| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
40,197 |
37,313 |
$15.67M |
| 99284 |
|
56,651 |
52,747 |
$13.91M |
| 99283 |
|
43,720 |
41,058 |
$7.42M |
| G0463 |
Hospital outpt clinic visit |
23,995 |
19,746 |
$1.99M |
| 96374 |
|
13,715 |
12,569 |
$1.61M |
| H0035 |
Mh partial hosp tx under 24h |
1,685 |
189 |
$529K |
| 93005 |
|
30,651 |
27,015 |
$336K |
| 0241U |
|
2,748 |
2,639 |
$296K |
| G0378 |
Hospital observation per hr |
2,101 |
1,407 |
$274K |
| 71046 |
|
6,438 |
5,804 |
$255K |
| 96413 |
|
1,023 |
675 |
$245K |
| 80048 |
|
42,480 |
36,933 |
$175K |
| 96361 |
|
2,445 |
2,151 |
$147K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,434 |
2,241 |
$145K |
| 93296 |
|
4,712 |
4,548 |
$122K |
| 36415 |
|
2,140 |
1,667 |
$97K |
| G1004 |
Cdsm ndsc |
1,628 |
1,486 |
$86K |
| 80053 |
|
6,678 |
5,161 |
$85K |
| 76700 |
|
820 |
791 |
$77K |
| 0002A |
|
3,178 |
3,125 |
$66K |
| 77336 |
|
624 |
344 |
$62K |
| 0001A |
|
3,529 |
3,447 |
$60K |
| 93798 |
|
444 |
98 |
$50K |
| 93306 |
|
135 |
133 |
$43K |
| 80307 |
|
1,746 |
823 |
$42K |
| Q3014 |
Telehealth facility fee |
1,824 |
1,722 |
$40K |
| 16020 |
|
492 |
384 |
$37K |
| 99282 |
|
421 |
393 |
$37K |
| 70450 |
|
1,019 |
895 |
$36K |
| 85025 |
|
11,062 |
7,496 |
$33K |
| 71045 |
|
1,089 |
957 |
$27K |
| 77412 |
|
114 |
14 |
$25K |
| 96375 |
|
1,544 |
1,303 |
$24K |
| 85027 |
|
47,279 |
42,794 |
$21K |
| 74177 |
|
441 |
400 |
$21K |
| 36591 |
|
1,119 |
771 |
$20K |
| 87635 |
|
602 |
567 |
$20K |
| 91200 |
|
341 |
320 |
$19K |
| U0005 |
Infec agen detec ampli probe |
1,751 |
1,605 |
$19K |
| 36000 |
|
2,822 |
2,545 |
$18K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,756 |
1,185 |
$17K |
| 84484 |
|
8,326 |
6,300 |
$16K |
| 70553 |
|
45 |
38 |
$16K |
| 96360 |
|
335 |
301 |
$16K |
| 71260 |
|
41 |
37 |
$12K |
| 82947 |
|
1,750 |
976 |
$11K |
| 90791 |
|
416 |
321 |
$10K |
| 87637 |
|
141 |
139 |
$9K |
| 82962 |
|
3,156 |
1,131 |
$8K |
| 81001 |
|
9,780 |
8,954 |
$7K |
| T1013 |
Sign lang/oral interpreter |
352 |
299 |
$7K |
| 72125 |
|
230 |
209 |
$7K |
| 96372 |
|
320 |
282 |
$5K |
| 88305 |
|
25 |
24 |
$5K |
| 96365 |
|
83 |
69 |
$5K |
| J7030 |
Normal saline solution infus |
9,984 |
8,055 |
$5K |
| 94726 |
|
78 |
76 |
$4K |
| 82248 |
|
5,837 |
4,547 |
$4K |
| 71275 |
|
42 |
40 |
$3K |
| 85610 |
|
1,302 |
927 |
$3K |
| 71250 |
|
29 |
26 |
$2K |
| 80076 |
|
1,501 |
1,052 |
$2K |
| 83735 |
|
1,180 |
847 |
$2K |
| J7120 |
Ringers lactate infusion |
186 |
152 |
$2K |
| 83690 |
|
1,413 |
1,234 |
$2K |
| 93299 |
|
84 |
76 |
$1K |
| 87502 |
|
167 |
164 |
$1K |
| G0480 |
Drug test def 1-7 classes |
60 |
38 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| 76376 |
|
24 |
24 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
1,865 |
1,151 |
$1K |
| J3010 |
Fentanyl citrate injection |
2,766 |
2,054 |
$1K |
| 99152 |
|
158 |
124 |
$874.61 |
| 87634 |
|
135 |
132 |
$656.33 |
| 99153 |
Mod sedat endo service >5yrs |
158 |
95 |
$502.44 |
| 94729 |
|
145 |
143 |
$470.38 |
| J1170 |
Hydromorphone injection |
733 |
495 |
$440.32 |
| 77067 |
|
12 |
12 |
$403.76 |
| J2250 |
Inj midazolam hydrochloride |
2,071 |
1,463 |
$362.34 |
| 82306 |
|
13 |
13 |
$354.96 |
| 82728 |
|
27 |
27 |
$354.12 |
| 93226 |
|
28 |
28 |
$350.92 |
| J2405 |
Ondansetron hcl injection |
2,084 |
1,588 |
$347.77 |
| 83605 |
|
143 |
117 |
$312.10 |
| 83880 |
|
92 |
76 |
$285.63 |
| 81025 |
|
483 |
457 |
$234.32 |
| J1885 |
Ketorolac tromethamine inj |
1,194 |
972 |
$196.38 |
| 87491 |
|
27 |
26 |
$180.21 |
| 87591 |
|
27 |
26 |
$132.60 |
| 84100 |
|
25 |
25 |
$99.04 |
| 84443 |
|
15 |
13 |
$94.92 |
| 87086 |
|
98 |
83 |
$93.93 |
| 87651 |
|
15 |
15 |
$93.53 |
| C1769 |
Guide wire |
14 |
12 |
$76.49 |
| J1790 |
Droperidol injection |
136 |
119 |
$52.17 |
| A0428 |
Bls |
25 |
14 |
$46.20 |
| 36416 |
|
228 |
199 |
$43.45 |
| 94640 |
|
27 |
15 |
$42.69 |
| J1100 |
Dexamethasone sodium phos |
201 |
168 |
$28.94 |
| 82077 |
|
43 |
40 |
$27.64 |
| J7040 |
Normal saline solution infus |
221 |
137 |
$27.60 |
| J8540 |
Oral dexamethasone |
123 |
79 |
$25.27 |
| A0425 |
Ground mileage |
25 |
14 |
$20.05 |
| J1644 |
Inj heparin sodium per 1000u |
50 |
24 |
$15.18 |
| J0690 |
Cefazolin sodium injection |
124 |
75 |
$13.70 |
| J7050 |
Normal saline solution infus |
293 |
141 |
$9.98 |
| Q0162 |
Ondansetron oral |
55 |
42 |
$5.18 |
| 82565 |
|
12 |
12 |
$2.24 |
| A9270 |
Non-covered item or service |
816 |
157 |
$0.00 |
| 0346T |
|
47 |
40 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
26 |
25 |
$0.00 |
| 91300 |
|
323 |
291 |
$0.00 |