| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,846 |
7,044 |
$973K |
| 99282 |
|
4,038 |
3,609 |
$447K |
| 99284 |
|
2,795 |
2,254 |
$411K |
| 74177 |
|
798 |
602 |
$242K |
| 70450 |
|
775 |
580 |
$216K |
| 99285 |
|
1,283 |
974 |
$191K |
| 80053 |
|
7,236 |
6,087 |
$151K |
| 97110 |
|
1,303 |
388 |
$123K |
| 99214 |
|
2,310 |
2,000 |
$114K |
| 96365 |
|
571 |
377 |
$106K |
| 84443 |
|
4,072 |
3,680 |
$93K |
| 96361 |
|
272 |
180 |
$85K |
| 94640 |
|
545 |
408 |
$72K |
| 87631 |
|
472 |
360 |
$71K |
| 76805 |
|
474 |
433 |
$71K |
| 85025 |
|
10,000 |
8,030 |
$66K |
| 80061 |
|
4,103 |
3,706 |
$61K |
| 82306 |
|
2,170 |
1,983 |
$57K |
| 99211 |
|
447 |
352 |
$56K |
| 99212 |
|
415 |
334 |
$46K |
| 80048 |
|
3,550 |
2,702 |
$38K |
| 84439 |
|
1,446 |
1,275 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
360 |
253 |
$33K |
| 83036 |
|
2,362 |
2,126 |
$31K |
| 76856 |
|
162 |
123 |
$28K |
| 0241U |
|
425 |
388 |
$27K |
| 87491 |
|
562 |
456 |
$25K |
| 74176 |
|
71 |
52 |
$23K |
| 82607 |
|
845 |
750 |
$21K |
| 87086 |
|
1,666 |
1,334 |
$20K |
| 99213 |
|
355 |
322 |
$19K |
| G0378 |
Hospital observation per hr |
253 |
98 |
$19K |
| 36415 |
|
10,069 |
7,488 |
$18K |
| 71046 |
|
721 |
580 |
$15K |
| 43239 |
|
50 |
45 |
$14K |
| 76801 |
|
119 |
82 |
$14K |
| U0004 |
Cov-19 test non-cdc hgh thru |
93 |
93 |
$13K |
| 86803 |
|
509 |
452 |
$13K |
| 87591 |
|
541 |
439 |
$12K |
| 82570 |
|
978 |
881 |
$12K |
| 82728 |
|
684 |
612 |
$11K |
| 86592 |
|
357 |
312 |
$11K |
| 83540 |
|
887 |
800 |
$11K |
| 83880 |
|
760 |
596 |
$9K |
| 93306 |
|
33 |
24 |
$9K |
| 80307 |
|
266 |
225 |
$9K |
| 84153 |
|
457 |
412 |
$8K |
| 86850 |
|
291 |
217 |
$8K |
| 87624 |
|
167 |
141 |
$7K |
| 86038 |
|
228 |
199 |
$7K |
| J3490 |
Drugs unclassified injection |
612 |
364 |
$7K |
| 83735 |
|
1,201 |
881 |
$7K |
| 96372 |
|
1,135 |
710 |
$7K |
| 88175 |
|
304 |
262 |
$7K |
| 76817 |
|
98 |
70 |
$7K |
| 84481 |
|
437 |
388 |
$6K |
| 77063 |
|
151 |
129 |
$6K |
| 87077 |
|
524 |
438 |
$6K |
| 87651 |
|
311 |
267 |
$6K |
| 82043 |
|
743 |
688 |
$6K |
| 87070 |
|
316 |
274 |
$5K |
| 86900 |
|
353 |
267 |
$5K |
| 0011A |
|
144 |
134 |
$4K |
| 0012A |
|
121 |
119 |
$4K |
| 83550 |
|
426 |
377 |
$4K |
| 87390 |
|
160 |
133 |
$4K |
| 86703 |
|
175 |
147 |
$4K |
| 87635 |
|
325 |
269 |
$4K |
| 93005 |
|
1,907 |
1,445 |
$3K |
| 71045 |
|
1,385 |
1,016 |
$3K |
| 85652 |
|
469 |
397 |
$3K |
| 86140 |
|
385 |
340 |
$3K |
| 83970 |
|
108 |
101 |
$3K |
| 73630 |
|
207 |
161 |
$3K |
| 76830 |
|
94 |
74 |
$3K |
| 88305 |
|
184 |
141 |
$3K |
| 86901 |
|
338 |
254 |
$2K |
| 87480 |
|
169 |
140 |
$2K |
| 96374 |
|
2,142 |
1,458 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,181 |
919 |
$2K |
| 82746 |
|
205 |
183 |
$2K |
| U0005 |
Infec agen detec ampli probe |
345 |
238 |
$2K |
| 85610 |
|
599 |
420 |
$2K |
| 96375 |
|
1,623 |
1,093 |
$2K |
| 81001 |
|
1,675 |
1,296 |
$2K |
| 84484 |
|
1,249 |
905 |
$2K |
| 83690 |
|
1,222 |
916 |
$2K |
| 76642 |
|
15 |
13 |
$2K |
| 93017 |
|
20 |
14 |
$2K |
| 87660 |
|
169 |
140 |
$2K |
| 73562 |
|
64 |
49 |
$2K |
| 80320 |
|
108 |
77 |
$2K |
| 99201 |
|
12 |
12 |
$2K |
| 77067 |
|
151 |
129 |
$2K |
| 84403 |
|
80 |
74 |
$2K |
| 81003 |
|
1,165 |
906 |
$2K |
| 86431 |
|
77 |
69 |
$1K |
| 87186 |
|
282 |
241 |
$1K |
| 87510 |
|
169 |
140 |
$1K |
| 84702 |
|
82 |
51 |
$1K |
| 84550 |
|
171 |
148 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
134 |
68 |
$1K |
| 80076 |
|
43 |
38 |
$886.90 |
| 73610 |
|
120 |
104 |
$858.80 |
| J7030 |
Normal saline solution infus |
2,476 |
1,633 |
$840.70 |
| 96376 |
|
164 |
94 |
$776.40 |
| 85007 |
|
115 |
93 |
$704.16 |
| 97162 |
|
15 |
13 |
$587.60 |
| 85379 |
|
204 |
159 |
$556.74 |
| 73030 |
|
15 |
12 |
$499.26 |
| 81025 |
|
1,393 |
989 |
$488.11 |
| A9577 |
Inj multihance |
89 |
79 |
$480.93 |
| 73130 |
|
34 |
28 |
$423.94 |
| 84156 |
|
79 |
70 |
$410.24 |
| 82947 |
|
28 |
28 |
$409.66 |
| J7120 |
Ringers lactate infusion |
955 |
616 |
$381.70 |
| 86618 |
|
12 |
12 |
$221.64 |
| 87040 |
|
141 |
100 |
$203.82 |
| 83605 |
|
134 |
86 |
$203.20 |
| 72125 |
|
17 |
13 |
$186.67 |
| 80305 |
|
103 |
64 |
$148.52 |
| 73110 |
|
14 |
13 |
$108.97 |
| J2270 |
Morphine sulfate injection |
421 |
255 |
$101.73 |
| 90715 |
|
13 |
13 |
$99.19 |
| 82962 |
|
289 |
248 |
$99.08 |
| J2272 |
Inj, morphine (fresenius) |
344 |
274 |
$94.48 |
| 85730 |
|
30 |
25 |
$85.72 |
| J1885 |
Ketorolac tromethamine inj |
1,180 |
790 |
$84.59 |
| J2704 |
Inj, propofol, 10 mg |
647 |
431 |
$57.18 |
| J2405 |
Ondansetron hcl injection |
1,858 |
1,225 |
$54.85 |
| J0696 |
Ceftriaxone sodium injection |
186 |
135 |
$29.74 |
| J7040 |
Normal saline solution infus |
29 |
26 |
$26.18 |
| J1170 |
Hydromorphone injection |
67 |
38 |
$23.61 |
| J1100 |
Dexamethasone sodium phos |
592 |
357 |
$22.79 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$17.97 |
| J2765 |
Metoclopramide hcl injection |
97 |
56 |
$17.71 |
| J3010 |
Fentanyl citrate injection |
493 |
295 |
$13.17 |
| J1200 |
Diphenhydramine hcl injectio |
260 |
168 |
$13.14 |
| J2250 |
Inj midazolam hydrochloride |
412 |
234 |
$3.05 |
| 91301 |
|
244 |
233 |
$2.34 |
| J7512 |
Prednisone ir or dr oral 1mg |
84 |
51 |
$1.04 |
| 1159F |
|
199 |
167 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
119 |
65 |
$0.00 |
| 3288F |
|
95 |
87 |
$0.00 |
| 3078F |
|
522 |
480 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
54 |
52 |
$0.00 |
| 00731 |
|
32 |
29 |
$0.00 |
| 1160F |
|
199 |
167 |
$0.00 |
| T1015 |
Clinic service |
76 |
65 |
$0.00 |
| 76937 |
|
31 |
24 |
$0.00 |
| J0780 |
Prochlorperazine injection |
38 |
26 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3074F |
|
1,016 |
940 |
$0.00 |
| 3008F |
|
1,297 |
1,184 |
$0.00 |
| 1036F |
|
883 |
796 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
86 |
69 |
$0.00 |
| 3079F |
|
462 |
428 |
$0.00 |
| J2060 |
Lorazepam injection |
36 |
24 |
$0.00 |
| 4010F |
|
15 |
13 |
$0.00 |
| 1034F |
|
132 |
121 |
$0.00 |
| 3075F |
|
27 |
24 |
$0.00 |