| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,140 |
10,589 |
$3.81M |
| G0382 |
Lev 3 hosp type b ed visit |
7,111 |
6,903 |
$1.69M |
| G0381 |
Lev 2 hosp type b ed visit |
4,540 |
4,390 |
$944K |
| 92014 |
|
5,001 |
4,741 |
$838K |
| 99282 |
|
2,200 |
2,116 |
$662K |
| 42820 |
|
170 |
162 |
$466K |
| 0241U |
|
2,860 |
2,779 |
$412K |
| 97110 |
|
6,990 |
2,468 |
$376K |
| G0380 |
Lev 1 hosp type b ed visit |
3,039 |
2,933 |
$333K |
| 92012 |
|
1,420 |
1,280 |
$207K |
| 69436 |
|
121 |
115 |
$180K |
| 41899 |
|
56 |
54 |
$148K |
| C9803 |
Hopd covid-19 spec collect |
4,578 |
4,447 |
$148K |
| 93306 |
|
182 |
181 |
$132K |
| 93303 |
|
236 |
217 |
$130K |
| 99281 |
|
479 |
446 |
$121K |
| 99284 |
|
374 |
355 |
$107K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
169 |
164 |
$89K |
| 54161 |
|
26 |
25 |
$70K |
| U0003 |
Cov-19 amp prb hgh thruput |
388 |
379 |
$47K |
| 93325 |
|
316 |
289 |
$38K |
| 73721 |
|
83 |
77 |
$37K |
| 94010 |
|
410 |
387 |
$37K |
| 42830 |
|
12 |
12 |
$32K |
| G0378 |
Hospital observation per hr |
37 |
26 |
$27K |
| 92004 |
|
138 |
134 |
$23K |
| 95004 |
|
169 |
156 |
$23K |
| 73140 |
|
253 |
207 |
$21K |
| 93005 |
|
800 |
763 |
$19K |
| 70360 |
|
155 |
147 |
$16K |
| 73100 |
|
172 |
141 |
$16K |
| 99213 |
|
32,966 |
31,254 |
$15K |
| 62322 |
|
13 |
13 |
$14K |
| 90471 |
|
298 |
286 |
$13K |
| 90686 |
|
244 |
232 |
$11K |
| 97161 |
|
27 |
27 |
$9K |
| G0383 |
Lev 4 hosp type b ed visit |
43 |
43 |
$8K |
| 77072 |
|
93 |
80 |
$7K |
| J3490 |
Drugs unclassified injection |
1,575 |
844 |
$7K |
| J0585 |
Injection,onabotulinumtoxina |
13 |
12 |
$6K |
| 76770 |
|
28 |
27 |
$6K |
| 94060 |
|
39 |
37 |
$6K |
| 95012 |
|
78 |
75 |
$6K |
| J8540 |
Oral dexamethasone |
177 |
112 |
$6K |
| 73564 |
|
48 |
42 |
$5K |
| 84436 |
|
237 |
227 |
$4K |
| 92567 |
|
368 |
364 |
$4K |
| 36415 |
|
895 |
835 |
$4K |
| S0119 |
Ondansetron 4 mg |
1,253 |
1,192 |
$4K |
| 73610 |
|
50 |
38 |
$3K |
| 92060 |
|
224 |
215 |
$3K |
| 93320 |
|
236 |
217 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
1,561 |
1,350 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
79 |
76 |
$3K |
| 84443 |
|
278 |
264 |
$3K |
| 92504 |
|
71 |
65 |
$3K |
| 90656 |
|
66 |
66 |
$3K |
| 73080 |
|
16 |
12 |
$2K |
| 97530 |
|
89 |
52 |
$2K |
| 97760 |
|
36 |
33 |
$2K |
| 81001 |
|
209 |
199 |
$2K |
| 87635 |
|
12 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,696 |
1,587 |
$2K |
| 72082 |
|
15 |
14 |
$1K |
| 81025 |
|
141 |
130 |
$1K |
| U0005 |
Infec agen detec ampli probe |
388 |
379 |
$1K |
| 92555 |
|
26 |
26 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,217 |
1,165 |
$1K |
| J2795 |
Ropivacaine hcl injection |
272 |
233 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,147 |
1,096 |
$953.65 |
| 80053 |
|
24 |
24 |
$747.82 |
| 97140 |
|
83 |
55 |
$551.22 |
| 85025 |
|
84 |
78 |
$459.30 |
| J1885 |
Ketorolac tromethamine inj |
602 |
579 |
$424.42 |
| 71046 |
|
12 |
12 |
$392.00 |
| J1170 |
Hydromorphone injection |
85 |
78 |
$354.99 |
| 86140 |
|
43 |
41 |
$343.60 |
| J0690 |
Cefazolin sodium injection |
203 |
193 |
$337.32 |
| 83036 |
|
54 |
53 |
$328.87 |
| 87081 |
|
95 |
91 |
$282.50 |
| 82306 |
|
12 |
12 |
$231.44 |
| 85652 |
|
43 |
41 |
$225.20 |
| J8499 |
Oral prescrip drug non chemo |
258 |
247 |
$183.69 |
| 80069 |
|
12 |
12 |
$140.70 |
| 92587 |
|
88 |
86 |
$137.13 |
| J2001 |
Lidocaine injection |
58 |
54 |
$95.43 |
| 84460 |
|
12 |
12 |
$83.71 |
| 84478 |
|
14 |
14 |
$66.28 |
| L1902 |
Afo ankle gauntlet pre ots |
12 |
12 |
$49.38 |
| C1889 |
Implant/insert device, noc |
91 |
90 |
$47.05 |
| 99211 |
|
95 |
92 |
$36.00 |
| J0688 |
Inj cefazolin sodium, hikma |
26 |
26 |
$13.34 |
| S0020 |
Injection, bupivicaine hydro |
26 |
26 |
$0.00 |
| L3933 |
Fo w/o joints cf |
13 |
13 |
$0.00 |
| V5275 |
Ear impression |
13 |
13 |
$0.00 |
| L3984 |
Upper ext fx orthosis wrist |
39 |
39 |
$0.00 |
| V5264 |
Ear mold/insert |
15 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
43 |
38 |
$0.00 |
| 97803 |
|
34 |
29 |
$0.00 |
| 92579 |
|
25 |
22 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$0.00 |
| V5011 |
Hearing aid fitting/checking |
19 |
17 |
$0.00 |