| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,029 |
17,128 |
$3.27M |
| 99285 |
|
10,948 |
9,717 |
$2.14M |
| 99283 |
|
18,260 |
16,771 |
$1.53M |
| 93005 |
|
15,697 |
13,375 |
$580K |
| 71045 |
|
12,168 |
10,863 |
$287K |
| 70450 |
|
2,019 |
1,777 |
$254K |
| 80307 |
|
5,369 |
4,694 |
$240K |
| 74177 |
|
527 |
460 |
$236K |
| 74176 |
|
738 |
672 |
$208K |
| 87635 |
|
4,249 |
3,803 |
$149K |
| 0202U |
|
583 |
513 |
$146K |
| 80053 |
|
21,761 |
19,253 |
$144K |
| 85025 |
|
22,762 |
20,146 |
$109K |
| 87502 |
|
1,247 |
1,121 |
$90K |
| 93010 |
|
24,610 |
16,886 |
$80K |
| 84484 |
|
9,158 |
7,291 |
$65K |
| 83880 |
|
2,749 |
2,469 |
$57K |
| 99282 |
|
801 |
754 |
$57K |
| 69436 |
|
174 |
149 |
$56K |
| 36415 |
|
28,334 |
24,129 |
$50K |
| 81025 |
|
6,764 |
6,119 |
$42K |
| 84145 |
|
2,606 |
2,320 |
$40K |
| 80050 |
|
1,023 |
902 |
$38K |
| 81001 |
|
16,846 |
14,439 |
$32K |
| J7030 |
Normal saline solution infus |
6,903 |
5,477 |
$29K |
| 83605 |
|
4,110 |
3,456 |
$27K |
| 83690 |
|
5,200 |
4,615 |
$24K |
| 85730 |
|
6,642 |
5,847 |
$22K |
| 82077 |
|
2,430 |
2,026 |
$21K |
| 85610 |
|
7,067 |
6,283 |
$17K |
| G0480 |
Drug test def 1-7 classes |
409 |
204 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
2,750 |
2,483 |
$10K |
| 82306 |
|
363 |
343 |
$9K |
| 82550 |
|
2,174 |
1,767 |
$9K |
| 85379 |
|
1,176 |
1,061 |
$8K |
| 99211 |
|
266 |
218 |
$8K |
| 87086 |
|
1,231 |
1,121 |
$7K |
| 83735 |
|
1,514 |
1,337 |
$6K |
| 86328 |
|
490 |
397 |
$6K |
| 45378 |
|
13 |
13 |
$6K |
| 80061 |
|
470 |
444 |
$5K |
| 80143 |
|
467 |
395 |
$5K |
| 80179 |
|
441 |
377 |
$5K |
| 82553 |
|
730 |
639 |
$4K |
| 87040 |
|
720 |
348 |
$4K |
| J7120 |
Ringers lactate infusion |
962 |
777 |
$4K |
| 83036 |
|
421 |
399 |
$3K |
| 87651 |
|
117 |
106 |
$3K |
| J2270 |
Morphine sulfate injection |
779 |
614 |
$3K |
| 84439 |
|
355 |
318 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,898 |
2,472 |
$2K |
| G0378 |
Hospital observation per hr |
22 |
13 |
$2K |
| 80320 |
|
422 |
293 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
5,962 |
4,912 |
$1K |
| J0780 |
Prochlorperazine injection |
48 |
43 |
$1K |
| 86592 |
|
293 |
238 |
$879.10 |
| 80048 |
|
206 |
186 |
$871.39 |
| 99214 |
|
101 |
78 |
$603.23 |
| J1200 |
Diphenhydramine hcl injectio |
110 |
90 |
$443.35 |
| 71046 |
|
12 |
12 |
$370.22 |
| 69990 |
|
57 |
43 |
$337.41 |
| 81003 |
|
242 |
213 |
$294.21 |
| 84703 |
|
46 |
41 |
$264.14 |
| A6257 |
Transparent film <= 16 sq in |
3,871 |
3,478 |
$214.64 |
| 84443 |
|
12 |
12 |
$184.97 |
| 86140 |
|
40 |
39 |
$171.61 |
| J1100 |
Dexamethasone sodium phos |
109 |
94 |
$156.83 |
| C1751 |
Cath, inf, per/cent/midline |
154 |
145 |
$136.07 |
| J0696 |
Ceftriaxone sodium injection |
29 |
28 |
$110.39 |
| 94760 |
|
193 |
129 |
$103.22 |
| 80076 |
|
13 |
13 |
$98.12 |
| J2060 |
Lorazepam injection |
43 |
25 |
$40.49 |
| 82962 |
|
19 |
13 |
$39.62 |
| A6402 |
Sterile gauze <= 16 sq in |
148 |
65 |
$27.33 |
| J2550 |
Promethazine hcl injection |
27 |
25 |
$23.92 |
| J2250 |
Inj midazolam hydrochloride |
78 |
67 |
$13.11 |
| J3010 |
Fentanyl citrate injection |
66 |
51 |
$9.13 |
| A9270 |
Non-covered item or service |
603 |
485 |
$0.46 |
| 80329 |
|
81 |
28 |
$0.00 |
| 00000 |
|
65 |
63 |
$0.00 |
| 96374 |
|
51 |
49 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
50 |
27 |
$0.00 |
| J7040 |
Normal saline solution infus |
138 |
125 |
$0.00 |
| 90853 |
|
180 |
36 |
$0.00 |