| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
11,600 |
10,490 |
$880K |
| 99284 |
|
7,369 |
6,264 |
$458K |
| 97110 |
|
1,949 |
354 |
$192K |
| 74177 |
|
937 |
811 |
$155K |
| 70450 |
|
1,249 |
993 |
$124K |
| 80053 |
|
7,405 |
5,801 |
$116K |
| 99282 |
|
1,203 |
1,136 |
$95K |
| 74176 |
|
526 |
432 |
$77K |
| 99285 |
|
1,540 |
1,205 |
$64K |
| J7050 |
Normal saline solution infus |
1,284 |
817 |
$50K |
| 71046 |
|
3,025 |
2,682 |
$32K |
| 80048 |
|
1,936 |
1,533 |
$28K |
| A9270 |
Non-covered item or service |
3,046 |
857 |
$25K |
| 96361 |
|
379 |
334 |
$25K |
| 99281 |
|
192 |
182 |
$19K |
| 96372 |
|
2,244 |
1,928 |
$16K |
| 87880 |
|
1,842 |
1,762 |
$15K |
| 87804 |
|
1,640 |
1,514 |
$13K |
| 81001 |
|
3,701 |
3,147 |
$11K |
| 71275 |
|
48 |
43 |
$10K |
| 96374 |
|
4,765 |
3,894 |
$10K |
| 85027 |
|
9,778 |
7,442 |
$9K |
| 97150 |
|
408 |
88 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
1,374 |
1,236 |
$8K |
| 93005 |
|
4,154 |
3,011 |
$8K |
| 86756 |
|
291 |
284 |
$7K |
| 96365 |
|
358 |
278 |
$7K |
| J7030 |
Normal saline solution infus |
5,052 |
3,911 |
$7K |
| 36415 |
|
1,022 |
786 |
$7K |
| 81003 |
|
1,316 |
1,148 |
$6K |
| 87086 |
|
985 |
819 |
$5K |
| 94640 |
|
301 |
234 |
$5K |
| 87040 |
|
1,313 |
801 |
$5K |
| 71045 |
|
1,891 |
1,490 |
$5K |
| 85610 |
|
1,514 |
1,193 |
$5K |
| 96375 |
|
2,604 |
2,052 |
$4K |
| 84484 |
|
2,474 |
1,756 |
$4K |
| 85730 |
|
1,354 |
1,069 |
$4K |
| 83735 |
|
4,117 |
3,019 |
$4K |
| 80307 |
|
815 |
715 |
$4K |
| 73630 |
|
87 |
77 |
$3K |
| J2405 |
Ondansetron hcl injection |
2,386 |
1,866 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,266 |
1,585 |
$2K |
| 82550 |
|
1,578 |
1,149 |
$2K |
| 72125 |
|
15 |
12 |
$1K |
| 83690 |
|
3,689 |
3,080 |
$1K |
| 81025 |
|
1,078 |
989 |
$1K |
| 73610 |
|
32 |
26 |
$1K |
| 83605 |
|
671 |
508 |
$873.56 |
| 84443 |
|
820 |
669 |
$867.75 |
| J0696 |
Ceftriaxone sodium injection |
1,309 |
923 |
$819.84 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,464 |
1,114 |
$791.96 |
| J1100 |
Dexamethasone sodium phos |
919 |
753 |
$775.65 |
| 87077 |
|
28 |
27 |
$765.85 |
| 87426 |
|
979 |
932 |
$729.01 |
| 87400 |
|
740 |
693 |
$646.93 |
| G0378 |
Hospital observation per hr |
105 |
66 |
$587.14 |
| J1170 |
Hydromorphone injection |
249 |
166 |
$500.38 |
| 83880 |
|
587 |
447 |
$487.81 |
| 85378 |
|
275 |
234 |
$411.95 |
| 96360 |
|
13 |
13 |
$389.20 |
| 84703 |
|
1,234 |
1,098 |
$362.24 |
| J2930 |
Methylprednisolone injection |
40 |
27 |
$141.64 |
| 76856 |
|
18 |
14 |
$130.84 |
| 87491 |
|
13 |
13 |
$113.40 |
| 80061 |
|
108 |
89 |
$63.37 |
| 87807 |
|
36 |
36 |
$52.80 |
| 90471 |
|
30 |
26 |
$43.55 |
| 87070 |
|
17 |
17 |
$39.00 |
| 80076 |
|
134 |
109 |
$36.75 |
| J7512 |
Prednisone ir or dr oral 1mg |
69 |
62 |
$30.85 |
| J1200 |
Diphenhydramine hcl injectio |
100 |
80 |
$29.55 |
| 83036 |
|
12 |
12 |
$18.41 |
| 87591 |
|
13 |
13 |
$0.00 |
| 82553 |
|
24 |
12 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
12 |
12 |
$0.00 |
| 87088 |
|
45 |
38 |
$0.00 |
| Q0162 |
Ondansetron oral |
84 |
75 |
$0.00 |
| J2550 |
Promethazine hcl injection |
140 |
97 |
$0.00 |
| J2270 |
Morphine sulfate injection |
1,078 |
848 |
$0.00 |
| 87186 |
|
92 |
79 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
68 |
66 |
$0.00 |
| 84439 |
|
23 |
16 |
$0.00 |