| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
9,591 |
6,039 |
$1.09M |
| 99283 |
|
9,833 |
7,822 |
$743K |
| 99284 |
|
7,828 |
5,797 |
$709K |
| G0378 |
Hospital observation per hr |
1,364 |
782 |
$133K |
| 74176 |
|
3,520 |
2,467 |
$109K |
| 99282 |
|
1,459 |
1,204 |
$70K |
| 71250 |
|
2,745 |
1,791 |
$68K |
| 96374 |
|
4,413 |
3,040 |
$64K |
| 85025 |
|
13,701 |
8,757 |
$48K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,042 |
766 |
$43K |
| 70450 |
|
1,752 |
1,267 |
$41K |
| 84484 |
|
5,792 |
3,632 |
$40K |
| 80053 |
|
14,619 |
9,848 |
$34K |
| 96372 |
|
4,173 |
2,664 |
$32K |
| M0243 |
Casirivi and imdevi inj |
109 |
88 |
$25K |
| 96361 |
|
2,372 |
1,316 |
$19K |
| 93005 |
|
5,920 |
3,921 |
$19K |
| 83735 |
|
7,820 |
4,906 |
$18K |
| 36415 |
|
16,364 |
10,325 |
$17K |
| 96375 |
|
2,798 |
1,790 |
$16K |
| 96365 |
|
1,168 |
651 |
$12K |
| 83880 |
|
2,486 |
1,478 |
$12K |
| 87804 |
|
1,856 |
1,266 |
$11K |
| 71045 |
|
3,357 |
2,309 |
$10K |
| 83690 |
|
2,874 |
2,092 |
$9K |
| 82150 |
|
2,844 |
2,052 |
$8K |
| J2405 |
Ondansetron hcl injection |
1,705 |
1,131 |
$8K |
| 87880 |
|
1,389 |
1,118 |
$8K |
| 83605 |
|
2,007 |
1,340 |
$7K |
| 80306 |
|
1,540 |
1,083 |
$6K |
| 85004 |
|
3,334 |
2,570 |
$5K |
| 87040 |
|
1,212 |
718 |
$5K |
| 87426 |
|
271 |
217 |
$5K |
| 71046 |
|
413 |
350 |
$4K |
| 99281 |
|
102 |
83 |
$4K |
| G0480 |
Drug test def 1-7 classes |
210 |
168 |
$4K |
| 82550 |
|
1,486 |
1,062 |
$3K |
| 99291 |
|
47 |
24 |
$3K |
| 80047 |
|
625 |
377 |
$2K |
| 81001 |
|
3,190 |
2,419 |
$2K |
| 82553 |
|
1,450 |
1,056 |
$2K |
| 81025 |
|
910 |
779 |
$2K |
| 82805 |
|
434 |
239 |
$2K |
| 96376 |
|
503 |
206 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,221 |
2,394 |
$2K |
| 87086 |
|
573 |
427 |
$2K |
| G0481 |
Drug test def 8-14 classes |
33 |
27 |
$1K |
| 96366 |
|
325 |
96 |
$1K |
| 85730 |
|
630 |
441 |
$1K |
| 36600 |
|
487 |
282 |
$1K |
| 96360 |
|
208 |
138 |
$1K |
| 85610 |
|
743 |
528 |
$1K |
| 74018 |
|
288 |
205 |
$990.39 |
| A4216 |
Sterile water/saline, 10 ml |
558 |
436 |
$843.09 |
| 87807 |
|
139 |
131 |
$747.70 |
| 0031A |
|
52 |
40 |
$696.78 |
| 85379 |
|
150 |
116 |
$694.80 |
| 81003 |
|
1,462 |
1,097 |
$608.08 |
| J1100 |
Dexamethasone sodium phos |
896 |
532 |
$460.97 |
| 94640 |
|
424 |
144 |
$457.70 |
| 80048 |
|
366 |
214 |
$355.44 |
| 72125 |
|
15 |
12 |
$334.12 |
| 84443 |
|
41 |
32 |
$269.60 |
| J1650 |
Inj enoxaparin sodium |
57 |
13 |
$216.00 |
| J2930 |
Methylprednisolone injection |
66 |
52 |
$167.05 |
| 72100 |
|
14 |
12 |
$130.68 |
| J7030 |
Normal saline solution infus |
1,350 |
690 |
$124.30 |
| 80299 |
|
14 |
13 |
$120.95 |
| J2001 |
Lidocaine injection |
26 |
26 |
$113.42 |
| 80143 |
|
17 |
15 |
$105.98 |
| 74021 |
|
16 |
12 |
$92.95 |
| 80076 |
|
69 |
40 |
$87.60 |
| 86308 |
|
55 |
39 |
$84.72 |
| 73562 |
|
16 |
12 |
$81.50 |
| 73610 |
|
22 |
14 |
$76.65 |
| J2360 |
Orphenadrine injection |
144 |
105 |
$73.44 |
| 96367 |
|
26 |
12 |
$54.26 |
| 73130 |
|
19 |
12 |
$37.66 |
| 94664 |
|
18 |
12 |
$32.56 |
| 85014 |
|
52 |
40 |
$23.15 |
| 85018 |
|
52 |
40 |
$23.15 |
| J3475 |
Inj magnesium sulfate |
162 |
82 |
$22.68 |
| J2550 |
Promethazine hcl injection |
53 |
39 |
$16.72 |
| J1170 |
Hydromorphone injection |
22 |
18 |
$12.48 |
| J2270 |
Morphine sulfate injection |
25 |
14 |
$11.52 |
| 91303 |
|
40 |
34 |
$0.04 |
| J1956 |
Levofloxacin injection |
80 |
37 |
$0.00 |
| 80320 |
|
52 |
45 |
$0.00 |
| J3490 |
Drugs unclassified injection |
29 |
25 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
89 |
72 |
$0.00 |
| J0456 |
Azithromycin |
50 |
30 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
103 |
26 |
$0.00 |
| J7050 |
Normal saline solution infus |
36 |
14 |
$0.00 |
| 90471 |
|
15 |
12 |
$0.00 |