| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,224 |
15,966 |
$5.91M |
| 99283 |
|
20,753 |
17,577 |
$3.82M |
| 99285 |
|
6,520 |
4,933 |
$2.57M |
| 74177 |
|
2,115 |
1,767 |
$1.06M |
| 74176 |
|
2,854 |
2,381 |
$995K |
| 70450 |
|
3,872 |
2,976 |
$790K |
| 99282 |
|
6,691 |
5,923 |
$653K |
| 71045 |
|
10,234 |
7,820 |
$480K |
| 97110 |
|
8,872 |
1,946 |
$427K |
| 96361 |
|
15,470 |
5,657 |
$425K |
| 93005 |
|
10,577 |
8,411 |
$391K |
| G0378 |
Hospital observation per hr |
1,615 |
730 |
$331K |
| 93306 |
|
688 |
580 |
$304K |
| 80053 |
|
30,892 |
19,016 |
$274K |
| 85025 |
|
32,888 |
25,852 |
$269K |
| 71046 |
|
4,048 |
3,418 |
$216K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,661 |
2,998 |
$209K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,497 |
3,120 |
$187K |
| 80307 |
|
5,676 |
4,567 |
$187K |
| 96365 |
|
4,185 |
2,653 |
$185K |
| 87804 |
|
8,791 |
7,388 |
$170K |
| 96374 |
|
6,365 |
5,051 |
$150K |
| 87426 |
|
5,682 |
4,536 |
$147K |
| 96375 |
|
4,483 |
3,679 |
$144K |
| 73721 |
|
250 |
213 |
$141K |
| 76705 |
|
1,236 |
1,120 |
$130K |
| 74018 |
|
1,504 |
1,328 |
$130K |
| 72125 |
|
674 |
566 |
$123K |
| 96372 |
|
4,454 |
3,529 |
$116K |
| 11042 |
|
2,320 |
893 |
$113K |
| 73630 |
|
2,300 |
1,845 |
$102K |
| 96360 |
|
6,559 |
2,011 |
$99K |
| 93017 |
|
667 |
574 |
$94K |
| 73610 |
|
1,490 |
1,204 |
$92K |
| 87635 |
|
2,235 |
1,973 |
$92K |
| 77067 |
|
2,031 |
1,919 |
$91K |
| 71250 |
|
445 |
363 |
$77K |
| 59025 |
|
1,013 |
625 |
$70K |
| 73130 |
|
1,345 |
1,112 |
$69K |
| U0005 |
Infec agen detec ampli probe |
3,235 |
2,959 |
$67K |
| 36415 |
|
18,747 |
11,199 |
$66K |
| 80048 |
|
9,419 |
6,463 |
$65K |
| 84443 |
|
2,721 |
2,487 |
$63K |
| 81001 |
|
13,553 |
11,470 |
$63K |
| 87651 |
|
1,985 |
1,856 |
$60K |
| 84484 |
|
6,133 |
4,829 |
$59K |
| U0002 |
Covid-19 lab test non-cdc |
1,385 |
1,113 |
$50K |
| 96366 |
|
721 |
564 |
$48K |
| 80061 |
|
1,991 |
1,589 |
$48K |
| 87086 |
|
6,111 |
4,262 |
$34K |
| 82306 |
|
1,302 |
1,169 |
$34K |
| 73560 |
|
727 |
553 |
$33K |
| 84703 |
|
4,656 |
4,041 |
$32K |
| 73030 |
|
734 |
558 |
$30K |
| C9803 |
Hopd covid-19 spec collect |
8,699 |
5,315 |
$30K |
| 72131 |
|
121 |
101 |
$29K |
| 72148 |
|
58 |
53 |
$27K |
| J2405 |
Ondansetron hcl injection |
6,850 |
5,579 |
$27K |
| 83036 |
|
2,089 |
1,894 |
$27K |
| 86140 |
|
4,166 |
3,608 |
$27K |
| 83735 |
|
4,997 |
4,045 |
$26K |
| 94640 |
|
2,629 |
1,776 |
$25K |
| 71275 |
|
73 |
63 |
$25K |
| 87070 |
|
4,384 |
3,257 |
$23K |
| 85610 |
|
6,213 |
5,016 |
$23K |
| 85730 |
|
3,683 |
3,148 |
$22K |
| 87081 |
|
4,590 |
4,180 |
$22K |
| 73110 |
|
370 |
291 |
$20K |
| 87040 |
|
2,031 |
1,520 |
$19K |
| 87420 |
|
1,947 |
1,783 |
$19K |
| 97162 |
|
315 |
265 |
$18K |
| 87186 |
|
2,149 |
1,780 |
$18K |
| 83690 |
|
3,810 |
3,214 |
$18K |
| 84439 |
|
853 |
760 |
$13K |
| 85378 |
|
1,927 |
1,691 |
$13K |
| 93971 |
|
155 |
140 |
$12K |
| 73562 |
|
207 |
167 |
$12K |
| 83880 |
|
451 |
348 |
$12K |
| 77063 |
|
1,309 |
1,072 |
$10K |
| 83605 |
|
1,487 |
1,161 |
$10K |
| 87491 |
|
523 |
457 |
$10K |
| 84145 |
|
510 |
407 |
$9K |
| 70486 |
|
42 |
37 |
$9K |
| 87591 |
|
480 |
416 |
$9K |
| 82728 |
|
697 |
581 |
$8K |
| 82150 |
|
1,738 |
1,481 |
$7K |
| J3010 |
Fentanyl citrate injection |
2,434 |
1,981 |
$7K |
| 71271 |
|
73 |
54 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
1,803 |
1,490 |
$7K |
| 99281 |
|
119 |
109 |
$7K |
| J1100 |
Dexamethasone sodium phos |
1,553 |
1,280 |
$6K |
| 97597 |
|
219 |
70 |
$6K |
| 43239 |
|
27 |
26 |
$6K |
| 73090 |
|
143 |
120 |
$6K |
| 96376 |
|
391 |
324 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,890 |
2,436 |
$6K |
| J1170 |
Hydromorphone injection |
1,566 |
1,199 |
$6K |
| 93225 |
|
32 |
24 |
$5K |
| 81003 |
|
1,376 |
1,200 |
$5K |
| 73590 |
|
75 |
65 |
$5K |
| 84702 |
|
415 |
289 |
$5K |
| 76536 |
|
50 |
40 |
$4K |
| 94760 |
|
380 |
319 |
$4K |
| 73080 |
|
58 |
40 |
$4K |
| 82947 |
|
1,215 |
500 |
$3K |
| 62323 |
|
17 |
13 |
$3K |
| J2270 |
Morphine sulfate injection |
1,568 |
1,267 |
$3K |
| 88305 |
|
126 |
91 |
$3K |
| 97140 |
|
144 |
48 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,365 |
1,099 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,084 |
878 |
$3K |
| 82803 |
|
183 |
142 |
$3K |
| 36600 |
|
203 |
142 |
$3K |
| 93242 |
|
16 |
13 |
$3K |
| J0690 |
Cefazolin sodium injection |
882 |
659 |
$3K |
| 85651 |
|
492 |
419 |
$3K |
| J2001 |
Lidocaine injection |
1,533 |
1,265 |
$3K |
| 12001 |
|
45 |
38 |
$2K |
| 72100 |
|
40 |
37 |
$2K |
| 90471 |
|
308 |
275 |
$2K |
| 82607 |
|
168 |
139 |
$2K |
| 76000 |
|
34 |
24 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
1,037 |
837 |
$2K |
| 87205 |
|
128 |
115 |
$2K |
| J2550 |
Promethazine hcl injection |
863 |
746 |
$2K |
| 86850 |
|
210 |
165 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
353 |
335 |
$2K |
| 83615 |
|
357 |
276 |
$1K |
| 73502 |
|
61 |
38 |
$1K |
| 76642 |
|
13 |
13 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
789 |
675 |
$1K |
| 86308 |
|
65 |
62 |
$1K |
| 83540 |
|
199 |
173 |
$1K |
| 83550 |
|
131 |
122 |
$972.12 |
| Q3014 |
Telehealth facility fee |
161 |
134 |
$946.65 |
| 84436 |
|
77 |
67 |
$878.28 |
| 97161 |
|
14 |
13 |
$848.02 |
| 29125 |
|
14 |
13 |
$777.26 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
18 |
18 |
$711.04 |
| G0283 |
Elec stim other than wound |
99 |
13 |
$708.32 |
| J3490 |
Drugs unclassified injection |
4,574 |
2,626 |
$600.17 |
| 74022 |
|
12 |
12 |
$576.35 |
| 87522 |
Neg quan hep c or qual rna |
15 |
13 |
$559.48 |
| 87210 |
|
140 |
122 |
$414.61 |
| A9270 |
Non-covered item or service |
175 |
112 |
$408.33 |
| 82550 |
|
79 |
66 |
$382.52 |
| 87220 |
|
130 |
114 |
$360.76 |
| 86709 |
|
41 |
37 |
$358.96 |
| 82140 |
|
27 |
25 |
$342.29 |
| 10060 |
|
28 |
25 |
$240.93 |
| J2060 |
Lorazepam injection |
128 |
97 |
$211.10 |
| 87045 |
|
25 |
24 |
$193.53 |
| J2919 |
Inj, methylpred sod succ 5mg |
69 |
58 |
$153.28 |
| 0011A |
|
13 |
13 |
$144.29 |
| J1030 |
Methylprednisolone 40 mg inj |
25 |
24 |
$142.35 |
| 0012A |
|
13 |
13 |
$141.31 |
| 87427 |
|
12 |
12 |
$131.60 |
| 82746 |
|
13 |
12 |
$123.17 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
20 |
13 |
$117.94 |
| J3475 |
Inj magnesium sulfate |
33 |
27 |
$116.57 |
| J2765 |
Metoclopramide hcl injection |
134 |
124 |
$111.82 |
| J2175 |
Meperidine hydrochl /100 mg |
67 |
57 |
$89.28 |
| 82272 |
|
19 |
13 |
$83.59 |
| Q0162 |
Ondansetron oral |
114 |
109 |
$70.46 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$59.60 |
| 82570 |
|
12 |
12 |
$57.59 |
| 82247 |
|
14 |
12 |
$55.76 |
| 86901 |
|
13 |
12 |
$37.99 |
| J0780 |
Prochlorperazine injection |
28 |
24 |
$33.75 |
| J2710 |
Neostigmine methylslfte inj |
28 |
24 |
$28.50 |
| 86900 |
|
13 |
12 |
$21.77 |