| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,776 |
6,359 |
$5.33M |
| 99283 |
|
11,006 |
10,527 |
$2.91M |
| 99285 |
|
1,510 |
1,409 |
$631K |
| 99282 |
|
1,351 |
1,316 |
$254K |
| 71045 |
|
3,416 |
3,122 |
$186K |
| 87426 |
|
3,253 |
3,159 |
$131K |
| 80053 |
|
10,711 |
9,459 |
$113K |
| 87804 |
|
4,694 |
2,373 |
$109K |
| 80307 |
|
1,227 |
1,099 |
$102K |
| 85025 |
|
12,602 |
11,068 |
$99K |
| 93005 |
|
3,412 |
3,054 |
$75K |
| C9803 |
Hopd covid-19 spec collect |
3,026 |
2,919 |
$61K |
| 99213 |
|
872 |
630 |
$60K |
| 96374 |
|
2,229 |
2,091 |
$55K |
| 76815 |
|
163 |
151 |
$32K |
| 96375 |
|
1,233 |
1,088 |
$31K |
| 70450 |
|
841 |
796 |
$26K |
| 87880 |
|
957 |
940 |
$24K |
| 81001 |
|
5,505 |
5,138 |
$19K |
| 74177 |
|
91 |
89 |
$17K |
| 83690 |
|
2,219 |
2,067 |
$16K |
| 99214 |
|
167 |
156 |
$16K |
| 71046 |
|
306 |
295 |
$15K |
| 84484 |
|
2,815 |
1,843 |
$9K |
| 87070 |
|
639 |
627 |
$9K |
| 96361 |
|
372 |
318 |
$9K |
| 80050 |
|
56 |
42 |
$8K |
| 86780 |
|
380 |
361 |
$7K |
| 86703 |
|
361 |
346 |
$7K |
| 72125 |
|
90 |
90 |
$7K |
| 86328 |
|
378 |
365 |
$6K |
| 86803 |
|
298 |
285 |
$6K |
| 87340 |
|
360 |
344 |
$5K |
| 80061 |
|
295 |
292 |
$5K |
| 87086 |
|
703 |
660 |
$5K |
| 86850 |
|
71 |
68 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
494 |
454 |
$4K |
| 87420 |
|
186 |
181 |
$4K |
| 81003 |
|
1,509 |
1,145 |
$4K |
| 96372 |
|
485 |
416 |
$4K |
| J1100 |
Dexamethasone sodium phos |
392 |
366 |
$4K |
| 87491 |
|
53 |
50 |
$3K |
| J7030 |
Normal saline solution infus |
2,012 |
1,688 |
$3K |
| 81025 |
|
221 |
208 |
$3K |
| 83880 |
|
624 |
568 |
$3K |
| 86738 |
|
100 |
83 |
$2K |
| 87591 |
|
39 |
38 |
$2K |
| 84703 |
|
170 |
163 |
$2K |
| 84481 |
|
67 |
66 |
$2K |
| 82728 |
|
80 |
79 |
$2K |
| 82652 |
|
43 |
43 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,366 |
1,193 |
$1K |
| 84466 |
|
69 |
68 |
$1K |
| 84443 |
|
251 |
240 |
$1K |
| 83036 |
|
139 |
136 |
$1K |
| 82077 |
|
41 |
40 |
$1K |
| J2270 |
Morphine sulfate injection |
390 |
302 |
$976.35 |
| 84439 |
|
70 |
69 |
$949.88 |
| 83540 |
|
94 |
93 |
$925.10 |
| 80048 |
|
927 |
754 |
$902.95 |
| 83605 |
|
819 |
619 |
$900.86 |
| 83550 |
|
94 |
93 |
$704.17 |
| 36415 |
|
15,409 |
12,878 |
$647.47 |
| 96365 |
|
51 |
41 |
$611.09 |
| J0696 |
Ceftriaxone sodium injection |
420 |
384 |
$583.91 |
| 87040 |
|
475 |
249 |
$512.03 |
| 85730 |
|
872 |
812 |
$511.58 |
| 85610 |
|
1,281 |
1,177 |
$504.56 |
| 87081 |
|
45 |
44 |
$439.38 |
| 86901 |
|
141 |
130 |
$386.84 |
| 86900 |
|
142 |
130 |
$386.84 |
| 86317 |
|
16 |
15 |
$319.88 |
| 82607 |
|
13 |
13 |
$292.10 |
| 83735 |
|
229 |
199 |
$223.51 |
| 80320 |
|
12 |
12 |
$175.60 |
| 85027 |
|
203 |
177 |
$123.16 |
| 82950 |
|
12 |
12 |
$119.52 |
| J7120 |
Ringers lactate infusion |
144 |
105 |
$63.58 |
| 82803 |
|
16 |
13 |
$61.38 |
| 82550 |
|
43 |
39 |
$44.76 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
371 |
362 |
$12.00 |
| 87186 |
|
14 |
12 |
$10.19 |
| A9270 |
Non-covered item or service |
1,357 |
1,125 |
$0.00 |
| 82962 |
|
1,257 |
653 |
$0.00 |
| 96376 |
|
12 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
372 |
356 |
$0.00 |
| 36600 |
|
15 |
12 |
$0.00 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$0.00 |