| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,592 |
18,366 |
$2.42M |
| 99284 |
|
7,518 |
6,956 |
$1.29M |
| 99282 |
|
11,426 |
10,782 |
$822K |
| 41899 |
|
761 |
720 |
$366K |
| 99285 |
|
1,056 |
932 |
$266K |
| 96374 |
|
7,199 |
6,671 |
$171K |
| 99281 |
|
1,728 |
1,623 |
$100K |
| 85025 |
|
23,218 |
21,113 |
$88K |
| 87426 |
|
3,430 |
3,232 |
$72K |
| 96375 |
|
4,505 |
4,193 |
$39K |
| 71046 |
|
2,522 |
2,359 |
$39K |
| 80053 |
|
13,928 |
12,698 |
$37K |
| 71045 |
|
4,409 |
4,075 |
$34K |
| 84484 |
|
3,029 |
2,698 |
$33K |
| 87276 |
|
4,092 |
3,869 |
$26K |
| 70450 |
|
1,291 |
1,203 |
$22K |
| 80306 |
|
1,450 |
1,237 |
$22K |
| 96361 |
|
2,437 |
2,285 |
$17K |
| 87275 |
|
4,095 |
3,871 |
$17K |
| 96365 |
|
675 |
584 |
$16K |
| J2405 |
Ondansetron hcl injection |
3,659 |
3,254 |
$16K |
| 80048 |
|
6,694 |
6,184 |
$15K |
| 81001 |
|
14,763 |
13,549 |
$13K |
| 99211 |
|
1,441 |
1,132 |
$12K |
| 87086 |
|
2,301 |
2,142 |
$11K |
| 83690 |
|
3,484 |
3,253 |
$11K |
| 93005 |
|
7,838 |
7,179 |
$11K |
| 74177 |
|
270 |
243 |
$10K |
| 87880 |
|
808 |
772 |
$7K |
| 11042 |
|
100 |
53 |
$7K |
| 96372 |
|
2,136 |
1,991 |
$5K |
| 74176 |
|
94 |
87 |
$4K |
| G0378 |
Hospital observation per hr |
18 |
15 |
$4K |
| 76805 |
|
55 |
51 |
$4K |
| 83605 |
|
765 |
704 |
$4K |
| 87081 |
|
565 |
540 |
$3K |
| 80307 |
|
223 |
197 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
37 |
35 |
$3K |
| 87040 |
|
226 |
204 |
$2K |
| 95816 |
|
15 |
13 |
$2K |
| 85610 |
|
1,365 |
1,250 |
$2K |
| 97602 |
|
179 |
79 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
17 |
15 |
$1K |
| 81025 |
|
399 |
363 |
$1K |
| J1650 |
Inj enoxaparin sodium |
94 |
80 |
$1K |
| 36415 |
|
543 |
461 |
$1K |
| 74018 |
|
26 |
24 |
$1K |
| 87807 |
|
120 |
118 |
$801.49 |
| 82077 |
|
215 |
196 |
$731.22 |
| 96360 |
|
14 |
13 |
$603.02 |
| J1100 |
Dexamethasone sodium phos |
545 |
491 |
$513.99 |
| 85730 |
|
153 |
142 |
$417.63 |
| J2930 |
Methylprednisolone injection |
178 |
166 |
$402.93 |
| 94640 |
|
280 |
251 |
$402.00 |
| 87186 |
|
42 |
39 |
$372.59 |
| 84443 |
|
57 |
54 |
$364.38 |
| 82784 |
|
16 |
14 |
$356.74 |
| 83735 |
|
144 |
123 |
$294.36 |
| 81003 |
|
502 |
386 |
$269.54 |
| 85027 |
|
60 |
57 |
$205.56 |
| 84703 |
|
85 |
74 |
$201.11 |
| 93010 |
|
88 |
69 |
$181.74 |
| 82550 |
|
79 |
74 |
$175.40 |
| 82785 |
|
14 |
12 |
$154.64 |
| 87077 |
|
45 |
41 |
$152.90 |
| 72100 |
|
15 |
15 |
$123.12 |
| G0463 |
Hospital outpt clinic visit |
121 |
79 |
$111.73 |
| J2250 |
Inj midazolam hydrochloride |
95 |
76 |
$103.12 |
| J3010 |
Fentanyl citrate injection |
106 |
86 |
$96.87 |
| 86364 |
|
14 |
14 |
$96.34 |
| 86140 |
|
41 |
38 |
$85.49 |
| J1980 |
Hyoscyamine sulfate inj |
14 |
13 |
$64.52 |
| J0690 |
Cefazolin sodium injection |
50 |
36 |
$63.20 |
| 86003 |
|
14 |
12 |
$53.06 |
| 84439 |
|
15 |
13 |
$41.52 |
| 82150 |
|
14 |
13 |
$36.86 |
| 85652 |
|
16 |
14 |
$31.17 |
| 86200 |
|
14 |
13 |
$15.18 |
| 86431 |
|
26 |
24 |
$13.20 |
| J2270 |
Morphine sulfate injection |
70 |
53 |
$8.17 |
| J1885 |
Ketorolac tromethamine inj |
3,045 |
2,810 |
$1.10 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
44 |
40 |
$0.00 |
| J7030 |
Normal saline solution infus |
31 |
26 |
$0.00 |
| A9270 |
Non-covered item or service |
6,054 |
2,905 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
226 |
214 |
$0.00 |
| 29581 |
|
45 |
12 |
$0.00 |
| 88305 |
|
15 |
12 |
$0.00 |