| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
52,815 |
51,463 |
$9.18M |
| 99284 |
|
19,972 |
18,675 |
$6.38M |
| 99282 |
|
9,594 |
9,456 |
$1.65M |
| 96374 |
|
5,699 |
5,009 |
$498K |
| 80053 |
|
15,660 |
12,678 |
$456K |
| 87400 |
|
16,315 |
15,895 |
$275K |
| 87635 |
|
16,148 |
15,784 |
$265K |
| 99281 |
|
1,638 |
1,576 |
$229K |
| 71046 |
|
6,902 |
6,679 |
$188K |
| 99285 |
|
2,384 |
2,097 |
$166K |
| 87880 |
|
10,511 |
10,364 |
$155K |
| C9803 |
Hopd covid-19 spec collect |
4,509 |
4,411 |
$150K |
| 85027 |
|
24,759 |
20,229 |
$142K |
| 80048 |
|
4,318 |
3,406 |
$135K |
| 87070 |
|
8,528 |
8,309 |
$133K |
| 86171 |
|
5,227 |
5,150 |
$117K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,856 |
4,712 |
$99K |
| 93005 |
|
5,821 |
4,884 |
$83K |
| 87086 |
|
6,094 |
5,845 |
$79K |
| 93306 |
|
281 |
251 |
$73K |
| 74177 |
|
1,186 |
1,083 |
$70K |
| 86833 |
|
619 |
521 |
$67K |
| G0378 |
Hospital observation per hr |
185 |
170 |
$65K |
| 70450 |
|
1,476 |
1,368 |
$60K |
| 74018 |
|
1,979 |
1,927 |
$57K |
| 96361 |
|
306 |
249 |
$49K |
| 71045 |
|
4,985 |
4,349 |
$48K |
| 77067 |
|
450 |
436 |
$32K |
| 81003 |
|
6,824 |
6,351 |
$29K |
| 96375 |
|
1,937 |
1,584 |
$28K |
| 76705 |
|
604 |
577 |
$28K |
| 94640 |
|
800 |
619 |
$25K |
| 77063 |
|
450 |
436 |
$24K |
| 84703 |
|
3,812 |
3,480 |
$23K |
| 81001 |
|
7,719 |
6,722 |
$22K |
| 86850 |
|
1,015 |
846 |
$19K |
| 76856 |
|
366 |
333 |
$18K |
| 87040 |
|
1,466 |
1,286 |
$17K |
| 86140 |
|
1,725 |
1,664 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,385 |
743 |
$15K |
| 80307 |
|
748 |
686 |
$15K |
| 11042 |
|
491 |
196 |
$14K |
| J1100 |
Dexamethasone sodium phos |
1,782 |
1,699 |
$14K |
| 84702 |
|
1,085 |
925 |
$13K |
| 84484 |
|
3,367 |
2,521 |
$13K |
| 81025 |
|
1,371 |
1,280 |
$12K |
| 76801 |
|
141 |
133 |
$12K |
| 80047 |
|
415 |
364 |
$12K |
| 99212 |
|
187 |
153 |
$11K |
| 76830 |
|
191 |
173 |
$10K |
| G0463 |
Hospital outpt clinic visit |
2,514 |
1,677 |
$10K |
| 74176 |
|
169 |
151 |
$10K |
| 86832 |
|
161 |
136 |
$9K |
| 71275 |
|
237 |
216 |
$9K |
| 87799 |
|
1,057 |
785 |
$8K |
| 96365 |
|
133 |
106 |
$7K |
| 80197 |
|
2,577 |
1,384 |
$7K |
| 76817 |
|
104 |
98 |
$7K |
| 83735 |
|
4,083 |
2,593 |
$7K |
| 83880 |
|
1,426 |
1,175 |
$6K |
| 83690 |
|
2,848 |
2,503 |
$6K |
| 87077 |
|
412 |
357 |
$5K |
| 36415 |
|
4,256 |
2,629 |
$5K |
| 70551 |
|
12 |
12 |
$5K |
| 86900 |
|
2,213 |
1,843 |
$5K |
| 99211 |
|
136 |
94 |
$5K |
| 85610 |
|
2,412 |
2,066 |
$4K |
| 86901 |
|
2,212 |
1,842 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
805 |
681 |
$4K |
| 85730 |
|
2,076 |
1,789 |
$4K |
| 80061 |
|
816 |
672 |
$4K |
| 76700 |
|
64 |
52 |
$3K |
| 83605 |
|
813 |
692 |
$3K |
| 84100 |
|
3,165 |
1,973 |
$3K |
| 72125 |
|
109 |
99 |
$3K |
| 74019 |
|
110 |
109 |
$3K |
| 11043 |
|
26 |
13 |
$3K |
| J3010 |
Fentanyl citrate injection |
795 |
642 |
$2K |
| 82570 |
|
2,294 |
1,322 |
$2K |
| 88305 |
|
120 |
111 |
$2K |
| 73560 |
|
42 |
40 |
$2K |
| J7030 |
Normal saline solution infus |
4,415 |
3,639 |
$2K |
| 80320 |
|
444 |
417 |
$2K |
| 87186 |
|
436 |
377 |
$2K |
| 87275 |
|
56 |
56 |
$2K |
| J2270 |
Morphine sulfate injection |
2,005 |
1,412 |
$2K |
| 59025 |
|
126 |
94 |
$2K |
| 83036 |
|
739 |
628 |
$2K |
| 87797 |
|
80 |
80 |
$2K |
| 84156 |
|
2,170 |
1,306 |
$2K |
| 87497 |
|
129 |
102 |
$1K |
| J3490 |
Drugs unclassified injection |
570 |
438 |
$1K |
| 80143 |
|
400 |
368 |
$1K |
| 87205 |
|
285 |
227 |
$1K |
| 82306 |
|
224 |
179 |
$1K |
| G0279 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 96376 |
|
106 |
81 |
$960.00 |
| 87491 |
|
40 |
38 |
$892.36 |
| 80179 |
|
442 |
408 |
$864.66 |
| J1170 |
Hydromorphone injection |
364 |
189 |
$857.69 |
| 88342 |
|
26 |
24 |
$823.05 |
| 83970 |
|
155 |
118 |
$779.77 |
| 94644 |
|
25 |
24 |
$741.47 |
| J1200 |
Diphenhydramine hcl injectio |
469 |
365 |
$481.50 |
| 73610 |
|
13 |
13 |
$472.99 |
| 73130 |
|
14 |
14 |
$468.44 |
| 73090 |
|
28 |
25 |
$468.08 |
| J1644 |
Inj heparin sodium per 1000u |
231 |
147 |
$467.94 |
| 72131 |
|
12 |
12 |
$447.63 |
| 87389 |
|
50 |
41 |
$444.80 |
| 96372 |
|
1,153 |
891 |
$440.97 |
| 87426 |
|
54 |
54 |
$416.10 |
| 87591 |
|
40 |
38 |
$413.91 |
| J1885 |
Ketorolac tromethamine inj |
862 |
435 |
$328.60 |
| 77080 |
|
28 |
26 |
$326.40 |
| 84443 |
|
70 |
64 |
$305.10 |
| J2405 |
Ondansetron hcl injection |
2,820 |
2,215 |
$294.85 |
| J2250 |
Inj midazolam hydrochloride |
556 |
426 |
$275.81 |
| J7999 |
Compounded drug, noc |
13 |
13 |
$143.58 |
| 80076 |
|
202 |
172 |
$139.85 |
| 87276 |
|
56 |
56 |
$135.00 |
| 86645 |
|
69 |
53 |
$98.55 |
| 86644 |
|
69 |
53 |
$84.18 |
| J7644 |
Ipratropium bromide non-comp |
95 |
86 |
$82.78 |
| 82565 |
|
12 |
12 |
$53.64 |
| J0690 |
Cefazolin sodium injection |
63 |
52 |
$39.53 |
| J7050 |
Normal saline solution infus |
235 |
189 |
$31.36 |
| 86803 |
|
33 |
24 |
$27.83 |
| 85378 |
|
14 |
12 |
$25.13 |
| 87340 |
|
16 |
12 |
$20.15 |
| J7613 |
Albuterol non-comp unit |
106 |
92 |
$5.43 |
| A9270 |
Non-covered item or service |
1,883 |
889 |
$3.60 |
| J2704 |
Inj, propofol, 10 mg |
213 |
184 |
$0.00 |
| C1769 |
Guide wire |
152 |
125 |
$0.00 |
| 82803 |
|
15 |
13 |
$0.00 |
| J1815 |
Insulin injection |
17 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
174 |
162 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
79 |
69 |
$0.00 |
| 93356 |
|
12 |
12 |
$0.00 |