| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,903 |
14,200 |
$4.74M |
| 99285 |
|
10,231 |
8,828 |
$3.73M |
| 99283 |
|
27,889 |
26,862 |
$1.60M |
| 87426 |
|
9,625 |
9,233 |
$358K |
| 87804 |
|
15,663 |
7,682 |
$301K |
| 93005 |
|
3,420 |
2,858 |
$184K |
| 71045 |
|
6,652 |
6,308 |
$182K |
| 87430 |
|
8,141 |
7,936 |
$162K |
| C9803 |
Hopd covid-19 spec collect |
9,672 |
9,262 |
$161K |
| 85025 |
|
16,045 |
14,153 |
$117K |
| 59025 |
|
1,241 |
864 |
$116K |
| 0202U |
|
2,459 |
2,347 |
$106K |
| 80053 |
|
9,065 |
8,296 |
$93K |
| 70450 |
|
1,149 |
1,083 |
$85K |
| 74176 |
|
552 |
522 |
$82K |
| 74177 |
|
240 |
231 |
$63K |
| 88142 |
|
1,640 |
1,589 |
$41K |
| 80048 |
|
3,707 |
3,348 |
$28K |
| 11042 |
|
171 |
76 |
$26K |
| 36415 |
|
19,430 |
16,073 |
$24K |
| 87591 |
|
477 |
458 |
$24K |
| 87491 |
|
477 |
458 |
$24K |
| 87661 |
|
473 |
454 |
$23K |
| 76937 |
|
283 |
250 |
$21K |
| 83690 |
|
2,980 |
2,800 |
$18K |
| 80307 |
|
456 |
411 |
$17K |
| 84484 |
|
2,286 |
1,342 |
$17K |
| 99282 |
|
343 |
328 |
$16K |
| 81025 |
|
1,793 |
1,709 |
$15K |
| 81001 |
|
5,045 |
4,695 |
$14K |
| 83735 |
|
2,632 |
2,380 |
$14K |
| 83880 |
|
485 |
447 |
$13K |
| 87420 |
|
414 |
403 |
$11K |
| 87086 |
|
1,601 |
1,500 |
$10K |
| J2405 |
Ondansetron hcl injection |
2,449 |
2,184 |
$8K |
| 87624 |
|
155 |
148 |
$7K |
| 97597 |
|
148 |
80 |
$7K |
| 80076 |
|
629 |
594 |
$6K |
| 87633 |
|
12 |
12 |
$4K |
| 81003 |
|
2,121 |
1,997 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,328 |
1,228 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,134 |
1,052 |
$4K |
| 0241U |
|
1,215 |
1,171 |
$3K |
| 71046 |
|
117 |
112 |
$3K |
| 96374 |
|
1,002 |
908 |
$3K |
| 97110 |
|
35 |
12 |
$3K |
| 85610 |
|
1,464 |
1,273 |
$2K |
| 84703 |
|
299 |
286 |
$2K |
| 85730 |
|
764 |
705 |
$2K |
| 77067 |
|
50 |
50 |
$2K |
| 84702 |
|
168 |
138 |
$2K |
| 72125 |
|
38 |
37 |
$2K |
| 83605 |
|
228 |
189 |
$1K |
| 76801 |
|
15 |
13 |
$1K |
| 82565 |
|
376 |
361 |
$1K |
| 94640 |
|
29 |
26 |
$1K |
| 85027 |
|
486 |
385 |
$946.42 |
| 87081 |
|
94 |
93 |
$836.58 |
| J0696 |
Ceftriaxone sodium injection |
113 |
91 |
$817.42 |
| J2270 |
Morphine sulfate injection |
426 |
320 |
$729.77 |
| 96375 |
|
617 |
549 |
$713.37 |
| G0463 |
Hospital outpt clinic visit |
312 |
231 |
$581.65 |
| 86901 |
|
363 |
341 |
$558.85 |
| 99281 |
|
13 |
12 |
$490.31 |
| 86900 |
|
249 |
233 |
$469.27 |
| 87077 |
|
179 |
130 |
$446.52 |
| 87186 |
|
166 |
125 |
$384.80 |
| 87486 |
|
12 |
12 |
$361.97 |
| 87581 |
|
12 |
12 |
$361.97 |
| J1200 |
Diphenhydramine hcl injectio |
86 |
83 |
$341.70 |
| 85379 |
|
55 |
55 |
$338.97 |
| 88304 |
|
13 |
13 |
$205.26 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,115 |
1,067 |
$198.48 |
| 86850 |
|
14 |
12 |
$197.49 |
| 82550 |
|
45 |
41 |
$180.13 |
| J2001 |
Lidocaine injection |
272 |
241 |
$134.40 |
| 88305 |
|
16 |
12 |
$110.61 |
| 87040 |
|
65 |
37 |
$106.39 |
| J1644 |
Inj heparin sodium per 1000u |
167 |
36 |
$60.87 |
| 96361 |
|
80 |
67 |
$47.86 |
| 84145 |
|
15 |
15 |
$44.63 |
| J3010 |
Fentanyl citrate injection |
72 |
69 |
$44.53 |
| J2765 |
Metoclopramide hcl injection |
15 |
14 |
$43.37 |
| J2250 |
Inj midazolam hydrochloride |
98 |
93 |
$27.82 |
| 82962 |
|
871 |
434 |
$8.31 |
| 96372 |
|
55 |
54 |
$0.00 |
| A9270 |
Non-covered item or service |
1,330 |
757 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
40 |
37 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
16 |
15 |
$0.00 |
| 96365 |
|
12 |
12 |
$0.00 |
| 77063 |
|
13 |
13 |
$0.00 |