| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,814 |
10,838 |
$1.04M |
| 99284 |
|
7,713 |
6,713 |
$727K |
| 99285 |
|
3,263 |
2,820 |
$349K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,819 |
1,607 |
$220K |
| 96365 |
|
1,699 |
867 |
$183K |
| 96374 |
|
2,943 |
2,478 |
$176K |
| 99282 |
|
2,088 |
1,941 |
$166K |
| 74177 |
|
959 |
863 |
$154K |
| 96360 |
|
664 |
599 |
$111K |
| 80053 |
|
9,376 |
7,665 |
$103K |
| 96372 |
|
1,711 |
1,378 |
$103K |
| 96375 |
|
2,264 |
1,673 |
$84K |
| 74176 |
|
427 |
383 |
$71K |
| 96361 |
|
2,227 |
1,758 |
$63K |
| 87502 |
|
506 |
482 |
$49K |
| 70450 |
|
1,019 |
890 |
$46K |
| 71045 |
|
3,677 |
3,198 |
$45K |
| G0463 |
Hospital outpt clinic visit |
1,005 |
632 |
$42K |
| 80048 |
|
1,696 |
1,310 |
$29K |
| 84484 |
|
2,655 |
1,841 |
$28K |
| 81001 |
|
2,881 |
2,557 |
$23K |
| U0003 |
Cov-19 amp prb hgh thruput |
504 |
458 |
$21K |
| 85025 |
|
10,383 |
8,281 |
$17K |
| 81003 |
|
2,050 |
1,824 |
$17K |
| 71046 |
|
509 |
464 |
$16K |
| 36415 |
|
1,996 |
1,444 |
$16K |
| 87637 |
|
2,204 |
2,032 |
$14K |
| 94640 |
|
346 |
298 |
$14K |
| G0378 |
Hospital observation per hr |
272 |
141 |
$12K |
| 93005 |
|
3,915 |
3,226 |
$12K |
| 82947 |
|
1,140 |
494 |
$12K |
| 87086 |
|
1,135 |
1,030 |
$11K |
| 87804 |
|
353 |
187 |
$11K |
| 81025 |
|
1,338 |
1,256 |
$9K |
| 80061 |
|
872 |
804 |
$9K |
| 73630 |
|
146 |
133 |
$9K |
| 87651 |
|
477 |
468 |
$9K |
| 71275 |
|
86 |
76 |
$8K |
| 99281 |
|
123 |
110 |
$8K |
| 96376 |
|
166 |
102 |
$7K |
| 01999 |
|
274 |
263 |
$6K |
| J7030 |
Normal saline solution infus |
3,457 |
2,517 |
$5K |
| 83735 |
|
1,723 |
1,302 |
$5K |
| 85610 |
|
2,635 |
2,161 |
$4K |
| 43239 |
|
12 |
12 |
$4K |
| 80307 |
|
199 |
181 |
$4K |
| 85730 |
|
2,026 |
1,727 |
$3K |
| 73130 |
|
26 |
25 |
$3K |
| 83605 |
|
1,008 |
771 |
$3K |
| 88305 |
|
66 |
58 |
$3K |
| J1100 |
Dexamethasone sodium phos |
435 |
337 |
$3K |
| 87070 |
|
87 |
77 |
$2K |
| 84443 |
|
591 |
534 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,939 |
1,503 |
$2K |
| 84702 |
|
154 |
112 |
$2K |
| 83880 |
|
292 |
260 |
$2K |
| 73110 |
|
27 |
26 |
$1K |
| 87040 |
|
1,076 |
556 |
$1K |
| J2060 |
Lorazepam injection |
79 |
66 |
$1K |
| 83690 |
|
1,943 |
1,679 |
$1K |
| 82077 |
|
16 |
13 |
$884.59 |
| 73610 |
|
32 |
29 |
$737.79 |
| 87491 |
|
54 |
53 |
$669.54 |
| 87880 |
|
26 |
25 |
$661.82 |
| J0696 |
Ceftriaxone sodium injection |
420 |
257 |
$632.33 |
| 84703 |
|
740 |
674 |
$543.86 |
| 73562 |
|
13 |
12 |
$522.58 |
| 87591 |
|
40 |
39 |
$460.65 |
| 0225U |
|
14 |
14 |
$436.64 |
| U0005 |
Infec agen detec ampli probe |
19 |
15 |
$377.49 |
| 74018 |
|
12 |
12 |
$309.06 |
| 85379 |
|
180 |
168 |
$281.87 |
| J1885 |
Ketorolac tromethamine inj |
1,471 |
1,261 |
$258.78 |
| 80050 |
|
13 |
13 |
$255.81 |
| J2270 |
Morphine sulfate injection |
1,252 |
878 |
$168.54 |
| 87077 |
|
201 |
177 |
$81.58 |
| 82565 |
|
62 |
51 |
$73.20 |
| J7050 |
Normal saline solution infus |
302 |
197 |
$71.16 |
| 83036 |
|
226 |
209 |
$50.99 |
| 85027 |
|
276 |
214 |
$46.13 |
| J7120 |
Ringers lactate infusion |
77 |
68 |
$37.88 |
| 86140 |
|
33 |
28 |
$25.12 |
| 84439 |
|
76 |
64 |
$20.45 |
| J3010 |
Fentanyl citrate injection |
251 |
218 |
$14.61 |
| 85007 |
|
29 |
24 |
$3.51 |
| 84520 |
|
18 |
13 |
$1.68 |
| J2704 |
Inj, propofol, 10 mg |
35 |
26 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
84 |
81 |
$0.00 |
| J1170 |
Hydromorphone injection |
32 |
26 |
$0.00 |
| 82306 |
|
13 |
12 |
$0.00 |
| 84132 |
|
16 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
14 |
12 |
$0.00 |
| 86901 |
|
58 |
55 |
$0.00 |
| 86850 |
|
13 |
12 |
$0.00 |
| 85652 |
|
16 |
13 |
$0.00 |
| 87186 |
|
260 |
227 |
$0.00 |
| 80305 |
|
25 |
25 |
$0.00 |
| 86900 |
|
59 |
55 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
36 |
30 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
14 |
13 |
$0.00 |
| J7040 |
Normal saline solution infus |
18 |
12 |
$0.00 |