| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
22,094 |
20,903 |
$8.88M |
| 99283 |
|
34,176 |
33,114 |
$3.78M |
| 99285 |
|
3,011 |
2,811 |
$2.02M |
| 87633 |
|
1,499 |
1,475 |
$1.14M |
| 93005 |
|
4,733 |
4,174 |
$1.04M |
| 99282 |
|
7,976 |
7,730 |
$819K |
| 87804 |
|
10,709 |
5,295 |
$328K |
| 74177 |
|
1,002 |
964 |
$294K |
| 85025 |
|
20,443 |
18,766 |
$206K |
| 71046 |
|
3,751 |
3,652 |
$194K |
| C9803 |
Hopd covid-19 spec collect |
7,164 |
6,841 |
$194K |
| 80053 |
|
14,193 |
13,135 |
$186K |
| 87880 |
|
6,192 |
6,064 |
$184K |
| 99211 |
|
5,001 |
4,159 |
$149K |
| 96374 |
|
3,417 |
3,110 |
$127K |
| 70450 |
|
1,399 |
1,326 |
$115K |
| 71045 |
|
2,955 |
2,761 |
$84K |
| 87086 |
|
7,942 |
7,486 |
$83K |
| 87635 |
|
1,182 |
1,153 |
$78K |
| J7030 |
Normal saline solution infus |
3,177 |
2,574 |
$74K |
| 87081 |
|
5,508 |
5,393 |
$66K |
| 76937 |
|
484 |
425 |
$57K |
| 43239 |
|
103 |
103 |
$57K |
| 81025 |
|
4,412 |
4,209 |
$52K |
| 72125 |
|
530 |
508 |
$38K |
| 99213 |
|
806 |
585 |
$38K |
| 81003 |
|
12,099 |
11,448 |
$37K |
| G0378 |
Hospital observation per hr |
34 |
25 |
$37K |
| 80307 |
|
696 |
639 |
$36K |
| 96361 |
|
344 |
309 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
921 |
812 |
$35K |
| 84484 |
|
3,581 |
2,317 |
$33K |
| 87651 |
|
748 |
736 |
$29K |
| 83880 |
|
1,190 |
1,096 |
$25K |
| 80050 |
|
53 |
52 |
$25K |
| 0202U |
|
1,053 |
1,043 |
$22K |
| J7120 |
Ringers lactate infusion |
1,674 |
1,215 |
$20K |
| 94640 |
|
150 |
144 |
$19K |
| 36410 |
|
198 |
171 |
$16K |
| 87420 |
|
531 |
521 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
1,232 |
1,133 |
$15K |
| 77067 |
|
146 |
145 |
$14K |
| 96372 |
|
1,539 |
1,232 |
$14K |
| 86850 |
|
373 |
347 |
$13K |
| 83690 |
|
1,869 |
1,743 |
$12K |
| 96375 |
|
1,561 |
1,340 |
$12K |
| 87491 |
|
175 |
167 |
$10K |
| J2405 |
Ondansetron hcl injection |
2,509 |
2,008 |
$10K |
| 80048 |
|
1,914 |
1,699 |
$10K |
| 87591 |
|
175 |
167 |
$9K |
| 76817 |
|
93 |
84 |
$8K |
| 82077 |
|
436 |
392 |
$8K |
| J2270 |
Morphine sulfate injection |
1,147 |
873 |
$8K |
| 80061 |
|
600 |
588 |
$7K |
| 84702 |
|
528 |
444 |
$7K |
| 74176 |
|
69 |
67 |
$7K |
| 81001 |
|
1,795 |
1,705 |
$6K |
| 87077 |
|
1,488 |
1,175 |
$6K |
| 73562 |
|
187 |
181 |
$6K |
| J1100 |
Dexamethasone sodium phos |
1,082 |
1,012 |
$6K |
| 84443 |
|
760 |
729 |
$5K |
| 87186 |
|
1,252 |
1,015 |
$5K |
| J0702 |
Betamethasone acet&sod phosp |
212 |
142 |
$5K |
| 83036 |
|
509 |
502 |
$5K |
| 88305 |
|
142 |
138 |
$5K |
| G0463 |
Hospital outpt clinic visit |
3,088 |
2,709 |
$5K |
| 80143 |
|
152 |
134 |
$4K |
| J1170 |
Hydromorphone injection |
457 |
226 |
$4K |
| 77063 |
|
146 |
145 |
$4K |
| 87426 |
|
233 |
225 |
$4K |
| 96365 |
|
77 |
67 |
$4K |
| 83655 |
|
163 |
160 |
$4K |
| 73030 |
|
272 |
257 |
$4K |
| 81002 |
|
669 |
461 |
$4K |
| 76815 |
|
16 |
16 |
$4K |
| 80179 |
|
137 |
123 |
$3K |
| 80074 |
|
37 |
36 |
$3K |
| 84439 |
|
423 |
395 |
$3K |
| 85027 |
|
698 |
652 |
$3K |
| 85651 |
|
364 |
358 |
$3K |
| J7050 |
Normal saline solution infus |
169 |
138 |
$3K |
| 36415 |
|
29,374 |
25,264 |
$3K |
| 85730 |
|
1,046 |
971 |
$3K |
| 84703 |
|
393 |
367 |
$3K |
| 20610 |
|
514 |
406 |
$3K |
| 86703 |
|
116 |
113 |
$3K |
| 85610 |
|
1,292 |
1,158 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
42 |
41 |
$2K |
| 0241U |
|
1,308 |
1,274 |
$2K |
| 86901 |
|
871 |
810 |
$2K |
| 74018 |
|
45 |
40 |
$2K |
| 86900 |
|
872 |
810 |
$2K |
| 82550 |
|
461 |
398 |
$2K |
| 73630 |
|
53 |
52 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
224 |
171 |
$2K |
| 83735 |
|
464 |
403 |
$2K |
| 80047 |
|
166 |
124 |
$2K |
| J3010 |
Fentanyl citrate injection |
666 |
587 |
$2K |
| 89220 |
|
29 |
28 |
$1K |
| 87040 |
|
181 |
102 |
$1K |
| 73610 |
|
58 |
53 |
$1K |
| 88312 |
|
131 |
103 |
$1K |
| 84480 |
|
91 |
81 |
$1K |
| 73502 |
|
28 |
28 |
$1K |
| 86328 |
|
39 |
38 |
$970.31 |
| 74019 |
|
17 |
16 |
$899.89 |
| J2250 |
Inj midazolam hydrochloride |
569 |
521 |
$891.46 |
| 83605 |
|
105 |
94 |
$854.07 |
| 80055 |
|
12 |
12 |
$776.57 |
| 85014 |
|
154 |
151 |
$706.17 |
| 85018 |
|
154 |
151 |
$706.17 |
| 88313 |
|
103 |
103 |
$605.35 |
| 88720 |
|
57 |
56 |
$540.27 |
| 73560 |
|
41 |
37 |
$537.17 |
| U0005 |
Infec agen detec ampli probe |
30 |
29 |
$488.75 |
| 86592 |
|
98 |
89 |
$395.34 |
| J2765 |
Metoclopramide hcl injection |
52 |
48 |
$327.27 |
| 83525 |
|
13 |
13 |
$284.77 |
| J7040 |
Normal saline solution infus |
117 |
111 |
$221.71 |
| 99212 |
|
16 |
16 |
$213.68 |
| 82951 |
|
13 |
12 |
$175.60 |
| 83970 |
|
13 |
13 |
$166.78 |
| 87210 |
|
13 |
12 |
$122.53 |
| 96376 |
|
67 |
45 |
$102.72 |
| J0690 |
Cefazolin sodium injection |
36 |
28 |
$76.85 |
| 84436 |
|
12 |
12 |
$65.88 |
| 84479 |
|
12 |
12 |
$61.98 |
| 84550 |
|
13 |
13 |
$60.90 |
| 80076 |
|
16 |
16 |
$16.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
909 |
768 |
$0.00 |
| G1004 |
Cdsm ndsc |
216 |
207 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
172 |
150 |
$0.00 |
| A9270 |
Non-covered item or service |
1,551 |
1,316 |
$0.00 |
| 82962 |
|
1,355 |
746 |
$0.00 |