| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
16,050 |
15,152 |
$3.44M |
| 99283 |
|
11,933 |
11,480 |
$2.59M |
| G0378 |
Hospital observation per hr |
794 |
719 |
$735K |
| 99285 |
|
1,164 |
1,079 |
$197K |
| 99282 |
|
475 |
468 |
$107K |
| 96365 |
|
604 |
410 |
$63K |
| 74177 |
|
425 |
402 |
$36K |
| 85025 |
|
7,982 |
6,485 |
$33K |
| 80053 |
|
3,938 |
3,313 |
$33K |
| T1015 |
Clinic service |
572 |
266 |
$26K |
| 43239 |
|
78 |
77 |
$25K |
| 99281 |
|
94 |
93 |
$23K |
| 96374 |
|
1,885 |
1,721 |
$22K |
| 80307 |
|
716 |
644 |
$18K |
| 87631 |
|
300 |
291 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
299 |
281 |
$13K |
| 93005 |
|
2,299 |
1,972 |
$13K |
| 96375 |
|
961 |
741 |
$12K |
| 70450 |
|
472 |
444 |
$11K |
| 77067 |
|
95 |
95 |
$10K |
| 87635 |
|
753 |
729 |
$9K |
| 80048 |
|
1,545 |
1,269 |
$8K |
| G0480 |
Drug test def 1-7 classes |
291 |
262 |
$7K |
| 96376 |
|
276 |
162 |
$7K |
| 74176 |
|
120 |
109 |
$5K |
| 71046 |
|
531 |
509 |
$5K |
| 0241U |
|
181 |
169 |
$5K |
| 96361 |
|
999 |
848 |
$5K |
| 84484 |
|
1,221 |
1,024 |
$4K |
| 96372 |
|
568 |
426 |
$4K |
| 83735 |
|
1,239 |
887 |
$3K |
| 96360 |
|
298 |
280 |
$3K |
| 76830 |
|
74 |
73 |
$3K |
| 71045 |
|
941 |
864 |
$3K |
| 71275 |
|
28 |
27 |
$3K |
| 77063 |
|
95 |
95 |
$3K |
| 73564 |
|
136 |
133 |
$2K |
| 93971 |
|
49 |
41 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,607 |
2,484 |
$2K |
| 93975 |
|
30 |
30 |
$2K |
| 94640 |
|
149 |
86 |
$2K |
| J7030 |
Normal saline solution infus |
4,675 |
3,969 |
$2K |
| 84443 |
|
252 |
233 |
$2K |
| 85610 |
|
747 |
605 |
$1K |
| 76856 |
|
38 |
38 |
$1K |
| 81001 |
|
921 |
842 |
$1K |
| 80050 |
|
26 |
24 |
$1K |
| 83605 |
|
406 |
364 |
$1K |
| 81025 |
|
730 |
676 |
$1K |
| 93306 |
|
13 |
13 |
$1K |
| 83880 |
|
96 |
86 |
$1K |
| 87086 |
|
338 |
317 |
$968.48 |
| 83690 |
|
545 |
480 |
$954.29 |
| 71250 |
|
14 |
13 |
$937.21 |
| 85730 |
|
339 |
324 |
$936.20 |
| 80061 |
|
109 |
104 |
$871.14 |
| 85379 |
|
239 |
224 |
$841.22 |
| 99212 |
|
20 |
14 |
$801.90 |
| 0002A |
|
23 |
23 |
$771.00 |
| 96366 |
|
78 |
57 |
$730.53 |
| 81003 |
|
644 |
577 |
$721.85 |
| 76705 |
|
26 |
24 |
$721.66 |
| J1885 |
Ketorolac tromethamine inj |
2,543 |
2,278 |
$703.10 |
| J2270 |
Morphine sulfate injection |
1,100 |
863 |
$666.78 |
| 84703 |
|
115 |
109 |
$613.00 |
| 99213 |
|
19 |
12 |
$564.70 |
| 36415 |
|
306 |
223 |
$561.81 |
| 87077 |
|
193 |
182 |
$560.48 |
| 87040 |
|
82 |
74 |
$547.68 |
| 85027 |
|
76 |
75 |
$533.81 |
| 73030 |
|
54 |
53 |
$519.20 |
| 73610 |
|
46 |
44 |
$498.86 |
| 87641 |
|
14 |
14 |
$418.84 |
| 87591 |
|
44 |
40 |
$417.44 |
| 87491 |
|
44 |
40 |
$417.44 |
| J7050 |
Normal saline solution infus |
3,016 |
1,584 |
$416.08 |
| J2704 |
Inj, propofol, 10 mg |
1,097 |
1,054 |
$413.52 |
| J2405 |
Ondansetron hcl injection |
2,156 |
1,801 |
$407.76 |
| 0001A |
|
23 |
23 |
$400.66 |
| 82550 |
|
206 |
174 |
$389.44 |
| 87804 |
|
59 |
56 |
$387.74 |
| J1170 |
Hydromorphone injection |
190 |
123 |
$374.75 |
| 83036 |
|
107 |
103 |
$372.50 |
| 76700 |
|
13 |
12 |
$361.69 |
| 86140 |
|
89 |
84 |
$361.02 |
| 82962 |
|
515 |
344 |
$352.80 |
| 73630 |
|
44 |
44 |
$337.53 |
| J3490 |
Drugs unclassified injection |
887 |
657 |
$325.51 |
| 87186 |
|
106 |
101 |
$309.68 |
| J1100 |
Dexamethasone sodium phos |
956 |
644 |
$215.73 |
| J7040 |
Normal saline solution infus |
1,009 |
846 |
$193.79 |
| 82306 |
|
16 |
13 |
$155.45 |
| 90714 |
|
13 |
12 |
$140.56 |
| J2001 |
Lidocaine injection |
578 |
521 |
$140.38 |
| 84100 |
|
127 |
103 |
$139.58 |
| J2060 |
Lorazepam injection |
473 |
402 |
$130.86 |
| J1200 |
Diphenhydramine hcl injectio |
928 |
713 |
$126.30 |
| 86900 |
|
57 |
52 |
$122.50 |
| 72125 |
|
13 |
13 |
$116.34 |
| J3010 |
Fentanyl citrate injection |
409 |
374 |
$108.96 |
| 82607 |
|
30 |
25 |
$105.52 |
| 82248 |
|
79 |
75 |
$102.07 |
| 85651 |
|
53 |
49 |
$87.12 |
| J0690 |
Cefazolin sodium injection |
18 |
14 |
$82.86 |
| 99406 |
|
15 |
13 |
$81.20 |
| 87420 |
|
14 |
14 |
$77.14 |
| 86901 |
|
30 |
26 |
$59.55 |
| J0696 |
Ceftriaxone sodium injection |
179 |
151 |
$58.49 |
| J2765 |
Metoclopramide hcl injection |
420 |
392 |
$34.57 |
| J2250 |
Inj midazolam hydrochloride |
353 |
336 |
$34.23 |
| J1815 |
Insulin injection |
51 |
26 |
$31.89 |
| J1644 |
Inj heparin sodium per 1000u |
104 |
42 |
$25.23 |
| J7512 |
Prednisone ir or dr oral 1mg |
370 |
215 |
$4.60 |
| A6250 |
Skin seal protect moisturizr |
12 |
12 |
$0.80 |
| 00000 |
|
1,039 |
323 |
$0.00 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
368 |
140 |
$0.00 |
| J7120 |
Ringers lactate infusion |
155 |
146 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
55 |
42 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
150 |
140 |
$0.00 |
| J2930 |
Methylprednisolone injection |
43 |
38 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
14 |
13 |
$0.00 |