| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
7,279 |
7,082 |
$1.28M |
| 99283 |
|
4,899 |
4,764 |
$551K |
| G0378 |
Hospital observation per hr |
379 |
355 |
$503K |
| 99285 |
|
751 |
722 |
$151K |
| 87637 |
|
1,099 |
1,081 |
$118K |
| 96374 |
|
1,896 |
1,846 |
$113K |
| T1015 |
Clinic service |
2,310 |
790 |
$102K |
| 74177 |
|
351 |
344 |
$70K |
| 71045 |
|
2,679 |
2,592 |
$57K |
| 80053 |
|
6,484 |
5,978 |
$52K |
| 70450 |
|
490 |
464 |
$40K |
| 85025 |
|
8,732 |
7,838 |
$35K |
| 80307 |
|
728 |
688 |
$33K |
| 93005 |
|
4,318 |
4,091 |
$29K |
| 80050 |
|
598 |
579 |
$23K |
| 88175 |
|
681 |
672 |
$22K |
| 96375 |
|
1,083 |
836 |
$21K |
| 87491 |
|
839 |
819 |
$21K |
| 87801 |
|
460 |
445 |
$20K |
| 87591 |
|
834 |
815 |
$19K |
| 96365 |
|
338 |
252 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
194 |
188 |
$16K |
| 87635 |
|
319 |
303 |
$14K |
| 92507 |
|
597 |
195 |
$14K |
| 84484 |
|
1,991 |
1,845 |
$13K |
| 87625 |
|
276 |
270 |
$11K |
| 85730 |
|
2,314 |
2,198 |
$11K |
| 77067 |
|
128 |
128 |
$11K |
| 71046 |
|
502 |
495 |
$11K |
| 83735 |
|
2,277 |
2,038 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,774 |
1,470 |
$9K |
| 74176 |
|
84 |
83 |
$8K |
| 84703 |
|
1,102 |
1,068 |
$8K |
| 80061 |
|
592 |
583 |
$8K |
| 71275 |
|
42 |
42 |
$8K |
| 81001 |
|
3,807 |
3,679 |
$8K |
| 87661 |
|
440 |
425 |
$7K |
| 85610 |
|
2,739 |
2,579 |
$7K |
| 87481 |
|
760 |
444 |
$7K |
| 80048 |
|
1,164 |
1,019 |
$6K |
| 36415 |
|
9,555 |
8,824 |
$6K |
| 84443 |
|
283 |
283 |
$6K |
| G0480 |
Drug test def 1-7 classes |
214 |
201 |
$6K |
| 87480 |
|
207 |
204 |
$5K |
| 87660 |
|
208 |
205 |
$5K |
| 94640 |
|
146 |
84 |
$5K |
| 81514 |
|
39 |
39 |
$5K |
| 83690 |
|
1,246 |
1,218 |
$4K |
| 82306 |
|
109 |
108 |
$4K |
| 77063 |
|
116 |
116 |
$3K |
| 96372 |
|
423 |
345 |
$3K |
| 99282 |
|
41 |
41 |
$3K |
| 76830 |
|
53 |
53 |
$3K |
| 87086 |
|
432 |
417 |
$3K |
| 0002A |
|
55 |
55 |
$3K |
| J3490 |
Drugs unclassified injection |
712 |
350 |
$3K |
| 0001A |
|
54 |
54 |
$3K |
| 83605 |
|
412 |
379 |
$2K |
| A4657 |
Syringe w/wo needle |
549 |
539 |
$2K |
| 76856 |
|
54 |
54 |
$2K |
| 83036 |
|
334 |
327 |
$2K |
| 85378 |
|
309 |
295 |
$2K |
| 88305 |
|
122 |
116 |
$2K |
| 72125 |
|
50 |
50 |
$2K |
| 84439 |
|
190 |
185 |
$2K |
| 93975 |
|
12 |
12 |
$2K |
| 87510 |
|
180 |
179 |
$1K |
| 82150 |
|
437 |
431 |
$1K |
| 87040 |
|
177 |
170 |
$1K |
| 80076 |
|
212 |
207 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 96366 |
|
105 |
65 |
$1K |
| 0004A |
|
24 |
24 |
$1K |
| 87070 |
|
197 |
185 |
$966.08 |
| 76705 |
|
25 |
25 |
$935.88 |
| 84702 |
|
59 |
54 |
$872.31 |
| 82607 |
|
70 |
69 |
$774.37 |
| 81025 |
|
311 |
297 |
$772.78 |
| A9585 |
Gadobutrol injection |
143 |
138 |
$742.84 |
| 73630 |
|
90 |
82 |
$713.09 |
| 76536 |
|
12 |
12 |
$680.12 |
| 87077 |
|
140 |
139 |
$625.65 |
| 82550 |
|
150 |
133 |
$606.68 |
| J7120 |
Ringers lactate infusion |
1,273 |
969 |
$541.53 |
| J0696 |
Ceftriaxone sodium injection |
297 |
205 |
$539.29 |
| 86850 |
|
84 |
81 |
$502.19 |
| 73610 |
|
40 |
38 |
$466.18 |
| U0005 |
Infec agen detec ampli probe |
185 |
179 |
$463.63 |
| 82077 |
|
39 |
38 |
$460.60 |
| 83540 |
|
61 |
57 |
$420.27 |
| 73564 |
|
32 |
27 |
$412.16 |
| 87389 |
|
14 |
14 |
$411.57 |
| 87186 |
|
76 |
75 |
$407.39 |
| J1885 |
Ketorolac tromethamine inj |
2,758 |
2,120 |
$386.11 |
| 80143 |
|
31 |
30 |
$383.67 |
| 80179 |
|
31 |
30 |
$383.67 |
| 82728 |
|
43 |
41 |
$362.70 |
| 73130 |
|
41 |
38 |
$355.74 |
| 84100 |
|
57 |
40 |
$353.96 |
| J2405 |
Ondansetron hcl injection |
2,258 |
1,764 |
$348.97 |
| 86803 |
|
16 |
16 |
$345.61 |
| 82570 |
|
41 |
41 |
$310.16 |
| 86901 |
|
99 |
95 |
$292.22 |
| 86900 |
|
100 |
96 |
$288.81 |
| 83880 |
|
28 |
24 |
$285.71 |
| 87275 |
|
27 |
26 |
$263.88 |
| 83550 |
|
56 |
53 |
$227.92 |
| 87880 |
|
38 |
38 |
$219.30 |
| 73030 |
|
13 |
12 |
$208.96 |
| 86592 |
|
48 |
46 |
$201.72 |
| 87276 |
|
26 |
25 |
$187.70 |
| 87205 |
|
58 |
55 |
$185.15 |
| 86140 |
|
64 |
56 |
$184.05 |
| 85651 |
|
63 |
60 |
$183.26 |
| 82746 |
|
12 |
12 |
$73.22 |
| 87081 |
|
137 |
130 |
$47.64 |
| J1200 |
Diphenhydramine hcl injectio |
330 |
277 |
$36.72 |
| J1100 |
Dexamethasone sodium phos |
548 |
478 |
$28.81 |
| J2704 |
Inj, propofol, 10 mg |
250 |
200 |
$28.39 |
| A9270 |
Non-covered item or service |
1,427 |
1,356 |
$17.03 |
| J3010 |
Fentanyl citrate injection |
72 |
65 |
$9.71 |
| J7620 |
Albuterol ipratrop non-comp |
296 |
263 |
$5.94 |
| J2250 |
Inj midazolam hydrochloride |
112 |
98 |
$3.53 |
| A4615 |
Cannula nasal |
16 |
15 |
$0.88 |
| J2930 |
Methylprednisolone injection |
43 |
42 |
$0.00 |
| J2270 |
Morphine sulfate injection |
76 |
67 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
49 |
44 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
40 |
40 |
$0.00 |
| J1170 |
Hydromorphone injection |
119 |
67 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
13 |
$0.00 |