| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,329 |
9,220 |
$3.72M |
| 99283 |
|
11,202 |
9,378 |
$2.21M |
| 99285 |
|
4,632 |
2,975 |
$1.83M |
| 74177 |
|
1,697 |
1,336 |
$1.72M |
| 97110 |
|
15,558 |
3,112 |
$1.38M |
| 74176 |
|
772 |
592 |
$740K |
| 70450 |
|
1,930 |
1,409 |
$666K |
| 92507 |
|
5,738 |
1,729 |
$496K |
| 96374 |
|
4,526 |
3,396 |
$457K |
| 97530 |
|
5,883 |
1,951 |
$372K |
| 96361 |
|
11,599 |
3,317 |
$336K |
| 96365 |
|
3,377 |
1,661 |
$329K |
| 99282 |
|
2,778 |
2,454 |
$312K |
| 80053 |
|
26,194 |
13,588 |
$292K |
| 71046 |
|
4,455 |
3,420 |
$263K |
| 96375 |
|
4,107 |
3,096 |
$237K |
| 77067 |
|
1,620 |
1,539 |
$220K |
| 96372 |
|
5,281 |
2,720 |
$173K |
| 93005 |
|
4,102 |
3,069 |
$169K |
| 71045 |
|
3,174 |
2,201 |
$165K |
| 87804 |
|
5,491 |
4,561 |
$150K |
| 87426 |
|
3,873 |
3,337 |
$149K |
| 85025 |
|
17,430 |
13,205 |
$127K |
| G0378 |
Hospital observation per hr |
196 |
109 |
$104K |
| 36415 |
|
15,610 |
6,927 |
$97K |
| 80307 |
|
2,865 |
2,216 |
$95K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,258 |
2,462 |
$90K |
| 84484 |
|
3,821 |
2,816 |
$74K |
| 97140 |
|
1,689 |
540 |
$74K |
| 94640 |
|
955 |
621 |
$69K |
| G0283 |
Elec stim other than wound |
4,269 |
697 |
$68K |
| 96360 |
|
1,855 |
470 |
$64K |
| 80061 |
|
3,888 |
3,228 |
$62K |
| 73630 |
|
881 |
737 |
$60K |
| 76705 |
|
313 |
261 |
$60K |
| 87880 |
|
3,911 |
3,487 |
$56K |
| C9803 |
Hopd covid-19 spec collect |
5,790 |
3,555 |
$54K |
| 87070 |
|
4,228 |
3,430 |
$52K |
| 73564 |
|
346 |
278 |
$51K |
| 84443 |
|
3,736 |
3,298 |
$50K |
| J7030 |
Normal saline solution infus |
5,389 |
2,846 |
$50K |
| 83605 |
|
3,622 |
2,788 |
$43K |
| 87086 |
|
3,861 |
2,819 |
$43K |
| 85730 |
|
2,692 |
2,151 |
$37K |
| J1885 |
Ketorolac tromethamine inj |
4,247 |
3,365 |
$37K |
| 81001 |
|
7,530 |
6,028 |
$35K |
| U0003 |
Cov-19 amp prb hgh thruput |
612 |
490 |
$34K |
| 83880 |
|
1,085 |
822 |
$33K |
| 80048 |
|
3,100 |
1,808 |
$32K |
| 73610 |
|
426 |
344 |
$32K |
| 97161 |
|
536 |
482 |
$32K |
| 83735 |
|
4,462 |
3,311 |
$25K |
| U0004 |
Cov-19 test non-cdc hgh thru |
347 |
308 |
$25K |
| 83690 |
|
3,934 |
3,153 |
$24K |
| 82306 |
|
1,064 |
932 |
$24K |
| 72125 |
|
31 |
25 |
$24K |
| 81025 |
|
2,290 |
1,908 |
$24K |
| 83036 |
|
2,707 |
2,455 |
$21K |
| 93306 |
|
72 |
53 |
$20K |
| 87040 |
|
1,091 |
777 |
$20K |
| Q0162 |
Ondansetron oral |
1,121 |
947 |
$19K |
| 85610 |
|
4,933 |
3,101 |
$19K |
| J0696 |
Ceftriaxone sodium injection |
2,392 |
810 |
$17K |
| 82607 |
|
1,342 |
1,010 |
$13K |
| J7120 |
Ringers lactate infusion |
1,316 |
633 |
$13K |
| 84439 |
|
1,642 |
1,443 |
$13K |
| 73721 |
|
15 |
12 |
$13K |
| 87077 |
|
1,700 |
919 |
$13K |
| 72148 |
|
13 |
12 |
$11K |
| U0005 |
Infec agen detec ampli probe |
589 |
502 |
$11K |
| 77063 |
|
632 |
530 |
$11K |
| 76700 |
|
51 |
40 |
$9K |
| M0245 |
Bamlan and etesev infusion |
42 |
40 |
$9K |
| 73030 |
|
114 |
95 |
$8K |
| 71260 |
|
33 |
26 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
175 |
140 |
$7K |
| 70551 |
|
22 |
12 |
$7K |
| 85379 |
|
673 |
551 |
$7K |
| 87807 |
|
501 |
460 |
$7K |
| 97162 |
|
79 |
69 |
$7K |
| 76536 |
|
46 |
39 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
695 |
484 |
$6K |
| 72100 |
|
43 |
24 |
$6K |
| 73130 |
|
118 |
95 |
$6K |
| 88305 |
|
80 |
61 |
$6K |
| 82962 |
|
1,121 |
571 |
$6K |
| 82746 |
|
407 |
367 |
$5K |
| 87186 |
|
616 |
469 |
$5K |
| 76642 |
|
62 |
53 |
$5K |
| 86140 |
|
663 |
486 |
$4K |
| 99281 |
|
64 |
52 |
$4K |
| 82728 |
|
370 |
317 |
$4K |
| 83540 |
|
621 |
539 |
$3K |
| 73110 |
|
45 |
40 |
$3K |
| 83550 |
|
453 |
409 |
$3K |
| 83921 |
|
102 |
98 |
$2K |
| J1170 |
Hydromorphone injection |
504 |
348 |
$2K |
| 96376 |
|
82 |
38 |
$2K |
| M0243 |
Casirivi and imdevi inj |
21 |
15 |
$2K |
| J2001 |
Lidocaine injection |
1,859 |
1,437 |
$2K |
| 84703 |
|
193 |
181 |
$2K |
| J2270 |
Morphine sulfate injection |
622 |
484 |
$1K |
| 90715 |
|
40 |
37 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,429 |
1,905 |
$1K |
| 12001 |
|
15 |
13 |
$1K |
| 96367 |
|
35 |
21 |
$1K |
| J3475 |
Inj magnesium sulfate |
44 |
37 |
$694.05 |
| 82803 |
|
39 |
24 |
$663.28 |
| J1100 |
Dexamethasone sodium phos |
1,213 |
1,014 |
$651.27 |
| J2930 |
Methylprednisolone injection |
50 |
36 |
$558.44 |
| 94760 |
|
47 |
41 |
$487.43 |
| J2250 |
Inj midazolam hydrochloride |
592 |
415 |
$453.55 |
| 82150 |
|
62 |
54 |
$437.18 |
| 85045 |
|
61 |
56 |
$396.57 |
| J3010 |
Fentanyl citrate injection |
458 |
329 |
$374.45 |
| 82565 |
|
15 |
13 |
$213.61 |
| J7512 |
Prednisone ir or dr oral 1mg |
229 |
205 |
$195.99 |
| J1200 |
Diphenhydramine hcl injectio |
423 |
376 |
$178.77 |
| 85652 |
|
31 |
25 |
$154.41 |
| 87205 |
|
29 |
25 |
$140.15 |
| J7050 |
Normal saline solution infus |
103 |
33 |
$125.70 |
| 81003 |
|
24 |
14 |
$60.40 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$6.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
20 |
15 |
$0.00 |