| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
11,844 |
11,398 |
$1.11M |
| 99283 |
|
14,962 |
14,371 |
$1.07M |
| 99285 |
|
3,855 |
3,700 |
$424K |
| G0378 |
Hospital observation per hr |
195 |
192 |
$189K |
| 74177 |
|
937 |
910 |
$153K |
| 87426 |
|
4,972 |
4,747 |
$151K |
| 80053 |
|
15,241 |
14,545 |
$138K |
| 96374 |
|
5,202 |
4,939 |
$126K |
| 85025 |
|
16,821 |
15,863 |
$78K |
| 11042 |
|
437 |
207 |
$71K |
| 70450 |
|
1,216 |
1,178 |
$64K |
| 99282 |
|
1,294 |
1,270 |
$59K |
| 93005 |
|
6,456 |
6,108 |
$49K |
| 87804 |
|
2,062 |
2,021 |
$45K |
| 96361 |
|
3,097 |
2,862 |
$41K |
| 80307 |
|
619 |
589 |
$34K |
| 74176 |
|
476 |
463 |
$33K |
| 71045 |
|
5,111 |
4,943 |
$33K |
| 84484 |
|
4,650 |
4,017 |
$33K |
| C9803 |
Hopd covid-19 spec collect |
3,030 |
2,868 |
$32K |
| 96375 |
|
1,922 |
1,808 |
$29K |
| U0003 |
Cov-19 amp prb hgh thruput |
316 |
307 |
$25K |
| 81001 |
|
8,214 |
7,934 |
$21K |
| 45380 |
|
84 |
83 |
$20K |
| 71046 |
|
1,485 |
1,457 |
$18K |
| T1015 |
Clinic service |
384 |
105 |
$16K |
| 83735 |
|
2,964 |
2,802 |
$16K |
| 83690 |
|
2,832 |
2,723 |
$12K |
| 84443 |
|
638 |
624 |
$11K |
| 87086 |
|
1,742 |
1,689 |
$11K |
| 96360 |
|
442 |
423 |
$10K |
| 71275 |
|
61 |
61 |
$10K |
| 99281 |
|
289 |
282 |
$9K |
| 96372 |
|
689 |
622 |
$7K |
| 83880 |
|
347 |
329 |
$7K |
| 80048 |
|
1,115 |
1,024 |
$7K |
| 87807 |
|
449 |
440 |
$6K |
| 88175 |
|
200 |
199 |
$6K |
| 80061 |
|
536 |
525 |
$6K |
| 85610 |
|
1,918 |
1,796 |
$5K |
| 36415 |
|
4,223 |
3,610 |
$5K |
| 93306 |
|
94 |
93 |
$5K |
| 85730 |
|
988 |
936 |
$4K |
| 43239 |
|
29 |
29 |
$4K |
| 83605 |
|
753 |
676 |
$4K |
| 84703 |
|
401 |
387 |
$4K |
| 81025 |
|
1,239 |
1,203 |
$4K |
| 87040 |
|
365 |
237 |
$4K |
| 84100 |
|
805 |
751 |
$4K |
| 72125 |
|
71 |
71 |
$3K |
| 96365 |
|
107 |
106 |
$3K |
| 80050 |
|
66 |
66 |
$3K |
| 85379 |
|
309 |
298 |
$3K |
| 84702 |
|
151 |
142 |
$2K |
| 85027 |
|
381 |
371 |
$2K |
| 82306 |
|
73 |
71 |
$2K |
| 93971 |
|
39 |
38 |
$2K |
| 84439 |
|
304 |
297 |
$2K |
| 88305 |
|
341 |
325 |
$2K |
| 83036 |
|
327 |
320 |
$2K |
| 86780 |
|
118 |
118 |
$2K |
| 76705 |
|
49 |
48 |
$2K |
| 93017 |
|
39 |
39 |
$2K |
| J7030 |
Normal saline solution infus |
1,503 |
1,316 |
$1K |
| 86762 |
|
71 |
71 |
$1K |
| 87880 |
|
186 |
186 |
$1K |
| 86803 |
|
70 |
70 |
$1K |
| 93970 |
|
16 |
15 |
$1K |
| 72100 |
|
73 |
71 |
$1K |
| 87070 |
|
206 |
201 |
$1K |
| 87077 |
|
153 |
124 |
$1K |
| 73030 |
|
73 |
72 |
$926.52 |
| 82550 |
|
190 |
177 |
$921.72 |
| 86850 |
|
132 |
124 |
$883.45 |
| 87186 |
|
155 |
146 |
$824.20 |
| 73630 |
|
90 |
88 |
$821.34 |
| 82962 |
|
718 |
431 |
$766.60 |
| 71250 |
|
14 |
12 |
$681.31 |
| 86901 |
|
203 |
194 |
$654.47 |
| 86900 |
|
203 |
194 |
$651.01 |
| 76805 |
|
12 |
12 |
$627.78 |
| 74018 |
|
41 |
41 |
$566.15 |
| 76830 |
|
15 |
12 |
$544.10 |
| 82077 |
|
133 |
111 |
$540.04 |
| 82607 |
|
58 |
56 |
$533.43 |
| J3490 |
Drugs unclassified injection |
650 |
413 |
$516.95 |
| 87624 |
|
14 |
14 |
$500.58 |
| 97116 |
|
103 |
49 |
$498.09 |
| J1885 |
Ketorolac tromethamine inj |
2,919 |
2,750 |
$488.61 |
| J2704 |
Inj, propofol, 10 mg |
2,693 |
2,537 |
$463.54 |
| 88312 |
|
16 |
16 |
$461.26 |
| 86140 |
|
183 |
179 |
$452.45 |
| 87591 |
|
14 |
14 |
$310.75 |
| 87491 |
|
14 |
14 |
$310.75 |
| 97161 |
|
13 |
13 |
$292.60 |
| 90715 |
|
50 |
50 |
$290.18 |
| 85651 |
|
110 |
109 |
$268.37 |
| 73610 |
|
15 |
15 |
$259.43 |
| 97110 |
|
39 |
12 |
$220.81 |
| 73560 |
|
13 |
13 |
$158.44 |
| J2405 |
Ondansetron hcl injection |
1,900 |
1,746 |
$150.62 |
| J1170 |
Hydromorphone injection |
326 |
270 |
$149.80 |
| 73130 |
|
13 |
12 |
$125.96 |
| 96366 |
|
15 |
13 |
$124.74 |
| J0690 |
Cefazolin sodium injection |
445 |
381 |
$123.33 |
| J1100 |
Dexamethasone sodium phos |
971 |
903 |
$121.51 |
| 83540 |
|
17 |
17 |
$118.88 |
| 82150 |
|
26 |
26 |
$107.47 |
| 82728 |
|
12 |
12 |
$92.04 |
| J3010 |
Fentanyl citrate injection |
1,613 |
1,532 |
$87.70 |
| 87147 |
|
30 |
27 |
$80.20 |
| 82043 |
|
15 |
15 |
$80.03 |
| C1769 |
Guide wire |
14 |
14 |
$76.14 |
| 82248 |
|
14 |
13 |
$72.45 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,083 |
2,003 |
$72.27 |
| 82570 |
|
14 |
14 |
$64.06 |
| 99152 |
|
14 |
12 |
$54.47 |
| J2270 |
Morphine sulfate injection |
71 |
62 |
$47.14 |
| 83550 |
|
12 |
12 |
$43.60 |
| J7040 |
Normal saline solution infus |
112 |
104 |
$41.40 |
| J2765 |
Metoclopramide hcl injection |
350 |
333 |
$40.75 |
| J0696 |
Ceftriaxone sodium injection |
87 |
81 |
$37.64 |
| J1200 |
Diphenhydramine hcl injectio |
471 |
446 |
$33.31 |
| J1650 |
Inj enoxaparin sodium |
40 |
28 |
$31.08 |
| J2250 |
Inj midazolam hydrochloride |
1,837 |
1,774 |
$28.22 |
| J2060 |
Lorazepam injection |
78 |
70 |
$21.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
44 |
39 |
$11.24 |
| J3475 |
Inj magnesium sulfate |
27 |
24 |
$1.89 |
| J2001 |
Lidocaine injection |
204 |
193 |
$0.00 |
| 97165 |
|
12 |
12 |
$0.00 |
| 97535 |
|
14 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
31 |
29 |
$0.00 |
| J2930 |
Methylprednisolone injection |
77 |
73 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
33 |
33 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
13 |
$0.00 |