| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
24,661 |
22,635 |
$9.70M |
| 99284 |
|
7,954 |
7,476 |
$1.96M |
| 99283 |
|
10,016 |
9,422 |
$1.67M |
| G0378 |
Hospital observation per hr |
2,762 |
2,100 |
$991K |
| 36415 |
|
21,033 |
17,926 |
$493K |
| J7050 |
Normal saline solution infus |
1,181 |
839 |
$401K |
| 96374 |
|
3,175 |
2,799 |
$281K |
| 96361 |
|
2,148 |
1,745 |
$243K |
| 90791 |
|
1,661 |
1,513 |
$162K |
| G0463 |
Hospital outpt clinic visit |
1,900 |
1,732 |
$141K |
| 97602 |
|
1,117 |
810 |
$126K |
| 87637 |
|
1,025 |
997 |
$126K |
| 93005 |
|
6,612 |
5,729 |
$107K |
| 80053 |
|
12,043 |
10,904 |
$88K |
| C9803 |
Hopd covid-19 spec collect |
4,925 |
4,528 |
$69K |
| 11042 |
|
547 |
423 |
$68K |
| 80048 |
|
4,725 |
3,595 |
$68K |
| 99281 |
|
594 |
574 |
$50K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,227 |
1,094 |
$46K |
| 88305 |
|
1,809 |
1,088 |
$45K |
| 85025 |
|
28,648 |
25,999 |
$37K |
| 70450 |
|
361 |
322 |
$30K |
| 76811 |
|
112 |
112 |
$27K |
| 87636 |
|
230 |
225 |
$26K |
| 76816 |
|
323 |
281 |
$26K |
| U0002 |
Covid-19 lab test non-cdc |
757 |
686 |
$25K |
| 71046 |
|
1,166 |
1,002 |
$24K |
| 99220 |
|
176 |
171 |
$21K |
| J3490 |
Drugs unclassified injection |
185 |
135 |
$16K |
| 96375 |
|
520 |
431 |
$15K |
| 81001 |
|
2,371 |
2,097 |
$15K |
| U0005 |
Infec agen detec ampli probe |
1,043 |
935 |
$12K |
| A9270 |
Non-covered item or service |
4,564 |
1,411 |
$11K |
| 84484 |
|
2,596 |
1,859 |
$10K |
| 74177 |
|
145 |
135 |
$9K |
| 17250 |
|
79 |
78 |
$9K |
| 99217 |
|
181 |
175 |
$9K |
| 80307 |
|
971 |
886 |
$8K |
| 87635 |
|
260 |
230 |
$8K |
| 96360 |
|
48 |
40 |
$7K |
| 92507 |
|
142 |
36 |
$7K |
| J7040 |
Normal saline solution infus |
2,782 |
1,884 |
$7K |
| 93306 |
|
19 |
17 |
$5K |
| J7030 |
Normal saline solution infus |
3,531 |
2,882 |
$5K |
| 82962 |
|
307 |
108 |
$4K |
| 88307 |
|
86 |
64 |
$4K |
| 99225 |
|
76 |
51 |
$4K |
| 71045 |
|
73 |
65 |
$3K |
| 96365 |
|
16 |
14 |
$2K |
| 85610 |
|
399 |
279 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,473 |
1,261 |
$2K |
| 85027 |
|
532 |
388 |
$1K |
| 77067 |
|
24 |
24 |
$1K |
| 99282 |
|
64 |
61 |
$1K |
| G0500 |
Mod sedat endo service >5yrs |
59 |
57 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,248 |
923 |
$795.65 |
| 83690 |
|
645 |
588 |
$781.04 |
| 83880 |
|
15 |
14 |
$739.96 |
| 96376 |
|
42 |
26 |
$731.26 |
| J3010 |
Fentanyl citrate injection |
735 |
544 |
$664.94 |
| 83605 |
|
104 |
78 |
$516.52 |
| 96372 |
|
44 |
27 |
$482.12 |
| 97803 |
|
16 |
13 |
$340.37 |
| 87086 |
|
50 |
43 |
$260.77 |
| 83735 |
|
118 |
88 |
$189.55 |
| J7120 |
Ringers lactate infusion |
508 |
356 |
$159.85 |
| 87804 |
|
146 |
87 |
$150.84 |
| A9585 |
Gadobutrol injection |
13 |
12 |
$139.12 |
| J2250 |
Inj midazolam hydrochloride |
519 |
393 |
$135.55 |
| 82077 |
|
41 |
37 |
$109.89 |
| 84443 |
|
28 |
27 |
$72.38 |
| J2704 |
Inj, propofol, 10 mg |
227 |
162 |
$67.98 |
| 81025 |
|
48 |
39 |
$54.27 |
| 87651 |
|
15 |
15 |
$21.08 |
| J1885 |
Ketorolac tromethamine inj |
45 |
41 |
$5.66 |
| A6022 |
Collagen drsg>16<=48 sq in |
13 |
12 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 87081 |
|
15 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
19 |
12 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
19 |
13 |
$0.00 |
| 87880 |
|
17 |
17 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
18 |
18 |
$0.00 |