| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation per hr |
2,540 |
2,222 |
$1.34M |
| 99283 |
|
9,195 |
7,883 |
$708K |
| 99284 |
|
8,860 |
7,613 |
$687K |
| 99285 |
|
2,544 |
2,219 |
$164K |
| 96365 |
|
1,376 |
393 |
$105K |
| 99282 |
|
1,363 |
1,199 |
$75K |
| 90834 |
|
1,427 |
898 |
$43K |
| G0463 |
Hospital outpt clinic visit |
1,799 |
1,562 |
$42K |
| 96413 |
|
515 |
295 |
$41K |
| 74177 |
|
1,860 |
1,764 |
$18K |
| 80053 |
|
12,662 |
10,051 |
$15K |
| 85027 |
|
11,948 |
9,345 |
$13K |
| 71046 |
|
4,259 |
3,786 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
657 |
497 |
$11K |
| 99281 |
|
3,941 |
3,081 |
$11K |
| 84484 |
|
7,673 |
5,781 |
$10K |
| 92507 |
|
90 |
32 |
$9K |
| 87502 |
|
433 |
403 |
$9K |
| 84702 |
|
1,958 |
1,678 |
$9K |
| 93005 |
|
9,660 |
7,833 |
$8K |
| 71045 |
|
4,097 |
3,592 |
$6K |
| 93971 |
|
84 |
76 |
$6K |
| 87040 |
|
1,388 |
1,296 |
$6K |
| 80048 |
|
7,434 |
5,649 |
$6K |
| 70450 |
|
3,298 |
3,001 |
$6K |
| 83690 |
|
4,304 |
3,770 |
$4K |
| 85025 |
|
7,679 |
6,060 |
$4K |
| 80306 |
|
1,195 |
1,037 |
$4K |
| 81001 |
|
4,644 |
4,094 |
$4K |
| 72125 |
|
760 |
714 |
$3K |
| 82948 |
|
5,452 |
3,255 |
$3K |
| 99211 |
|
795 |
768 |
$3K |
| 71275 |
|
627 |
596 |
$3K |
| 83735 |
|
2,116 |
1,777 |
$3K |
| 74176 |
|
1,035 |
974 |
$3K |
| J2930 |
Methylprednisolone injection |
92 |
66 |
$2K |
| 85610 |
|
2,213 |
1,910 |
$2K |
| 81003 |
|
2,825 |
2,553 |
$2K |
| 87086 |
|
1,506 |
1,399 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,986 |
1,671 |
$1K |
| 73564 |
|
74 |
65 |
$1K |
| 87426 |
|
835 |
773 |
$1K |
| 94640 |
|
1,886 |
1,617 |
$1K |
| 90715 |
|
25 |
24 |
$1K |
| J1815 |
Insulin injection |
89 |
38 |
$1K |
| 85379 |
|
880 |
837 |
$1K |
| 83605 |
|
2,121 |
1,953 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
265 |
251 |
$906.72 |
| 83880 |
|
1,367 |
1,263 |
$866.75 |
| J1650 |
Inj enoxaparin sodium |
42 |
27 |
$808.19 |
| 90839 |
|
93 |
77 |
$517.03 |
| 85730 |
|
1,310 |
1,197 |
$493.83 |
| 86850 |
|
675 |
613 |
$461.50 |
| 87635 |
|
133 |
123 |
$382.21 |
| 73030 |
|
47 |
42 |
$332.10 |
| 96366 |
|
18 |
13 |
$311.25 |
| 73630 |
|
28 |
24 |
$283.52 |
| 73502 |
|
13 |
12 |
$254.72 |
| 87428 |
|
660 |
588 |
$165.16 |
| 86901 |
|
675 |
613 |
$164.85 |
| 86900 |
|
674 |
612 |
$160.48 |
| J1885 |
Ketorolac tromethamine inj |
175 |
126 |
$143.55 |
| 83036 |
|
71 |
71 |
$132.38 |
| J2270 |
Morphine sulfate injection |
109 |
78 |
$114.51 |
| 84443 |
|
262 |
244 |
$113.92 |
| J3010 |
Fentanyl citrate injection |
296 |
183 |
$109.23 |
| 93306 |
|
12 |
12 |
$98.43 |
| J7030 |
Normal saline solution infus |
332 |
233 |
$93.35 |
| 87186 |
|
340 |
328 |
$89.69 |
| 94799 |
|
421 |
259 |
$77.43 |
| J2250 |
Inj midazolam hydrochloride |
125 |
89 |
$70.19 |
| 80076 |
|
243 |
233 |
$66.83 |
| 90837 |
|
13 |
13 |
$63.59 |
| J2405 |
Ondansetron hcl injection |
279 |
170 |
$39.11 |
| 87641 |
|
62 |
56 |
$39.00 |
| J7120 |
Ringers lactate infusion |
121 |
72 |
$35.51 |
| 88305 |
|
128 |
119 |
$34.92 |
| 82550 |
|
16 |
13 |
$24.87 |
| 80307 |
|
546 |
460 |
$22.35 |
| 87077 |
|
88 |
87 |
$17.63 |
| J1100 |
Dexamethasone sodium phos |
169 |
92 |
$12.48 |
| 86140 |
|
79 |
77 |
$3.00 |
| J0696 |
Ceftriaxone sodium injection |
137 |
70 |
$0.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
70 |
50 |
$0.30 |
| J1644 |
Inj heparin sodium per 1000u |
58 |
34 |
$0.25 |
| J0690 |
Cefazolin sodium injection |
61 |
34 |
$0.22 |
| J1200 |
Diphenhydramine hcl injectio |
48 |
34 |
$0.19 |
| J7050 |
Normal saline solution infus |
19 |
15 |
$0.06 |
| J2060 |
Lorazepam injection |
13 |
12 |
$0.04 |
| A9270 |
Non-covered item or service |
1,550 |
541 |
$0.00 |
| 97597 |
|
240 |
138 |
$0.00 |
| 96375 |
|
130 |
74 |
$0.00 |
| 80320 |
|
57 |
50 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
86 |
73 |
$0.00 |
| 87631 |
|
12 |
12 |
$0.00 |
| 80061 |
|
15 |
14 |
$0.00 |