
1,175 |
1,023 |
$279.54 |
| 87070 |
|
12 |
12 |
$272.16 |
| 83036 |
|
267 |
243 |
$268.57 |
| 86780 |
|
41 |
41 |
$237.83 |
| 82607 |
|
187 |
166 |
$195.47 |
| 87631 |
|
330 |
315 |
$179.27 |
| 83690 |
|
3,505 |
3,058 |
$176.59 |
| 99214 |
|
13 |
13 |
$167.16 |
| 88175 |
|
14 |
12 |
$136.60 |
| 84439 |
|
56 |
50 |
$108.86 |
| 86900 |
|
859 |
743 |
$107.47 |
| 87591 |
|
1,637 |
1,450 |
$72.73 |
| J1885 |
Ketorolac tromethamine inj |
1,445 |
1,229 |
$53.57 |
| 86140 |
|
57 |
43 |
$31.67 |
| J2270 |
Morphine sulfate injection |
681 |
551 |
$30.08 |
| U0005 |
Infec agen detec ampli probe |
737 |
660 |
$25.00 |
| 86901 |
|
861 |
745 |
$22.63 |
| 85730 |
|
386 |
358 |
$7.60 |
| J2405 |
Ondansetron hcl injection |
1,858 |
1,553 |
$7.38 |
| J1100 |
Dexamethasone sodium phos |
522 |
451 |
$5.90 |
| 87186 |
|
690 |
604 |
$5.37 |
| 81025 |
|
45 |
38 |
$3.00 |
| 84100 |
|
384 |
289 |
$2.71 |
| J3010 |
Fentanyl citrate injection |
920 |
732 |
$0.00 |
| 83605 |
|
353 |
246 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
777 |
640 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
486 |
380 |
$0.00 |
| 87661 |
|
30 |
28 |
$0.00 |
| 96366 |
|
56 |
39 |
$0.00 |
| 82746 |
|
12 |
12 |
$0.00 |
| 36000 |
|
18 |
14 |
$0.00 |
| 87389 |
|
14 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
18 |
12 |
$0.00 |
| 96376 |
|
55 |
25 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
14 |
12 |
$0.00 |
| 96413 |
|
28 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
22 |
14 |
$0.00 |
| 84550 |
|
256 |
184 |
$0.00 |
| 76937 |
|
114 |
93 |
$0.00 |
| 82570 |
|
18 |
16 |
$0.00 |
| 82805 |
|
14 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
20 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
47 |
42 |
$0.00 |