| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,165 |
12,959 |
$2.01M |
| 92507 |
|
18,031 |
2,534 |
$755K |
| 99282 |
|
10,300 |
8,038 |
$634K |
| 99284 |
|
4,396 |
3,377 |
$558K |
| 99285 |
|
1,444 |
1,106 |
$319K |
| 96374 |
|
3,481 |
2,731 |
$314K |
| 87426 |
|
9,391 |
7,488 |
$278K |
| 93005 |
|
7,940 |
5,836 |
$204K |
| 97530 |
|
5,809 |
924 |
$192K |
| 96372 |
|
5,448 |
3,806 |
$177K |
| 87635 |
|
5,242 |
4,044 |
$164K |
| 87502 |
|
2,417 |
1,914 |
$144K |
| 71046 |
|
3,914 |
3,233 |
$142K |
| 11042 |
|
1,293 |
518 |
$136K |
| 80053 |
|
18,791 |
14,674 |
$127K |
| 71045 |
|
3,929 |
3,067 |
$122K |
| 85025 |
|
23,037 |
17,440 |
$116K |
| 94640 |
|
2,209 |
756 |
$112K |
| 70450 |
|
2,256 |
1,842 |
$102K |
| 74177 |
|
542 |
444 |
$84K |
| 96365 |
|
952 |
684 |
$79K |
| 87804 |
|
6,597 |
2,777 |
$73K |
| 97110 |
|
2,905 |
387 |
$64K |
| G0378 |
Hospital observation per hr |
382 |
273 |
$63K |
| 84443 |
|
5,091 |
4,239 |
$58K |
| 74018 |
|
1,372 |
1,149 |
$54K |
| 84146 |
|
3,644 |
2,952 |
$53K |
| 80074 |
|
1,544 |
1,174 |
$48K |
| 74176 |
|
520 |
425 |
$46K |
| D2930 |
|
826 |
96 |
$44K |
| 96375 |
|
2,972 |
1,637 |
$43K |
| 36415 |
|
19,445 |
14,250 |
$39K |
| 87634 |
|
773 |
623 |
$38K |
| 87651 |
|
1,587 |
1,282 |
$38K |
| 96361 |
|
1,557 |
1,157 |
$37K |
| 83036 |
|
5,470 |
4,587 |
$37K |
| 87880 |
|
2,513 |
2,130 |
$29K |
| 73630 |
|
707 |
582 |
$28K |
| 80061 |
|
3,153 |
2,741 |
$26K |
| D7140 |
|
41 |
12 |
$25K |
| 73130 |
|
572 |
422 |
$24K |
| 73562 |
|
673 |
498 |
$23K |
| 73610 |
|
575 |
465 |
$23K |
| 81001 |
|
11,465 |
9,068 |
$22K |
| 83880 |
|
1,566 |
1,148 |
$22K |
| U0004 |
Cov-19 test non-cdc hgh thru |
292 |
219 |
$22K |
| 87389 |
|
1,218 |
924 |
$19K |
| 84484 |
|
3,652 |
2,196 |
$18K |
| 97112 |
|
828 |
136 |
$18K |
| 80307 |
|
553 |
423 |
$17K |
| 81025 |
|
2,915 |
2,340 |
$16K |
| 80048 |
|
3,134 |
2,392 |
$15K |
| 87088 |
|
3,010 |
2,439 |
$15K |
| 87086 |
|
3,005 |
2,436 |
$15K |
| 84478 |
|
3,349 |
2,722 |
$15K |
| 97533 |
|
337 |
120 |
$14K |
| 80164 |
|
1,241 |
897 |
$13K |
| 77067 |
|
161 |
150 |
$13K |
| 83690 |
|
2,796 |
2,229 |
$12K |
| 82465 |
|
3,345 |
2,721 |
$11K |
| D0272 |
|
51 |
26 |
$10K |
| 73560 |
|
356 |
249 |
$10K |
| 73030 |
|
367 |
263 |
$10K |
| D3220 |
|
117 |
25 |
$10K |
| 72100 |
|
226 |
185 |
$9K |
| M0243 |
Casirivi and imdevi inj |
55 |
43 |
$9K |
| 86592 |
|
2,301 |
1,850 |
$7K |
| 80305 |
|
807 |
660 |
$7K |
| 82550 |
|
2,237 |
1,398 |
$7K |
| 86703 |
|
553 |
431 |
$7K |
| 96360 |
|
66 |
53 |
$6K |
| 82306 |
|
406 |
348 |
$6K |
| 87807 |
|
505 |
449 |
$5K |
| 11043 |
|
27 |
13 |
$5K |
| 87186 |
|
816 |
643 |
$5K |
| 92523 |
|
38 |
30 |
$5K |
| 82248 |
|
1,131 |
968 |
$4K |
| 73110 |
|
107 |
79 |
$4K |
| 72125 |
|
115 |
93 |
$4K |
| 83605 |
|
997 |
699 |
$4K |
| 83735 |
|
1,251 |
987 |
$4K |
| 82607 |
|
366 |
315 |
$3K |
| 84703 |
|
476 |
369 |
$3K |
| 73502 |
|
91 |
68 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
271 |
93 |
$2K |
| 88305 |
|
62 |
39 |
$2K |
| 80178 |
|
264 |
186 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,533 |
2,715 |
$1K |
| 76705 |
|
19 |
16 |
$988.70 |
| 82150 |
|
250 |
207 |
$985.17 |
| 87077 |
|
297 |
223 |
$885.77 |
| 97597 |
|
22 |
12 |
$838.73 |
| 82728 |
|
96 |
73 |
$816.83 |
| 82948 |
|
439 |
182 |
$797.24 |
| 85610 |
|
317 |
233 |
$777.62 |
| J3490 |
Drugs unclassified injection |
836 |
604 |
$775.53 |
| J0696 |
Ceftriaxone sodium injection |
2,187 |
1,543 |
$732.54 |
| 80076 |
|
110 |
85 |
$597.01 |
| 87040 |
|
126 |
73 |
$480.03 |
| 82043 |
|
210 |
172 |
$449.47 |
| U0002 |
Covid-19 lab test non-cdc |
26 |
26 |
$415.80 |
| 82570 |
|
211 |
173 |
$403.88 |
| 93971 |
|
16 |
14 |
$375.92 |
| 84439 |
|
50 |
37 |
$338.64 |
| A9270 |
Non-covered item or service |
2,075 |
1,498 |
$264.78 |
| 85651 |
|
113 |
83 |
$245.81 |
| 82044 |
|
49 |
47 |
$213.48 |
| 87070 |
|
30 |
26 |
$207.66 |
| 85045 |
|
65 |
56 |
$204.62 |
| 84702 |
|
16 |
13 |
$148.15 |
| G0463 |
Hospital outpt clinic visit |
15 |
13 |
$123.30 |
| J2405 |
Ondansetron hcl injection |
3,259 |
2,312 |
$114.64 |
| 85660 |
|
32 |
24 |
$104.16 |
| 87205 |
|
30 |
26 |
$98.53 |
| 83540 |
|
13 |
12 |
$58.20 |
| 86140 |
|
14 |
12 |
$38.32 |
| J3010 |
Fentanyl citrate injection |
1,136 |
864 |
$33.68 |
| J1170 |
Hydromorphone injection |
189 |
91 |
$21.10 |
| J2930 |
Methylprednisolone injection |
101 |
81 |
$14.00 |
| J2270 |
Morphine sulfate injection |
131 |
75 |
$7.38 |
| J2550 |
Promethazine hcl injection |
34 |
24 |
$0.00 |
| J7030 |
Normal saline solution infus |
297 |
148 |
$0.00 |
| J7120 |
Ringers lactate infusion |
544 |
364 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
107 |
62 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,665 |
1,245 |
$0.00 |
| 77063 |
|
160 |
150 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
429 |
313 |
$0.00 |