| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,563 |
14,158 |
$652K |
| 99284 |
|
13,431 |
12,964 |
$579K |
| 99285 |
|
12,419 |
11,801 |
$572K |
| 0241U |
|
3,011 |
2,950 |
$323K |
| 80053 |
|
25,932 |
23,218 |
$223K |
| 96375 |
|
6,884 |
5,710 |
$185K |
| 96374 |
|
10,224 |
9,715 |
$177K |
| 97597 |
|
1,321 |
664 |
$113K |
| 85025 |
|
19,094 |
17,208 |
$70K |
| 96361 |
|
3,394 |
3,203 |
$50K |
| 87502 |
|
409 |
399 |
$37K |
| U0003 |
Cov-19 amp prb hgh thruput |
644 |
640 |
$37K |
| 80307 |
|
531 |
491 |
$29K |
| 93005 |
|
2,770 |
2,639 |
$29K |
| 71045 |
|
3,872 |
3,728 |
$28K |
| 83690 |
|
3,694 |
3,519 |
$23K |
| 84443 |
|
1,423 |
1,387 |
$17K |
| G0378 |
Hospital observation per hr |
425 |
285 |
$17K |
| 87081 |
|
2,040 |
2,023 |
$16K |
| U0005 |
Infec agen detec ampli probe |
641 |
637 |
$12K |
| 96372 |
|
632 |
528 |
$12K |
| 0240U |
|
123 |
121 |
$10K |
| 96365 |
|
164 |
109 |
$10K |
| 87632 |
|
183 |
183 |
$9K |
| 84703 |
|
1,030 |
975 |
$9K |
| 74177 |
|
93 |
90 |
$9K |
| 99282 |
|
242 |
239 |
$8K |
| 81003 |
|
6,370 |
6,082 |
$8K |
| 70450 |
|
110 |
107 |
$7K |
| 84439 |
|
788 |
768 |
$7K |
| 97110 |
|
249 |
87 |
$7K |
| 87086 |
|
692 |
654 |
$6K |
| 82728 |
|
314 |
313 |
$6K |
| G0463 |
Hospital outpt clinic visit |
490 |
422 |
$6K |
| 87651 |
|
467 |
464 |
$5K |
| 71046 |
|
400 |
381 |
$5K |
| 80061 |
|
488 |
480 |
$4K |
| 85027 |
|
540 |
487 |
$4K |
| 72148 |
|
13 |
13 |
$4K |
| 84484 |
|
397 |
368 |
$4K |
| 83036 |
|
482 |
476 |
$4K |
| 87491 |
|
76 |
74 |
$3K |
| 87591 |
|
74 |
72 |
$3K |
| 86885 |
|
140 |
124 |
$3K |
| 90460 |
|
64 |
60 |
$3K |
| 93306 |
|
14 |
14 |
$3K |
| 85610 |
|
566 |
523 |
$3K |
| 97161 |
|
49 |
47 |
$2K |
| 87807 |
|
125 |
122 |
$2K |
| 93976 |
|
38 |
37 |
$2K |
| 71260 |
|
13 |
13 |
$2K |
| 94640 |
|
217 |
194 |
$2K |
| 85730 |
|
407 |
391 |
$2K |
| 96360 |
|
39 |
36 |
$2K |
| 96110 |
|
55 |
50 |
$2K |
| 99214 |
|
35 |
31 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,513 |
1,415 |
$1K |
| 80048 |
|
243 |
203 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,059 |
1,894 |
$1K |
| 88305 |
|
53 |
52 |
$1K |
| 87186 |
|
126 |
114 |
$1K |
| 87880 |
|
120 |
119 |
$1K |
| 87634 |
|
29 |
29 |
$1K |
| 87653 |
|
24 |
24 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,269 |
1,088 |
$973.34 |
| 77067 |
|
28 |
28 |
$932.84 |
| 96366 |
|
20 |
15 |
$915.00 |
| 99392 |
|
15 |
13 |
$910.00 |
| 87077 |
|
126 |
114 |
$866.33 |
| 99391 |
|
16 |
12 |
$866.00 |
| 83605 |
|
110 |
93 |
$800.01 |
| 83615 |
|
152 |
119 |
$774.61 |
| 36410 |
|
90 |
84 |
$669.31 |
| 86901 |
|
114 |
110 |
$661.93 |
| 83735 |
|
131 |
124 |
$627.78 |
| 97140 |
|
34 |
16 |
$609.57 |
| 73630 |
|
49 |
42 |
$587.55 |
| 87635 |
|
15 |
14 |
$582.65 |
| 76705 |
|
15 |
15 |
$575.46 |
| 86592 |
|
83 |
83 |
$554.19 |
| 82962 |
|
106 |
73 |
$532.90 |
| 85014 |
|
318 |
314 |
$516.40 |
| 85018 |
|
302 |
301 |
$502.89 |
| 86900 |
|
107 |
104 |
$498.27 |
| 74018 |
|
44 |
39 |
$474.72 |
| 87040 |
|
57 |
43 |
$450.23 |
| 99213 |
|
28 |
25 |
$449.24 |
| 87210 |
|
37 |
37 |
$425.56 |
| 76937 |
|
43 |
38 |
$407.14 |
| 83880 |
|
28 |
26 |
$388.58 |
| 86140 |
|
64 |
57 |
$364.70 |
| 84702 |
|
34 |
31 |
$334.92 |
| 73110 |
|
20 |
14 |
$333.83 |
| 96376 |
|
30 |
27 |
$327.67 |
| 92081 |
|
12 |
12 |
$306.00 |
| 90471 |
|
16 |
15 |
$303.90 |
| 85379 |
|
61 |
56 |
$302.70 |
| J2930 |
Methylprednisolone injection |
88 |
75 |
$283.67 |
| J1100 |
Dexamethasone sodium phos |
217 |
203 |
$281.37 |
| 73562 |
|
15 |
15 |
$275.70 |
| 83721 |
|
66 |
66 |
$252.76 |
| 82607 |
|
38 |
37 |
$250.83 |
| 82950 |
|
32 |
32 |
$245.43 |
| 87070 |
|
40 |
37 |
$245.09 |
| J2765 |
Metoclopramide hcl injection |
178 |
171 |
$242.55 |
| 72100 |
|
13 |
13 |
$239.08 |
| 85007 |
|
129 |
107 |
$222.03 |
| 86850 |
|
25 |
25 |
$221.53 |
| 74019 |
|
32 |
31 |
$197.61 |
| 82803 |
|
15 |
13 |
$191.05 |
| 82746 |
|
24 |
24 |
$174.02 |
| 85049 |
|
15 |
14 |
$139.88 |
| 82565 |
|
33 |
32 |
$137.60 |
| 36415 |
|
6,531 |
4,626 |
$117.07 |
| 85652 |
|
30 |
26 |
$113.42 |
| 83540 |
|
26 |
26 |
$113.17 |
| 73502 |
|
13 |
12 |
$105.57 |
| J2550 |
Promethazine hcl injection |
50 |
43 |
$98.23 |
| 84550 |
|
13 |
13 |
$81.00 |
| J2704 |
Inj, propofol, 10 mg |
158 |
118 |
$69.22 |
| J1200 |
Diphenhydramine hcl injectio |
94 |
76 |
$68.59 |
| 82947 |
|
13 |
13 |
$64.09 |
| J0696 |
Ceftriaxone sodium injection |
19 |
16 |
$36.93 |
| J2270 |
Morphine sulfate injection |
15 |
15 |
$33.94 |
| J2060 |
Lorazepam injection |
44 |
39 |
$32.52 |
| 82077 |
|
25 |
25 |
$31.71 |
| 81001 |
|
12 |
12 |
$29.40 |
| 82306 |
|
14 |
14 |
$26.33 |
| J1170 |
Hydromorphone injection |
13 |
12 |
$7.00 |
| J2360 |
Orphenadrine injection |
13 |
12 |
$5.47 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
234 |
219 |
$4.80 |
| J1630 |
Haloperidol injection |
13 |
12 |
$2.14 |
| 90461 |
|
18 |
15 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
59 |
54 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| J1790 |
Droperidol injection |
34 |
28 |
$0.00 |