| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
2,196 |
1,993 |
$458K |
| G0378 |
Hospital observation per hr |
292 |
257 |
$221K |
| T1015 |
Clinic service |
1,725 |
259 |
$199K |
| 99285 |
|
949 |
849 |
$169K |
| 99283 |
|
583 |
567 |
$142K |
| 74177 |
|
174 |
170 |
$35K |
| 77067 |
|
64 |
64 |
$21K |
| 71046 |
|
252 |
243 |
$15K |
| 87635 |
|
462 |
442 |
$11K |
| 93306 |
|
12 |
12 |
$9K |
| 70450 |
|
208 |
194 |
$9K |
| 77063 |
|
64 |
64 |
$8K |
| 99282 |
|
32 |
31 |
$8K |
| 93005 |
|
752 |
643 |
$5K |
| 73630 |
|
33 |
32 |
$5K |
| 80053 |
|
1,058 |
922 |
$5K |
| 85025 |
|
1,689 |
1,265 |
$5K |
| 80307 |
|
171 |
161 |
$5K |
| G0480 |
Drug test def 1-7 classes |
127 |
116 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
33 |
33 |
$2K |
| 96374 |
|
384 |
362 |
$2K |
| 80048 |
|
453 |
363 |
$2K |
| 84703 |
|
367 |
356 |
$2K |
| 87631 |
|
57 |
56 |
$2K |
| 84484 |
|
536 |
448 |
$2K |
| 96361 |
|
360 |
317 |
$1K |
| 96375 |
|
288 |
248 |
$1K |
| 96365 |
|
133 |
110 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
238 |
225 |
$900.55 |
| 71045 |
|
278 |
261 |
$763.19 |
| J7030 |
Normal saline solution infus |
755 |
607 |
$674.71 |
| 81001 |
|
311 |
294 |
$533.47 |
| 74176 |
|
12 |
12 |
$458.97 |
| 83735 |
|
217 |
161 |
$440.22 |
| 83690 |
|
225 |
210 |
$403.52 |
| 96360 |
|
38 |
37 |
$373.23 |
| 96372 |
|
162 |
133 |
$343.91 |
| 81003 |
|
289 |
278 |
$324.93 |
| 85610 |
|
200 |
176 |
$313.62 |
| J1885 |
Ketorolac tromethamine inj |
264 |
241 |
$229.73 |
| 96376 |
|
18 |
12 |
$228.06 |
| 87086 |
|
81 |
76 |
$183.68 |
| 87040 |
|
24 |
24 |
$171.42 |
| J2270 |
Morphine sulfate injection |
71 |
54 |
$138.00 |
| 82962 |
|
235 |
180 |
$120.04 |
| J7050 |
Normal saline solution infus |
128 |
78 |
$104.67 |
| J7120 |
Ringers lactate infusion |
75 |
66 |
$94.28 |
| 82550 |
|
29 |
26 |
$86.28 |
| J2405 |
Ondansetron hcl injection |
255 |
204 |
$78.72 |
| 83605 |
|
30 |
28 |
$67.20 |
| 94760 |
|
118 |
63 |
$65.84 |
| J3490 |
Drugs unclassified injection |
67 |
45 |
$34.31 |
| 85730 |
|
14 |
14 |
$30.00 |
| J2001 |
Lidocaine injection |
47 |
42 |
$10.76 |
| 87186 |
|
13 |
12 |
$8.00 |
| J0696 |
Ceftriaxone sodium injection |
16 |
13 |
$7.54 |
| 87077 |
|
13 |
12 |
$7.10 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
12 |
$4.02 |
| J3010 |
Fentanyl citrate injection |
35 |
25 |
$3.27 |
| J2060 |
Lorazepam injection |
19 |
18 |
$1.83 |
| J2250 |
Inj midazolam hydrochloride |
46 |
40 |
$1.64 |
| 94640 |
|
16 |
12 |
$0.00 |
| 00000 |
|
425 |
117 |
$0.00 |