| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,464 |
10,369 |
$2.16M |
| 99283 |
|
16,934 |
14,104 |
$2.15M |
| 99285 |
|
5,888 |
4,922 |
$1.24M |
| 96374 |
|
5,916 |
4,642 |
$484K |
| 99282 |
|
5,936 |
5,095 |
$446K |
| 96372 |
|
10,794 |
8,070 |
$398K |
| G0378 |
Hospital observation per hr |
949 |
698 |
$380K |
| 94640 |
|
3,389 |
2,189 |
$306K |
| 96365 |
|
2,895 |
2,353 |
$253K |
| 70450 |
|
3,254 |
2,758 |
$252K |
| 96361 |
|
4,075 |
2,464 |
$248K |
| 74176 |
|
1,800 |
1,514 |
$247K |
| 71045 |
|
6,535 |
5,285 |
$238K |
| U0002 |
Covid-19 lab test non-cdc |
6,515 |
5,380 |
$224K |
| 87804 |
|
15,602 |
6,652 |
$191K |
| 99281 |
|
4,578 |
3,922 |
$189K |
| 71046 |
|
4,456 |
3,736 |
$187K |
| 74177 |
|
924 |
777 |
$182K |
| 93005 |
|
8,218 |
6,311 |
$155K |
| 80053 |
|
18,210 |
13,892 |
$139K |
| 85025 |
|
22,988 |
16,904 |
$118K |
| 96375 |
|
4,568 |
3,380 |
$117K |
| 87635 |
|
2,648 |
2,341 |
$90K |
| 87651 |
|
3,434 |
2,912 |
$85K |
| C9803 |
Hopd covid-19 spec collect |
5,223 |
4,322 |
$74K |
| 11042 |
|
529 |
141 |
$67K |
| 83880 |
|
3,330 |
2,490 |
$63K |
| 73560 |
|
1,264 |
1,092 |
$55K |
| 87880 |
|
3,338 |
2,951 |
$45K |
| 36415 |
|
21,632 |
15,571 |
$45K |
| 84484 |
|
6,024 |
4,161 |
$41K |
| 81001 |
|
15,650 |
12,710 |
$37K |
| 74018 |
|
751 |
641 |
$34K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,023 |
1,698 |
$33K |
| 81025 |
|
5,457 |
4,564 |
$33K |
| 96360 |
|
435 |
326 |
$32K |
| 84443 |
|
2,413 |
2,091 |
$31K |
| 73630 |
|
669 |
561 |
$29K |
| 80061 |
|
2,917 |
2,558 |
$28K |
| 73030 |
|
656 |
549 |
$25K |
| 80305 |
|
2,413 |
2,044 |
$21K |
| 80048 |
|
3,836 |
2,823 |
$18K |
| 36600 |
|
681 |
530 |
$17K |
| 87086 |
|
3,031 |
2,543 |
$16K |
| 99291 |
|
74 |
65 |
$16K |
| 73130 |
|
310 |
284 |
$16K |
| 87491 |
|
564 |
478 |
$15K |
| 87591 |
|
563 |
478 |
$15K |
| 83036 |
|
2,392 |
2,011 |
$15K |
| J0561 |
Penicillin g benzathine inj |
175 |
141 |
$14K |
| 82306 |
|
827 |
657 |
$14K |
| 83690 |
|
2,933 |
2,370 |
$14K |
| 87040 |
|
2,292 |
1,101 |
$13K |
| 82803 |
|
772 |
575 |
$13K |
| 83605 |
|
1,954 |
1,536 |
$11K |
| 87807 |
|
1,029 |
890 |
$11K |
| 83735 |
|
2,695 |
2,024 |
$11K |
| U0004 |
Cov-19 test non-cdc hgh thru |
202 |
182 |
$11K |
| 87186 |
|
1,945 |
1,473 |
$10K |
| 73610 |
|
205 |
180 |
$10K |
| 72100 |
|
191 |
141 |
$10K |
| 72125 |
|
129 |
117 |
$10K |
| A9270 |
Non-covered item or service |
3,571 |
2,106 |
$9K |
| U0003 |
Cov-19 amp prb hgh thruput |
117 |
107 |
$8K |
| 80307 |
|
165 |
145 |
$8K |
| 71250 |
|
99 |
89 |
$7K |
| 82150 |
|
1,352 |
1,139 |
$7K |
| 87081 |
|
1,593 |
1,241 |
$6K |
| 87389 |
|
378 |
285 |
$6K |
| J7030 |
Normal saline solution infus |
4,954 |
3,404 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
4,627 |
3,844 |
$6K |
| 82553 |
|
698 |
511 |
$6K |
| 74019 |
|
85 |
75 |
$6K |
| 85379 |
|
1,043 |
857 |
$6K |
| 85610 |
|
2,388 |
1,840 |
$5K |
| 90471 |
|
165 |
148 |
$5K |
| 82550 |
|
923 |
695 |
$5K |
| 77067 |
|
72 |
66 |
$5K |
| 66984 |
|
20 |
12 |
$4K |
| 96366 |
|
98 |
62 |
$4K |
| M0243 |
Casirivi and imdevi inj |
16 |
15 |
$4K |
| 70486 |
|
32 |
29 |
$3K |
| 71275 |
|
27 |
26 |
$3K |
| U0005 |
Infec agen detec ampli probe |
169 |
150 |
$3K |
| 96376 |
|
1,064 |
563 |
$3K |
| 85730 |
|
822 |
690 |
$3K |
| 93306 |
|
16 |
12 |
$3K |
| 73502 |
|
46 |
40 |
$2K |
| 87070 |
|
201 |
161 |
$1K |
| 86900 |
|
49 |
30 |
$1K |
| 72131 |
|
13 |
13 |
$1K |
| 86592 |
|
389 |
279 |
$1K |
| J2930 |
Methylprednisolone injection |
1,653 |
1,243 |
$1K |
| 86677 |
|
91 |
70 |
$827.95 |
| J1100 |
Dexamethasone sodium phos |
1,496 |
1,272 |
$791.73 |
| 87205 |
|
187 |
156 |
$619.67 |
| 73110 |
|
16 |
12 |
$581.18 |
| J0696 |
Ceftriaxone sodium injection |
3,714 |
2,899 |
$567.36 |
| 84703 |
|
64 |
53 |
$447.84 |
| 96367 |
|
14 |
13 |
$437.85 |
| J2919 |
Inj, methylpred sod succ 5mg |
245 |
196 |
$391.83 |
| 74021 |
|
16 |
14 |
$382.21 |
| 86901 |
|
49 |
30 |
$375.45 |
| 93010 |
|
32 |
25 |
$365.96 |
| J2405 |
Ondansetron hcl injection |
2,641 |
2,020 |
$347.98 |
| 85027 |
|
147 |
115 |
$309.07 |
| J2060 |
Lorazepam injection |
41 |
39 |
$238.85 |
| 86803 |
|
14 |
12 |
$232.30 |
| J7120 |
Ringers lactate infusion |
117 |
74 |
$221.20 |
| J1650 |
Inj enoxaparin sodium |
516 |
207 |
$217.12 |
| 87088 |
|
36 |
23 |
$203.29 |
| Q0162 |
Ondansetron oral |
1,563 |
1,348 |
$172.04 |
| J2270 |
Morphine sulfate injection |
479 |
375 |
$165.24 |
| 87077 |
|
36 |
21 |
$152.94 |
| 86850 |
|
31 |
15 |
$86.20 |
| J1940 |
Furosemide injection |
403 |
240 |
$76.45 |
| 84550 |
|
32 |
30 |
$70.97 |
| 82009 |
|
13 |
12 |
$44.77 |
| J7050 |
Normal saline solution infus |
61 |
40 |
$32.68 |
| J0702 |
Betamethasone acet&sod phosp |
17 |
15 |
$30.13 |
| J2001 |
Lidocaine injection |
62 |
47 |
$20.33 |
| J2704 |
Inj, propofol, 10 mg |
111 |
94 |
$18.29 |
| J1170 |
Hydromorphone injection |
264 |
160 |
$12.02 |
| J7510 |
Prednisolone oral per 5 mg |
819 |
719 |
$5.67 |
| J2543 |
Piperacillin/tazobactam |
26 |
13 |
$2.77 |
| J7040 |
Normal saline solution infus |
140 |
112 |
$0.00 |
| J1956 |
Levofloxacin injection |
32 |
27 |
$0.00 |
| 90715 |
|
62 |
55 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
12 |
$0.00 |
| 94760 |
|
108 |
66 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
145 |
116 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
37 |
25 |
$0.00 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$0.00 |
| 36416 |
|
71 |
23 |
$0.00 |
| J2360 |
Orphenadrine injection |
15 |
14 |
$0.00 |
| 77063 |
|
18 |
14 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
17 |
14 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
21 |
12 |
$0.00 |