| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
36,798 |
34,102 |
$6.11M |
| 99284 |
|
29,160 |
26,624 |
$5.73M |
| 99285 |
|
9,152 |
8,352 |
$1.88M |
| 0241U |
|
9,201 |
8,314 |
$1.45M |
| G0463 |
Hospital outpt clinic visit |
23,111 |
19,313 |
$677K |
| 74177 |
|
813 |
751 |
$460K |
| 99282 |
|
6,202 |
5,815 |
$442K |
| 96374 |
|
12,826 |
11,664 |
$321K |
| 85025 |
|
37,352 |
32,766 |
$279K |
| 80053 |
|
32,328 |
28,559 |
$277K |
| 93005 |
|
7,947 |
7,095 |
$244K |
| 96375 |
|
6,490 |
5,606 |
$232K |
| 62323 |
|
1,050 |
809 |
$185K |
| 41899 |
|
108 |
106 |
$178K |
| J3490 |
Drugs unclassified injection |
63,932 |
31,018 |
$166K |
| 96361 |
|
4,492 |
3,914 |
$107K |
| 71045 |
|
4,036 |
3,701 |
$104K |
| 96413 |
|
1,061 |
588 |
$74K |
| 20610 |
|
799 |
515 |
$64K |
| 81001 |
|
17,981 |
16,367 |
$60K |
| 71046 |
|
2,071 |
1,913 |
$60K |
| 80307 |
|
1,538 |
1,416 |
$57K |
| 96365 |
|
845 |
774 |
$57K |
| 87400 |
|
4,816 |
2,854 |
$53K |
| 96372 |
|
2,283 |
2,039 |
$51K |
| 70450 |
|
322 |
260 |
$48K |
| C9803 |
Hopd covid-19 spec collect |
3,567 |
3,146 |
$47K |
| 70551 |
|
163 |
154 |
$45K |
| U0003 |
Cov-19 amp prb hgh thruput |
677 |
629 |
$45K |
| 81025 |
|
4,329 |
3,981 |
$36K |
| 11042 |
|
472 |
299 |
$34K |
| 83690 |
|
4,664 |
4,107 |
$33K |
| 87880 |
|
1,912 |
1,810 |
$30K |
| G0378 |
Hospital observation per hr |
276 |
220 |
$27K |
| G0480 |
Drug test def 1-7 classes |
794 |
711 |
$27K |
| 88305 |
|
574 |
349 |
$25K |
| 84484 |
|
2,842 |
2,404 |
$24K |
| J7030 |
Normal saline solution infus |
2,835 |
2,553 |
$22K |
| G0483 |
Drug test def 22+ classes |
263 |
241 |
$22K |
| 74176 |
|
48 |
43 |
$22K |
| 20553 |
|
163 |
159 |
$17K |
| 93306 |
|
57 |
50 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,350 |
1,882 |
$15K |
| 83605 |
|
1,084 |
974 |
$14K |
| 43239 |
|
111 |
94 |
$13K |
| 80061 |
|
863 |
827 |
$13K |
| 80048 |
|
1,711 |
1,555 |
$12K |
| 83735 |
|
1,957 |
1,739 |
$12K |
| 59025 |
|
145 |
126 |
$11K |
| J2405 |
Ondansetron hcl injection |
4,197 |
3,735 |
$11K |
| 96360 |
|
166 |
157 |
$11K |
| 62321 |
|
27 |
25 |
$10K |
| 82306 |
|
346 |
327 |
$10K |
| 87086 |
|
1,071 |
1,008 |
$9K |
| 87081 |
|
914 |
889 |
$9K |
| J7120 |
Ringers lactate infusion |
1,321 |
1,137 |
$8K |
| 83036 |
|
767 |
732 |
$8K |
| U0005 |
Infec agen detec ampli probe |
393 |
366 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
2,921 |
2,702 |
$8K |
| 27096 |
|
133 |
60 |
$8K |
| 74018 |
|
186 |
179 |
$7K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,871 |
1,639 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
2,390 |
1,740 |
$6K |
| 81003 |
|
1,295 |
1,198 |
$5K |
| J7050 |
Normal saline solution infus |
976 |
495 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,769 |
2,230 |
$5K |
| 36415 |
|
2,090 |
1,654 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,858 |
1,615 |
$5K |
| 72141 |
|
30 |
29 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
1,942 |
1,478 |
$5K |
| S0020 |
Injection, bupivicaine hydro |
2,453 |
2,214 |
$5K |
| 84443 |
|
200 |
196 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
1,861 |
962 |
$4K |
| 99281 |
|
97 |
87 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,099 |
1,025 |
$4K |
| 94640 |
|
219 |
180 |
$3K |
| 87420 |
|
169 |
167 |
$2K |
| 97597 |
|
41 |
25 |
$2K |
| J3010 |
Fentanyl citrate injection |
746 |
668 |
$2K |
| 85027 |
|
309 |
276 |
$2K |
| 77336 |
|
25 |
12 |
$1K |
| 96415 |
|
38 |
24 |
$1K |
| G0482 |
Drug test def 15-21 classes |
13 |
12 |
$1K |
| 85610 |
|
364 |
342 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,261 |
1,157 |
$1K |
| J2550 |
Promethazine hcl injection |
671 |
571 |
$1K |
| 80320 |
|
80 |
75 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
294 |
258 |
$1K |
| J8597 |
Antiemetic drug oral nos |
226 |
215 |
$1K |
| 83880 |
|
38 |
36 |
$951.48 |
| J1170 |
Hydromorphone injection |
394 |
311 |
$913.14 |
| 76942 |
|
13 |
13 |
$893.09 |
| 82962 |
|
681 |
589 |
$885.01 |
| 80329 |
|
15 |
14 |
$761.33 |
| J2930 |
Methylprednisolone injection |
128 |
118 |
$743.62 |
| 87040 |
|
30 |
29 |
$606.77 |
| J0690 |
Cefazolin sodium injection |
168 |
145 |
$566.43 |
| J2270 |
Morphine sulfate injection |
200 |
183 |
$549.62 |
| 71271 |
|
13 |
12 |
$453.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
69 |
63 |
$400.89 |
| 81015 |
|
81 |
80 |
$395.29 |
| 82728 |
|
27 |
26 |
$365.73 |
| 96376 |
|
16 |
12 |
$331.86 |
| Q3014 |
Telehealth facility fee |
38 |
30 |
$315.29 |
| 94760 |
|
246 |
123 |
$298.47 |
| G0238 |
Oth resp proc, indiv |
15 |
15 |
$254.98 |
| 90715 |
|
19 |
15 |
$243.51 |
| 83550 |
|
26 |
25 |
$234.69 |
| 83540 |
|
26 |
25 |
$174.17 |
| 90471 |
|
19 |
15 |
$158.67 |
| J7512 |
Prednisone ir or dr oral 1mg |
84 |
83 |
$158.20 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
157 |
141 |
$148.93 |
| 82550 |
|
18 |
18 |
$145.73 |
| J2250 |
Inj midazolam hydrochloride |
69 |
65 |
$128.93 |
| J7040 |
Normal saline solution infus |
15 |
14 |
$125.57 |
| 84439 |
|
12 |
12 |
$107.69 |
| 85730 |
|
16 |
14 |
$66.57 |
| 82948 |
|
38 |
34 |
$65.31 |
| J0131 |
Inj, acetaminophen (nos) |
82 |
77 |
$57.28 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
13 |
$54.80 |
| J2765 |
Metoclopramide hcl injection |
27 |
25 |
$46.58 |
| Q0144 |
Azithromycin dihydrate, oral |
14 |
14 |
$44.80 |
| J2272 |
Inj, morphine (fresenius) |
13 |
13 |
$43.27 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
241 |
97 |
$38.13 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$34.87 |
| J2060 |
Lorazepam injection |
12 |
12 |
$31.83 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
13 |
$30.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
12 |
$22.98 |
| Q0162 |
Ondansetron oral |
28 |
27 |
$17.73 |
| 85018 |
|
23 |
18 |
$5.90 |
| A9270 |
Non-covered item or service |
1,417 |
556 |
$1.75 |
| P9604 |
One-way allow prorated trip |
430 |
304 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
268 |
156 |
$0.00 |