| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
6,140 |
5,957 |
$1.03M |
| 99284 |
|
5,259 |
5,138 |
$703K |
| 99283 |
|
5,555 |
5,454 |
$599K |
| 74177 |
|
642 |
626 |
$87K |
| 96374 |
|
3,851 |
3,705 |
$79K |
| 80053 |
|
6,492 |
6,159 |
$51K |
| 87637 |
|
706 |
705 |
$50K |
| G0378 |
Hospital observation per hr |
60 |
53 |
$45K |
| 0241U |
|
467 |
460 |
$37K |
| 85025 |
|
8,726 |
8,220 |
$35K |
| 96375 |
|
2,125 |
2,042 |
$32K |
| 93005 |
|
2,695 |
2,591 |
$19K |
| 71275 |
|
109 |
108 |
$18K |
| 70450 |
|
332 |
321 |
$15K |
| 99282 |
|
193 |
189 |
$14K |
| 71045 |
|
1,891 |
1,824 |
$11K |
| 84484 |
|
1,621 |
1,485 |
$11K |
| 96361 |
|
853 |
814 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
137 |
129 |
$9K |
| 74176 |
|
138 |
131 |
$8K |
| 84443 |
|
284 |
278 |
$7K |
| 96365 |
|
287 |
270 |
$7K |
| 80048 |
|
990 |
927 |
$7K |
| 80061 |
|
384 |
376 |
$6K |
| 83690 |
|
1,716 |
1,633 |
$6K |
| 96372 |
|
531 |
498 |
$5K |
| 87502 |
|
58 |
58 |
$5K |
| 80050 |
|
111 |
108 |
$5K |
| 0002A |
|
117 |
115 |
$5K |
| 81001 |
|
2,341 |
2,263 |
$5K |
| 81025 |
|
1,347 |
1,314 |
$4K |
| 87636 |
|
46 |
45 |
$4K |
| 0001A |
|
110 |
109 |
$4K |
| 83605 |
|
563 |
500 |
$3K |
| 71046 |
|
222 |
220 |
$3K |
| 83880 |
|
117 |
109 |
$3K |
| 83735 |
|
470 |
427 |
$2K |
| 83036 |
|
247 |
242 |
$2K |
| 94640 |
|
118 |
98 |
$2K |
| 85379 |
|
249 |
246 |
$2K |
| 36415 |
|
1,432 |
1,270 |
$2K |
| 70498 |
|
12 |
12 |
$2K |
| 87389 |
|
70 |
68 |
$2K |
| 87086 |
|
239 |
232 |
$1K |
| U0005 |
Infec agen detec ampli probe |
75 |
67 |
$1K |
| 85610 |
|
362 |
321 |
$1K |
| 85730 |
|
217 |
211 |
$1K |
| 86803 |
|
69 |
67 |
$962.98 |
| 82306 |
|
18 |
18 |
$930.43 |
| 81003 |
|
406 |
391 |
$908.49 |
| 72125 |
|
12 |
12 |
$895.40 |
| J7030 |
Normal saline solution infus |
3,312 |
2,658 |
$838.78 |
| 96376 |
|
58 |
57 |
$791.28 |
| 84466 |
|
27 |
27 |
$563.71 |
| 96360 |
|
35 |
33 |
$539.78 |
| 80076 |
|
58 |
57 |
$535.00 |
| 80305 |
|
57 |
54 |
$535.00 |
| 87040 |
|
30 |
28 |
$521.92 |
| 76705 |
|
14 |
14 |
$511.32 |
| 84439 |
|
56 |
56 |
$477.64 |
| 84702 |
|
28 |
24 |
$437.11 |
| 82728 |
|
28 |
28 |
$421.00 |
| 82607 |
|
32 |
31 |
$418.36 |
| 87635 |
|
18 |
16 |
$354.91 |
| 73630 |
|
44 |
42 |
$346.18 |
| 87081 |
|
77 |
71 |
$318.55 |
| 73130 |
|
40 |
37 |
$309.60 |
| 82550 |
|
49 |
47 |
$307.12 |
| 83540 |
|
28 |
28 |
$280.02 |
| 87880 |
|
55 |
50 |
$240.80 |
| J1885 |
Ketorolac tromethamine inj |
1,931 |
1,360 |
$193.50 |
| 82570 |
|
27 |
25 |
$168.22 |
| 73560 |
|
14 |
14 |
$145.52 |
| 84145 |
|
12 |
12 |
$133.27 |
| 85027 |
|
14 |
14 |
$124.34 |
| 84703 |
|
12 |
12 |
$111.18 |
| 85652 |
|
40 |
39 |
$97.50 |
| 82043 |
|
12 |
12 |
$95.96 |
| 87186 |
|
18 |
17 |
$93.92 |
| 84999 |
|
27 |
26 |
$66.56 |
| J2405 |
Ondansetron hcl injection |
1,223 |
997 |
$56.78 |
| 82962 |
|
58 |
43 |
$41.09 |
| J2270 |
Morphine sulfate injection |
116 |
82 |
$33.10 |
| J1100 |
Dexamethasone sodium phos |
289 |
251 |
$31.36 |
| J7120 |
Ringers lactate infusion |
108 |
96 |
$2.49 |
| G1004 |
Cdsm ndsc |
884 |
790 |
$0.01 |
| A9270 |
Non-covered item or service |
5,068 |
3,019 |
$0.00 |
| J3490 |
Drugs unclassified injection |
164 |
121 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
50 |
44 |
$0.00 |