| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,420 |
12,004 |
$1.42M |
| 99283 |
|
9,017 |
8,033 |
$661K |
| 99285 |
|
3,202 |
2,924 |
$420K |
| G0378 |
Hospital observation per hr |
754 |
347 |
$199K |
| 74177 |
|
785 |
763 |
$141K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,308 |
1,241 |
$114K |
| 80053 |
|
9,626 |
9,113 |
$104K |
| 96374 |
|
3,516 |
3,357 |
$95K |
| T1015 |
Clinic service |
1,757 |
525 |
$68K |
| 87502 |
|
573 |
570 |
$56K |
| 85025 |
|
9,954 |
9,423 |
$55K |
| 87635 |
|
1,510 |
1,479 |
$50K |
| 71275 |
|
241 |
233 |
$48K |
| 70450 |
|
712 |
693 |
$40K |
| 99282 |
|
945 |
898 |
$37K |
| 71046 |
|
2,184 |
2,112 |
$32K |
| 74176 |
|
377 |
365 |
$31K |
| 96375 |
|
1,600 |
1,494 |
$28K |
| 80050 |
|
526 |
519 |
$27K |
| 84443 |
|
1,081 |
1,059 |
$26K |
| 80061 |
|
1,705 |
1,687 |
$26K |
| 93005 |
|
2,688 |
2,536 |
$23K |
| 84703 |
|
2,077 |
1,955 |
$20K |
| C9803 |
Hopd covid-19 spec collect |
2,484 |
2,405 |
$20K |
| 80307 |
|
433 |
418 |
$18K |
| 73721 |
|
71 |
65 |
$18K |
| 93971 |
|
271 |
264 |
$16K |
| 82306 |
|
446 |
438 |
$14K |
| 76856 |
|
281 |
273 |
$14K |
| 87798 |
|
428 |
420 |
$12K |
| 76705 |
|
323 |
315 |
$12K |
| 76830 |
|
240 |
231 |
$11K |
| 96372 |
|
791 |
757 |
$11K |
| 84484 |
|
1,393 |
1,256 |
$10K |
| 81003 |
|
3,460 |
3,307 |
$10K |
| 93306 |
|
153 |
151 |
$10K |
| 72125 |
|
160 |
156 |
$10K |
| U0005 |
Infec agen detec ampli probe |
829 |
773 |
$10K |
| 77067 |
|
104 |
104 |
$9K |
| 83690 |
|
1,927 |
1,808 |
$9K |
| 83735 |
|
1,466 |
1,373 |
$9K |
| 71045 |
|
1,119 |
1,074 |
$8K |
| 80048 |
|
1,043 |
955 |
$7K |
| 88305 |
|
445 |
438 |
$7K |
| 87491 |
|
322 |
319 |
$7K |
| 87591 |
|
322 |
319 |
$7K |
| G0480 |
Drug test def 1-7 classes |
167 |
160 |
$7K |
| 83036 |
|
907 |
896 |
$7K |
| 96361 |
|
500 |
483 |
$6K |
| 96365 |
|
265 |
257 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,853 |
1,764 |
$6K |
| 85027 |
|
986 |
931 |
$6K |
| 95886 |
|
106 |
101 |
$6K |
| 83880 |
|
219 |
215 |
$6K |
| 73610 |
|
288 |
275 |
$6K |
| 84439 |
|
592 |
580 |
$5K |
| X0621 |
|
35 |
14 |
$5K |
| 85730 |
|
925 |
877 |
$5K |
| 87086 |
|
644 |
619 |
$5K |
| 76536 |
|
90 |
90 |
$5K |
| 88342 |
|
115 |
110 |
$5K |
| 83605 |
|
711 |
657 |
$5K |
| 86803 |
|
231 |
227 |
$5K |
| 84702 |
|
278 |
208 |
$5K |
| 86318 |
|
225 |
224 |
$4K |
| 72148 |
|
26 |
25 |
$4K |
| 72100 |
|
219 |
212 |
$4K |
| 71260 |
|
64 |
64 |
$4K |
| 73630 |
|
358 |
342 |
$4K |
| 82607 |
|
321 |
316 |
$4K |
| 87040 |
|
248 |
238 |
$4K |
| 73030 |
|
247 |
231 |
$4K |
| 76801 |
|
85 |
81 |
$4K |
| 70551 |
|
14 |
14 |
$4K |
| 99291 |
|
43 |
38 |
$4K |
| 86780 |
|
225 |
224 |
$4K |
| 70553 |
|
15 |
14 |
$4K |
| 85610 |
|
1,153 |
1,065 |
$4K |
| 82803 |
|
179 |
169 |
$4K |
| 90837 |
|
72 |
56 |
$3K |
| 36415 |
|
12,329 |
10,981 |
$3K |
| 71250 |
|
54 |
54 |
$3K |
| 76775 |
|
70 |
70 |
$3K |
| 73560 |
|
209 |
195 |
$3K |
| 85378 |
|
318 |
311 |
$3K |
| 73130 |
|
259 |
242 |
$3K |
| 86850 |
|
411 |
394 |
$3K |
| 80076 |
|
310 |
298 |
$3K |
| 86702 |
|
221 |
219 |
$3K |
| 97161 |
|
86 |
83 |
$3K |
| 10060 |
|
25 |
24 |
$2K |
| 86701 |
|
221 |
219 |
$2K |
| 77063 |
|
81 |
81 |
$2K |
| 87340 |
|
146 |
146 |
$2K |
| 84145 |
|
131 |
129 |
$2K |
| 87390 |
|
221 |
219 |
$2K |
| 82728 |
|
178 |
173 |
$2K |
| 76817 |
|
34 |
27 |
$2K |
| 74018 |
|
165 |
159 |
$2K |
| 96360 |
|
84 |
79 |
$2K |
| 70486 |
|
28 |
27 |
$2K |
| 86901 |
|
471 |
445 |
$2K |
| 86900 |
|
471 |
445 |
$2K |
| 82043 |
|
202 |
200 |
$2K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
127 |
119 |
$2K |
| 73110 |
|
133 |
129 |
$1K |
| 93970 |
|
25 |
24 |
$1K |
| 73502 |
|
74 |
72 |
$1K |
| 88175 |
|
44 |
39 |
$1K |
| 87186 |
|
201 |
194 |
$1K |
| 86618 |
|
53 |
53 |
$1K |
| 87661 |
|
29 |
28 |
$1K |
| 95909 |
|
13 |
12 |
$1K |
| 84153 |
|
42 |
42 |
$1K |
| 82550 |
|
153 |
145 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
670 |
557 |
$999.90 |
| 85651 |
|
331 |
319 |
$990.91 |
| 96376 |
|
241 |
225 |
$983.20 |
| 90715 |
|
108 |
107 |
$790.72 |
| 86762 |
|
37 |
37 |
$773.37 |
| 86140 |
|
225 |
213 |
$673.03 |
| 74019 |
|
42 |
38 |
$635.29 |
| J2270 |
Morphine sulfate injection |
1,042 |
799 |
$621.25 |
| 83550 |
|
111 |
108 |
$557.88 |
| 86038 |
|
37 |
36 |
$556.11 |
| J1885 |
Ketorolac tromethamine inj |
3,321 |
3,054 |
$514.96 |
| 82570 |
|
61 |
55 |
$464.40 |
| 73080 |
|
38 |
36 |
$450.80 |
| 82746 |
|
38 |
37 |
$414.46 |
| 82962 |
|
369 |
287 |
$374.42 |
| 87077 |
|
54 |
51 |
$326.55 |
| 82077 |
|
201 |
192 |
$322.73 |
| J0696 |
Ceftriaxone sodium injection |
338 |
305 |
$248.48 |
| J1100 |
Dexamethasone sodium phos |
1,142 |
1,021 |
$219.19 |
| J2405 |
Ondansetron hcl injection |
3,388 |
2,927 |
$208.90 |
| 72040 |
|
14 |
12 |
$199.95 |
| 73590 |
|
12 |
12 |
$186.45 |
| 82784 |
|
13 |
12 |
$149.08 |
| 94640 |
|
12 |
12 |
$148.42 |
| J1200 |
Diphenhydramine hcl injectio |
652 |
595 |
$141.27 |
| J2765 |
Metoclopramide hcl injection |
477 |
439 |
$139.48 |
| J2704 |
Inj, propofol, 10 mg |
588 |
470 |
$138.26 |
| 76937 |
|
13 |
12 |
$98.40 |
| G2023 |
Specimen collect covid-19 |
14 |
13 |
$87.57 |
| 84100 |
|
15 |
13 |
$85.83 |
| 87070 |
|
12 |
12 |
$67.62 |
| J2930 |
Methylprednisolone injection |
27 |
24 |
$65.97 |
| 90471 |
|
80 |
56 |
$63.00 |
| J3490 |
Drugs unclassified injection |
35 |
28 |
$55.05 |
| J3010 |
Fentanyl citrate injection |
586 |
439 |
$52.60 |
| 87081 |
|
13 |
12 |
$50.60 |
| 83516 |
|
28 |
26 |
$49.60 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
86 |
84 |
$42.91 |
| 85018 |
|
15 |
15 |
$40.55 |
| J0690 |
Cefazolin sodium injection |
188 |
124 |
$38.48 |
| 88304 |
|
28 |
28 |
$29.20 |
| J7040 |
Normal saline solution infus |
150 |
100 |
$24.16 |
| J2060 |
Lorazepam injection |
123 |
103 |
$23.71 |
| J2370 |
Phenylephrine hcl injection |
16 |
12 |
$14.96 |
| J1170 |
Hydromorphone injection |
17 |
12 |
$13.70 |
| J2250 |
Inj midazolam hydrochloride |
448 |
370 |
$13.15 |
| J2795 |
Ropivacaine hcl injection |
31 |
25 |
$5.44 |
| J7512 |
Prednisone ir or dr oral 1mg |
40 |
37 |
$4.70 |
| J7613 |
Albuterol non-comp unit |
12 |
12 |
$1.41 |
| 3050F |
|
406 |
401 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
73 |
65 |
$0.00 |
| 3044F |
|
577 |
568 |
$0.00 |
| 3048F |
|
650 |
645 |
$0.00 |
| 3049F |
|
466 |
464 |
$0.00 |
| 3011F |
|
1,522 |
1,504 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
51 |
47 |
$0.00 |
| 3061F |
|
42 |
42 |
$0.00 |