| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,207 |
4,843 |
$1.81M |
| 99284 |
|
7,714 |
7,202 |
$1.56M |
| 99283 |
|
10,072 |
9,598 |
$1.37M |
| 96374 |
|
5,202 |
4,749 |
$570K |
| 74177 |
|
1,678 |
1,610 |
$289K |
| 71045 |
|
3,694 |
3,460 |
$148K |
| 96375 |
|
4,235 |
3,712 |
$143K |
| 96361 |
|
4,022 |
3,458 |
$142K |
| 70450 |
|
1,303 |
1,243 |
$127K |
| 99282 |
|
1,412 |
1,392 |
$110K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,193 |
2,097 |
$96K |
| 96365 |
|
1,135 |
891 |
$88K |
| 71046 |
|
1,910 |
1,842 |
$85K |
| 77067 |
|
1,143 |
1,139 |
$67K |
| 96360 |
|
636 |
600 |
$66K |
| 99291 |
|
169 |
160 |
$57K |
| 74176 |
|
508 |
488 |
$56K |
| 80061 |
|
2,839 |
2,767 |
$51K |
| G0378 |
Hospital observation per hr |
627 |
330 |
$40K |
| 87635 |
|
874 |
845 |
$24K |
| 93306 |
|
145 |
136 |
$22K |
| 97110 |
|
601 |
155 |
$20K |
| 99281 |
|
413 |
411 |
$19K |
| 84443 |
|
3,623 |
3,499 |
$18K |
| 80053 |
|
11,924 |
10,577 |
$16K |
| 85025 |
|
13,929 |
11,866 |
$14K |
| 82306 |
|
1,290 |
1,272 |
$13K |
| 80307 |
|
2,178 |
2,013 |
$9K |
| 36415 |
|
14,313 |
11,743 |
$8K |
| 73564 |
|
392 |
343 |
$8K |
| G0480 |
Drug test def 1-7 classes |
1,506 |
1,381 |
$7K |
| 83036 |
|
2,153 |
2,099 |
$6K |
| U0005 |
Infec agen detec ampli probe |
459 |
444 |
$6K |
| 99213 |
|
105 |
100 |
$5K |
| 93005 |
|
3,766 |
3,368 |
$5K |
| 96372 |
|
4,055 |
3,618 |
$4K |
| 77063 |
|
260 |
260 |
$4K |
| 73030 |
|
302 |
269 |
$4K |
| 0012A |
|
98 |
98 |
$4K |
| 96366 |
|
176 |
89 |
$4K |
| 80048 |
|
3,179 |
2,638 |
$3K |
| 73630 |
|
406 |
389 |
$3K |
| 73610 |
|
370 |
356 |
$3K |
| 43239 |
|
12 |
12 |
$3K |
| 72125 |
|
117 |
114 |
$3K |
| 72110 |
|
67 |
67 |
$3K |
| 0011A |
|
104 |
104 |
$3K |
| 90471 |
|
275 |
270 |
$2K |
| 85610 |
|
4,175 |
3,326 |
$2K |
| 71271 |
|
27 |
27 |
$2K |
| 87086 |
|
2,470 |
2,326 |
$2K |
| 83735 |
|
1,927 |
1,477 |
$2K |
| 72131 |
|
25 |
24 |
$1K |
| 87804 |
|
2,387 |
1,147 |
$1K |
| 82043 |
|
633 |
624 |
$1K |
| 73130 |
|
262 |
229 |
$1K |
| 86140 |
|
2,658 |
2,264 |
$1K |
| 76705 |
|
12 |
12 |
$1K |
| 76700 |
|
12 |
12 |
$967.45 |
| 76830 |
|
12 |
12 |
$967.08 |
| 72100 |
|
27 |
25 |
$783.78 |
| 87070 |
|
1,035 |
1,009 |
$719.61 |
| 85027 |
|
795 |
697 |
$602.13 |
| 84439 |
|
200 |
187 |
$575.60 |
| 81003 |
|
3,247 |
3,099 |
$519.48 |
| 83880 |
|
793 |
727 |
$495.76 |
| 87186 |
|
610 |
591 |
$479.32 |
| 83690 |
|
3,625 |
3,253 |
$472.82 |
| 82570 |
|
236 |
233 |
$458.92 |
| U0002 |
Covid-19 lab test non-cdc |
16 |
16 |
$433.44 |
| 81001 |
|
2,895 |
2,716 |
$362.39 |
| 82150 |
|
2,372 |
2,162 |
$332.70 |
| 74018 |
|
27 |
25 |
$311.94 |
| 73110 |
|
55 |
52 |
$255.54 |
| 85730 |
|
2,827 |
2,603 |
$244.31 |
| 87088 |
|
327 |
320 |
$233.33 |
| 99406 |
|
30 |
26 |
$228.24 |
| 82550 |
|
2,522 |
2,214 |
$224.52 |
| 82728 |
|
49 |
47 |
$200.48 |
| 84484 |
|
3,424 |
2,856 |
$181.17 |
| 94640 |
|
872 |
684 |
$169.48 |
| 85652 |
|
436 |
349 |
$169.32 |
| 83550 |
|
54 |
53 |
$140.25 |
| 83540 |
|
68 |
67 |
$134.09 |
| 93017 |
|
33 |
30 |
$127.31 |
| 85007 |
|
470 |
415 |
$120.27 |
| 90715 |
|
207 |
205 |
$114.81 |
| 87880 |
|
1,248 |
1,226 |
$95.85 |
| 87634 |
|
13 |
12 |
$92.48 |
| 85379 |
|
788 |
720 |
$73.01 |
| 87502 |
|
244 |
239 |
$72.23 |
| 84703 |
|
447 |
429 |
$68.74 |
| 81025 |
|
1,902 |
1,805 |
$66.44 |
| 82607 |
|
13 |
13 |
$61.67 |
| 87040 |
|
540 |
498 |
$45.05 |
| 83605 |
|
2,165 |
1,940 |
$43.50 |
| 87077 |
|
103 |
95 |
$31.72 |
| J7030 |
Normal saline solution infus |
6,174 |
5,352 |
$29.11 |
| 87205 |
|
49 |
46 |
$20.29 |
| 87420 |
|
74 |
74 |
$18.32 |
| 82962 |
|
213 |
107 |
$6.48 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,065 |
1,975 |
$6.22 |
| J2405 |
Ondansetron hcl injection |
3,190 |
2,833 |
$5.10 |
| J1170 |
Hydromorphone injection |
1,031 |
871 |
$5.06 |
| J1885 |
Ketorolac tromethamine inj |
4,066 |
3,753 |
$4.60 |
| 96376 |
|
885 |
598 |
$2.82 |
| 94760 |
|
341 |
228 |
$0.91 |
| 91301 |
|
161 |
161 |
$0.18 |
| J2270 |
Morphine sulfate injection |
130 |
119 |
$0.00 |
| J2930 |
Methylprednisolone injection |
831 |
688 |
$0.00 |
| J7120 |
Ringers lactate infusion |
183 |
171 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
42 |
25 |
$0.00 |
| 93356 |
|
12 |
12 |
$0.00 |
| 82805 |
|
46 |
38 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
28 |
25 |
$0.00 |
| 36600 |
|
29 |
24 |
$0.00 |
| 87150 |
|
35 |
33 |
$0.00 |
| A9270 |
Non-covered item or service |
3,432 |
2,967 |
$0.00 |
| 82553 |
|
906 |
796 |
$0.00 |
| J7060 |
5% dextrose/water |
137 |
102 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
444 |
431 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,298 |
1,180 |
$0.00 |
| 74022 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
391 |
321 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
192 |
181 |
$0.00 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
14 |
14 |
$0.00 |
| J2060 |
Lorazepam injection |
16 |
14 |
$0.00 |