| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,581 |
8,386 |
$1.77M |
| 99284 |
|
7,852 |
6,634 |
$1.44M |
| 99282 |
|
3,235 |
2,899 |
$581K |
| 96361 |
|
1,374 |
1,225 |
$299K |
| 99285 |
|
1,842 |
1,539 |
$288K |
| 74177 |
|
1,259 |
1,140 |
$253K |
| 70450 |
|
1,520 |
1,303 |
$218K |
| G0378 |
Hospital observation per hr |
1,425 |
765 |
$161K |
| 99281 |
|
339 |
329 |
$69K |
| 96360 |
|
245 |
217 |
$43K |
| 93975 |
|
359 |
337 |
$37K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,576 |
1,401 |
$28K |
| 96365 |
|
146 |
121 |
$19K |
| 76700 |
|
172 |
160 |
$19K |
| 80053 |
|
6,181 |
5,111 |
$18K |
| 76856 |
|
239 |
231 |
$16K |
| 76830 |
|
157 |
155 |
$15K |
| 80048 |
|
4,231 |
3,189 |
$15K |
| 76805 |
|
156 |
139 |
$13K |
| 74176 |
|
69 |
64 |
$13K |
| 71046 |
|
708 |
620 |
$13K |
| 96374 |
|
5,101 |
4,248 |
$11K |
| 59025 |
|
49 |
37 |
$10K |
| 93005 |
|
5,398 |
4,200 |
$8K |
| 71045 |
|
3,797 |
3,166 |
$8K |
| 85027 |
|
10,468 |
7,965 |
$7K |
| 71275 |
|
36 |
27 |
$7K |
| 70496 |
|
26 |
25 |
$6K |
| 94640 |
|
155 |
130 |
$6K |
| 87635 |
|
81 |
72 |
$5K |
| 84484 |
|
3,843 |
2,787 |
$4K |
| 80076 |
|
1,544 |
1,247 |
$3K |
| 86756 |
|
939 |
887 |
$3K |
| 80307 |
|
42 |
39 |
$2K |
| 36415 |
|
1,082 |
812 |
$2K |
| G0480 |
Drug test def 1-7 classes |
102 |
89 |
$2K |
| 96372 |
|
639 |
574 |
$2K |
| 96375 |
|
2,335 |
1,969 |
$2K |
| 73564 |
|
47 |
41 |
$2K |
| 87040 |
|
299 |
223 |
$2K |
| J7030 |
Normal saline solution infus |
5,269 |
3,985 |
$2K |
| 85610 |
|
1,965 |
1,547 |
$1K |
| 87426 |
|
2,817 |
2,589 |
$1K |
| 77067 |
|
27 |
26 |
$1K |
| 84703 |
|
2,521 |
2,208 |
$856.12 |
| 81003 |
|
1,431 |
1,304 |
$728.04 |
| 81001 |
|
3,071 |
2,600 |
$705.27 |
| 84443 |
|
346 |
300 |
$695.95 |
| 83690 |
|
2,734 |
2,313 |
$691.87 |
| 85379 |
|
350 |
315 |
$684.89 |
| 83880 |
|
137 |
121 |
$571.30 |
| 86900 |
|
726 |
625 |
$550.89 |
| 73030 |
|
43 |
38 |
$532.54 |
| 86850 |
|
323 |
289 |
$482.25 |
| 72125 |
|
26 |
25 |
$458.84 |
| 83735 |
|
1,462 |
1,143 |
$448.06 |
| J1885 |
Ketorolac tromethamine inj |
3,092 |
2,444 |
$436.73 |
| 87880 |
|
2,296 |
2,119 |
$383.09 |
| 87804 |
|
3,839 |
3,485 |
$366.00 |
| 73610 |
|
44 |
43 |
$335.48 |
| 87086 |
|
629 |
551 |
$307.24 |
| 73130 |
|
25 |
25 |
$305.76 |
| J2405 |
Ondansetron hcl injection |
2,936 |
2,354 |
$296.94 |
| 87070 |
|
583 |
502 |
$244.89 |
| 73110 |
|
13 |
13 |
$244.02 |
| 85730 |
|
806 |
664 |
$239.46 |
| 73630 |
|
12 |
12 |
$225.78 |
| 86901 |
|
309 |
278 |
$209.38 |
| J7120 |
Ringers lactate infusion |
1,357 |
1,105 |
$196.65 |
| 74018 |
|
16 |
14 |
$134.62 |
| 81025 |
|
355 |
306 |
$113.33 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,416 |
1,184 |
$112.12 |
| 83605 |
|
194 |
140 |
$109.33 |
| J2270 |
Morphine sulfate injection |
1,176 |
870 |
$91.35 |
| 82550 |
|
64 |
50 |
$91.16 |
| 80061 |
|
12 |
12 |
$64.35 |
| 88305 |
|
32 |
26 |
$53.11 |
| 84439 |
|
14 |
12 |
$51.12 |
| 84702 |
|
124 |
115 |
$35.43 |
| J1170 |
Hydromorphone injection |
507 |
338 |
$22.03 |
| 96376 |
|
13 |
12 |
$19.88 |
| J1100 |
Dexamethasone sodium phos |
605 |
419 |
$19.58 |
| J0696 |
Ceftriaxone sodium injection |
157 |
122 |
$8.30 |
| J2060 |
Lorazepam injection |
37 |
25 |
$4.50 |
| J1200 |
Diphenhydramine hcl injectio |
126 |
113 |
$3.25 |
| S0119 |
Ondansetron 4 mg |
147 |
141 |
$1.25 |
| J2765 |
Metoclopramide hcl injection |
40 |
37 |
$1.25 |
| G1003 |
Cdsm medicalis |
14 |
12 |
$0.00 |
| 76000 |
|
39 |
37 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
16 |
13 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
29 |
25 |
$0.00 |
| A9270 |
Non-covered item or service |
311 |
66 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
17 |
16 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
23 |
15 |
$0.00 |
| J3490 |
Drugs unclassified injection |
128 |
95 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 87807 |
|
37 |
35 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
37 |
31 |
$0.00 |
| 70498 |
|
12 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
15 |
12 |
$0.00 |