| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,606 |
9,339 |
$1.17M |
| 99283 |
|
7,354 |
6,781 |
$726K |
| 96361 |
|
2,179 |
1,579 |
$471K |
| 99285 |
|
3,414 |
2,809 |
$400K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,384 |
1,098 |
$162K |
| 70450 |
|
564 |
422 |
$104K |
| 80048 |
|
13,227 |
11,332 |
$96K |
| G0463 |
Hospital outpt clinic visit |
1,223 |
1,019 |
$92K |
| 87491 |
|
1,138 |
1,087 |
$49K |
| 87591 |
|
1,125 |
1,075 |
$31K |
| 74177 |
|
211 |
125 |
$31K |
| 97110 |
|
525 |
119 |
$26K |
| 74176 |
|
129 |
72 |
$23K |
| 96360 |
|
114 |
76 |
$20K |
| 87480 |
|
553 |
517 |
$13K |
| 88175 |
|
619 |
581 |
$11K |
| 36415 |
|
9,233 |
7,461 |
$11K |
| 96365 |
|
218 |
76 |
$10K |
| 84484 |
|
2,739 |
2,193 |
$10K |
| 85025 |
|
15,674 |
13,267 |
$9K |
| 71045 |
|
3,035 |
2,555 |
$9K |
| 87660 |
|
584 |
548 |
$9K |
| 87510 |
|
553 |
517 |
$8K |
| G0378 |
Hospital observation per hr |
308 |
127 |
$8K |
| 80053 |
|
1,098 |
645 |
$7K |
| 80076 |
|
1,770 |
1,467 |
$7K |
| 93005 |
|
5,351 |
4,483 |
$6K |
| 96374 |
|
3,697 |
3,083 |
$5K |
| 71046 |
|
310 |
238 |
$3K |
| 99282 |
|
41 |
25 |
$3K |
| 97140 |
|
199 |
49 |
$3K |
| 81001 |
|
6,947 |
5,915 |
$3K |
| 84443 |
|
224 |
147 |
$3K |
| 73030 |
|
79 |
42 |
$3K |
| 80061 |
|
170 |
127 |
$3K |
| 87661 |
|
156 |
154 |
$2K |
| 84439 |
|
95 |
65 |
$2K |
| 83036 |
|
122 |
89 |
$2K |
| 82306 |
|
70 |
50 |
$2K |
| 87481 |
|
120 |
119 |
$2K |
| U0005 |
Infec agen detec ampli probe |
1,428 |
1,123 |
$1K |
| 96366 |
|
57 |
13 |
$1K |
| 72100 |
|
47 |
31 |
$1K |
| 77063 |
|
30 |
18 |
$1K |
| 80307 |
|
162 |
90 |
$1K |
| 87624 |
|
26 |
24 |
$961.69 |
| 86902 |
|
31 |
25 |
$948.46 |
| 87086 |
|
349 |
239 |
$935.50 |
| 74018 |
|
57 |
40 |
$840.82 |
| 82553 |
|
64 |
53 |
$778.56 |
| 96375 |
|
1,562 |
1,115 |
$754.34 |
| 85027 |
|
126 |
72 |
$684.80 |
| 73562 |
|
21 |
14 |
$674.89 |
| 83735 |
|
165 |
84 |
$635.63 |
| 87150 |
|
23 |
14 |
$603.09 |
| 83690 |
|
2,001 |
1,578 |
$435.07 |
| 83540 |
|
38 |
30 |
$396.01 |
| 97161 |
|
19 |
15 |
$391.02 |
| J2405 |
Ondansetron hcl injection |
1,261 |
829 |
$375.81 |
| 76000 |
|
60 |
54 |
$314.63 |
| 87804 |
|
206 |
175 |
$296.32 |
| 85379 |
|
316 |
251 |
$279.32 |
| 87801 |
|
18 |
17 |
$272.43 |
| 86850 |
|
13 |
12 |
$254.94 |
| 87798 |
|
18 |
17 |
$240.93 |
| 86901 |
|
31 |
25 |
$235.90 |
| 85610 |
|
517 |
342 |
$232.61 |
| 11042 |
|
16 |
12 |
$217.30 |
| 81025 |
|
573 |
422 |
$161.66 |
| 82150 |
|
562 |
475 |
$153.53 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
709 |
402 |
$150.00 |
| 86140 |
|
22 |
17 |
$129.08 |
| G0480 |
Drug test def 1-7 classes |
48 |
27 |
$123.16 |
| 84703 |
|
191 |
114 |
$103.31 |
| 72125 |
|
22 |
16 |
$97.33 |
| 83605 |
|
259 |
140 |
$96.96 |
| 88305 |
|
88 |
48 |
$77.18 |
| 87186 |
|
91 |
38 |
$65.33 |
| 83880 |
|
78 |
35 |
$41.44 |
| 85730 |
|
296 |
172 |
$39.26 |
| 87081 |
|
14 |
13 |
$34.70 |
| 82550 |
|
81 |
67 |
$32.56 |
| 85652 |
|
16 |
13 |
$31.55 |
| A9270 |
Non-covered item or service |
1,343 |
101 |
$25.00 |
| 96372 |
|
434 |
235 |
$18.75 |
| J7120 |
Ringers lactate infusion |
340 |
182 |
$18.45 |
| J2270 |
Morphine sulfate injection |
137 |
60 |
$17.82 |
| J1170 |
Hydromorphone injection |
120 |
54 |
$16.96 |
| J7030 |
Normal saline solution infus |
20 |
13 |
$15.20 |
| J0690 |
Cefazolin sodium injection |
177 |
80 |
$15.18 |
| J1885 |
Ketorolac tromethamine inj |
524 |
280 |
$9.42 |
| J1100 |
Dexamethasone sodium phos |
292 |
134 |
$8.30 |
| J1200 |
Diphenhydramine hcl injectio |
62 |
25 |
$6.19 |
| J3010 |
Fentanyl citrate injection |
316 |
160 |
$1.82 |
| J2250 |
Inj midazolam hydrochloride |
246 |
124 |
$1.02 |
| J2001 |
Lidocaine injection |
39 |
29 |
$0.30 |
| J3301 |
Triamcinolone acet inj nos |
73 |
42 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
31 |
17 |
$0.00 |
| 77067 |
|
30 |
18 |
$0.00 |
| 94760 |
|
2,107 |
1,699 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
290 |
148 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
86 |
47 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
12 |
$0.00 |
| 87635 |
|
13 |
13 |
$0.00 |
| 96376 |
|
47 |
17 |
$0.00 |