| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,211 |
6,669 |
$1.38M |
| 99283 |
|
11,101 |
7,955 |
$1.23M |
| 99285 |
|
4,765 |
3,321 |
$812K |
| G0378 |
Hospital observation per hr |
3,098 |
1,806 |
$690K |
| 96374 |
|
4,174 |
2,792 |
$294K |
| 96372 |
|
7,904 |
5,090 |
$251K |
| 96361 |
|
4,182 |
2,190 |
$241K |
| 96365 |
|
2,795 |
1,823 |
$195K |
| 71045 |
|
5,484 |
3,773 |
$184K |
| 87426 |
|
7,125 |
5,274 |
$173K |
| 59025 |
|
1,482 |
791 |
$141K |
| 94640 |
|
1,674 |
1,001 |
$134K |
| 76815 |
|
2,144 |
1,490 |
$120K |
| 76817 |
|
1,944 |
1,304 |
$113K |
| 86900 |
|
1,972 |
1,276 |
$94K |
| 96360 |
|
1,202 |
880 |
$92K |
| 93306 |
|
669 |
482 |
$90K |
| 70450 |
|
2,209 |
1,616 |
$88K |
| 74177 |
|
668 |
482 |
$86K |
| 80053 |
|
16,040 |
9,844 |
$85K |
| 87635 |
|
3,104 |
2,177 |
$83K |
| 99281 |
|
2,180 |
1,657 |
$83K |
| C9803 |
Hopd covid-19 spec collect |
6,725 |
4,928 |
$82K |
| 74176 |
|
1,095 |
811 |
$81K |
| 96375 |
|
3,706 |
2,246 |
$79K |
| 96366 |
|
1,801 |
862 |
$78K |
| 99282 |
|
1,158 |
863 |
$75K |
| 93005 |
|
4,343 |
2,965 |
$74K |
| 71046 |
|
2,246 |
1,652 |
$72K |
| 87804 |
|
3,249 |
2,651 |
$67K |
| 97110 |
|
3,783 |
711 |
$65K |
| 76805 |
|
782 |
619 |
$47K |
| 87633 |
|
195 |
154 |
$39K |
| G0480 |
Drug test def 1-7 classes |
713 |
496 |
$39K |
| 83880 |
|
2,497 |
1,631 |
$38K |
| 85025 |
|
9,671 |
6,235 |
$34K |
| 82731 |
|
891 |
537 |
$34K |
| 76856 |
|
714 |
561 |
$34K |
| 85027 |
|
10,249 |
6,320 |
$32K |
| 76830 |
|
585 |
437 |
$31K |
| 86901 |
|
1,970 |
1,276 |
$28K |
| 36415 |
|
13,702 |
8,771 |
$27K |
| 84484 |
|
4,359 |
2,726 |
$26K |
| 86850 |
|
1,411 |
921 |
$26K |
| 92507 |
|
469 |
133 |
$25K |
| 87430 |
|
2,061 |
1,692 |
$23K |
| 82306 |
|
1,442 |
1,170 |
$22K |
| 80306 |
|
2,271 |
1,557 |
$22K |
| 76819 |
|
371 |
243 |
$21K |
| 99212 |
|
1,372 |
796 |
$20K |
| 73030 |
|
649 |
462 |
$18K |
| 76818 |
|
310 |
191 |
$18K |
| 84443 |
|
1,909 |
1,489 |
$16K |
| G0379 |
Direct refer hospital observ |
510 |
322 |
$16K |
| 73560 |
|
492 |
371 |
$16K |
| 84703 |
|
3,526 |
2,567 |
$15K |
| 80048 |
|
3,456 |
2,252 |
$13K |
| 83735 |
|
4,497 |
2,949 |
$13K |
| 74018 |
|
374 |
264 |
$13K |
| 81001 |
|
7,769 |
5,224 |
$12K |
| 73562 |
|
306 |
233 |
$11K |
| 73610 |
|
284 |
214 |
$11K |
| 84702 |
|
1,100 |
629 |
$10K |
| 83036 |
|
1,923 |
1,483 |
$10K |
| 73630 |
|
307 |
229 |
$10K |
| 73130 |
|
211 |
138 |
$9K |
| 71275 |
|
125 |
93 |
$8K |
| 72125 |
|
250 |
187 |
$8K |
| 83690 |
|
2,533 |
1,650 |
$8K |
| 85730 |
|
2,827 |
1,829 |
$8K |
| 36430 |
|
105 |
42 |
$8K |
| 87420 |
|
772 |
649 |
$7K |
| 80061 |
|
1,045 |
816 |
$7K |
| 87040 |
|
1,267 |
886 |
$7K |
| 85610 |
|
3,249 |
2,093 |
$7K |
| P9016 |
Rbc leukocytes reduced |
106 |
43 |
$7K |
| 97035 |
|
1,016 |
245 |
$6K |
| 87210 |
|
2,248 |
1,242 |
$6K |
| 83605 |
|
1,080 |
718 |
$5K |
| 82962 |
|
3,192 |
1,400 |
$5K |
| 90471 |
|
232 |
177 |
$5K |
| 87086 |
|
1,257 |
901 |
$5K |
| 85384 |
|
766 |
449 |
$5K |
| 71250 |
|
200 |
117 |
$4K |
| 82607 |
|
544 |
440 |
$4K |
| 94060 |
|
117 |
59 |
$4K |
| 81003 |
|
3,264 |
2,312 |
$4K |
| 82570 |
|
1,311 |
985 |
$4K |
| 82805 |
|
128 |
90 |
$3K |
| 93925 |
|
60 |
54 |
$3K |
| 94726 |
|
102 |
46 |
$3K |
| 80069 |
|
832 |
670 |
$3K |
| 73502 |
|
118 |
88 |
$3K |
| 77067 |
|
41 |
40 |
$3K |
| 84156 |
|
1,397 |
1,011 |
$2K |
| J3490 |
Drugs unclassified injection |
3,856 |
1,598 |
$2K |
| 97140 |
|
231 |
54 |
$2K |
| 85379 |
|
439 |
322 |
$2K |
| 36600 |
|
48 |
38 |
$2K |
| 84439 |
|
341 |
276 |
$2K |
| 51702 |
|
55 |
50 |
$2K |
| 76700 |
|
28 |
26 |
$2K |
| 86140 |
|
416 |
324 |
$1K |
| 97161 |
|
31 |
24 |
$1K |
| 76705 |
|
39 |
24 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
3,551 |
2,518 |
$1K |
| 97162 |
|
39 |
25 |
$782.02 |
| 76642 |
|
39 |
24 |
$776.64 |
| 87491 |
|
30 |
25 |
$677.41 |
| 87591 |
|
30 |
25 |
$672.79 |
| 87070 |
|
155 |
103 |
$651.26 |
| 82150 |
|
165 |
104 |
$520.42 |
| G0283 |
Elec stim other than wound |
1,345 |
285 |
$437.65 |
| 82077 |
|
44 |
24 |
$430.17 |
| 87186 |
|
78 |
57 |
$425.67 |
| 85651 |
|
154 |
120 |
$387.68 |
| J1100 |
Dexamethasone sodium phos |
2,399 |
1,745 |
$336.65 |
| 97033 |
|
56 |
14 |
$297.43 |
| 82550 |
|
52 |
40 |
$195.80 |
| J1200 |
Diphenhydramine hcl injectio |
857 |
488 |
$191.29 |
| 86592 |
|
74 |
54 |
$170.51 |
| 82951 |
|
16 |
14 |
$161.44 |
| 87077 |
|
19 |
13 |
$152.02 |
| 87205 |
|
67 |
38 |
$141.62 |
| J2270 |
Morphine sulfate injection |
1,860 |
1,072 |
$111.02 |
| J7030 |
Normal saline solution infus |
4,455 |
2,562 |
$104.18 |
| J0696 |
Ceftriaxone sodium injection |
2,776 |
1,808 |
$76.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
54 |
50 |
$71.56 |
| 82247 |
|
20 |
16 |
$64.77 |
| 82947 |
|
12 |
12 |
$50.78 |
| 82952 |
|
16 |
14 |
$47.42 |
| 82565 |
|
16 |
12 |
$42.81 |
| J2360 |
Orphenadrine injection |
100 |
58 |
$41.56 |
| 82009 |
|
17 |
12 |
$20.23 |
| J2405 |
Ondansetron hcl injection |
3,196 |
1,973 |
$18.23 |
| J2550 |
Promethazine hcl injection |
1,141 |
655 |
$17.89 |
| J2930 |
Methylprednisolone injection |
294 |
165 |
$12.14 |
| J7040 |
Normal saline solution infus |
980 |
656 |
$3.36 |
| J1170 |
Hydromorphone injection |
678 |
332 |
$3.10 |
| J3010 |
Fentanyl citrate injection |
1,401 |
865 |
$1.84 |
| J2060 |
Lorazepam injection |
54 |
38 |
$0.71 |
| J7050 |
Normal saline solution infus |
769 |
484 |
$0.62 |
| J2250 |
Inj midazolam hydrochloride |
1,121 |
718 |
$0.16 |
| J0690 |
Cefazolin sodium injection |
495 |
311 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
1,072 |
697 |
$0.00 |
| J1940 |
Furosemide injection |
392 |
214 |
$0.00 |
| 96376 |
|
1,516 |
630 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
103 |
50 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
145 |
81 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
45 |
40 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,422 |
1,016 |
$0.00 |
| 84145 |
|
183 |
117 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
91 |
54 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
588 |
278 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
102 |
77 |
$0.00 |
| J7120 |
Ringers lactate infusion |
530 |
306 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
122 |
60 |
$0.00 |
| 90715 |
|
151 |
109 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
272 |
126 |
$0.00 |
| J0780 |
Prochlorperazine injection |
135 |
91 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
187 |
153 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
60 |
36 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
86 |
32 |
$0.00 |
| J1953 |
Levetiracetam injection |
21 |
15 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
24 |
16 |
$0.00 |