| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
8,139 |
6,216 |
$294K |
| 74177 |
|
1,403 |
1,171 |
$271K |
| 70450 |
|
1,873 |
1,551 |
$249K |
| 0241U |
|
2,447 |
2,045 |
$240K |
| 80053 |
|
10,990 |
8,667 |
$207K |
| 96365 |
|
1,036 |
794 |
$147K |
| 85025 |
|
13,083 |
9,646 |
$100K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,182 |
1,024 |
$99K |
| 99283 |
|
2,957 |
2,212 |
$98K |
| 83880 |
|
1,818 |
1,449 |
$76K |
| 80048 |
|
4,434 |
3,311 |
$74K |
| 97110 |
|
2,506 |
525 |
$72K |
| 99284 |
|
2,941 |
2,244 |
$70K |
| 84484 |
|
3,999 |
3,015 |
$54K |
| 99285 |
|
2,900 |
2,182 |
$48K |
| 71045 |
|
3,532 |
2,847 |
$46K |
| 74176 |
|
308 |
240 |
$45K |
| 71046 |
|
1,773 |
1,479 |
$43K |
| 11042 |
|
201 |
77 |
$42K |
| 93005 |
|
5,096 |
3,955 |
$40K |
| 11043 |
|
315 |
118 |
$39K |
| 36415 |
|
6,378 |
4,359 |
$37K |
| 96372 |
|
1,041 |
739 |
$33K |
| 83690 |
|
2,956 |
2,412 |
$29K |
| 87430 |
|
2,431 |
2,151 |
$28K |
| 87804 |
|
1,853 |
1,356 |
$28K |
| 82550 |
|
1,753 |
1,379 |
$26K |
| 96374 |
|
1,557 |
1,185 |
$25K |
| 81001 |
|
5,554 |
4,586 |
$24K |
| 87086 |
|
2,817 |
2,375 |
$24K |
| 83735 |
|
2,822 |
2,216 |
$24K |
| 84443 |
|
2,663 |
2,196 |
$21K |
| 80305 |
|
1,675 |
1,366 |
$21K |
| 81025 |
|
2,403 |
2,006 |
$20K |
| 87077 |
|
1,697 |
1,398 |
$19K |
| 83605 |
|
1,215 |
890 |
$19K |
| 99214 |
|
481 |
382 |
$16K |
| 87081 |
|
1,680 |
1,470 |
$15K |
| 80061 |
|
2,009 |
1,635 |
$14K |
| 82306 |
|
1,220 |
976 |
$14K |
| 85730 |
|
1,572 |
1,277 |
$12K |
| 82553 |
|
1,116 |
864 |
$12K |
| 87502 |
|
137 |
124 |
$12K |
| 83036 |
|
2,152 |
1,795 |
$11K |
| 43239 |
|
49 |
36 |
$10K |
| 87186 |
|
1,933 |
1,587 |
$9K |
| 85610 |
|
2,250 |
1,763 |
$9K |
| 96375 |
|
663 |
446 |
$9K |
| J2405 |
Ondansetron hcl injection |
3,076 |
2,320 |
$8K |
| 87040 |
|
880 |
406 |
$8K |
| 87635 |
|
2,082 |
1,796 |
$7K |
| T1015 |
Clinic service |
3,264 |
2,093 |
$6K |
| 82962 |
|
767 |
424 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,390 |
1,923 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,045 |
768 |
$4K |
| 99213 |
|
203 |
164 |
$4K |
| 87070 |
|
348 |
276 |
$4K |
| 99282 |
|
117 |
86 |
$4K |
| 96361 |
|
79 |
40 |
$3K |
| 81000 |
|
962 |
785 |
$3K |
| 81003 |
|
1,512 |
1,283 |
$3K |
| 97032 |
|
138 |
30 |
$3K |
| 85027 |
|
660 |
546 |
$2K |
| M0243 |
Casirivi and imdevi inj |
19 |
15 |
$2K |
| 86677 |
|
63 |
50 |
$2K |
| 87811 |
|
138 |
116 |
$2K |
| 86317 |
|
91 |
90 |
$2K |
| 87428 |
|
43 |
42 |
$2K |
| 82803 |
|
22 |
12 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
732 |
546 |
$1K |
| 73610 |
|
67 |
51 |
$1K |
| 73630 |
|
44 |
38 |
$1K |
| 80050 |
|
24 |
24 |
$1K |
| G0480 |
Drug test def 1-7 classes |
23 |
14 |
$961.77 |
| 85379 |
|
72 |
59 |
$919.81 |
| 84481 |
|
104 |
83 |
$827.29 |
| 82607 |
|
121 |
94 |
$690.36 |
| 87491 |
|
14 |
13 |
$665.09 |
| J2250 |
Inj midazolam hydrochloride |
185 |
130 |
$634.10 |
| 77067 |
|
32 |
32 |
$593.04 |
| 73564 |
|
14 |
12 |
$583.23 |
| 81002 |
|
46 |
33 |
$552.28 |
| 74022 |
|
15 |
14 |
$448.00 |
| 84439 |
|
80 |
70 |
$399.30 |
| 80320 |
|
26 |
24 |
$361.92 |
| 87880 |
|
578 |
503 |
$340.57 |
| J2930 |
Methylprednisolone injection |
385 |
293 |
$308.91 |
| G2025 |
Dis site tele svcs rhc/fqhc |
33 |
29 |
$296.18 |
| J2270 |
Morphine sulfate injection |
1,372 |
980 |
$255.92 |
| 82248 |
|
32 |
27 |
$213.06 |
| 0001A |
|
38 |
32 |
$205.53 |
| 76705 |
|
12 |
12 |
$140.00 |
| 81015 |
|
141 |
118 |
$138.03 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
451 |
341 |
$126.58 |
| 80076 |
|
12 |
12 |
$105.03 |
| 94664 |
|
74 |
56 |
$101.03 |
| 87205 |
|
18 |
13 |
$80.95 |
| 83540 |
|
40 |
31 |
$61.82 |
| J2704 |
Inj, propofol, 10 mg |
282 |
220 |
$58.46 |
| J0780 |
Prochlorperazine injection |
58 |
51 |
$49.48 |
| 87426 |
|
30 |
16 |
$45.23 |
| A9270 |
Non-covered item or service |
2,106 |
1,321 |
$36.80 |
| J2765 |
Metoclopramide hcl injection |
30 |
27 |
$35.67 |
| 84436 |
|
16 |
13 |
$17.80 |
| J2175 |
Meperidine hydrochl /100 mg |
75 |
51 |
$4.38 |
| J1170 |
Hydromorphone injection |
57 |
39 |
$2.67 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
13 |
$0.92 |
| J3010 |
Fentanyl citrate injection |
31 |
15 |
$0.40 |
| Q0244 |
Casirivi and imdevi 1200 mg |
21 |
12 |
$0.02 |
| 83550 |
|
13 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
26 |
13 |
$0.00 |
| 99401 |
|
23 |
17 |
$0.00 |