| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
41,608 |
35,926 |
$3.17M |
| 99284 |
|
31,883 |
25,675 |
$2.81M |
| 96374 |
|
12,787 |
10,794 |
$836K |
| 96361 |
|
7,640 |
6,263 |
$801K |
| 99285 |
|
5,302 |
4,157 |
$568K |
| 93005 |
|
13,006 |
10,018 |
$447K |
| 99282 |
|
6,904 |
6,236 |
$426K |
| 99281 |
|
5,161 |
4,651 |
$309K |
| 96372 |
|
9,639 |
8,238 |
$260K |
| 85025 |
|
40,058 |
29,988 |
$232K |
| 96375 |
|
7,354 |
6,012 |
$224K |
| 80307 |
|
2,781 |
2,279 |
$219K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,147 |
2,972 |
$158K |
| 70450 |
|
3,101 |
2,438 |
$147K |
| 80053 |
|
23,730 |
18,197 |
$117K |
| 0240U |
|
1,489 |
1,274 |
$113K |
| 92507 |
|
2,581 |
903 |
$113K |
| 84484 |
|
7,723 |
5,418 |
$110K |
| 74176 |
|
2,129 |
1,679 |
$109K |
| 59025 |
|
1,289 |
992 |
$104K |
| 87804 |
|
6,374 |
5,248 |
$102K |
| 71045 |
|
8,285 |
6,458 |
$89K |
| C9803 |
Hopd covid-19 spec collect |
6,808 |
5,285 |
$60K |
| G0378 |
Hospital observation per hr |
410 |
312 |
$50K |
| U0005 |
Infec agen detec ampli probe |
3,177 |
2,722 |
$50K |
| 71046 |
|
2,717 |
2,310 |
$49K |
| J2405 |
Ondansetron hcl injection |
3,507 |
2,977 |
$46K |
| 74177 |
|
445 |
351 |
$45K |
| 87430 |
|
3,536 |
3,283 |
$40K |
| 0241U |
|
346 |
326 |
$39K |
| 95810 |
|
170 |
141 |
$35K |
| 80048 |
|
9,221 |
7,189 |
$35K |
| 96365 |
|
353 |
310 |
$35K |
| 81001 |
|
23,874 |
19,322 |
$33K |
| 83690 |
|
5,197 |
4,137 |
$33K |
| 95811 |
|
147 |
116 |
$22K |
| 81025 |
|
3,792 |
3,284 |
$18K |
| 87081 |
|
2,372 |
2,207 |
$17K |
| 87426 |
|
728 |
627 |
$16K |
| 87086 |
|
2,170 |
1,696 |
$15K |
| 96413 |
|
215 |
76 |
$12K |
| 96360 |
|
172 |
135 |
$9K |
| 97597 |
|
237 |
97 |
$9K |
| 97110 |
|
277 |
67 |
$8K |
| 36415 |
|
3,490 |
2,454 |
$8K |
| 94640 |
|
486 |
391 |
$6K |
| 85018 |
|
815 |
798 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,362 |
1,143 |
$5K |
| 36416 |
|
722 |
683 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
123 |
104 |
$4K |
| 83880 |
|
407 |
307 |
$4K |
| 83655 |
|
102 |
101 |
$4K |
| 83605 |
|
540 |
375 |
$3K |
| 82150 |
|
592 |
455 |
$3K |
| 96367 |
|
27 |
12 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
3,053 |
2,618 |
$3K |
| 87040 |
|
280 |
165 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,262 |
1,140 |
$2K |
| 85730 |
|
652 |
502 |
$2K |
| 87186 |
|
224 |
193 |
$2K |
| J7030 |
Normal saline solution infus |
7,590 |
6,271 |
$2K |
| 87807 |
|
111 |
106 |
$1K |
| 85610 |
|
711 |
553 |
$1K |
| 82728 |
|
248 |
208 |
$1K |
| 97530 |
|
26 |
12 |
$1K |
| 83550 |
|
273 |
230 |
$964.29 |
| 87077 |
|
224 |
193 |
$916.82 |
| J1885 |
Ketorolac tromethamine inj |
4,666 |
4,020 |
$862.47 |
| 82077 |
|
27 |
24 |
$717.55 |
| 83540 |
|
273 |
230 |
$685.48 |
| 87635 |
|
15 |
14 |
$660.66 |
| 82550 |
|
206 |
153 |
$643.35 |
| 83735 |
|
131 |
87 |
$603.17 |
| 99232 |
|
77 |
15 |
$584.32 |
| G0463 |
Hospital outpt clinic visit |
88 |
38 |
$570.54 |
| 84702 |
|
31 |
26 |
$555.84 |
| 85379 |
|
35 |
25 |
$380.95 |
| 83615 |
|
314 |
259 |
$375.95 |
| J1030 |
Methylprednisolone 40 mg inj |
347 |
315 |
$327.00 |
| 84443 |
|
28 |
24 |
$325.88 |
| 86140 |
|
87 |
82 |
$316.81 |
| 99239 |
|
27 |
17 |
$296.42 |
| J1650 |
Inj enoxaparin sodium |
26 |
15 |
$294.98 |
| J2930 |
Methylprednisolone injection |
234 |
214 |
$255.12 |
| 85652 |
|
100 |
94 |
$175.94 |
| 82962 |
|
83 |
28 |
$161.22 |
| 80061 |
|
45 |
38 |
$144.22 |
| 87210 |
|
39 |
30 |
$135.34 |
| 73630 |
|
14 |
13 |
$130.71 |
| C9113 |
Inj pantoprazole sodium, via |
13 |
12 |
$121.76 |
| J2270 |
Morphine sulfate injection |
153 |
126 |
$104.59 |
| 82553 |
|
67 |
50 |
$100.26 |
| 82607 |
|
62 |
57 |
$98.50 |
| 82805 |
|
14 |
12 |
$91.01 |
| J2175 |
Meperidine hydrochl /100 mg |
70 |
62 |
$73.78 |
| J2550 |
Promethazine hcl injection |
97 |
87 |
$73.11 |
| 82746 |
|
47 |
44 |
$50.85 |
| 85027 |
|
16 |
14 |
$14.84 |
| J7120 |
Ringers lactate infusion |
225 |
159 |
$12.09 |
| 84439 |
|
16 |
12 |
$10.38 |
| J2250 |
Inj midazolam hydrochloride |
88 |
60 |
$8.96 |
| J2001 |
Lidocaine injection |
184 |
151 |
$7.56 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$5.60 |
| A9270 |
Non-covered item or service |
197 |
185 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
172 |
119 |
$0.00 |
| 87070 |
|
47 |
38 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
25 |
14 |
$0.00 |
| 85014 |
|
37 |
25 |
$0.00 |