| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,011 |
11,807 |
$1.72M |
| 96361 |
|
2,577 |
1,976 |
$800K |
| 99284 |
|
4,556 |
3,896 |
$686K |
| 99285 |
|
4,850 |
4,188 |
$581K |
| 70450 |
|
990 |
833 |
$290K |
| 74177 |
|
849 |
657 |
$236K |
| 96365 |
|
1,344 |
882 |
$209K |
| 74176 |
|
559 |
442 |
$153K |
| 96360 |
|
455 |
352 |
$92K |
| 96366 |
|
429 |
265 |
$90K |
| 92507 |
|
1,083 |
319 |
$88K |
| 71275 |
|
330 |
252 |
$82K |
| 94640 |
|
836 |
424 |
$79K |
| 97110 |
|
745 |
234 |
$63K |
| 80053 |
|
7,971 |
6,547 |
$55K |
| 99214 |
|
418 |
417 |
$46K |
| 99281 |
|
279 |
262 |
$40K |
| G0378 |
Hospital observation per hr |
780 |
465 |
$37K |
| 87636 |
|
1,528 |
1,276 |
$33K |
| 99282 |
|
216 |
202 |
$28K |
| 99213 |
|
270 |
257 |
$21K |
| 80307 |
|
1,295 |
1,110 |
$21K |
| 85025 |
|
11,893 |
10,049 |
$19K |
| 87637 |
|
446 |
364 |
$19K |
| 93005 |
|
5,583 |
3,820 |
$16K |
| 71046 |
|
664 |
551 |
$14K |
| 80048 |
|
2,390 |
2,002 |
$14K |
| 84484 |
|
4,589 |
2,541 |
$8K |
| 82805 |
|
255 |
171 |
$8K |
| 84443 |
|
381 |
311 |
$7K |
| 36415 |
|
6,735 |
4,733 |
$7K |
| 80061 |
|
381 |
343 |
$6K |
| 72125 |
|
331 |
274 |
$6K |
| 99212 |
|
105 |
105 |
$4K |
| 12001 |
|
14 |
14 |
$4K |
| 96372 |
|
1,193 |
878 |
$4K |
| 83036 |
|
150 |
127 |
$4K |
| 71045 |
|
2,199 |
1,846 |
$3K |
| 77063 |
|
44 |
41 |
$3K |
| 71250 |
|
49 |
40 |
$3K |
| 87635 |
|
1,178 |
1,038 |
$2K |
| 96375 |
|
2,572 |
1,924 |
$2K |
| 94664 |
|
300 |
232 |
$2K |
| 87804 |
|
922 |
458 |
$2K |
| 85027 |
|
826 |
584 |
$2K |
| 96374 |
|
3,205 |
2,608 |
$2K |
| 87086 |
|
1,018 |
826 |
$2K |
| 83605 |
|
2,613 |
1,709 |
$2K |
| 96376 |
|
466 |
276 |
$2K |
| 87081 |
|
167 |
165 |
$2K |
| 99291 |
|
19 |
12 |
$2K |
| 73630 |
|
273 |
245 |
$2K |
| 83735 |
|
1,296 |
894 |
$2K |
| 73610 |
|
188 |
169 |
$2K |
| 81001 |
|
2,449 |
2,020 |
$2K |
| 96367 |
|
20 |
17 |
$1K |
| G0463 |
Hospital outpt clinic visit |
148 |
132 |
$1K |
| 82947 |
|
1,020 |
510 |
$1K |
| 73130 |
|
149 |
133 |
$1K |
| 82607 |
|
42 |
28 |
$1K |
| 80346 |
|
75 |
74 |
$1K |
| 81003 |
|
2,356 |
2,002 |
$1K |
| 87502 |
|
76 |
76 |
$1K |
| 77067 |
|
44 |
41 |
$1K |
| 97161 |
|
30 |
28 |
$969.93 |
| 86140 |
|
136 |
106 |
$781.37 |
| 82306 |
|
21 |
16 |
$725.59 |
| 73564 |
|
28 |
25 |
$676.95 |
| 84702 |
|
297 |
235 |
$658.05 |
| 87651 |
|
979 |
867 |
$653.34 |
| 85610 |
|
1,944 |
1,599 |
$569.57 |
| 80361 |
|
75 |
74 |
$560.82 |
| 82077 |
|
433 |
346 |
$512.68 |
| 73030 |
|
65 |
57 |
$495.87 |
| 83880 |
|
605 |
454 |
$463.22 |
| 87449 |
|
209 |
206 |
$431.94 |
| 83690 |
|
1,502 |
1,155 |
$270.79 |
| 81025 |
|
1,062 |
865 |
$260.55 |
| 87040 |
|
831 |
365 |
$246.67 |
| 87077 |
|
120 |
88 |
$240.79 |
| J7030 |
Normal saline solution infus |
3,809 |
2,914 |
$235.77 |
| 87186 |
|
125 |
97 |
$230.00 |
| 85379 |
|
694 |
574 |
$219.04 |
| J3490 |
Drugs unclassified injection |
352 |
186 |
$213.98 |
| J2543 |
Piperacillin/tazobactam |
47 |
26 |
$185.22 |
| 73110 |
|
27 |
26 |
$179.07 |
| J2270 |
Morphine sulfate injection |
532 |
340 |
$178.31 |
| 90715 |
|
16 |
12 |
$166.19 |
| 80076 |
|
125 |
99 |
$138.74 |
| 87634 |
|
100 |
87 |
$138.66 |
| J1170 |
Hydromorphone injection |
122 |
67 |
$106.84 |
| J8499 |
Oral prescrip drug non chemo |
379 |
170 |
$85.20 |
| 84132 |
|
130 |
91 |
$76.73 |
| J1885 |
Ketorolac tromethamine inj |
1,764 |
1,425 |
$74.35 |
| 80143 |
|
117 |
89 |
$73.84 |
| 85652 |
|
67 |
50 |
$68.49 |
| J7120 |
Ringers lactate infusion |
525 |
401 |
$51.11 |
| 87075 |
|
473 |
225 |
$44.99 |
| 82550 |
|
66 |
41 |
$39.84 |
| 80179 |
|
86 |
64 |
$36.92 |
| J0696 |
Ceftriaxone sodium injection |
416 |
268 |
$34.09 |
| J2405 |
Ondansetron hcl injection |
2,169 |
1,626 |
$27.14 |
| 90471 |
|
18 |
14 |
$22.50 |
| 82570 |
|
62 |
61 |
$18.47 |
| 85018 |
|
115 |
72 |
$17.10 |
| 94760 |
|
588 |
353 |
$14.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
86 |
55 |
$11.17 |
| J7620 |
Albuterol ipratrop non-comp |
207 |
103 |
$10.08 |
| J3010 |
Fentanyl citrate injection |
164 |
136 |
$8.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
180 |
129 |
$5.33 |
| J1200 |
Diphenhydramine hcl injectio |
76 |
54 |
$4.76 |
| J7040 |
Normal saline solution infus |
138 |
114 |
$2.74 |
| J2250 |
Inj midazolam hydrochloride |
63 |
55 |
$0.72 |
| J7050 |
Normal saline solution infus |
47 |
30 |
$0.68 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,565 |
1,220 |
$0.00 |
| 84295 |
|
84 |
56 |
$0.00 |
| J2930 |
Methylprednisolone injection |
69 |
50 |
$0.00 |
| 82248 |
|
93 |
59 |
$0.00 |
| 80365 |
|
17 |
17 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$0.00 |
| 80354 |
|
17 |
17 |
$0.00 |
| 80373 |
|
17 |
17 |
$0.00 |
| 82330 |
|
101 |
58 |
$0.00 |
| 82435 |
|
90 |
58 |
$0.00 |
| A9270 |
Non-covered item or service |
1,868 |
326 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
27 |
27 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
116 |
100 |
$0.00 |
| 73552 |
|
15 |
13 |
$0.00 |
| 84703 |
|
12 |
12 |
$0.00 |
| 80368 |
|
17 |
17 |
$0.00 |
| 76377 |
|
12 |
12 |
$0.00 |
| 80358 |
|
17 |
17 |
$0.00 |