| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
18,500 |
17,020 |
$4.04M |
| 99283 |
|
29,630 |
27,919 |
$3.51M |
| 0241U |
|
8,584 |
8,033 |
$1.40M |
| 99285 |
|
5,097 |
4,524 |
$1.27M |
| 74177 |
|
1,525 |
1,428 |
$889K |
| 99282 |
|
6,574 |
6,249 |
$405K |
| 85025 |
|
40,480 |
34,524 |
$300K |
| 96374 |
|
9,144 |
8,347 |
$299K |
| 96375 |
|
6,255 |
5,192 |
$298K |
| G0463 |
Hospital outpt clinic visit |
15,645 |
12,913 |
$292K |
| 80053 |
|
33,913 |
29,224 |
$279K |
| 93005 |
|
9,942 |
8,703 |
$252K |
| 71046 |
|
5,365 |
5,006 |
$241K |
| C9803 |
Hopd covid-19 spec collect |
8,232 |
7,550 |
$224K |
| 96361 |
|
5,664 |
5,116 |
$222K |
| 70450 |
|
1,312 |
1,166 |
$188K |
| 71045 |
|
2,984 |
2,727 |
$128K |
| J3490 |
Drugs unclassified injection |
75,564 |
30,188 |
$112K |
| 80307 |
|
1,864 |
1,579 |
$105K |
| 96413 |
|
1,723 |
1,031 |
$55K |
| 96372 |
|
2,616 |
2,296 |
$46K |
| J2405 |
Ondansetron hcl injection |
3,080 |
2,741 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
2,012 |
1,838 |
$39K |
| 87804 |
|
1,824 |
1,770 |
$39K |
| 81025 |
|
4,576 |
4,120 |
$33K |
| J7030 |
Normal saline solution infus |
8,726 |
7,680 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,727 |
3,401 |
$32K |
| 87086 |
|
3,685 |
3,366 |
$31K |
| 84484 |
|
2,661 |
1,675 |
$30K |
| 87637 |
|
276 |
233 |
$24K |
| 84703 |
|
2,367 |
2,174 |
$24K |
| 87430 |
|
1,483 |
1,436 |
$24K |
| G0378 |
Hospital observation per hr |
541 |
248 |
$23K |
| 83735 |
|
3,266 |
2,858 |
$21K |
| 81001 |
|
5,591 |
5,245 |
$18K |
| 82728 |
|
1,390 |
1,267 |
$18K |
| 83690 |
|
2,292 |
2,098 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
293 |
265 |
$16K |
| 36591 |
|
1,302 |
790 |
$14K |
| 72020 |
|
466 |
357 |
$14K |
| J1100 |
Dexamethasone sodium phos |
612 |
441 |
$14K |
| 87070 |
|
1,160 |
1,124 |
$14K |
| 59025 |
|
230 |
210 |
$13K |
| 96360 |
|
246 |
227 |
$13K |
| 80299 |
|
722 |
584 |
$13K |
| 83550 |
|
1,382 |
1,262 |
$11K |
| J7050 |
Normal saline solution infus |
3,352 |
1,562 |
$10K |
| 42820 |
|
12 |
12 |
$10K |
| 96365 |
|
195 |
160 |
$9K |
| 83540 |
|
1,406 |
1,281 |
$8K |
| J2469 |
Palonosetron hcl |
128 |
81 |
$8K |
| J3010 |
Fentanyl citrate injection |
607 |
432 |
$8K |
| J9190 |
Fluorouracil injection |
256 |
112 |
$6K |
| 69436 |
|
13 |
12 |
$6K |
| 96367 |
|
191 |
126 |
$6K |
| 81003 |
|
2,299 |
2,160 |
$6K |
| 87502 |
|
202 |
180 |
$5K |
| 94640 |
|
150 |
138 |
$5K |
| 80143 |
|
261 |
222 |
$5K |
| U0003 |
Cov-19 amp prb hgh thruput |
67 |
56 |
$5K |
| 87636 |
|
31 |
30 |
$5K |
| 82607 |
|
366 |
327 |
$5K |
| 99213 |
|
293 |
291 |
$5K |
| 74176 |
|
12 |
12 |
$4K |
| J2270 |
Morphine sulfate injection |
266 |
230 |
$4K |
| 82746 |
|
333 |
295 |
$4K |
| 70551 |
|
12 |
12 |
$4K |
| 88304 |
|
65 |
39 |
$4K |
| 96416 |
|
95 |
57 |
$4K |
| 36415 |
|
1,970 |
1,727 |
$4K |
| 80179 |
|
234 |
198 |
$4K |
| 99214 |
|
164 |
159 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
104 |
99 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
218 |
180 |
$3K |
| J7999 |
Compounded drug, noc |
316 |
222 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
140 |
128 |
$2K |
| 83605 |
|
175 |
147 |
$2K |
| 82533 |
|
220 |
164 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
595 |
389 |
$2K |
| 99211 |
|
242 |
238 |
$2K |
| 80048 |
|
212 |
161 |
$1K |
| 96415 |
|
54 |
40 |
$1K |
| J7120 |
Ringers lactate infusion |
302 |
237 |
$1K |
| 87591 |
|
32 |
27 |
$1K |
| 87491 |
|
32 |
27 |
$1K |
| 76000 |
|
37 |
29 |
$1K |
| 73562 |
|
14 |
12 |
$1K |
| U0005 |
Infec agen detec ampli probe |
29 |
28 |
$963.77 |
| 82550 |
|
141 |
112 |
$928.22 |
| 85610 |
|
262 |
215 |
$831.64 |
| J0640 |
Leucovorin calcium injection |
16 |
12 |
$800.47 |
| J1642 |
Inj heparin sodium per 10 u |
183 |
120 |
$765.98 |
| 96523 |
|
36 |
25 |
$742.50 |
| 83615 |
|
111 |
75 |
$707.78 |
| 84153 |
|
46 |
38 |
$691.27 |
| 84443 |
|
84 |
65 |
$678.76 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
24 |
24 |
$655.82 |
| J7060 |
5% dextrose/water |
168 |
69 |
$632.29 |
| 84702 |
|
51 |
49 |
$545.00 |
| 94729 |
|
26 |
25 |
$472.10 |
| J8597 |
Antiemetic drug oral nos |
1,134 |
964 |
$415.68 |
| 94727 |
|
14 |
13 |
$410.76 |
| 83880 |
|
15 |
12 |
$375.86 |
| 94060 |
|
14 |
13 |
$363.12 |
| J2060 |
Lorazepam injection |
14 |
12 |
$336.27 |
| 82803 |
|
16 |
12 |
$300.73 |
| 85379 |
|
25 |
24 |
$298.16 |
| J2272 |
Inj, morphine (fresenius) |
13 |
12 |
$290.76 |
| 85730 |
|
48 |
44 |
$286.56 |
| 84439 |
|
53 |
39 |
$191.69 |
| 84550 |
|
45 |
25 |
$186.15 |
| 87420 |
|
14 |
13 |
$185.64 |
| J8499 |
Oral prescrip drug non chemo |
1,667 |
811 |
$183.13 |
| 87077 |
|
13 |
12 |
$171.60 |
| 85027 |
|
35 |
31 |
$163.59 |
| 87210 |
|
14 |
13 |
$100.75 |
| 84100 |
|
21 |
13 |
$88.30 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
39 |
12 |
$47.15 |
| J7620 |
Albuterol ipratrop non-comp |
16 |
14 |
$0.49 |
| J7613 |
Albuterol non-comp unit |
14 |
13 |
$0.12 |