| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
25,487 |
22,715 |
$2.39M |
| 99284 |
|
30,960 |
25,959 |
$1.91M |
| G0378 |
Hospital observation per hr |
5,190 |
2,108 |
$1.32M |
| 36415 |
|
33,862 |
23,523 |
$1.06M |
| 74176 |
|
4,901 |
4,183 |
$718K |
| 99285 |
|
9,688 |
5,964 |
$654K |
| 70450 |
|
4,311 |
3,590 |
$579K |
| 99282 |
|
2,812 |
2,526 |
$247K |
| 11042 |
|
3,862 |
1,283 |
$192K |
| 87502 |
|
6,556 |
5,869 |
$163K |
| G0463 |
Hospital outpt clinic visit |
1,820 |
1,238 |
$103K |
| 74177 |
|
562 |
500 |
$94K |
| 59025 |
|
3,210 |
2,462 |
$87K |
| C9803 |
Hopd covid-19 spec collect |
6,895 |
5,886 |
$85K |
| 96361 |
|
1,696 |
1,439 |
$79K |
| 96365 |
|
2,059 |
1,714 |
$71K |
| 94640 |
|
1,241 |
1,082 |
$70K |
| 71275 |
|
327 |
286 |
$54K |
| 0241U |
|
2,269 |
2,141 |
$54K |
| 81001 |
|
11,878 |
10,130 |
$50K |
| 87635 |
|
8,141 |
6,846 |
$48K |
| 71045 |
|
9,512 |
8,020 |
$37K |
| 96360 |
|
1,067 |
914 |
$36K |
| 87086 |
|
2,375 |
2,029 |
$34K |
| 96372 |
|
3,765 |
3,143 |
$33K |
| 96374 |
|
11,811 |
9,762 |
$33K |
| 99281 |
|
370 |
339 |
$30K |
| 80307 |
|
2,046 |
1,747 |
$28K |
| 80053 |
|
17,845 |
14,576 |
$25K |
| U0003 |
Cov-19 amp prb hgh thruput |
898 |
789 |
$25K |
| 73130 |
|
479 |
430 |
$23K |
| 81003 |
|
3,536 |
3,092 |
$21K |
| 80048 |
|
11,547 |
7,360 |
$18K |
| 76705 |
|
1,127 |
1,021 |
$18K |
| 76801 |
|
2,188 |
1,732 |
$17K |
| 87070 |
|
728 |
598 |
$16K |
| 76856 |
|
931 |
831 |
$16K |
| 82962 |
|
3,432 |
1,688 |
$15K |
| 81025 |
|
5,761 |
5,116 |
$14K |
| 73630 |
|
530 |
472 |
$14K |
| 76818 |
|
205 |
161 |
$13K |
| 43239 |
|
132 |
123 |
$12K |
| 87651 |
|
4,908 |
4,491 |
$12K |
| 96375 |
|
7,940 |
6,292 |
$11K |
| 84112 |
|
93 |
85 |
$11K |
| 73610 |
|
428 |
380 |
$10K |
| 73564 |
|
529 |
448 |
$10K |
| A9270 |
Non-covered item or service |
6,816 |
1,635 |
$10K |
| 85025 |
|
27,083 |
20,440 |
$9K |
| 87077 |
|
1,051 |
568 |
$8K |
| 72125 |
|
450 |
388 |
$8K |
| 93005 |
|
8,658 |
6,730 |
$6K |
| 71046 |
|
458 |
413 |
$6K |
| 76815 |
|
354 |
319 |
$5K |
| 70486 |
|
58 |
54 |
$5K |
| J2405 |
Ondansetron hcl injection |
8,348 |
6,852 |
$5K |
| 85027 |
|
3,367 |
2,496 |
$5K |
| 99499 |
|
102 |
95 |
$5K |
| 85610 |
|
5,478 |
4,463 |
$5K |
| 87634 |
|
813 |
746 |
$5K |
| 12011 |
|
55 |
50 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
2,201 |
1,887 |
$5K |
| U0005 |
Infec agen detec ampli probe |
192 |
165 |
$5K |
| 73030 |
|
289 |
239 |
$5K |
| 85730 |
|
5,167 |
4,201 |
$4K |
| 86900 |
|
3,934 |
3,296 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,198 |
978 |
$4K |
| J3010 |
Fentanyl citrate injection |
1,897 |
1,604 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
1,814 |
1,568 |
$4K |
| 86850 |
|
3,180 |
2,652 |
$4K |
| 87186 |
|
693 |
469 |
$4K |
| 84484 |
|
6,850 |
4,188 |
$4K |
| 73110 |
|
156 |
139 |
$3K |
| 86901 |
|
3,934 |
3,295 |
$3K |
| J1100 |
Dexamethasone sodium phos |
1,988 |
1,749 |
$3K |
| 93971 |
|
291 |
261 |
$3K |
| 76805 |
|
271 |
237 |
$2K |
| 72131 |
|
15 |
13 |
$2K |
| 72100 |
|
209 |
182 |
$2K |
| 87491 |
|
622 |
568 |
$2K |
| 87040 |
|
1,907 |
1,027 |
$2K |
| 83690 |
|
6,982 |
5,946 |
$2K |
| 76817 |
|
168 |
149 |
$2K |
| 88305 |
|
1,106 |
866 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,670 |
1,351 |
$1K |
| 74018 |
|
36 |
32 |
$1K |
| J2001 |
Lidocaine injection |
1,164 |
924 |
$1K |
| 76830 |
|
220 |
202 |
$1K |
| 87801 |
|
596 |
540 |
$1K |
| 83735 |
|
2,922 |
2,173 |
$1K |
| 83880 |
|
1,282 |
1,044 |
$1K |
| 84443 |
|
1,237 |
1,039 |
$1K |
| J2270 |
Morphine sulfate injection |
4,022 |
3,104 |
$1K |
| 84439 |
|
1,203 |
1,023 |
$937.11 |
| J0131 |
Inj, acetaminophen (nos) |
387 |
339 |
$812.35 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,864 |
1,638 |
$726.77 |
| 82570 |
|
124 |
96 |
$537.91 |
| 87430 |
|
308 |
279 |
$524.77 |
| 84703 |
|
3,874 |
3,453 |
$520.84 |
| J1885 |
Ketorolac tromethamine inj |
5,578 |
4,812 |
$506.82 |
| 76819 |
|
222 |
185 |
$506.62 |
| 84702 |
|
3,146 |
2,375 |
$478.28 |
| 96366 |
|
16 |
13 |
$472.26 |
| 85379 |
|
839 |
737 |
$422.63 |
| J1170 |
Hydromorphone injection |
270 |
205 |
$401.97 |
| 83605 |
|
787 |
608 |
$389.74 |
| J2710 |
Neostigmine methylslfte inj |
71 |
65 |
$225.05 |
| 87591 |
|
622 |
568 |
$219.80 |
| J2060 |
Lorazepam injection |
307 |
250 |
$190.41 |
| 87804 |
|
439 |
209 |
$144.84 |
| 80076 |
|
222 |
181 |
$119.06 |
| J7512 |
Prednisone ir or dr oral 1mg |
674 |
579 |
$107.06 |
| 72040 |
|
18 |
14 |
$98.67 |
| 90715 |
|
81 |
68 |
$75.00 |
| J2765 |
Metoclopramide hcl injection |
818 |
678 |
$69.05 |
| 85018 |
|
176 |
154 |
$62.30 |
| 80061 |
|
212 |
176 |
$59.60 |
| J1200 |
Diphenhydramine hcl injectio |
762 |
645 |
$58.39 |
| 96376 |
|
491 |
366 |
$29.52 |
| 82550 |
|
299 |
243 |
$5.89 |
| 87340 |
|
12 |
12 |
$5.22 |
| 84156 |
|
126 |
95 |
$3.12 |
| 85651 |
|
14 |
13 |
$2.19 |
| 0353U |
|
175 |
157 |
$0.00 |
| 73080 |
|
20 |
15 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
210 |
193 |
$0.00 |
| J2930 |
Methylprednisolone injection |
698 |
620 |
$0.00 |
| 97803 |
|
141 |
129 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
169 |
79 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| 87210 |
|
15 |
14 |
$0.00 |
| 87075 |
|
24 |
12 |
$0.00 |
| 86140 |
|
360 |
306 |
$0.00 |
| 90471 |
|
44 |
39 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
79 |
67 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
42 |
27 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
19 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
16 |
12 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 97162 |
|
13 |
12 |
$0.00 |