| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,183 |
17,240 |
$1.62M |
| 99284 |
|
10,692 |
9,245 |
$671K |
| 99282 |
|
3,799 |
3,536 |
$335K |
| 74176 |
|
1,306 |
1,151 |
$211K |
| 70450 |
|
1,845 |
1,506 |
$184K |
| 99285 |
|
2,358 |
1,623 |
$141K |
| 80053 |
|
9,346 |
7,484 |
$104K |
| G0378 |
Hospital observation per hr |
1,275 |
600 |
$89K |
| 99281 |
|
786 |
751 |
$82K |
| 87070 |
|
2,214 |
2,006 |
$67K |
| 74177 |
|
514 |
471 |
$47K |
| U0003 |
Cov-19 amp prb hgh thruput |
746 |
686 |
$46K |
| 84703 |
|
4,350 |
3,985 |
$45K |
| 96372 |
|
4,475 |
3,795 |
$41K |
| 96361 |
|
433 |
389 |
$35K |
| 80048 |
|
2,497 |
1,780 |
$28K |
| 87635 |
|
4,664 |
4,058 |
$27K |
| J3490 |
Drugs unclassified injection |
799 |
587 |
$24K |
| 71045 |
|
5,198 |
4,403 |
$22K |
| 71046 |
|
1,535 |
1,362 |
$20K |
| 96374 |
|
5,673 |
4,847 |
$19K |
| 81001 |
|
5,611 |
4,922 |
$15K |
| 85027 |
|
12,123 |
8,984 |
$14K |
| 81003 |
|
2,866 |
2,510 |
$13K |
| A9270 |
Non-covered item or service |
4,224 |
1,015 |
$13K |
| 11042 |
|
509 |
152 |
$12K |
| 96365 |
|
205 |
167 |
$12K |
| 72125 |
|
175 |
134 |
$11K |
| 80307 |
|
1,350 |
1,155 |
$10K |
| 87804 |
|
4,692 |
3,731 |
$8K |
| 94640 |
|
645 |
549 |
$8K |
| J7030 |
Normal saline solution infus |
4,189 |
3,404 |
$7K |
| 84484 |
|
3,003 |
1,897 |
$6K |
| 74018 |
|
304 |
283 |
$6K |
| 85610 |
|
2,283 |
1,834 |
$6K |
| 36415 |
|
940 |
678 |
$5K |
| 93005 |
|
3,593 |
2,772 |
$5K |
| 87086 |
|
1,101 |
919 |
$5K |
| 85730 |
|
1,941 |
1,583 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,617 |
2,063 |
$4K |
| 83735 |
|
2,202 |
1,679 |
$4K |
| 83690 |
|
1,992 |
1,696 |
$4K |
| 77067 |
|
108 |
99 |
$4K |
| 73610 |
|
84 |
76 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
5,402 |
4,045 |
$3K |
| 93306 |
|
43 |
39 |
$3K |
| 87430 |
|
1,885 |
1,804 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
226 |
144 |
$3K |
| 87426 |
|
273 |
207 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
167 |
123 |
$3K |
| 84443 |
|
741 |
602 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,032 |
776 |
$2K |
| 87077 |
|
223 |
189 |
$2K |
| 87205 |
|
142 |
101 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,076 |
889 |
$2K |
| J3010 |
Fentanyl citrate injection |
284 |
193 |
$2K |
| 87040 |
|
964 |
623 |
$2K |
| 84702 |
|
80 |
76 |
$2K |
| Q0162 |
Ondansetron oral |
928 |
864 |
$2K |
| 82550 |
|
793 |
656 |
$2K |
| 88305 |
|
136 |
100 |
$2K |
| 73630 |
|
70 |
69 |
$2K |
| 96375 |
|
2,778 |
2,336 |
$1K |
| 83880 |
|
1,167 |
840 |
$1K |
| 85378 |
|
384 |
312 |
$1K |
| 80061 |
|
307 |
237 |
$1K |
| 86850 |
|
54 |
39 |
$1K |
| 82150 |
|
324 |
280 |
$1K |
| 73620 |
|
12 |
12 |
$918.23 |
| G0480 |
Drug test def 1-7 classes |
40 |
24 |
$895.68 |
| 82553 |
|
30 |
17 |
$772.91 |
| J0696 |
Ceftriaxone sodium injection |
1,452 |
1,198 |
$720.37 |
| J1200 |
Diphenhydramine hcl injectio |
1,445 |
1,213 |
$686.18 |
| 76705 |
|
12 |
12 |
$652.87 |
| 73130 |
|
25 |
24 |
$569.17 |
| 87807 |
|
616 |
599 |
$508.22 |
| J1170 |
Hydromorphone injection |
110 |
79 |
$500.00 |
| 83605 |
|
609 |
482 |
$492.67 |
| 86900 |
|
167 |
145 |
$451.30 |
| 76856 |
|
13 |
12 |
$395.34 |
| 73030 |
|
15 |
14 |
$344.41 |
| J2930 |
Methylprednisolone injection |
124 |
84 |
$243.10 |
| 83036 |
|
161 |
116 |
$242.94 |
| 82948 |
|
47 |
33 |
$229.04 |
| J2270 |
Morphine sulfate injection |
600 |
423 |
$187.08 |
| 80076 |
|
54 |
47 |
$154.63 |
| 97597 |
|
29 |
13 |
$125.80 |
| J2360 |
Orphenadrine injection |
1,179 |
984 |
$92.38 |
| J2060 |
Lorazepam injection |
249 |
202 |
$50.00 |
| 86901 |
|
153 |
131 |
$30.33 |
| J7512 |
Prednisone ir or dr oral 1mg |
272 |
244 |
$24.21 |
| 80320 |
|
81 |
74 |
$13.24 |
| 84100 |
|
13 |
12 |
$3.54 |
| 87081 |
|
15 |
12 |
$0.00 |
| 82077 |
|
195 |
171 |
$0.00 |
| 86140 |
|
16 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
79 |
46 |
$0.00 |
| J8540 |
Oral dexamethasone |
43 |
42 |
$0.00 |
| G1003 |
Cdsm medicalis |
53 |
40 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |