| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,058 |
7,726 |
$2.00M |
| 99283 |
|
6,383 |
6,224 |
$1.61M |
| G0378 |
Hospital observation per hr |
432 |
399 |
$441K |
| 99285 |
|
940 |
858 |
$186K |
| X0621 |
|
275 |
211 |
$79K |
| 99282 |
|
280 |
277 |
$72K |
| 77067 |
|
299 |
295 |
$35K |
| 74177 |
|
232 |
225 |
$32K |
| 85025 |
|
4,103 |
3,505 |
$12K |
| 80053 |
|
2,457 |
2,175 |
$11K |
| 77063 |
|
300 |
295 |
$9K |
| 76830 |
|
141 |
137 |
$9K |
| 96365 |
|
246 |
161 |
$7K |
| 93306 |
|
86 |
86 |
$7K |
| 70450 |
|
207 |
193 |
$6K |
| 93005 |
|
1,384 |
1,170 |
$6K |
| 80307 |
|
190 |
173 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
101 |
99 |
$5K |
| G0480 |
Drug test def 1-7 classes |
175 |
161 |
$5K |
| 87631 |
|
83 |
81 |
$5K |
| 71046 |
|
349 |
344 |
$5K |
| T1015 |
Clinic service |
249 |
159 |
$5K |
| 96375 |
|
367 |
290 |
$5K |
| 45380 |
|
14 |
12 |
$4K |
| 76856 |
|
83 |
81 |
$4K |
| 87635 |
|
268 |
255 |
$4K |
| 80048 |
|
610 |
508 |
$3K |
| 84484 |
|
717 |
609 |
$3K |
| 71260 |
|
30 |
30 |
$3K |
| 76642 |
|
43 |
43 |
$2K |
| 96374 |
|
535 |
508 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,464 |
1,412 |
$2K |
| 84703 |
|
296 |
282 |
$2K |
| 83735 |
|
673 |
507 |
$1K |
| 71045 |
|
551 |
510 |
$1K |
| 43239 |
|
14 |
12 |
$1K |
| 0241U |
|
108 |
103 |
$1K |
| A9585 |
Gadobutrol injection |
61 |
59 |
$1K |
| 81001 |
|
695 |
646 |
$1K |
| 72110 |
|
41 |
39 |
$1K |
| 85610 |
|
456 |
423 |
$956.86 |
| 87086 |
|
222 |
206 |
$759.47 |
| 96361 |
|
378 |
334 |
$705.06 |
| 82248 |
|
268 |
246 |
$698.39 |
| 88305 |
|
33 |
31 |
$698.11 |
| J3490 |
Drugs unclassified injection |
564 |
403 |
$644.32 |
| 96372 |
|
91 |
63 |
$596.13 |
| J7030 |
Normal saline solution infus |
2,547 |
2,221 |
$530.03 |
| 85730 |
|
173 |
164 |
$517.54 |
| 83690 |
|
247 |
233 |
$511.95 |
| J7120 |
Ringers lactate infusion |
493 |
424 |
$503.27 |
| 74176 |
|
12 |
12 |
$460.91 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
93 |
91 |
$432.83 |
| J2704 |
Inj, propofol, 10 mg |
519 |
454 |
$414.60 |
| 73564 |
|
12 |
12 |
$371.18 |
| 76705 |
|
14 |
13 |
$338.03 |
| 83880 |
|
41 |
39 |
$317.18 |
| J2001 |
Lidocaine injection |
327 |
264 |
$233.71 |
| 82550 |
|
66 |
58 |
$220.03 |
| 73630 |
|
28 |
24 |
$215.11 |
| 84443 |
|
30 |
30 |
$213.03 |
| J2405 |
Ondansetron hcl injection |
970 |
864 |
$199.69 |
| J7050 |
Normal saline solution infus |
853 |
528 |
$184.59 |
| 86900 |
|
54 |
52 |
$177.15 |
| J1885 |
Ketorolac tromethamine inj |
1,246 |
1,136 |
$173.20 |
| 73030 |
|
13 |
12 |
$170.76 |
| J3010 |
Fentanyl citrate injection |
281 |
247 |
$146.78 |
| 82962 |
|
181 |
121 |
$136.09 |
| 96360 |
|
27 |
26 |
$107.54 |
| 81003 |
|
99 |
93 |
$105.14 |
| 86901 |
|
27 |
25 |
$71.95 |
| J1100 |
Dexamethasone sodium phos |
289 |
252 |
$66.74 |
| 85379 |
|
29 |
25 |
$63.60 |
| J2250 |
Inj midazolam hydrochloride |
255 |
245 |
$63.52 |
| 94760 |
|
64 |
50 |
$46.25 |
| 83605 |
|
14 |
12 |
$26.88 |
| J1200 |
Diphenhydramine hcl injectio |
131 |
114 |
$13.59 |
| J2765 |
Metoclopramide hcl injection |
152 |
139 |
$12.25 |
| J1644 |
Inj heparin sodium per 1000u |
18 |
12 |
$9.11 |
| J3475 |
Inj magnesium sulfate |
58 |
44 |
$0.00 |
| J2270 |
Morphine sulfate injection |
173 |
144 |
$0.00 |
| J2060 |
Lorazepam injection |
14 |
13 |
$0.00 |
| 00000 |
|
861 |
303 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$0.00 |