| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,076 |
13,736 |
$2.19M |
| 99283 |
|
14,820 |
12,892 |
$1.50M |
| G0378 |
Hospital observation per hr |
2,515 |
2,066 |
$1.30M |
| 99285 |
|
5,364 |
4,725 |
$947K |
| 99281 |
|
11,171 |
9,200 |
$379K |
| 99282 |
|
3,764 |
3,355 |
$256K |
| 97597 |
|
1,989 |
916 |
$117K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,743 |
162 |
$113K |
| 80048 |
|
23,296 |
15,717 |
$107K |
| 80053 |
|
11,244 |
8,598 |
$70K |
| 71046 |
|
4,288 |
3,917 |
$45K |
| 71045 |
|
8,420 |
7,222 |
$43K |
| 0241U |
|
1,467 |
1,333 |
$36K |
| 85025 |
|
23,861 |
18,108 |
$34K |
| 93005 |
|
12,180 |
10,252 |
$31K |
| 74177 |
|
1,285 |
1,219 |
$30K |
| J7030 |
Normal saline solution infus |
9,311 |
6,880 |
$24K |
| 70450 |
|
3,973 |
3,561 |
$23K |
| 84484 |
|
12,261 |
7,703 |
$22K |
| G0463 |
Hospital outpt clinic visit |
1,974 |
1,614 |
$22K |
| 99211 |
|
1,847 |
1,679 |
$21K |
| 81001 |
|
6,608 |
5,833 |
$19K |
| 94010 |
|
330 |
316 |
$18K |
| 36591 |
|
785 |
558 |
$16K |
| 93971 |
|
103 |
97 |
$14K |
| 74176 |
|
1,696 |
1,594 |
$11K |
| 85027 |
|
9,917 |
6,394 |
$10K |
| 87086 |
|
3,178 |
2,869 |
$9K |
| 80061 |
|
1,245 |
1,118 |
$9K |
| 71275 |
|
652 |
601 |
$8K |
| 93306 |
|
344 |
321 |
$8K |
| 94640 |
|
1,711 |
1,389 |
$8K |
| 80076 |
|
4,727 |
4,087 |
$7K |
| A9270 |
Non-covered item or service |
24,069 |
6,159 |
$7K |
| 83690 |
|
5,406 |
4,615 |
$6K |
| 36415 |
|
1,039 |
922 |
$6K |
| 71250 |
|
273 |
261 |
$6K |
| J7050 |
Normal saline solution infus |
1,447 |
1,170 |
$6K |
| 88305 |
|
2,100 |
1,120 |
$6K |
| J7120 |
Ringers lactate infusion |
2,903 |
2,438 |
$6K |
| 83735 |
|
8,887 |
6,187 |
$6K |
| 43239 |
|
12 |
12 |
$6K |
| 96413 |
|
97 |
55 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
136 |
127 |
$5K |
| 84443 |
|
2,481 |
2,151 |
$5K |
| 81025 |
|
972 |
872 |
$5K |
| 76700 |
|
68 |
64 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
1,662 |
1,499 |
$4K |
| 80307 |
|
1,201 |
1,035 |
$4K |
| J0690 |
Cefazolin sodium injection |
982 |
816 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
3,049 |
2,713 |
$4K |
| 83036 |
|
1,052 |
947 |
$4K |
| J7060 |
5% dextrose/water |
1,535 |
1,062 |
$4K |
| 81003 |
|
2,650 |
2,310 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
199 |
169 |
$4K |
| 87040 |
|
2,336 |
1,136 |
$4K |
| J2270 |
Morphine sulfate injection |
3,399 |
2,244 |
$3K |
| J2930 |
Methylprednisolone injection |
588 |
519 |
$3K |
| 11042 |
|
19 |
12 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,024 |
2,539 |
$3K |
| J2405 |
Ondansetron hcl injection |
7,058 |
5,388 |
$3K |
| 87804 |
|
354 |
327 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,035 |
759 |
$3K |
| 99213 |
|
150 |
113 |
$3K |
| J3010 |
Fentanyl citrate injection |
3,371 |
2,897 |
$2K |
| 96372 |
|
1,321 |
885 |
$2K |
| 83880 |
|
2,374 |
2,057 |
$2K |
| 87070 |
|
169 |
148 |
$2K |
| 97530 |
|
378 |
235 |
$2K |
| 94726 |
|
268 |
262 |
$2K |
| 72125 |
|
652 |
605 |
$2K |
| J1756 |
Iron sucrose injection |
49 |
24 |
$2K |
| 97162 |
|
177 |
164 |
$2K |
| J1650 |
Inj enoxaparin sodium |
1,136 |
608 |
$2K |
| 94729 |
|
341 |
335 |
$1K |
| 86140 |
|
1,331 |
1,111 |
$1K |
| U0005 |
Infec agen detec ampli probe |
81 |
76 |
$1K |
| 93970 |
|
19 |
17 |
$1K |
| 94760 |
|
2,624 |
1,816 |
$1K |
| 83605 |
|
3,130 |
2,343 |
$1K |
| 96374 |
|
122 |
67 |
$1K |
| 85610 |
|
2,857 |
2,409 |
$951.61 |
| 94060 |
|
26 |
26 |
$930.60 |
| 87651 |
|
41 |
40 |
$832.27 |
| 73630 |
|
16 |
13 |
$811.29 |
| 73030 |
|
63 |
50 |
$735.16 |
| 90715 |
|
26 |
26 |
$719.63 |
| 85007 |
|
2,416 |
1,795 |
$644.42 |
| 85379 |
|
1,213 |
1,106 |
$607.61 |
| J3475 |
Inj magnesium sulfate |
138 |
120 |
$584.25 |
| 80050 |
|
36 |
28 |
$562.91 |
| 94799 |
|
922 |
605 |
$560.96 |
| 87077 |
|
1,611 |
1,021 |
$556.12 |
| 82306 |
|
13 |
12 |
$511.66 |
| 87186 |
|
1,753 |
1,237 |
$491.80 |
| 99212 |
|
66 |
51 |
$453.43 |
| J7040 |
Normal saline solution infus |
355 |
325 |
$451.47 |
| J1100 |
Dexamethasone sodium phos |
2,583 |
1,966 |
$417.46 |
| 85730 |
|
1,174 |
1,031 |
$411.25 |
| 87491 |
|
40 |
28 |
$371.32 |
| 74018 |
|
25 |
24 |
$360.00 |
| J2250 |
Inj midazolam hydrochloride |
1,549 |
1,413 |
$327.59 |
| 82550 |
|
540 |
476 |
$325.30 |
| 86850 |
|
1,313 |
1,003 |
$289.52 |
| 87591 |
|
40 |
28 |
$278.31 |
| 86803 |
|
13 |
13 |
$272.87 |
| 90686 |
|
44 |
43 |
$269.76 |
| J7512 |
Prednisone ir or dr oral 1mg |
542 |
428 |
$253.28 |
| G0008 |
Admin influenza virus vac |
88 |
75 |
$246.96 |
| J2370 |
Phenylephrine hcl injection |
129 |
112 |
$184.48 |
| J1644 |
Inj heparin sodium per 1000u |
567 |
296 |
$182.52 |
| J1940 |
Furosemide injection |
137 |
100 |
$154.49 |
| J1170 |
Hydromorphone injection |
48 |
38 |
$147.51 |
| 86900 |
|
1,361 |
1,047 |
$127.01 |
| J2765 |
Metoclopramide hcl injection |
171 |
154 |
$112.24 |
| 82728 |
|
130 |
102 |
$96.80 |
| 72020 |
|
13 |
12 |
$95.00 |
| 86901 |
|
1,339 |
1,029 |
$87.59 |
| J3490 |
Drugs unclassified injection |
114 |
71 |
$69.92 |
| 82607 |
|
83 |
72 |
$60.72 |
| 90694 |
|
13 |
13 |
$59.75 |
| 85652 |
|
181 |
162 |
$57.97 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$53.28 |
| G0480 |
Drug test def 1-7 classes |
801 |
695 |
$51.84 |
| 84145 |
|
44 |
38 |
$49.03 |
| J1200 |
Diphenhydramine hcl injectio |
475 |
371 |
$48.17 |
| 84702 |
|
13 |
12 |
$39.00 |
| 84466 |
|
114 |
101 |
$30.40 |
| 85651 |
|
262 |
227 |
$29.26 |
| J0171 |
Adrenalin epinephrine inject |
19 |
13 |
$27.89 |
| J3480 |
Inj potassium chloride |
24 |
12 |
$24.69 |
| 97166 |
|
28 |
26 |
$24.40 |
| 84100 |
|
239 |
182 |
$24.21 |
| J0360 |
Hydralazine hcl injection |
14 |
12 |
$22.87 |
| 83615 |
|
78 |
66 |
$22.32 |
| 97116 |
|
51 |
39 |
$18.40 |
| J2060 |
Lorazepam injection |
148 |
125 |
$13.69 |
| 83540 |
|
113 |
101 |
$11.40 |
| 87205 |
|
155 |
135 |
$3.46 |
| J2550 |
Promethazine hcl injection |
12 |
12 |
$3.01 |
| 84132 |
|
16 |
12 |
$0.00 |
| 73564 |
|
31 |
25 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
83 |
73 |
$0.00 |
| 84439 |
|
48 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
66 |
60 |
$0.00 |
| 96367 |
|
22 |
12 |
$0.00 |
| 88175 |
|
23 |
12 |
$0.00 |
| 87641 |
|
12 |
12 |
$0.00 |
| 90662 |
|
21 |
12 |
$0.00 |