| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
66,350 |
57,291 |
$6.91M |
| 99283 |
|
45,439 |
40,479 |
$5.07M |
| 99285 |
|
21,532 |
17,811 |
$2.20M |
| 80048 |
|
47,923 |
40,705 |
$847K |
| 96361 |
|
2,891 |
2,461 |
$691K |
| 80307 |
|
9,908 |
8,103 |
$498K |
| 80320 |
|
4,214 |
3,293 |
$390K |
| 95811 |
|
606 |
554 |
$364K |
| J3490 |
Drugs unclassified injection |
133,886 |
68,772 |
$335K |
| 80053 |
|
27,705 |
22,413 |
$259K |
| 95810 |
|
253 |
219 |
$147K |
| 70450 |
|
908 |
747 |
$139K |
| 95806 |
|
432 |
394 |
$115K |
| 74177 |
|
596 |
536 |
$110K |
| G0378 |
Hospital observation per hr |
739 |
461 |
$105K |
| 84484 |
|
7,443 |
4,284 |
$95K |
| 43239 |
|
171 |
167 |
$92K |
| 90791 |
|
261 |
206 |
$81K |
| 0241U |
|
993 |
881 |
$68K |
| 80076 |
|
4,458 |
3,872 |
$50K |
| G0480 |
Drug test def 1-7 classes |
6,079 |
5,322 |
$47K |
| 85025 |
|
87,386 |
72,811 |
$41K |
| 96374 |
|
35,520 |
30,695 |
$30K |
| U0003 |
Cov-19 amp prb hgh thruput |
477 |
413 |
$28K |
| 99214 |
|
787 |
369 |
$24K |
| 93005 |
|
28,214 |
23,722 |
$21K |
| 83605 |
|
658 |
483 |
$21K |
| 87502 |
|
509 |
452 |
$20K |
| 96365 |
|
138 |
126 |
$18K |
| 80329 |
|
343 |
276 |
$17K |
| 87635 |
|
248 |
238 |
$15K |
| 94640 |
|
47 |
40 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,370 |
2,875 |
$10K |
| 96413 |
|
190 |
64 |
$9K |
| 84443 |
|
873 |
820 |
$7K |
| 99291 |
|
85 |
67 |
$6K |
| 99281 |
|
53 |
49 |
$6K |
| 96375 |
|
16,123 |
13,769 |
$6K |
| 87631 |
|
95 |
86 |
$6K |
| 82728 |
|
671 |
509 |
$5K |
| 0202U |
|
66 |
56 |
$5K |
| 71045 |
|
5,532 |
4,629 |
$5K |
| 83036 |
|
448 |
430 |
$4K |
| 80061 |
|
567 |
549 |
$4K |
| G0472 |
Hep c screen high risk/other |
157 |
152 |
$4K |
| 36415 |
|
2,311 |
1,666 |
$4K |
| 82043 |
|
97 |
95 |
$3K |
| 71046 |
|
2,640 |
2,361 |
$2K |
| 81001 |
|
7,216 |
6,253 |
$2K |
| 82570 |
|
97 |
95 |
$1K |
| 87633 |
|
16 |
14 |
$1K |
| 87798 |
|
31 |
14 |
$986.26 |
| 87486 |
|
16 |
14 |
$908.49 |
| 87651 |
|
14 |
12 |
$891.48 |
| 83690 |
|
5,801 |
5,026 |
$822.91 |
| 84703 |
|
4,893 |
4,329 |
$801.90 |
| J7050 |
Normal saline solution infus |
16,457 |
11,917 |
$783.83 |
| J7120 |
Ringers lactate infusion |
8,909 |
7,403 |
$667.82 |
| U0005 |
Infec agen detec ampli probe |
391 |
331 |
$666.03 |
| 87581 |
|
16 |
14 |
$631.53 |
| 72125 |
|
30 |
26 |
$624.72 |
| G0432 |
Eia hiv-1/hiv-2 screen |
100 |
98 |
$546.35 |
| J2405 |
Ondansetron hcl injection |
4,697 |
3,853 |
$344.27 |
| 99211 |
|
231 |
138 |
$273.70 |
| J7030 |
Normal saline solution infus |
7,554 |
5,755 |
$232.13 |
| 82306 |
|
13 |
13 |
$129.87 |
| 83735 |
|
179 |
154 |
$92.32 |
| J1885 |
Ketorolac tromethamine inj |
3,140 |
2,732 |
$62.41 |
| 83550 |
|
44 |
42 |
$50.80 |
| 83540 |
|
44 |
42 |
$40.85 |
| 82607 |
|
28 |
28 |
$22.12 |
| 82525 |
|
30 |
30 |
$19.28 |
| 81003 |
|
73 |
68 |
$16.26 |
| 84630 |
|
30 |
30 |
$9.64 |
| 84425 |
|
30 |
30 |
$5.34 |
| J1200 |
Diphenhydramine hcl injectio |
463 |
374 |
$3.43 |
| 84590 |
|
29 |
29 |
$2.67 |
| 84100 |
|
29 |
29 |
$2.16 |
| J2060 |
Lorazepam injection |
610 |
447 |
$1.98 |
| J2704 |
Inj, propofol, 10 mg |
580 |
443 |
$0.94 |
| J1630 |
Haloperidol injection |
75 |
65 |
$0.03 |
| 96376 |
|
176 |
129 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
856 |
323 |
$0.00 |
| 88305 |
|
274 |
144 |
$0.00 |
| J1170 |
Hydromorphone injection |
303 |
186 |
$0.00 |
| 85027 |
|
325 |
297 |
$0.00 |
| Q0162 |
Ondansetron oral |
114 |
95 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
36 |
26 |
$0.00 |
| 87081 |
|
70 |
62 |
$0.00 |
| 94762 |
|
48 |
32 |
$0.00 |
| 87086 |
|
13 |
13 |
$0.00 |
| 96372 |
|
12 |
12 |
$0.00 |
| 84145 |
|
35 |
27 |
$0.00 |
| 82248 |
|
329 |
259 |
$0.00 |
| G1004 |
Cdsm ndsc |
367 |
262 |
$0.00 |
| 87339 |
|
42 |
41 |
$0.00 |
| S9443 |
Lactation class |
18 |
12 |
$0.00 |
| S9480 |
Intensive outpatient psychia |
416 |
45 |
$0.00 |
| 87880 |
|
84 |
74 |
$0.00 |
| J0780 |
Prochlorperazine injection |
18 |
14 |
$0.00 |
| 83970 |
|
29 |
28 |
$0.00 |
| 85610 |
|
20 |
12 |
$0.00 |
| 82947 |
|
38 |
12 |
$0.00 |
| 81025 |
|
17 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
15 |
12 |
$0.00 |