| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
5,607 |
5,142 |
$654K |
| 80048 |
|
4,239 |
3,900 |
$509K |
| 99283 |
|
11,157 |
10,706 |
$488K |
| 81025 |
|
5,683 |
5,434 |
$452K |
| 96361 |
|
3,557 |
3,120 |
$236K |
| 99282 |
|
2,301 |
2,257 |
$223K |
| 0241U |
|
2,308 |
2,266 |
$217K |
| 96372 |
|
2,421 |
1,985 |
$155K |
| 81001 |
|
7,802 |
7,312 |
$143K |
| 96374 |
|
4,096 |
3,767 |
$136K |
| 36415 |
|
1,014 |
864 |
$111K |
| 99284 |
|
7,427 |
6,963 |
$106K |
| 87804 |
|
517 |
506 |
$64K |
| 71046 |
|
2,139 |
2,098 |
$56K |
| 96360 |
|
754 |
735 |
$49K |
| 99285 |
|
3,911 |
3,720 |
$44K |
| 87210 |
|
776 |
733 |
$41K |
| 87086 |
|
1,534 |
1,496 |
$39K |
| 85027 |
|
1,265 |
1,150 |
$36K |
| C9803 |
Hopd covid-19 spec collect |
318 |
316 |
$33K |
| 84702 |
|
1,513 |
1,414 |
$32K |
| 70450 |
|
604 |
591 |
$32K |
| 87081 |
|
234 |
234 |
$30K |
| 87651 |
|
596 |
591 |
$26K |
| 74177 |
|
1,133 |
1,109 |
$25K |
| 85025 |
|
8,704 |
7,809 |
$25K |
| 71045 |
|
1,722 |
1,669 |
$25K |
| 87491 |
|
901 |
894 |
$21K |
| 93005 |
|
3,759 |
3,408 |
$20K |
| 86900 |
|
260 |
251 |
$20K |
| 96365 |
|
474 |
437 |
$18K |
| 99281 |
|
166 |
161 |
$18K |
| U0005 |
Infec agen detec ampli probe |
230 |
227 |
$16K |
| 93306 |
|
81 |
81 |
$14K |
| 93010 |
|
2,455 |
2,249 |
$14K |
| 77063 |
|
165 |
165 |
$13K |
| 87635 |
|
73 |
73 |
$12K |
| 87637 |
|
183 |
181 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
2,003 |
1,935 |
$9K |
| 76642 |
|
305 |
255 |
$9K |
| 80307 |
|
493 |
464 |
$8K |
| 96375 |
|
2,767 |
2,437 |
$7K |
| G0463 |
Hospital outpt clinic visit |
238 |
209 |
$5K |
| 87880 |
|
303 |
301 |
$5K |
| 77066 |
Tomosynthesis, mammo |
43 |
43 |
$4K |
| J3490 |
Drugs unclassified injection |
1,233 |
867 |
$4K |
| 82306 |
|
15 |
15 |
$4K |
| 87077 |
|
158 |
156 |
$3K |
| 87428 |
|
43 |
42 |
$3K |
| J2270 |
Morphine sulfate injection |
1,245 |
1,059 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
428 |
422 |
$3K |
| 76705 |
|
89 |
88 |
$3K |
| 74176 |
|
41 |
40 |
$2K |
| 84484 |
|
1,872 |
1,678 |
$2K |
| J7120 |
Ringers lactate infusion |
3,502 |
3,187 |
$2K |
| 81003 |
|
704 |
615 |
$2K |
| 76830 |
|
44 |
44 |
$2K |
| J7030 |
Normal saline solution infus |
3,125 |
2,771 |
$1K |
| 72100 |
|
25 |
25 |
$1K |
| 76856 |
|
72 |
72 |
$1K |
| 99215 |
Prolong outpt/office vis |
30 |
25 |
$1K |
| 84443 |
|
418 |
407 |
$1K |
| 83690 |
|
2,730 |
2,548 |
$1K |
| 83036 |
|
287 |
285 |
$989.00 |
| J3010 |
Fentanyl citrate injection |
1,913 |
1,838 |
$970.23 |
| 85018 |
|
192 |
188 |
$897.07 |
| 94640 |
|
111 |
101 |
$891.90 |
| 80061 |
|
187 |
187 |
$890.58 |
| 96376 |
|
132 |
107 |
$864.37 |
| 73630 |
|
13 |
13 |
$861.14 |
| 77067 |
|
248 |
248 |
$853.93 |
| J2795 |
Ropivacaine hcl injection |
428 |
416 |
$853.75 |
| 73130 |
|
13 |
13 |
$802.03 |
| 73560 |
|
27 |
26 |
$744.39 |
| 71275 |
|
32 |
31 |
$715.39 |
| 86850 |
|
12 |
12 |
$694.85 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,938 |
1,864 |
$474.17 |
| 87389 |
|
107 |
107 |
$459.83 |
| 76801 |
|
43 |
40 |
$392.40 |
| 73610 |
|
12 |
12 |
$261.46 |
| 83735 |
|
2,414 |
2,204 |
$216.67 |
| 87661 |
|
270 |
268 |
$202.37 |
| 85379 |
|
198 |
196 |
$174.58 |
| 93976 |
|
492 |
460 |
$115.30 |
| 87591 |
|
871 |
864 |
$112.44 |
| 86803 |
|
108 |
108 |
$105.78 |
| 76817 |
|
26 |
24 |
$77.58 |
| 83880 |
|
16 |
14 |
$65.28 |
| 82570 |
|
64 |
60 |
$46.77 |
| J1200 |
Diphenhydramine hcl injectio |
196 |
180 |
$42.53 |
| 83605 |
|
55 |
50 |
$27.00 |
| J1885 |
Ketorolac tromethamine inj |
2,997 |
2,826 |
$26.28 |
| J2405 |
Ondansetron hcl injection |
4,246 |
3,858 |
$21.85 |
| 82947 |
|
17 |
15 |
$20.96 |
| 86901 |
|
260 |
251 |
$16.05 |
| J0690 |
Cefazolin sodium injection |
1,444 |
1,386 |
$14.58 |
| J0696 |
Ceftriaxone sodium injection |
86 |
79 |
$12.91 |
| 86140 |
|
24 |
24 |
$11.17 |
| 85610 |
|
17 |
15 |
$2.57 |
| J1170 |
Hydromorphone injection |
1,083 |
825 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,752 |
1,717 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
281 |
259 |
$0.00 |
| 84703 |
|
24 |
24 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
71 |
58 |
$0.00 |
| 88305 |
|
13 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
78 |
77 |
$0.00 |
| G0378 |
Hospital observation per hr |
59 |
41 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
24 |
24 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
118 |
106 |
$0.00 |
| 80076 |
|
42 |
42 |
$0.00 |
| G1004 |
Cdsm ndsc |
84 |
75 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
67 |
62 |
$0.00 |
| 94664 |
|
51 |
44 |
$0.00 |
| J7040 |
Normal saline solution infus |
25 |
25 |
$0.00 |
| 87186 |
|
42 |
42 |
$0.00 |
| J0780 |
Prochlorperazine injection |
14 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
13 |
13 |
$0.00 |