| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
6,361 |
5,161 |
$138K |
| 99284 |
|
3,551 |
2,582 |
$50K |
| 99282 |
|
2,988 |
2,585 |
$40K |
| 74177 |
|
595 |
403 |
$19K |
| 71046 |
|
1,819 |
1,361 |
$11K |
| 0241U |
|
456 |
413 |
$9K |
| 87633 |
|
299 |
267 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,642 |
1,329 |
$7K |
| 80053 |
|
8,123 |
6,502 |
$5K |
| 93005 |
|
2,365 |
1,853 |
$5K |
| 85025 |
|
8,854 |
7,004 |
$4K |
| 96365 |
|
1,525 |
925 |
$4K |
| 99281 |
|
481 |
413 |
$3K |
| 92507 |
|
947 |
327 |
$3K |
| 97530 |
|
2,007 |
696 |
$3K |
| 97110 |
|
6,919 |
2,352 |
$3K |
| 70450 |
|
227 |
167 |
$3K |
| 0202U |
|
101 |
95 |
$2K |
| G0378 |
Hospital observation per hr |
117 |
89 |
$2K |
| 81001 |
|
3,335 |
2,800 |
$2K |
| 36415 |
|
13,736 |
10,098 |
$2K |
| 96372 |
|
1,804 |
1,241 |
$2K |
| 96374 |
|
1,368 |
1,122 |
$2K |
| 96375 |
|
1,249 |
998 |
$2K |
| J7120 |
Ringers lactate infusion |
1,107 |
896 |
$2K |
| 71045 |
|
427 |
302 |
$1K |
| J7030 |
Normal saline solution infus |
1,709 |
1,325 |
$1K |
| 87635 |
|
352 |
319 |
$1K |
| 87804 |
|
248 |
114 |
$997.49 |
| 83605 |
|
928 |
702 |
$972.36 |
| 87798 |
|
286 |
257 |
$914.48 |
| 87086 |
|
839 |
746 |
$879.55 |
| 87651 |
|
119 |
112 |
$819.02 |
| 83690 |
|
1,179 |
979 |
$807.16 |
| 84443 |
|
2,702 |
2,459 |
$804.08 |
| J2405 |
Ondansetron hcl injection |
1,576 |
1,154 |
$801.03 |
| C9803 |
Hopd covid-19 spec collect |
116 |
108 |
$728.29 |
| 97161 |
|
289 |
259 |
$725.42 |
| J1100 |
Dexamethasone sodium phos |
308 |
247 |
$692.27 |
| 73610 |
|
50 |
38 |
$680.06 |
| 80048 |
|
1,865 |
1,485 |
$663.30 |
| 87486 |
|
275 |
245 |
$661.43 |
| 87581 |
|
275 |
245 |
$661.43 |
| 84484 |
|
1,328 |
846 |
$604.47 |
| J3010 |
Fentanyl citrate injection |
519 |
333 |
$581.30 |
| J1885 |
Ketorolac tromethamine inj |
1,801 |
1,235 |
$524.83 |
| 87430 |
|
219 |
200 |
$521.73 |
| 86140 |
|
274 |
210 |
$486.62 |
| J2704 |
Inj, propofol, 10 mg |
567 |
494 |
$455.20 |
| 73630 |
|
107 |
78 |
$414.51 |
| 80306 |
|
218 |
191 |
$382.63 |
| 85027 |
|
1,335 |
1,097 |
$357.73 |
| J0131 |
Inj, acetaminophen (nos) |
223 |
169 |
$341.27 |
| 84703 |
|
140 |
121 |
$268.55 |
| 96361 |
|
181 |
148 |
$212.96 |
| 87081 |
|
177 |
163 |
$208.97 |
| 94640 |
|
85 |
39 |
$173.70 |
| 82728 |
|
221 |
204 |
$164.13 |
| 82306 |
|
335 |
314 |
$152.67 |
| 81025 |
|
46 |
43 |
$148.83 |
| 87880 |
|
44 |
35 |
$141.28 |
| J2001 |
Lidocaine injection |
563 |
489 |
$131.61 |
| 80061 |
|
1,296 |
1,227 |
$69.24 |
| 85651 |
|
56 |
49 |
$64.96 |
| 83036 |
|
1,993 |
1,831 |
$50.34 |
| 83550 |
|
87 |
79 |
$29.98 |
| 82607 |
|
102 |
95 |
$26.06 |
| 83540 |
|
105 |
95 |
$22.20 |
| 82077 |
|
14 |
12 |
$20.33 |
| 85652 |
|
29 |
24 |
$9.26 |
| 82570 |
|
27 |
25 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
1,238 |
1,148 |
$0.00 |
| 99212 |
|
112 |
50 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
95 |
75 |
$0.00 |
| 77067 |
|
139 |
113 |
$0.00 |
| 85610 |
|
226 |
149 |
$0.00 |
| 93010 |
|
51 |
38 |
$0.00 |
| 84145 |
|
24 |
15 |
$0.00 |
| 87186 |
|
27 |
25 |
$0.00 |
| J1756 |
Iron sucrose injection |
30 |
12 |
$0.00 |
| 97140 |
|
736 |
314 |
$0.00 |
| 99213 |
|
2,234 |
965 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
115 |
96 |
$0.00 |
| 83735 |
|
56 |
49 |
$0.00 |
| 99214 |
|
1,556 |
679 |
$0.00 |
| Q3014 |
Telehealth facility fee |
58 |
53 |
$0.00 |
| 85379 |
|
91 |
73 |
$0.00 |
| 77063 |
|
122 |
101 |
$0.00 |
| J1170 |
Hydromorphone injection |
58 |
24 |
$0.00 |
| 87077 |
|
59 |
50 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
55 |
44 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
68 |
52 |
$0.00 |
| G0463 |
Hospital outpt clinic visit |
31 |
14 |
$0.00 |
| A9270 |
Non-covered item or service |
35 |
13 |
$0.00 |
| 82746 |
|
30 |
28 |
$0.00 |
| 97113 |
|
89 |
26 |
$0.00 |
| 71260 |
|
20 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
19 |
16 |
$0.00 |