| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
4,598 |
3,882 |
$435K |
| 99284 |
|
3,618 |
3,203 |
$298K |
| 74177 |
|
1,007 |
863 |
$213K |
| 99283 |
|
3,475 |
3,121 |
$180K |
| G0378 |
Hospital observation per hr |
662 |
482 |
$72K |
| 96374 |
|
3,106 |
2,554 |
$61K |
| 70450 |
|
712 |
623 |
$50K |
| 80307 |
|
1,459 |
1,186 |
$31K |
| 99282 |
|
831 |
769 |
$28K |
| 96375 |
|
1,996 |
1,607 |
$26K |
| 80053 |
|
5,659 |
4,589 |
$23K |
| 71275 |
|
103 |
88 |
$21K |
| 59025 |
|
575 |
406 |
$20K |
| 85025 |
|
7,409 |
5,935 |
$19K |
| 96372 |
|
1,243 |
1,037 |
$13K |
| 93005 |
|
3,666 |
3,005 |
$13K |
| 71045 |
|
2,286 |
1,950 |
$12K |
| 0241U |
|
1,377 |
1,271 |
$12K |
| 96361 |
|
1,503 |
1,268 |
$12K |
| 74176 |
|
77 |
71 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,713 |
1,429 |
$10K |
| 36415 |
|
9,160 |
6,847 |
$9K |
| 93306 |
|
141 |
132 |
$9K |
| 84484 |
|
2,363 |
1,457 |
$7K |
| 96360 |
|
357 |
312 |
$7K |
| 87635 |
|
310 |
281 |
$7K |
| 43239 |
|
59 |
53 |
$7K |
| 80048 |
|
2,496 |
2,015 |
$6K |
| 83690 |
|
2,172 |
1,833 |
$6K |
| 96365 |
|
268 |
227 |
$5K |
| 76705 |
|
89 |
82 |
$5K |
| 84703 |
|
1,416 |
1,249 |
$4K |
| 99281 |
|
153 |
151 |
$4K |
| 87651 |
|
180 |
172 |
$3K |
| 96376 |
|
389 |
269 |
$3K |
| 87086 |
|
1,174 |
1,024 |
$3K |
| 71046 |
|
200 |
174 |
$3K |
| 81001 |
|
2,416 |
2,089 |
$3K |
| J2270 |
Morphine sulfate injection |
954 |
710 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,964 |
1,707 |
$2K |
| 99203 |
|
41 |
37 |
$2K |
| 83605 |
|
553 |
424 |
$2K |
| 76801 |
|
33 |
26 |
$2K |
| 84702 |
|
314 |
269 |
$2K |
| 81025 |
|
877 |
792 |
$2K |
| 84443 |
|
280 |
250 |
$2K |
| 83735 |
|
650 |
484 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
40 |
35 |
$1K |
| 87040 |
|
341 |
173 |
$1K |
| 87561 |
|
62 |
62 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
1,111 |
1,010 |
$1K |
| 81003 |
|
1,331 |
1,202 |
$1K |
| 85027 |
|
595 |
451 |
$1K |
| 85610 |
|
945 |
759 |
$842.87 |
| 87077 |
|
349 |
299 |
$813.19 |
| 80076 |
|
278 |
248 |
$787.55 |
| 87186 |
|
265 |
228 |
$732.18 |
| 84030 |
|
307 |
284 |
$639.80 |
| 76856 |
|
14 |
12 |
$634.42 |
| 94640 |
|
64 |
50 |
$511.35 |
| 36416 |
|
307 |
285 |
$511.05 |
| J2405 |
Ondansetron hcl injection |
2,549 |
2,098 |
$510.05 |
| 85379 |
|
121 |
111 |
$491.42 |
| J1100 |
Dexamethasone sodium phos |
1,156 |
991 |
$486.69 |
| 99213 |
|
13 |
12 |
$435.21 |
| 85730 |
|
320 |
263 |
$417.71 |
| 87804 |
|
120 |
57 |
$411.52 |
| 82962 |
|
859 |
498 |
$401.06 |
| 86901 |
|
443 |
344 |
$388.49 |
| 86900 |
|
446 |
345 |
$386.39 |
| J2704 |
Inj, propofol, 10 mg |
1,353 |
1,044 |
$335.53 |
| 83880 |
|
37 |
36 |
$326.31 |
| J1170 |
Hydromorphone injection |
600 |
428 |
$313.24 |
| J0690 |
Cefazolin sodium injection |
668 |
504 |
$279.49 |
| 84439 |
|
75 |
66 |
$253.53 |
| 73610 |
|
14 |
13 |
$243.00 |
| 73564 |
|
13 |
13 |
$238.89 |
| J1200 |
Diphenhydramine hcl injectio |
496 |
393 |
$233.84 |
| J0780 |
Prochlorperazine injection |
97 |
84 |
$226.96 |
| 86850 |
|
243 |
172 |
$224.63 |
| J3010 |
Fentanyl citrate injection |
1,488 |
1,151 |
$192.11 |
| 87070 |
|
64 |
54 |
$189.07 |
| 73630 |
|
14 |
13 |
$151.51 |
| J0131 |
Inj, acetaminophen (nos) |
297 |
251 |
$127.43 |
| J0696 |
Ceftriaxone sodium injection |
85 |
73 |
$108.77 |
| J2060 |
Lorazepam injection |
103 |
79 |
$98.03 |
| 94760 |
|
162 |
78 |
$90.48 |
| 84100 |
|
43 |
38 |
$84.48 |
| J2250 |
Inj midazolam hydrochloride |
761 |
636 |
$73.46 |
| J2765 |
Metoclopramide hcl injection |
129 |
111 |
$73.09 |
| J3475 |
Inj magnesium sulfate |
14 |
12 |
$58.53 |
| J1790 |
Droperidol injection |
16 |
12 |
$58.38 |
| J0171 |
Adrenalin epinephrine inject |
103 |
78 |
$48.89 |
| J7512 |
Prednisone ir or dr oral 1mg |
25 |
25 |
$25.74 |
| 82570 |
|
20 |
14 |
$24.93 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
403 |
322 |
$20.91 |
| J2001 |
Lidocaine injection |
380 |
310 |
$10.65 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
31 |
27 |
$8.50 |
| J1644 |
Inj heparin sodium per 1000u |
23 |
13 |
$4.30 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
80 |
73 |
$0.86 |
| A9270 |
Non-covered item or service |
1,042 |
295 |
$0.00 |
| C1769 |
Guide wire |
20 |
14 |
$0.00 |
| 0353U |
|
31 |
25 |
$0.00 |