| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
17,001 |
14,996 |
$7.10M |
| 99283 |
|
19,669 |
17,055 |
$5.05M |
| 99285 |
|
8,316 |
7,297 |
$4.67M |
| G0378 |
Hospital observation per hr |
4,641 |
3,350 |
$3.72M |
| 99281 |
|
23,391 |
19,465 |
$2.49M |
| 99282 |
|
2,484 |
2,209 |
$433K |
| 74177 |
|
2,636 |
2,381 |
$379K |
| 80053 |
|
18,036 |
14,716 |
$355K |
| 85025 |
|
24,391 |
18,342 |
$352K |
| 80307 |
|
3,121 |
2,731 |
$324K |
| 71046 |
|
4,942 |
4,489 |
$302K |
| 84484 |
|
8,015 |
6,155 |
$251K |
| 71045 |
|
6,638 |
5,645 |
$221K |
| 70450 |
|
5,239 |
4,716 |
$195K |
| 87591 |
|
1,486 |
1,365 |
$172K |
| 59025 |
|
254 |
217 |
$156K |
| 76817 |
|
365 |
329 |
$152K |
| 87636 |
|
1,933 |
1,724 |
$147K |
| 93005 |
|
4,897 |
4,079 |
$140K |
| 87491 |
|
1,340 |
1,234 |
$123K |
| 76801 |
|
341 |
296 |
$118K |
| 72125 |
|
1,454 |
1,335 |
$102K |
| 80048 |
|
6,989 |
5,082 |
$99K |
| 0241U |
|
1,219 |
1,148 |
$98K |
| 73562 |
|
911 |
810 |
$98K |
| 81001 |
|
7,627 |
6,880 |
$97K |
| 87635 |
|
2,340 |
1,985 |
$89K |
| 83605 |
|
3,510 |
2,827 |
$88K |
| 84702 |
|
1,736 |
1,478 |
$88K |
| 87804 |
|
1,130 |
1,069 |
$88K |
| 80320 |
|
3,059 |
2,717 |
$80K |
| 84703 |
|
3,994 |
3,611 |
$75K |
| 71275 |
|
791 |
706 |
$73K |
| 87389 |
|
1,374 |
1,296 |
$73K |
| 71260 |
|
777 |
697 |
$73K |
| 73130 |
|
754 |
677 |
$72K |
| 85730 |
|
4,179 |
3,700 |
$65K |
| 86803 |
|
1,351 |
1,273 |
$62K |
| 83690 |
|
5,314 |
4,691 |
$61K |
| 83735 |
|
8,708 |
6,068 |
$60K |
| 73610 |
|
601 |
526 |
$53K |
| 86850 |
|
2,550 |
2,236 |
$51K |
| 93306 |
|
437 |
390 |
$51K |
| 87430 |
|
858 |
797 |
$47K |
| 83880 |
|
1,954 |
1,692 |
$47K |
| 73630 |
|
568 |
506 |
$47K |
| 73030 |
|
662 |
586 |
$46K |
| 82962 |
|
3,705 |
2,356 |
$45K |
| 85610 |
|
4,716 |
4,089 |
$42K |
| 70486 |
|
696 |
628 |
$38K |
| 81025 |
|
1,449 |
1,319 |
$36K |
| 81003 |
|
5,753 |
5,034 |
$36K |
| 87651 |
|
162 |
151 |
$36K |
| 93971 |
|
146 |
132 |
$35K |
| 76856 |
|
91 |
83 |
$35K |
| 87070 |
|
575 |
535 |
$32K |
| 76705 |
|
123 |
112 |
$30K |
| 84443 |
|
1,544 |
1,350 |
$26K |
| 86901 |
|
2,815 |
2,489 |
$25K |
| 85379 |
|
839 |
724 |
$25K |
| 72126 |
|
219 |
189 |
$23K |
| 93970 |
|
87 |
76 |
$23K |
| 76830 |
|
57 |
52 |
$21K |
| 90715 |
|
225 |
201 |
$19K |
| 74176 |
|
410 |
383 |
$18K |
| 86900 |
|
2,650 |
2,331 |
$18K |
| 87210 |
|
1,062 |
967 |
$17K |
| 94640 |
|
336 |
303 |
$16K |
| 72131 |
|
230 |
217 |
$15K |
| 82550 |
|
1,930 |
1,618 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
2,814 |
2,331 |
$14K |
| A4606 |
Oxygen probe used w oximeter |
702 |
608 |
$12K |
| 72128 |
|
182 |
173 |
$12K |
| 73110 |
|
120 |
106 |
$11K |
| 0202U |
|
45 |
38 |
$11K |
| 80061 |
|
639 |
553 |
$10K |
| 81015 |
|
1,212 |
992 |
$10K |
| 83036 |
|
668 |
578 |
$10K |
| 72100 |
|
100 |
96 |
$9K |
| 87040 |
|
238 |
219 |
$9K |
| 84100 |
|
3,080 |
1,855 |
$9K |
| 73590 |
|
112 |
100 |
$9K |
| J7030 |
Normal saline solution infus |
2,361 |
1,920 |
$8K |
| 72170 |
|
89 |
78 |
$8K |
| 87081 |
|
162 |
147 |
$8K |
| J7120 |
Ringers lactate infusion |
2,089 |
1,568 |
$7K |
| 87086 |
|
233 |
208 |
$7K |
| 73502 |
|
76 |
70 |
$6K |
| G0463 |
Hospital outpt clinic visit |
160 |
97 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,262 |
1,078 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,579 |
2,977 |
$5K |
| 97161 |
|
29 |
26 |
$5K |
| J2270 |
Morphine sulfate injection |
1,118 |
703 |
$4K |
| A4649 |
Surgical supplies |
677 |
590 |
$4K |
| 70551 |
|
12 |
12 |
$4K |
| 72132 |
|
44 |
37 |
$3K |
| J3490 |
Drugs unclassified injection |
231 |
189 |
$3K |
| 80329 |
|
137 |
117 |
$3K |
| J7050 |
Normal saline solution infus |
1,248 |
605 |
$2K |
| 72129 |
|
32 |
25 |
$2K |
| J0690 |
Cefazolin sodium injection |
182 |
150 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
435 |
337 |
$2K |
| 73090 |
|
25 |
24 |
$2K |
| 94644 |
|
87 |
85 |
$2K |
| 97165 |
|
14 |
14 |
$2K |
| 85384 |
|
70 |
66 |
$2K |
| 85032 |
|
106 |
85 |
$2K |
| 82553 |
|
104 |
93 |
$1K |
| 73552 |
|
13 |
12 |
$1K |
| A9270 |
Non-covered item or service |
6,139 |
4,113 |
$1K |
| 82150 |
|
56 |
53 |
$958.07 |
| 80076 |
|
78 |
69 |
$878.38 |
| 87186 |
|
90 |
79 |
$821.69 |
| 85027 |
|
168 |
123 |
$719.61 |
| 94760 |
|
135 |
85 |
$675.52 |
| 74018 |
|
16 |
12 |
$391.83 |
| 71250 |
|
29 |
28 |
$343.29 |
| U0002 |
Covid-19 lab test non-cdc |
373 |
338 |
$338.41 |
| 94010 |
|
12 |
12 |
$289.93 |
| J1200 |
Diphenhydramine hcl injectio |
124 |
80 |
$283.07 |
| J1650 |
Inj enoxaparin sodium |
91 |
25 |
$262.98 |
| J2001 |
Lidocaine injection |
151 |
130 |
$259.19 |
| J2704 |
Inj, propofol, 10 mg |
84 |
69 |
$198.35 |
| 94664 |
|
25 |
25 |
$166.66 |
| U0004 |
Cov-19 test non-cdc hgh thru |
227 |
208 |
$159.46 |
| 87077 |
|
74 |
66 |
$152.52 |
| 87205 |
|
13 |
12 |
$108.01 |
| J1100 |
Dexamethasone sodium phos |
42 |
40 |
$91.17 |
| J2250 |
Inj midazolam hydrochloride |
113 |
104 |
$77.78 |
| G0480 |
Drug test def 1-7 classes |
424 |
354 |
$76.67 |
| J1170 |
Hydromorphone injection |
20 |
14 |
$42.41 |
| 84132 |
|
12 |
12 |
$28.13 |
| J1630 |
Haloperidol injection |
26 |
14 |
$21.61 |
| J2930 |
Methylprednisolone injection |
23 |
15 |
$20.89 |
| 0270 |
|
563 |
462 |
$0.00 |
| 0250 |
|
128 |
68 |
$0.00 |
| J2060 |
Lorazepam injection |
14 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
686 |
476 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
31 |
12 |
$0.00 |