| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,208 |
12,921 |
$2.91M |
| 99283 |
|
18,648 |
17,177 |
$2.71M |
| 99285 |
|
4,770 |
4,236 |
$1.51M |
| 96374 |
|
4,990 |
4,451 |
$576K |
| 43239 |
|
1,025 |
942 |
$417K |
| 11042 |
|
2,081 |
953 |
$332K |
| G0463 |
Hospital outpt clinic visit |
3,745 |
2,481 |
$232K |
| 97597 |
|
1,851 |
935 |
$144K |
| 96375 |
|
3,672 |
3,251 |
$141K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,111 |
1,935 |
$136K |
| 71045 |
|
2,452 |
2,122 |
$129K |
| 71046 |
|
1,427 |
1,304 |
$83K |
| 0241U |
|
398 |
374 |
$38K |
| U0005 |
Infec agen detec ampli probe |
1,843 |
1,687 |
$30K |
| 87635 |
|
495 |
459 |
$27K |
| 93458 |
|
15 |
12 |
$25K |
| 70450 |
|
163 |
143 |
$21K |
| 69436 |
|
25 |
25 |
$20K |
| J3490 |
Drugs unclassified injection |
5,593 |
3,037 |
$15K |
| 29581 |
|
193 |
78 |
$14K |
| 99281 |
|
253 |
247 |
$12K |
| 97110 |
|
452 |
136 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
2,013 |
1,845 |
$7K |
| 74177 |
|
28 |
27 |
$6K |
| 96365 |
|
47 |
41 |
$4K |
| 62323 |
|
14 |
12 |
$4K |
| A0427 |
Als1-emergency |
412 |
341 |
$4K |
| 59025 |
|
22 |
13 |
$3K |
| 93005 |
|
7,434 |
6,232 |
$2K |
| 77067 |
|
37 |
37 |
$2K |
| A0425 |
Ground mileage |
1,297 |
1,000 |
$2K |
| 97140 |
|
77 |
24 |
$2K |
| 92507 |
|
32 |
13 |
$1K |
| 99282 |
|
13 |
12 |
$1K |
| 80053 |
|
20,915 |
18,342 |
$1K |
| 85025 |
|
22,611 |
19,584 |
$1K |
| A0429 |
Bls-emergency |
138 |
108 |
$695.63 |
| 77063 |
|
12 |
12 |
$609.46 |
| 36415 |
|
11,448 |
9,628 |
$597.18 |
| 87804 |
|
3,356 |
1,489 |
$386.26 |
| 96372 |
|
2,054 |
1,891 |
$303.23 |
| 84484 |
|
6,073 |
4,616 |
$275.67 |
| 87999 |
|
2,001 |
1,780 |
$251.00 |
| J2704 |
Inj, propofol, 10 mg |
3,662 |
3,216 |
$177.69 |
| 83690 |
|
1,896 |
1,676 |
$154.75 |
| 88305 |
|
1,381 |
1,256 |
$154.09 |
| 80048 |
|
340 |
294 |
$153.93 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
66 |
56 |
$92.00 |
| 81001 |
|
5,427 |
4,895 |
$52.34 |
| 87070 |
|
297 |
236 |
$35.58 |
| 86140 |
|
2,504 |
2,252 |
$26.82 |
| 81025 |
|
933 |
850 |
$25.02 |
| 81003 |
|
2,141 |
1,936 |
$19.23 |
| J1885 |
Ketorolac tromethamine inj |
3,850 |
3,516 |
$15.68 |
| 80305 |
|
594 |
548 |
$12.21 |
| 87807 |
|
28 |
24 |
$11.79 |
| 85610 |
|
830 |
696 |
$9.09 |
| 87088 |
|
366 |
323 |
$8.81 |
| J7120 |
Ringers lactate infusion |
1,950 |
1,627 |
$8.78 |
| 84443 |
|
1,332 |
1,192 |
$8.37 |
| 85730 |
|
278 |
237 |
$7.40 |
| 83880 |
|
222 |
204 |
$6.57 |
| 88304 |
|
100 |
92 |
$3.01 |
| J3010 |
Fentanyl citrate injection |
2,099 |
1,549 |
$1.93 |
| J2250 |
Inj midazolam hydrochloride |
861 |
687 |
$1.86 |
| 85027 |
|
22 |
15 |
$0.96 |
| J7030 |
Normal saline solution infus |
2,310 |
1,832 |
$0.55 |
| J2405 |
Ondansetron hcl injection |
2,078 |
1,767 |
$0.36 |
| G0480 |
Drug test def 1-7 classes |
968 |
835 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
583 |
542 |
$0.00 |
| C1769 |
Guide wire |
14 |
12 |
$0.00 |
| 83735 |
|
746 |
631 |
$0.00 |
| 82077 |
|
979 |
844 |
$0.00 |
| G0378 |
Hospital observation per hr |
118 |
48 |
$0.00 |
| 83605 |
|
729 |
615 |
$0.00 |
| J7050 |
Normal saline solution infus |
755 |
520 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
35 |
30 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
31 |
29 |
$0.00 |
| 87040 |
|
177 |
79 |
$0.00 |
| 87081 |
|
66 |
50 |
$0.00 |
| 94640 |
|
95 |
77 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
33 |
24 |
$0.00 |
| 87651 |
|
58 |
55 |
$0.00 |
| 85379 |
|
103 |
85 |
$0.00 |
| 84703 |
|
62 |
54 |
$0.00 |
| 82803 |
|
13 |
12 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
13 |
$0.00 |
| 87077 |
|
27 |
25 |
$0.00 |
| 80307 |
|
695 |
588 |
$0.00 |
| J2270 |
Morphine sulfate injection |
84 |
55 |
$0.00 |
| J7040 |
Normal saline solution infus |
77 |
71 |
$0.00 |
| 87880 |
|
91 |
75 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
74 |
27 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
42 |
24 |
$0.00 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
15 |
13 |
$0.00 |