| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
4,627 |
4,616 |
$4.18M |
| 99283 |
|
4,269 |
4,112 |
$680K |
| 99284 |
|
4,304 |
4,165 |
$665K |
| G0378 |
Hospital observation per hr |
1,665 |
1,610 |
$655K |
| T1015 |
Clinic service |
1,799 |
1,796 |
$618K |
| 96361 |
|
2,976 |
2,607 |
$598K |
| H2018 |
Psysoc rehab svc, per diem |
1,026 |
1,024 |
$536K |
| 99285 |
|
2,779 |
2,673 |
$418K |
| 70450 |
|
1,319 |
1,276 |
$294K |
| 74177 |
|
1,103 |
1,078 |
$244K |
| 99282 |
|
1,302 |
1,261 |
$211K |
| 43239 |
|
330 |
328 |
$195K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,475 |
2,345 |
$180K |
| 96365 |
|
1,706 |
1,585 |
$179K |
| 80053 |
|
9,879 |
8,462 |
$165K |
| 96360 |
|
813 |
737 |
$127K |
| 45380 |
|
168 |
166 |
$121K |
| 93975 |
|
252 |
251 |
$87K |
| 74176 |
|
338 |
327 |
$77K |
| U0002 |
Covid-19 lab test non-cdc |
1,595 |
1,554 |
$69K |
| U0005 |
Infec agen detec ampli probe |
2,422 |
2,290 |
$57K |
| 80307 |
|
1,599 |
1,529 |
$55K |
| 36415 |
|
12,998 |
9,941 |
$54K |
| 88305 |
|
1,155 |
1,128 |
$40K |
| J3490 |
Drugs unclassified injection |
986 |
744 |
$39K |
| 0202U |
|
959 |
935 |
$32K |
| 80048 |
|
1,806 |
1,640 |
$28K |
| 86850 |
|
1,829 |
1,765 |
$27K |
| 86901 |
|
1,831 |
1,767 |
$23K |
| 86900 |
|
1,836 |
1,773 |
$23K |
| 83880 |
|
910 |
887 |
$23K |
| 85610 |
|
6,194 |
5,699 |
$20K |
| 76856 |
|
48 |
48 |
$20K |
| 76700 |
|
40 |
40 |
$20K |
| 99281 |
|
115 |
111 |
$19K |
| 96372 |
|
1,279 |
1,054 |
$13K |
| 95806 |
|
77 |
77 |
$12K |
| U0004 |
Cov-19 test non-cdc hgh thru |
160 |
153 |
$12K |
| 93005 |
|
5,475 |
4,811 |
$11K |
| 96366 |
|
140 |
79 |
$11K |
| M0245 |
Bamlan and etesev infusion |
44 |
35 |
$10K |
| 85025 |
|
8,849 |
7,659 |
$9K |
| M0243 |
Casirivi and imdevi inj |
29 |
29 |
$9K |
| 80061 |
|
1,080 |
1,053 |
$9K |
| 85730 |
|
5,705 |
5,250 |
$7K |
| 81025 |
|
2,628 |
2,521 |
$6K |
| G0480 |
Drug test def 1-7 classes |
303 |
278 |
$6K |
| 84702 |
|
1,857 |
1,757 |
$6K |
| 96374 |
|
1,632 |
1,585 |
$6K |
| 93306 |
|
28 |
28 |
$5K |
| 87631 |
|
129 |
129 |
$5K |
| 45385 |
|
13 |
13 |
$4K |
| 80050 |
|
156 |
153 |
$4K |
| 96375 |
|
1,721 |
1,543 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,690 |
1,545 |
$4K |
| M0222 |
Bebtelovimab injection |
23 |
19 |
$3K |
| 76000 |
|
32 |
31 |
$3K |
| 87088 |
|
3,260 |
3,104 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
1,629 |
1,568 |
$3K |
| 83036 |
|
949 |
932 |
$3K |
| 59025 |
|
14 |
12 |
$2K |
| 84443 |
|
1,181 |
1,133 |
$2K |
| 82947 |
|
3,966 |
1,372 |
$2K |
| 80076 |
|
151 |
151 |
$1K |
| 85027 |
|
1,844 |
1,623 |
$1K |
| 71046 |
|
313 |
303 |
$1K |
| 83735 |
|
4,764 |
3,849 |
$1K |
| 83605 |
|
1,530 |
1,323 |
$1K |
| J7030 |
Normal saline solution infus |
3,963 |
3,550 |
$1K |
| 71045 |
|
2,987 |
2,867 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
1,095 |
1,031 |
$1K |
| 81003 |
|
4,137 |
3,955 |
$983.47 |
| 88304 |
|
126 |
125 |
$945.06 |
| 72125 |
|
12 |
12 |
$724.49 |
| 82306 |
|
29 |
29 |
$665.72 |
| 84100 |
|
3,259 |
2,538 |
$543.55 |
| 87633 |
|
12 |
12 |
$526.16 |
| J3010 |
Fentanyl citrate injection |
2,008 |
1,933 |
$478.61 |
| 96376 |
|
79 |
56 |
$469.85 |
| J1170 |
Hydromorphone injection |
348 |
317 |
$401.21 |
| 88342 |
|
14 |
14 |
$380.08 |
| 87798 |
|
12 |
12 |
$344.61 |
| 84439 |
|
51 |
51 |
$292.11 |
| J0136 |
Inj, acetaminophen (b braun) |
989 |
849 |
$288.14 |
| 83690 |
|
1,819 |
1,723 |
$284.04 |
| J2704 |
Inj, propofol, 10 mg |
1,805 |
1,408 |
$245.95 |
| 82728 |
|
126 |
126 |
$243.54 |
| 87040 |
|
1,917 |
1,123 |
$243.26 |
| 84484 |
|
3,101 |
2,226 |
$228.26 |
| C1889 |
Implant/insert device, noc |
25 |
25 |
$223.54 |
| 86141 |
|
316 |
296 |
$217.61 |
| J7040 |
Normal saline solution infus |
750 |
729 |
$194.01 |
| 0241U |
|
168 |
168 |
$187.77 |
| J2405 |
Ondansetron hcl injection |
2,541 |
2,093 |
$183.30 |
| 87389 |
|
14 |
14 |
$177.43 |
| 86803 |
|
25 |
25 |
$175.53 |
| 87581 |
|
12 |
12 |
$172.26 |
| 87486 |
|
12 |
12 |
$172.26 |
| 85379 |
|
583 |
566 |
$146.54 |
| 82550 |
|
624 |
593 |
$136.42 |
| J0690 |
Cefazolin sodium injection |
531 |
506 |
$113.90 |
| J7120 |
Ringers lactate infusion |
175 |
155 |
$93.36 |
| J1100 |
Dexamethasone sodium phos |
1,430 |
1,278 |
$69.22 |
| 82077 |
|
944 |
880 |
$63.37 |
| S0028 |
Injection, famotidine, 20 mg |
165 |
157 |
$61.74 |
| J1741 |
Ibuprofen injection |
38 |
37 |
$50.40 |
| S0020 |
Injection, bupivicaine hydro |
173 |
171 |
$45.80 |
| 80143 |
|
637 |
603 |
$36.88 |
| 80179 |
|
610 |
579 |
$33.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
324 |
258 |
$29.00 |
| 84145 |
|
310 |
292 |
$25.23 |
| 73630 |
|
14 |
13 |
$25.00 |
| J1885 |
Ketorolac tromethamine inj |
1,092 |
845 |
$23.66 |
| J7050 |
Normal saline solution infus |
163 |
149 |
$17.54 |
| 87077 |
|
28 |
28 |
$16.16 |
| J1644 |
Inj heparin sodium per 1000u |
300 |
76 |
$13.51 |
| 84436 |
|
13 |
12 |
$11.26 |
| 85007 |
|
44 |
43 |
$9.31 |
| 87070 |
|
80 |
80 |
$8.15 |
| 87186 |
|
27 |
27 |
$6.59 |
| J1200 |
Diphenhydramine hcl injectio |
58 |
56 |
$1.13 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
28 |
16 |
$0.90 |
| J2270 |
Morphine sulfate injection |
194 |
159 |
$0.36 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$0.00 |
| 87276 |
|
18 |
16 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
19 |
13 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| 87275 |
|
18 |
16 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
25 |
16 |
$0.00 |