| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
8,479 |
6,832 |
$1.80M |
| 99284 |
|
20,837 |
17,319 |
$1.26M |
| 99283 |
|
23,882 |
20,268 |
$882K |
| 85025 |
|
20,161 |
16,449 |
$148K |
| 80053 |
|
15,739 |
12,919 |
$145K |
| 87651 |
|
1,841 |
1,576 |
$64K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,168 |
1,123 |
$54K |
| 11042 |
|
331 |
149 |
$53K |
| 70450 |
|
883 |
635 |
$51K |
| 87449 |
|
3,984 |
3,436 |
$51K |
| 87502 |
|
901 |
692 |
$40K |
| 87635 |
|
1,033 |
732 |
$37K |
| 93005 |
|
3,805 |
2,933 |
$32K |
| 81001 |
|
8,024 |
6,644 |
$27K |
| 71045 |
|
4,228 |
3,508 |
$21K |
| 87880 |
|
1,536 |
1,366 |
$21K |
| 71046 |
|
2,239 |
1,795 |
$20K |
| U0005 |
Infec agen detec ampli probe |
993 |
967 |
$16K |
| 87070 |
|
1,586 |
1,401 |
$16K |
| 87634 |
|
360 |
292 |
$14K |
| 97110 |
|
564 |
155 |
$13K |
| 62322 |
|
73 |
58 |
$9K |
| G0463 |
Hospital outpt clinic visit |
395 |
153 |
$9K |
| D9420 |
|
30 |
26 |
$9K |
| 95810 |
|
44 |
37 |
$9K |
| 93010 |
|
3,289 |
2,107 |
$7K |
| 84484 |
|
938 |
699 |
$7K |
| 82553 |
|
628 |
456 |
$6K |
| 80048 |
|
812 |
617 |
$5K |
| 96374 |
|
9,196 |
7,240 |
$4K |
| 86756 |
|
238 |
209 |
$4K |
| 43239 |
|
30 |
26 |
$4K |
| 87430 |
|
262 |
233 |
$3K |
| 83735 |
|
689 |
537 |
$3K |
| 81025 |
|
1,144 |
855 |
$3K |
| 84702 |
|
247 |
205 |
$2K |
| 74176 |
|
13 |
13 |
$2K |
| 87088 |
|
310 |
257 |
$2K |
| 82550 |
|
453 |
302 |
$2K |
| 99282 |
|
64 |
54 |
$2K |
| 83690 |
|
394 |
315 |
$2K |
| 88305 |
|
115 |
95 |
$2K |
| 96375 |
|
3,499 |
2,793 |
$2K |
| 88307 |
|
49 |
41 |
$1K |
| 80307 |
|
35 |
27 |
$1K |
| 99281 |
|
37 |
32 |
$991.07 |
| J7030 |
Normal saline solution infus |
559 |
437 |
$982.61 |
| J1885 |
Ketorolac tromethamine inj |
843 |
728 |
$774.46 |
| J2405 |
Ondansetron hcl injection |
2,209 |
1,817 |
$634.74 |
| J1170 |
Hydromorphone injection |
184 |
151 |
$501.64 |
| 96372 |
|
2,385 |
1,681 |
$399.44 |
| 83880 |
|
16 |
14 |
$391.44 |
| 82247 |
|
122 |
101 |
$316.40 |
| 94640 |
|
85 |
26 |
$283.08 |
| J0696 |
Ceftriaxone sodium injection |
177 |
129 |
$247.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
196 |
106 |
$182.41 |
| J7040 |
Normal saline solution infus |
99 |
77 |
$181.68 |
| J7120 |
Ringers lactate infusion |
109 |
65 |
$122.73 |
| 36415 |
|
1,801 |
1,293 |
$115.76 |
| 87081 |
|
12 |
12 |
$114.36 |
| 85027 |
|
42 |
28 |
$112.77 |
| 85610 |
|
35 |
26 |
$96.72 |
| J1100 |
Dexamethasone sodium phos |
153 |
113 |
$86.74 |
| 84703 |
|
22 |
12 |
$67.40 |
| G0378 |
Hospital observation per hr |
35 |
27 |
$51.32 |
| J2270 |
Morphine sulfate injection |
34 |
27 |
$51.05 |
| J0690 |
Cefazolin sodium injection |
31 |
12 |
$20.79 |
| J2704 |
Inj, propofol, 10 mg |
243 |
194 |
$12.10 |
| 87077 |
|
12 |
12 |
$8.98 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
13 |
$6.10 |
| J2001 |
Lidocaine injection |
112 |
105 |
$0.00 |
| J7060 |
5% dextrose/water |
196 |
168 |
$0.00 |
| A9270 |
Non-covered item or service |
196 |
163 |
$0.00 |
| 96361 |
|
17 |
12 |
$0.00 |