| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,659 |
2,610 |
$528K |
| 99282 |
|
3,655 |
2,939 |
$459K |
| 97110 |
|
5,974 |
1,683 |
$447K |
| 80050 |
|
2,831 |
2,480 |
$390K |
| 99284 |
|
1,732 |
1,047 |
$321K |
| 96361 |
|
822 |
580 |
$98K |
| G0378 |
Hospital observation per hr |
129 |
109 |
$82K |
| 93005 |
|
808 |
698 |
$82K |
| 99281 |
|
944 |
899 |
$81K |
| 71046 |
|
625 |
590 |
$79K |
| 36415 |
|
7,825 |
5,953 |
$78K |
| 96365 |
|
700 |
386 |
$76K |
| 99211 |
|
2,584 |
2,201 |
$54K |
| 96374 |
|
677 |
575 |
$47K |
| 97140 |
|
989 |
362 |
$47K |
| 85025 |
|
2,683 |
2,041 |
$38K |
| 96372 |
|
651 |
541 |
$36K |
| 87088 |
|
942 |
856 |
$36K |
| 96375 |
|
422 |
345 |
$35K |
| 80053 |
|
2,251 |
1,708 |
$26K |
| 83735 |
|
1,217 |
1,035 |
$26K |
| 81003 |
|
1,591 |
1,443 |
$23K |
| J3490 |
Drugs unclassified injection |
2,508 |
1,400 |
$23K |
| 97530 |
|
277 |
65 |
$21K |
| 81001 |
|
956 |
860 |
$20K |
| 87635 |
|
383 |
374 |
$19K |
| J7030 |
Normal saline solution infus |
448 |
388 |
$16K |
| 80061 |
|
296 |
290 |
$14K |
| 87633 |
|
47 |
45 |
$14K |
| 83036 |
|
558 |
547 |
$13K |
| 70450 |
|
15 |
15 |
$12K |
| 71045 |
|
138 |
125 |
$11K |
| 87400 |
|
204 |
200 |
$11K |
| 94640 |
|
55 |
29 |
$10K |
| 86140 |
|
354 |
269 |
$9K |
| 80307 |
|
138 |
126 |
$9K |
| 87430 |
|
169 |
165 |
$8K |
| 87070 |
|
108 |
103 |
$6K |
| 11721 |
|
354 |
328 |
$5K |
| J2405 |
Ondansetron hcl injection |
306 |
262 |
$5K |
| 73610 |
|
25 |
24 |
$3K |
| 84484 |
|
76 |
62 |
$3K |
| 73630 |
|
26 |
25 |
$3K |
| 85610 |
|
232 |
167 |
$3K |
| 97112 |
|
58 |
27 |
$3K |
| 84443 |
|
104 |
97 |
$3K |
| 96360 |
|
16 |
14 |
$3K |
| 87581 |
|
52 |
50 |
$2K |
| 83605 |
|
80 |
67 |
$2K |
| 87486 |
|
52 |
50 |
$2K |
| A4216 |
Sterile water/saline, 10 ml |
29 |
26 |
$2K |
| 87798 |
|
52 |
50 |
$2K |
| 80048 |
|
63 |
50 |
$2K |
| 97161 |
|
26 |
25 |
$2K |
| 97162 |
|
13 |
13 |
$1K |
| 87186 |
|
55 |
51 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
46 |
46 |
$1K |
| 82550 |
|
61 |
48 |
$1K |
| A9270 |
Non-covered item or service |
20 |
13 |
$1K |
| 80320 |
|
13 |
12 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
46 |
41 |
$922.57 |
| 87420 |
|
12 |
12 |
$854.09 |
| J1885 |
Ketorolac tromethamine inj |
197 |
175 |
$850.99 |
| 83690 |
|
19 |
13 |
$709.56 |
| J3010 |
Fentanyl citrate injection |
59 |
53 |
$550.01 |
| 82962 |
|
47 |
24 |
$533.84 |
| A4222 |
Infusion supplies with pump |
27 |
14 |
$517.96 |
| 87040 |
|
22 |
13 |
$511.64 |
| 82150 |
|
17 |
13 |
$505.44 |
| 81025 |
|
13 |
13 |
$379.44 |
| 85651 |
|
24 |
16 |
$305.02 |
| 93010 |
|
34 |
26 |
$286.18 |
| 87077 |
|
13 |
12 |
$200.30 |