| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
8,078 |
6,737 |
$96K |
| 99285 |
|
5,386 |
4,031 |
$76K |
| 99284 |
|
7,162 |
5,707 |
$69K |
| 74177 |
|
1,410 |
1,285 |
$65K |
| 87631 |
|
2,122 |
2,022 |
$30K |
| 97110 |
|
6,673 |
1,903 |
$24K |
| 87502 |
|
1,746 |
1,664 |
$23K |
| 70450 |
|
1,391 |
1,248 |
$21K |
| 87636 |
|
1,107 |
1,047 |
$18K |
| 97530 |
|
2,149 |
1,035 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,733 |
1,661 |
$12K |
| 96374 |
|
4,710 |
4,060 |
$12K |
| 80053 |
|
16,259 |
13,643 |
$11K |
| 71046 |
|
1,670 |
1,546 |
$10K |
| 87880 |
|
3,165 |
3,068 |
$10K |
| 96365 |
|
3,064 |
1,824 |
$9K |
| 94640 |
|
554 |
439 |
$8K |
| 85025 |
|
16,016 |
13,175 |
$8K |
| 87635 |
|
2,646 |
2,479 |
$7K |
| 99282 |
|
978 |
891 |
$7K |
| 96361 |
|
3,487 |
2,928 |
$6K |
| 71045 |
|
2,649 |
2,324 |
$6K |
| 80306 |
|
1,503 |
1,297 |
$5K |
| 80307 |
|
1,205 |
1,026 |
$5K |
| J2405 |
Ondansetron hcl injection |
3,853 |
3,197 |
$4K |
| 72125 |
|
200 |
190 |
$4K |
| 87081 |
|
2,661 |
2,553 |
$4K |
| 96375 |
|
3,786 |
3,076 |
$3K |
| 81001 |
|
4,570 |
4,026 |
$3K |
| 87591 |
|
2,055 |
1,968 |
$3K |
| 87491 |
|
2,053 |
1,966 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
3,388 |
2,930 |
$3K |
| 73110 |
|
507 |
383 |
$3K |
| 81025 |
|
2,932 |
2,739 |
$3K |
| 96372 |
|
2,443 |
1,981 |
$3K |
| 74176 |
|
99 |
95 |
$3K |
| 96360 |
|
439 |
384 |
$3K |
| 97140 |
|
1,439 |
589 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,275 |
1,027 |
$2K |
| J3010 |
Fentanyl citrate injection |
2,071 |
1,575 |
$2K |
| 87420 |
|
527 |
498 |
$2K |
| 83690 |
|
2,778 |
2,433 |
$2K |
| 82306 |
|
1,623 |
1,582 |
$2K |
| G0378 |
Hospital observation per hr |
237 |
99 |
$2K |
| 84443 |
|
5,065 |
4,789 |
$2K |
| 36415 |
|
13,885 |
11,866 |
$2K |
| 73630 |
|
666 |
587 |
$2K |
| 93005 |
|
3,319 |
2,904 |
$2K |
| 87086 |
|
3,592 |
3,279 |
$2K |
| 73610 |
|
726 |
650 |
$2K |
| U0005 |
Infec agen detec ampli probe |
1,373 |
1,324 |
$2K |
| 80048 |
|
2,200 |
1,895 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,352 |
1,125 |
$2K |
| 99281 |
|
334 |
324 |
$2K |
| J2001 |
Lidocaine injection |
2,573 |
1,381 |
$2K |
| J7030 |
Normal saline solution infus |
3,293 |
2,677 |
$1K |
| 80061 |
|
2,607 |
2,549 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,434 |
2,241 |
$1K |
| 85027 |
|
3,383 |
3,031 |
$951.53 |
| 87077 |
|
2,041 |
1,885 |
$896.62 |
| 87186 |
|
1,704 |
1,556 |
$874.07 |
| 82077 |
|
1,127 |
980 |
$812.94 |
| 81003 |
|
2,315 |
2,144 |
$810.83 |
| J7120 |
Ringers lactate infusion |
1,652 |
1,330 |
$799.15 |
| 87070 |
|
736 |
686 |
$773.10 |
| 83036 |
|
3,157 |
3,050 |
$766.29 |
| J2270 |
Morphine sulfate injection |
348 |
285 |
$762.79 |
| 86140 |
|
1,458 |
1,277 |
$691.96 |
| 83605 |
|
1,051 |
720 |
$685.98 |
| 73030 |
|
339 |
297 |
$666.60 |
| 73130 |
|
384 |
321 |
$630.27 |
| 87040 |
|
629 |
300 |
$628.57 |
| 82728 |
|
457 |
443 |
$616.96 |
| 84484 |
|
2,280 |
1,746 |
$609.14 |
| 80305 |
|
458 |
379 |
$605.95 |
| 81002 |
|
3,663 |
3,158 |
$582.72 |
| 85652 |
|
873 |
792 |
$480.98 |
| 96376 |
|
342 |
276 |
$423.59 |
| 84703 |
|
699 |
631 |
$422.44 |
| 97161 |
|
175 |
164 |
$422.00 |
| 84439 |
|
1,006 |
960 |
$387.55 |
| 88305 |
|
637 |
542 |
$361.94 |
| J7050 |
Normal saline solution infus |
2,609 |
1,024 |
$352.36 |
| 93306 |
|
38 |
38 |
$316.78 |
| J2250 |
Inj midazolam hydrochloride |
736 |
561 |
$301.17 |
| 85651 |
|
747 |
657 |
$295.61 |
| 73562 |
|
156 |
150 |
$277.61 |
| J0696 |
Ceftriaxone sodium injection |
414 |
267 |
$231.33 |
| 84145 |
|
129 |
91 |
$205.50 |
| 84702 |
|
271 |
198 |
$200.69 |
| 85610 |
|
2,051 |
1,506 |
$194.93 |
| 86900 |
|
248 |
229 |
$183.29 |
| 97162 |
|
137 |
129 |
$180.00 |
| 87205 |
|
648 |
572 |
$158.42 |
| 80143 |
|
158 |
150 |
$150.83 |
| 80179 |
|
146 |
137 |
$141.65 |
| J2765 |
Metoclopramide hcl injection |
139 |
116 |
$138.00 |
| 86901 |
|
235 |
217 |
$137.46 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
25 |
$136.34 |
| 83550 |
|
86 |
84 |
$132.16 |
| 83880 |
|
140 |
122 |
$127.79 |
| J1170 |
Hydromorphone injection |
924 |
652 |
$120.30 |
| 85018 |
|
230 |
219 |
$117.25 |
| 87210 |
|
472 |
446 |
$104.20 |
| 83540 |
|
91 |
89 |
$97.76 |
| J7040 |
Normal saline solution infus |
35 |
25 |
$74.16 |
| 82962 |
|
1,340 |
777 |
$64.66 |
| 86803 |
|
791 |
777 |
$62.70 |
| 73080 |
|
27 |
24 |
$61.24 |
| 73560 |
|
44 |
43 |
$52.53 |
| J2272 |
Inj, morphine (fresenius) |
44 |
39 |
$51.25 |
| 87147 |
|
13 |
13 |
$38.94 |
| J2060 |
Lorazepam injection |
418 |
345 |
$30.38 |
| 83735 |
|
568 |
445 |
$29.46 |
| 82607 |
|
31 |
27 |
$28.50 |
| 82805 |
|
42 |
37 |
$11.72 |
| A9270 |
Non-covered item or service |
529 |
235 |
$2.21 |
| 87389 |
|
305 |
299 |
$0.00 |
| 77063 |
|
298 |
297 |
$0.00 |
| 86850 |
|
88 |
84 |
$0.00 |
| 87430 |
|
13 |
13 |
$0.00 |
| 87340 |
|
65 |
65 |
$0.00 |
| 97112 |
|
23 |
13 |
$0.00 |
| 73502 |
|
13 |
12 |
$0.00 |
| 84478 |
|
25 |
25 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| 85379 |
|
14 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
65 |
47 |
$0.00 |
| 76830 |
|
14 |
12 |
$0.00 |
| 86592 |
|
27 |
24 |
$0.00 |
| A9585 |
Gadobutrol injection |
14 |
13 |
$0.00 |
| 80055 |
|
14 |
14 |
$0.00 |
| 88342 |
|
18 |
12 |
$0.00 |
| 82043 |
|
13 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
18 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
15 |
12 |
$0.00 |
| 87806 |
|
84 |
81 |
$0.00 |
| 77067 |
|
361 |
360 |
$0.00 |
| 93010 |
|
124 |
100 |
$0.00 |
| G8979 |
Mobility goal status |
176 |
151 |
$0.00 |
| 82570 |
|
102 |
90 |
$0.00 |
| 87798 |
|
18 |
17 |
$0.00 |
| 99211 |
|
88 |
60 |
$0.00 |
| G8978 |
Mobility current status |
149 |
136 |
$0.00 |
| J2550 |
Promethazine hcl injection |
27 |
24 |
$0.00 |
| 87653 |
|
13 |
12 |
$0.00 |
| 76705 |
|
12 |
12 |
$0.00 |
| 43239 |
|
25 |
12 |
$0.00 |