| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
39,815 |
37,133 |
$11.36M |
| 99285 |
|
13,896 |
12,228 |
$6.22M |
| 99283 |
|
28,727 |
26,965 |
$4.95M |
| 99282 |
|
14,770 |
14,253 |
$2.09M |
| G0378 |
Hospital observation per hr |
9,795 |
5,311 |
$1.07M |
| U0003 |
Cov-19 amp prb hgh thruput |
10,215 |
9,381 |
$883K |
| G0463 |
Hospital outpt clinic visit |
12,562 |
10,892 |
$810K |
| 96374 |
|
7,356 |
6,396 |
$714K |
| 80048 |
|
49,849 |
43,262 |
$425K |
| A0427 |
Als1-emergency |
518 |
482 |
$424K |
| C9803 |
Hopd covid-19 spec collect |
8,596 |
7,881 |
$239K |
| 93005 |
|
16,484 |
14,025 |
$228K |
| 36415 |
|
8,883 |
7,091 |
$193K |
| J8499 |
Oral prescrip drug non chemo |
104,622 |
34,369 |
$181K |
| A0428 |
Bls |
192 |
178 |
$165K |
| 70450 |
|
1,153 |
944 |
$163K |
| 99232 |
|
3,457 |
860 |
$155K |
| 95810 |
|
162 |
157 |
$144K |
| 96413 |
|
637 |
499 |
$140K |
| 71046 |
|
4,017 |
3,468 |
$138K |
| A0429 |
Bls-emergency |
207 |
191 |
$134K |
| 99233 |
Prolong inpt eval add15 m |
1,932 |
603 |
$131K |
| 99291 |
|
699 |
137 |
$100K |
| 99223 |
Prolong inpt eval add15 m |
697 |
569 |
$92K |
| 95811 |
|
136 |
127 |
$83K |
| J0475 |
Baclofen 10 mg injection |
340 |
300 |
$80K |
| 0241U |
|
597 |
579 |
$76K |
| J0585 |
Injection,onabotulinumtoxina |
66 |
53 |
$71K |
| 82962 |
|
3,233 |
950 |
$63K |
| 90837 |
|
692 |
379 |
$63K |
| 96372 |
|
1,369 |
773 |
$58K |
| 96375 |
|
2,096 |
1,593 |
$53K |
| 74177 |
|
321 |
283 |
$52K |
| 99222 |
|
571 |
434 |
$50K |
| 99239 |
|
661 |
624 |
$47K |
| 62369 |
|
304 |
269 |
$40K |
| H0035 |
Mh partial hosp tx under 24h |
66 |
12 |
$39K |
| 93306 |
|
593 |
578 |
$38K |
| 80053 |
|
7,338 |
5,843 |
$37K |
| 87635 |
|
1,020 |
961 |
$34K |
| 85025 |
|
42,558 |
35,879 |
$31K |
| A0425 |
Ground mileage |
1,202 |
1,001 |
$30K |
| 88305 |
|
649 |
377 |
$25K |
| 36591 |
|
308 |
234 |
$24K |
| 93010 |
|
6,081 |
4,044 |
$20K |
| 88307 |
|
196 |
149 |
$18K |
| 71045 |
|
1,235 |
973 |
$15K |
| 82565 |
|
942 |
622 |
$15K |
| 87636 |
|
163 |
159 |
$14K |
| T1016 |
Case management |
329 |
210 |
$14K |
| C8929 |
Tte w or wo fol wcon,doppler |
30 |
29 |
$13K |
| 99231 |
|
529 |
204 |
$12K |
| 96367 |
|
68 |
56 |
$11K |
| A0130 |
Noner transport wheelch van |
155 |
148 |
$11K |
| 90834 |
|
56 |
40 |
$10K |
| 99220 |
|
74 |
73 |
$10K |
| 99217 |
|
191 |
181 |
$10K |
| 90839 |
|
96 |
90 |
$9K |
| 99238 |
|
178 |
173 |
$9K |
| 99221 |
|
126 |
117 |
$8K |
| 99214 |
|
106 |
88 |
$8K |
| 90791 |
|
44 |
40 |
$8K |
| 96361 |
|
143 |
117 |
$7K |
| 90853 |
|
335 |
94 |
$5K |
| 99219 |
|
54 |
54 |
$5K |
| 99225 |
|
87 |
30 |
$4K |
| 72125 |
|
36 |
24 |
$4K |
| 71250 |
|
13 |
13 |
$4K |
| 94726 |
|
27 |
27 |
$4K |
| 90935 |
|
80 |
26 |
$3K |
| 74176 |
|
22 |
19 |
$3K |
| 84484 |
|
5,629 |
3,789 |
$3K |
| 81003 |
|
4,264 |
3,827 |
$3K |
| 85027 |
|
4,236 |
3,515 |
$2K |
| S0209 |
Wc van mileage per mi |
152 |
145 |
$2K |
| 80076 |
|
4,532 |
3,764 |
$2K |
| J7030 |
Normal saline solution infus |
1,156 |
907 |
$2K |
| 87591 |
|
139 |
133 |
$2K |
| 87491 |
|
139 |
133 |
$2K |
| 90832 |
|
41 |
31 |
$2K |
| 59025 |
|
95 |
78 |
$2K |
| 80307 |
|
456 |
296 |
$2K |
| 85610 |
|
1,372 |
798 |
$2K |
| 94640 |
|
272 |
184 |
$1K |
| 87631 |
|
13 |
13 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,147 |
693 |
$1K |
| 82947 |
|
272 |
161 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
632 |
424 |
$945.15 |
| J2405 |
Ondansetron hcl injection |
1,455 |
1,038 |
$930.87 |
| 97162 |
|
35 |
25 |
$918.22 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
257 |
227 |
$906.89 |
| 94010 |
|
13 |
12 |
$692.21 |
| 85060 |
|
40 |
35 |
$633.72 |
| 83735 |
|
2,584 |
1,617 |
$614.27 |
| J1642 |
Inj heparin sodium per 10 u |
458 |
324 |
$602.53 |
| 96365 |
|
31 |
28 |
$593.08 |
| 88342 |
|
14 |
13 |
$518.05 |
| 83690 |
|
2,571 |
2,059 |
$506.53 |
| J3490 |
Drugs unclassified injection |
165 |
106 |
$449.64 |
| 81025 |
|
2,790 |
2,574 |
$401.88 |
| J7120 |
Ringers lactate infusion |
1,346 |
1,072 |
$332.48 |
| H2012 |
Behav hlth day treat, per hr |
116 |
12 |
$310.52 |
| 87502 |
|
57 |
40 |
$261.34 |
| 99152 |
|
28 |
26 |
$248.33 |
| 95874 |
|
74 |
55 |
$239.87 |
| 81001 |
|
322 |
255 |
$228.43 |
| 96376 |
|
115 |
67 |
$221.80 |
| 88304 |
|
16 |
15 |
$206.30 |
| G2211 |
Complex e/m visit add on |
49 |
49 |
$129.51 |
| G0480 |
Drug test def 1-7 classes |
341 |
281 |
$110.92 |
| J1170 |
Hydromorphone injection |
116 |
93 |
$101.78 |
| 82803 |
|
90 |
63 |
$75.04 |
| 83880 |
|
33 |
28 |
$48.69 |
| J7050 |
Normal saline solution infus |
684 |
537 |
$44.39 |
| 83615 |
|
80 |
63 |
$41.66 |
| J1885 |
Ketorolac tromethamine inj |
862 |
549 |
$39.80 |
| 83605 |
|
211 |
118 |
$38.46 |
| 84132 |
|
167 |
107 |
$34.02 |
| 97166 |
|
14 |
12 |
$28.23 |
| 82077 |
|
14 |
12 |
$26.68 |
| 80320 |
|
137 |
105 |
$17.82 |
| J1200 |
Diphenhydramine hcl injectio |
42 |
28 |
$12.63 |
| 85379 |
|
49 |
25 |
$11.40 |
| J1100 |
Dexamethasone sodium phos |
137 |
114 |
$11.05 |
| 85018 |
|
22 |
12 |
$0.98 |
| 84520 |
|
58 |
39 |
$0.41 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.08 |
| 86140 |
|
31 |
28 |
$0.04 |
| 85652 |
|
33 |
30 |
$0.02 |
| 87210 |
|
77 |
74 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
149 |
45 |
$0.00 |
| 94729 |
|
27 |
27 |
$0.00 |
| 97810 |
|
29 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
1,085 |
259 |
$0.00 |
| 87430 |
|
153 |
145 |
$0.00 |
| J7999 |
Compounded drug, noc |
24 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
42 |
27 |
$0.00 |
| 87086 |
|
31 |
15 |
$0.00 |
| 87503 |
|
26 |
13 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
15 |
14 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
21 |
15 |
$0.00 |