| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,996 |
4,313 |
$489K |
| 99284 |
|
5,134 |
4,330 |
$462K |
| 99285 |
|
3,348 |
2,071 |
$257K |
| G0378 |
Hospital observation per hr |
3,632 |
1,586 |
$185K |
| 74177 |
|
521 |
456 |
$151K |
| 0202U |
|
520 |
501 |
$149K |
| 74176 |
|
372 |
311 |
$87K |
| 99282 |
|
577 |
502 |
$51K |
| 70450 |
|
783 |
572 |
$49K |
| 93306 |
|
59 |
57 |
$17K |
| 43239 |
|
75 |
63 |
$16K |
| 96360 |
|
595 |
500 |
$16K |
| 0241U |
|
1,420 |
1,184 |
$12K |
| 96361 |
|
617 |
500 |
$9K |
| 80053 |
|
6,768 |
3,745 |
$5K |
| 84484 |
|
4,236 |
1,568 |
$3K |
| 85025 |
|
11,294 |
5,739 |
$3K |
| 88305 |
|
640 |
252 |
$2K |
| 96365 |
|
190 |
161 |
$2K |
| 76705 |
|
251 |
213 |
$2K |
| 97162 |
|
158 |
103 |
$1K |
| 76856 |
|
77 |
75 |
$1K |
| 94640 |
|
357 |
226 |
$846.64 |
| 80048 |
|
2,543 |
1,620 |
$760.62 |
| 71045 |
|
2,316 |
1,507 |
$646.89 |
| 93005 |
|
3,118 |
1,827 |
$609.83 |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,066 |
810 |
$553.36 |
| 76817 |
|
18 |
14 |
$546.43 |
| 96374 |
|
1,383 |
1,104 |
$544.02 |
| 86850 |
|
543 |
439 |
$535.47 |
| 86803 |
|
804 |
689 |
$531.24 |
| 85610 |
|
1,957 |
1,368 |
$505.75 |
| 85730 |
|
1,696 |
1,253 |
$485.23 |
| 81001 |
|
4,027 |
2,892 |
$477.38 |
| 96375 |
|
694 |
570 |
$446.38 |
| 86703 |
|
749 |
677 |
$416.94 |
| J2001 |
Lidocaine injection |
777 |
567 |
$391.50 |
| 86900 |
|
592 |
488 |
$381.94 |
| 86901 |
|
592 |
488 |
$381.94 |
| 83735 |
|
2,062 |
825 |
$324.27 |
| J2405 |
Ondansetron hcl injection |
1,486 |
1,039 |
$315.17 |
| J3490 |
Drugs unclassified injection |
569 |
325 |
$315.17 |
| 87426 |
|
108 |
67 |
$246.93 |
| 71046 |
|
159 |
138 |
$186.51 |
| 84703 |
|
1,454 |
1,241 |
$166.01 |
| 96372 |
|
612 |
487 |
$142.57 |
| 83880 |
|
823 |
424 |
$77.80 |
| 83690 |
|
1,345 |
1,084 |
$60.50 |
| 97530 |
|
22 |
12 |
$48.70 |
| 84100 |
|
318 |
218 |
$36.00 |
| 76801 |
|
66 |
55 |
$32.64 |
| 87651 |
|
198 |
190 |
$21.37 |
| 80076 |
|
458 |
395 |
$16.86 |
| 83605 |
|
524 |
344 |
$16.00 |
| 84443 |
|
110 |
84 |
$13.50 |
| 87186 |
|
232 |
182 |
$13.00 |
| 87040 |
|
379 |
179 |
$8.00 |
| 83036 |
|
45 |
43 |
$7.50 |
| U0002 |
Covid-19 lab test non-cdc |
15 |
13 |
$4.55 |
| J1885 |
Ketorolac tromethamine inj |
1,541 |
1,155 |
$3.45 |
| J0696 |
Ceftriaxone sodium injection |
634 |
367 |
$3.31 |
| 86140 |
|
176 |
155 |
$3.31 |
| 87086 |
|
699 |
564 |
$3.31 |
| J1100 |
Dexamethasone sodium phos |
385 |
311 |
$2.27 |
| J1644 |
Inj heparin sodium per 1000u |
418 |
122 |
$0.00 |
| 80307 |
|
31 |
24 |
$0.00 |
| 84702 |
|
537 |
386 |
$0.00 |
| J2270 |
Morphine sulfate injection |
417 |
279 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
130 |
76 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
144 |
69 |
$0.00 |
| 81025 |
|
52 |
52 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
287 |
118 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
81 |
76 |
$0.00 |
| 73610 |
|
14 |
14 |
$0.00 |
| 85007 |
|
65 |
43 |
$0.00 |
| 85379 |
|
61 |
51 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
212 |
170 |
$0.00 |
| 87077 |
|
232 |
185 |
$0.00 |
| J1815 |
Insulin injection |
345 |
121 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
95 |
84 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
313 |
212 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
66 |
40 |
$0.00 |
| 87389 |
|
68 |
34 |
$0.00 |
| 82550 |
|
92 |
59 |
$0.00 |
| 97166 |
|
16 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
45 |
34 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| 85652 |
|
31 |
26 |
$0.00 |
| J1170 |
Hydromorphone injection |
34 |
26 |
$0.00 |
| 88304 |
|
32 |
27 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
13 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$0.00 |