| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
21,461 |
20,011 |
$3.90M |
| 99283 |
|
18,564 |
17,855 |
$2.17M |
| 99284 |
|
13,563 |
12,663 |
$1.94M |
| 74177 |
|
2,058 |
1,994 |
$350K |
| 96374 |
|
8,665 |
8,300 |
$221K |
| 80053 |
|
24,026 |
23,089 |
$210K |
| 0202U |
|
683 |
677 |
$128K |
| 85025 |
|
26,968 |
25,783 |
$125K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,400 |
1,342 |
$89K |
| 96361 |
|
6,816 |
6,498 |
$88K |
| 96375 |
|
4,092 |
3,873 |
$72K |
| 84702 |
|
5,077 |
4,862 |
$70K |
| 99282 |
|
1,181 |
1,146 |
$67K |
| 93005 |
|
7,606 |
7,289 |
$66K |
| 70450 |
|
951 |
924 |
$60K |
| 71275 |
|
318 |
314 |
$58K |
| 36415 |
|
17,579 |
16,165 |
$54K |
| 71045 |
|
6,562 |
6,371 |
$50K |
| G0480 |
Drug test def 1-7 classes |
885 |
814 |
$49K |
| 80307 |
|
860 |
802 |
$48K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,245 |
4,014 |
$36K |
| 0241U |
|
433 |
418 |
$33K |
| 84484 |
|
3,864 |
3,615 |
$32K |
| 81001 |
|
13,439 |
12,937 |
$32K |
| 83690 |
|
7,116 |
6,856 |
$29K |
| 74176 |
|
272 |
261 |
$22K |
| G0378 |
Hospital observation per hr |
51 |
51 |
$21K |
| 96365 |
|
570 |
527 |
$18K |
| 96360 |
|
602 |
571 |
$16K |
| 72125 |
|
230 |
224 |
$15K |
| 94640 |
|
253 |
240 |
$14K |
| 87086 |
|
2,039 |
1,962 |
$13K |
| 76830 |
|
246 |
232 |
$11K |
| 80050 |
|
211 |
202 |
$9K |
| 93971 |
|
161 |
155 |
$9K |
| 87040 |
|
437 |
413 |
$8K |
| 96372 |
|
594 |
537 |
$7K |
| 76856 |
|
212 |
198 |
$7K |
| 76801 |
|
164 |
154 |
$6K |
| 85730 |
|
1,265 |
1,211 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
911 |
869 |
$6K |
| 76705 |
|
165 |
158 |
$6K |
| 85379 |
|
604 |
581 |
$6K |
| 71046 |
|
409 |
399 |
$5K |
| 85610 |
|
1,658 |
1,571 |
$5K |
| 83880 |
|
180 |
172 |
$4K |
| 83605 |
|
641 |
603 |
$4K |
| 90471 |
|
53 |
42 |
$4K |
| 83735 |
|
843 |
759 |
$4K |
| 80048 |
|
612 |
545 |
$4K |
| 73564 |
|
181 |
169 |
$3K |
| 73610 |
|
186 |
181 |
$3K |
| 90715 |
|
261 |
257 |
$3K |
| 82805 |
|
101 |
95 |
$3K |
| U0005 |
Infec agen detec ampli probe |
582 |
554 |
$3K |
| 87798 |
|
118 |
118 |
$3K |
| J2270 |
Morphine sulfate injection |
2,349 |
2,112 |
$3K |
| 86850 |
|
365 |
345 |
$3K |
| 86901 |
|
581 |
523 |
$3K |
| 96376 |
|
170 |
137 |
$3K |
| 86900 |
|
581 |
523 |
$3K |
| 87077 |
|
379 |
362 |
$2K |
| J7030 |
Normal saline solution infus |
3,963 |
3,649 |
$2K |
| 87186 |
|
326 |
311 |
$2K |
| 82947 |
|
763 |
640 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
63 |
62 |
$2K |
| 80076 |
|
297 |
287 |
$2K |
| 73030 |
|
146 |
140 |
$2K |
| 87631 |
|
13 |
13 |
$2K |
| 73130 |
|
168 |
159 |
$2K |
| 87491 |
|
95 |
89 |
$2K |
| 87591 |
|
94 |
88 |
$2K |
| 73630 |
|
151 |
145 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| 80051 |
|
300 |
289 |
$2K |
| 82565 |
|
336 |
322 |
$2K |
| 93000 |
|
123 |
113 |
$1K |
| 84520 |
|
330 |
316 |
$1K |
| 73110 |
|
114 |
108 |
$1K |
| T1015 |
Clinic service |
83 |
28 |
$1K |
| 51701 |
|
57 |
55 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
6,858 |
6,340 |
$1K |
| 90834 |
|
141 |
99 |
$1K |
| J1100 |
Dexamethasone sodium phos |
2,673 |
2,540 |
$1K |
| 82248 |
|
181 |
173 |
$1K |
| 70486 |
|
15 |
15 |
$996.90 |
| 86140 |
|
361 |
353 |
$909.50 |
| 84443 |
|
105 |
102 |
$810.68 |
| J2405 |
Ondansetron hcl injection |
5,757 |
5,310 |
$804.22 |
| 72131 |
|
14 |
14 |
$770.90 |
| 81025 |
|
217 |
204 |
$695.77 |
| J0696 |
Ceftriaxone sodium injection |
1,364 |
1,296 |
$681.53 |
| G0463 |
Hospital outpt clinic visit |
69 |
38 |
$649.31 |
| 97110 |
|
109 |
25 |
$539.94 |
| 82550 |
|
71 |
68 |
$449.12 |
| J1200 |
Diphenhydramine hcl injectio |
1,494 |
1,400 |
$286.13 |
| J2765 |
Metoclopramide hcl injection |
1,085 |
1,025 |
$279.86 |
| J2930 |
Methylprednisolone injection |
110 |
108 |
$268.25 |
| J8597 |
Antiemetic drug oral nos |
220 |
205 |
$253.12 |
| 73590 |
|
16 |
13 |
$231.86 |
| 82010 |
|
60 |
56 |
$229.25 |
| 74018 |
|
16 |
16 |
$205.91 |
| 74022 |
|
12 |
12 |
$201.98 |
| A9270 |
Non-covered item or service |
555 |
171 |
$200.66 |
| 73502 |
|
12 |
12 |
$187.81 |
| 80061 |
|
30 |
30 |
$171.45 |
| 73090 |
|
13 |
13 |
$163.36 |
| J7512 |
Prednisone ir or dr oral 1mg |
724 |
674 |
$133.84 |
| 88305 |
|
56 |
50 |
$133.01 |
| 93296 |
|
41 |
40 |
$120.95 |
| J3010 |
Fentanyl citrate injection |
631 |
520 |
$119.72 |
| 85027 |
|
41 |
30 |
$109.47 |
| Q0162 |
Ondansetron oral |
44 |
42 |
$106.48 |
| 83036 |
|
33 |
31 |
$56.51 |
| J3475 |
Inj magnesium sulfate |
133 |
128 |
$51.86 |
| J2550 |
Promethazine hcl injection |
110 |
103 |
$49.19 |
| 81003 |
|
18 |
18 |
$38.76 |
| G1010 |
Cdsm stanson |
230 |
210 |
$35.43 |
| J2704 |
Inj, propofol, 10 mg |
173 |
169 |
$28.10 |
| J7040 |
Normal saline solution infus |
212 |
207 |
$15.07 |
| J2060 |
Lorazepam injection |
33 |
30 |
$14.65 |
| J1170 |
Hydromorphone injection |
47 |
31 |
$0.00 |
| J3490 |
Drugs unclassified injection |
232 |
192 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
34 |
31 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
133 |
128 |
$0.00 |
| J7050 |
Normal saline solution infus |
25 |
25 |
$0.00 |
| J0780 |
Prochlorperazine injection |
62 |
62 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
29 |
28 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
13 |
12 |
$0.00 |