| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,623 |
14,424 |
$5.43M |
| H0035 |
Mh partial hosp tx under 24h |
16,319 |
1,619 |
$5.38M |
| 99283 |
|
16,289 |
14,961 |
$4.60M |
| 99285 |
|
6,778 |
6,375 |
$3.49M |
| 90837 |
|
27,096 |
10,746 |
$2.29M |
| G0378 |
Hospital observation per hr |
1,076 |
909 |
$898K |
| 99282 |
|
4,221 |
3,914 |
$613K |
| 96374 |
|
8,754 |
7,914 |
$286K |
| 95806 |
|
184 |
179 |
$222K |
| 90791 |
|
2,456 |
2,082 |
$211K |
| 90834 |
|
4,312 |
2,869 |
$209K |
| 74177 |
|
2,300 |
2,215 |
$187K |
| 93306 |
|
351 |
341 |
$179K |
| 93005 |
|
7,441 |
6,743 |
$172K |
| 96361 |
|
7,345 |
6,437 |
$169K |
| 99213 |
|
2,956 |
2,514 |
$158K |
| 96375 |
|
5,577 |
4,914 |
$109K |
| 87637 |
|
2,299 |
2,193 |
$102K |
| 87633 |
|
1,024 |
999 |
$101K |
| 96360 |
|
2,662 |
2,563 |
$101K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,581 |
3,420 |
$95K |
| 90832 |
|
1,833 |
1,255 |
$90K |
| 93975 |
|
1,249 |
1,205 |
$81K |
| 74176 |
|
1,729 |
1,661 |
$79K |
| 97140 |
|
2,950 |
733 |
$75K |
| 70450 |
|
2,948 |
2,846 |
$74K |
| 94640 |
|
1,267 |
1,167 |
$68K |
| 71046 |
|
4,513 |
4,358 |
$68K |
| 96365 |
|
1,248 |
1,186 |
$60K |
| 87631 |
|
1,599 |
1,514 |
$57K |
| 71045 |
|
4,876 |
4,614 |
$57K |
| 97110 |
|
5,895 |
1,477 |
$56K |
| 80307 |
|
3,052 |
2,822 |
$53K |
| 87635 |
|
3,057 |
2,929 |
$50K |
| 96372 |
|
3,345 |
2,884 |
$49K |
| 71275 |
|
792 |
769 |
$46K |
| 97530 |
|
1,245 |
440 |
$44K |
| 99212 |
|
795 |
735 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,206 |
1,177 |
$37K |
| 76801 |
|
902 |
834 |
$37K |
| OP279 |
|
1,093 |
1,059 |
$36K |
| 80053 |
|
9,558 |
8,733 |
$35K |
| 87798 |
|
1,715 |
1,427 |
$35K |
| 94760 |
|
16,721 |
14,468 |
$35K |
| 76830 |
|
691 |
676 |
$34K |
| 36000 |
|
2,812 |
2,692 |
$31K |
| 80048 |
|
9,417 |
8,511 |
$31K |
| 85025 |
|
18,446 |
16,030 |
$28K |
| 99214 |
|
346 |
325 |
$26K |
| 76856 |
|
982 |
943 |
$26K |
| 97112 |
|
1,546 |
513 |
$25K |
| OP259 |
|
16,606 |
12,950 |
$25K |
| 36415 |
|
20,118 |
16,648 |
$22K |
| 93041 |
|
2,359 |
2,214 |
$22K |
| 87491 |
|
1,475 |
1,414 |
$21K |
| 76817 |
|
469 |
423 |
$20K |
| 84484 |
|
3,975 |
3,483 |
$19K |
| 73630 |
|
1,361 |
1,306 |
$18K |
| 87581 |
|
1,466 |
1,423 |
$18K |
| 87486 |
|
1,467 |
1,423 |
$18K |
| 96112 |
|
102 |
95 |
$18K |
| 72125 |
|
805 |
768 |
$17K |
| 73130 |
|
1,147 |
1,103 |
$16K |
| 73564 |
|
1,054 |
1,002 |
$16K |
| 95810 |
|
14 |
14 |
$15K |
| 96113 |
|
101 |
94 |
$15K |
| 87591 |
|
1,479 |
1,417 |
$15K |
| 76705 |
|
465 |
448 |
$14K |
| 80320 |
|
2,948 |
2,576 |
$13K |
| 73610 |
|
1,009 |
976 |
$12K |
| 87502 |
|
556 |
534 |
$12K |
| 86901 |
|
604 |
578 |
$12K |
| 96376 |
|
1,140 |
947 |
$12K |
| 93971 |
|
202 |
196 |
$11K |
| 73030 |
|
773 |
746 |
$11K |
| 80076 |
|
3,975 |
3,726 |
$10K |
| 84443 |
|
1,142 |
1,090 |
$9K |
| U0005 |
Infec agen detec ampli probe |
1,073 |
1,047 |
$9K |
| 70553 |
|
12 |
12 |
$8K |
| 83690 |
|
4,958 |
4,622 |
$8K |
| 87880 |
|
2,512 |
2,412 |
$8K |
| 80329 |
|
1,002 |
930 |
$8K |
| 87081 |
|
2,301 |
2,237 |
$7K |
| 84703 |
|
5,886 |
5,499 |
$7K |
| 85610 |
|
5,961 |
5,583 |
$7K |
| 90715 |
|
562 |
551 |
$7K |
| 81003 |
|
11,485 |
10,640 |
$7K |
| 73110 |
|
382 |
366 |
$6K |
| G2251 |
Brief chkin, 5-10, non-e/m |
96 |
87 |
$6K |
| 87804 |
|
1,395 |
1,363 |
$6K |
| J3490 |
Drugs unclassified injection |
4,589 |
3,487 |
$6K |
| 87086 |
|
2,524 |
2,417 |
$6K |
| 90471 |
|
476 |
446 |
$6K |
| 83880 |
|
471 |
447 |
$5K |
| 90785 |
|
129 |
106 |
$5K |
| 86900 |
|
593 |
567 |
$5K |
| 92507 |
|
103 |
30 |
$5K |
| 85730 |
|
3,812 |
3,630 |
$5K |
| 77067 |
|
83 |
74 |
$5K |
| J7030 |
Normal saline solution infus |
8,857 |
7,314 |
$5K |
| 71250 |
|
162 |
156 |
$5K |
| 84702 |
|
1,078 |
948 |
$5K |
| 87040 |
|
706 |
671 |
$4K |
| 93017 |
|
12 |
12 |
$4K |
| 97010 |
|
2,166 |
672 |
$4K |
| 96366 |
|
156 |
142 |
$4K |
| 81025 |
|
3,437 |
3,203 |
$4K |
| 83605 |
|
784 |
736 |
$4K |
| 74022 |
|
244 |
234 |
$4K |
| 85379 |
|
1,915 |
1,837 |
$3K |
| 83735 |
|
1,967 |
1,717 |
$3K |
| 81001 |
|
6,022 |
5,668 |
$3K |
| Q3014 |
Telehealth facility fee |
202 |
124 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,932 |
4,415 |
$3K |
| 80306 |
|
160 |
154 |
$3K |
| 87147 |
|
2,364 |
2,301 |
$3K |
| 82962 |
|
1,791 |
1,370 |
$3K |
| 82150 |
|
1,588 |
1,519 |
$2K |
| 72131 |
|
129 |
126 |
$2K |
| OP250 |
|
1,071 |
915 |
$2K |
| 77063 |
|
82 |
74 |
$2K |
| 97161 |
|
49 |
45 |
$2K |
| J2405 |
Ondansetron hcl injection |
4,181 |
3,662 |
$2K |
| OP229 |
|
31 |
29 |
$2K |
| 90847 |
|
32 |
27 |
$2K |
| 70486 |
|
58 |
58 |
$2K |
| J2930 |
Methylprednisolone injection |
664 |
629 |
$2K |
| J2270 |
Morphine sulfate injection |
1,876 |
1,596 |
$1K |
| J2060 |
Lorazepam injection |
685 |
589 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,209 |
989 |
$1K |
| 72100 |
|
70 |
67 |
$1K |
| 99281 |
|
13 |
13 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
957 |
817 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,688 |
1,546 |
$1K |
| 72110 |
|
55 |
51 |
$1K |
| 11042 |
|
19 |
13 |
$1K |
| G0463 |
Hospital outpt clinic visit |
75 |
60 |
$1K |
| 87186 |
|
228 |
219 |
$856.60 |
| J7040 |
Normal saline solution infus |
1,017 |
862 |
$848.22 |
| P9612 |
Catheterize for urine spec |
1,175 |
1,150 |
$831.80 |
| 73502 |
|
43 |
41 |
$827.25 |
| 86850 |
|
71 |
67 |
$725.20 |
| 76805 |
|
12 |
12 |
$694.43 |
| 76536 |
|
12 |
12 |
$690.61 |
| J1170 |
Hydromorphone injection |
1,463 |
989 |
$671.77 |
| J1100 |
Dexamethasone sodium phos |
1,355 |
1,304 |
$651.36 |
| 12001 |
|
12 |
12 |
$641.72 |
| 82550 |
|
303 |
277 |
$552.37 |
| J7620 |
Albuterol ipratrop non-comp |
1,259 |
1,104 |
$510.19 |
| 85652 |
|
672 |
651 |
$399.60 |
| J2765 |
Metoclopramide hcl injection |
911 |
849 |
$374.38 |
| 87077 |
|
144 |
138 |
$367.58 |
| 86140 |
|
204 |
194 |
$276.86 |
| 80061 |
|
32 |
31 |
$252.61 |
| 87807 |
|
73 |
73 |
$246.64 |
| 73080 |
|
15 |
14 |
$239.09 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
149 |
136 |
$238.62 |
| 85027 |
|
132 |
128 |
$225.93 |
| Q0162 |
Ondansetron oral |
816 |
724 |
$223.42 |
| 85055 |
|
15 |
14 |
$216.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
848 |
787 |
$209.20 |
| J2919 |
Inj, methylpred sod succ 5mg |
76 |
70 |
$203.77 |
| J7120 |
Ringers lactate infusion |
242 |
208 |
$141.64 |
| J0131 |
Inj, acetaminophen (nos) |
66 |
59 |
$123.24 |
| 85008 |
|
409 |
382 |
$82.26 |
| 87071 |
|
25 |
25 |
$79.73 |
| 86308 |
|
54 |
50 |
$58.50 |
| OP637 |
|
435 |
314 |
$36.59 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$32.94 |
| J7613 |
Albuterol non-comp unit |
105 |
94 |
$32.63 |
| 80178 |
|
12 |
12 |
$31.95 |
| J2470 |
Inj pantoprazole sodium 40mg |
78 |
68 |
$26.92 |
| J8540 |
Oral dexamethasone |
15 |
14 |
$19.76 |
| Q0163 |
Diphenhydramine hcl 50mg |
15 |
14 |
$3.00 |
| A9270 |
Non-covered item or service |
15 |
12 |
$0.00 |