| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
8,170 |
7,124 |
$523K |
| 99284 |
|
6,265 |
5,169 |
$362K |
| 36415 |
|
9,211 |
5,904 |
$304K |
| 74176 |
|
1,482 |
1,186 |
$170K |
| 99285 |
|
3,815 |
2,945 |
$148K |
| 70450 |
|
935 |
749 |
$95K |
| 96361 |
|
2,103 |
1,626 |
$69K |
| 80053 |
|
7,716 |
5,682 |
$59K |
| 99282 |
|
599 |
529 |
$33K |
| 81025 |
|
1,637 |
1,419 |
$32K |
| 96365 |
|
967 |
616 |
$25K |
| 88305 |
|
895 |
726 |
$22K |
| 87081 |
|
1,078 |
991 |
$21K |
| 43239 |
|
340 |
286 |
$17K |
| 71045 |
|
3,656 |
2,840 |
$17K |
| 82947 |
|
599 |
286 |
$17K |
| 99281 |
|
187 |
166 |
$17K |
| 96372 |
|
2,112 |
1,735 |
$15K |
| 87086 |
|
2,000 |
1,548 |
$14K |
| 87804 |
|
3,560 |
1,803 |
$14K |
| 85025 |
|
9,114 |
6,502 |
$14K |
| 11042 |
|
743 |
249 |
$13K |
| 97110 |
|
328 |
86 |
$10K |
| 81003 |
|
2,205 |
1,807 |
$10K |
| 93005 |
|
4,007 |
2,899 |
$10K |
| 80048 |
|
1,509 |
1,113 |
$9K |
| 96374 |
|
3,594 |
2,810 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
2,270 |
1,570 |
$8K |
| 99291 |
|
101 |
79 |
$7K |
| 96360 |
|
378 |
316 |
$7K |
| 71046 |
|
397 |
328 |
$7K |
| 74177 |
|
28 |
26 |
$6K |
| G0378 |
Hospital observation per hr |
657 |
323 |
$6K |
| G0463 |
Hospital outpt clinic visit |
102 |
51 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
597 |
556 |
$6K |
| 85610 |
|
2,681 |
1,988 |
$5K |
| 81001 |
|
2,595 |
2,059 |
$5K |
| 96375 |
|
2,129 |
1,612 |
$4K |
| 84484 |
|
3,488 |
2,007 |
$3K |
| 94640 |
|
243 |
185 |
$3K |
| J2405 |
Ondansetron hcl injection |
3,391 |
2,402 |
$3K |
| 87426 |
|
1,024 |
916 |
$3K |
| 85730 |
|
1,615 |
1,211 |
$3K |
| J7030 |
Normal saline solution infus |
3,622 |
2,653 |
$3K |
| J3010 |
Fentanyl citrate injection |
1,302 |
839 |
$3K |
| 83735 |
|
2,244 |
1,550 |
$3K |
| 87880 |
|
1,660 |
1,542 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
688 |
566 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
16 |
16 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
151 |
108 |
$890.67 |
| 87040 |
|
87 |
51 |
$882.51 |
| 80305 |
|
341 |
274 |
$869.92 |
| 87807 |
|
148 |
138 |
$825.83 |
| 83690 |
|
1,472 |
1,153 |
$824.24 |
| 87635 |
|
51 |
36 |
$809.15 |
| J1100 |
Dexamethasone sodium phos |
1,021 |
818 |
$803.15 |
| J1885 |
Ketorolac tromethamine inj |
1,870 |
1,393 |
$725.96 |
| 87186 |
|
470 |
348 |
$712.05 |
| J2001 |
Lidocaine injection |
296 |
203 |
$662.59 |
| 00731 |
|
80 |
65 |
$614.36 |
| 87070 |
|
22 |
14 |
$551.86 |
| 85027 |
|
204 |
146 |
$494.56 |
| J2270 |
Morphine sulfate injection |
1,284 |
779 |
$396.49 |
| J1644 |
Inj heparin sodium per 1000u |
336 |
138 |
$358.04 |
| 84703 |
|
388 |
350 |
$355.62 |
| 80061 |
|
405 |
329 |
$331.58 |
| 86140 |
|
807 |
661 |
$330.84 |
| 97163 |
|
20 |
12 |
$322.81 |
| J0696 |
Ceftriaxone sodium injection |
899 |
613 |
$255.95 |
| J7120 |
Ringers lactate infusion |
515 |
369 |
$254.31 |
| 83880 |
|
617 |
461 |
$233.71 |
| 84443 |
|
234 |
191 |
$221.23 |
| J0690 |
Cefazolin sodium injection |
103 |
68 |
$142.12 |
| 83036 |
|
318 |
242 |
$133.51 |
| 87205 |
|
22 |
14 |
$127.58 |
| 82962 |
|
356 |
167 |
$50.87 |
| 82306 |
|
115 |
89 |
$44.82 |
| G0237 |
Therapeutic procd strg endur |
53 |
42 |
$44.30 |
| 84439 |
|
14 |
12 |
$42.67 |
| 85651 |
|
33 |
29 |
$21.08 |
| 83605 |
|
266 |
198 |
$16.50 |
| 87400 |
|
13 |
12 |
$15.30 |
| 85379 |
|
328 |
266 |
$15.04 |
| 82607 |
|
21 |
16 |
$13.20 |
| 82746 |
|
16 |
13 |
$7.47 |
| 82150 |
|
143 |
123 |
$2.95 |
| J0131 |
Inj, acetaminophen (nos) |
156 |
126 |
$0.00 |
| J1170 |
Hydromorphone injection |
376 |
220 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
27 |
24 |
$0.00 |
| 87088 |
|
34 |
25 |
$0.00 |
| 82550 |
|
32 |
27 |
$0.00 |
| 83615 |
|
13 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
16 |
13 |
$0.00 |
| 82553 |
|
15 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
62 |
50 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
15 |
15 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
26 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
46 |
36 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
121 |
91 |
$0.00 |
| 84145 |
|
49 |
41 |
$0.00 |
| 73610 |
|
13 |
13 |
$0.00 |
| 80076 |
|
118 |
91 |
$0.00 |
| 84600 |
|
15 |
12 |
$0.00 |
| 84702 |
|
13 |
12 |
$0.00 |