| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
4,260 |
3,851 |
$679K |
| H0035 |
Mh partial hosp tx under 24h |
1,602 |
328 |
$598K |
| 99285 |
|
1,213 |
1,125 |
$249K |
| 99283 |
|
4,321 |
4,054 |
$205K |
| 74177 |
|
587 |
547 |
$83K |
| 80053 |
|
6,430 |
5,535 |
$82K |
| 87631 |
|
948 |
898 |
$77K |
| 85025 |
|
6,957 |
5,754 |
$44K |
| 90853 |
|
122 |
28 |
$44K |
| 93005 |
|
1,768 |
1,590 |
$43K |
| 70450 |
|
678 |
636 |
$33K |
| 71045 |
|
1,506 |
1,394 |
$26K |
| C9803 |
Hopd covid-19 spec collect |
2,056 |
1,956 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
191 |
181 |
$9K |
| 84703 |
|
1,597 |
1,437 |
$9K |
| J7030 |
Normal saline solution infus |
2,538 |
1,922 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
864 |
653 |
$8K |
| 96374 |
|
1,509 |
1,344 |
$8K |
| 87502 |
|
135 |
127 |
$7K |
| 96375 |
|
1,193 |
1,012 |
$7K |
| 84484 |
|
1,492 |
1,205 |
$7K |
| 81001 |
|
2,704 |
2,433 |
$6K |
| G0480 |
Drug test def 1-7 classes |
163 |
150 |
$6K |
| 99282 |
|
127 |
109 |
$5K |
| 87651 |
|
250 |
243 |
$5K |
| 96361 |
|
593 |
503 |
$4K |
| 93976 |
|
78 |
66 |
$4K |
| 83690 |
|
1,415 |
1,269 |
$4K |
| 76801 |
|
45 |
36 |
$3K |
| 83880 |
|
210 |
199 |
$3K |
| 71046 |
|
67 |
61 |
$3K |
| 80307 |
|
80 |
78 |
$2K |
| 87635 |
|
129 |
125 |
$2K |
| 84702 |
|
152 |
117 |
$2K |
| 87634 |
|
27 |
25 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,653 |
1,372 |
$1K |
| J2270 |
Morphine sulfate injection |
927 |
711 |
$1K |
| 85610 |
|
742 |
675 |
$1K |
| 74176 |
|
17 |
17 |
$1K |
| 72125 |
|
30 |
27 |
$898.84 |
| 96376 |
|
120 |
93 |
$738.38 |
| 96365 |
|
27 |
26 |
$704.38 |
| 85730 |
|
350 |
321 |
$695.38 |
| J1885 |
Ketorolac tromethamine inj |
768 |
694 |
$635.11 |
| 85379 |
|
111 |
103 |
$538.44 |
| 83735 |
|
246 |
182 |
$532.77 |
| 99281 |
|
15 |
15 |
$511.84 |
| 96372 |
|
151 |
122 |
$507.59 |
| 80048 |
|
179 |
118 |
$476.17 |
| 87086 |
|
91 |
89 |
$428.76 |
| 83605 |
|
46 |
39 |
$353.93 |
| 86901 |
|
132 |
121 |
$221.95 |
| 88305 |
|
16 |
16 |
$146.27 |
| J7120 |
Ringers lactate infusion |
108 |
84 |
$142.35 |
| J3010 |
Fentanyl citrate injection |
115 |
89 |
$134.88 |
| J0696 |
Ceftriaxone sodium injection |
15 |
15 |
$127.29 |
| 36415 |
|
1,790 |
1,570 |
$83.80 |
| J2272 |
Inj, morphine (fresenius) |
43 |
41 |
$77.66 |
| 43239 |
|
12 |
12 |
$65.32 |
| J1100 |
Dexamethasone sodium phos |
43 |
40 |
$22.53 |
| A9270 |
Non-covered item or service |
978 |
807 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
33 |
29 |
$0.00 |