| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
982 |
960 |
$1.58M |
| 99283 |
|
10,463 |
9,734 |
$1.54M |
| 96361 |
|
2,282 |
1,904 |
$763K |
| 99284 |
|
5,594 |
5,131 |
$713K |
| 99282 |
|
4,804 |
4,494 |
$502K |
| 74177 |
|
958 |
897 |
$325K |
| 70450 |
|
1,117 |
1,032 |
$284K |
| 97110 |
|
3,408 |
983 |
$222K |
| 96365 |
|
1,322 |
749 |
$219K |
| 99285 |
|
1,765 |
1,584 |
$181K |
| 87502 |
|
2,017 |
1,956 |
$135K |
| G0463 |
Hospital outpt clinic visit |
6,237 |
4,729 |
$96K |
| U0002 |
Covid-19 lab test non-cdc |
2,218 |
2,123 |
$88K |
| 87631 |
|
521 |
502 |
$67K |
| 71046 |
|
1,217 |
1,163 |
$62K |
| 80053 |
|
13,120 |
11,381 |
$59K |
| 97530 |
|
1,030 |
333 |
$53K |
| 87491 |
|
1,382 |
1,286 |
$50K |
| 71275 |
|
166 |
151 |
$48K |
| 96360 |
|
228 |
204 |
$46K |
| 94640 |
|
815 |
519 |
$44K |
| 11042 |
|
204 |
119 |
$35K |
| 93005 |
|
3,230 |
2,762 |
$34K |
| 74176 |
|
96 |
91 |
$32K |
| 87591 |
|
1,385 |
1,291 |
$29K |
| 85025 |
|
12,449 |
10,480 |
$27K |
| 87651 |
|
1,060 |
1,031 |
$26K |
| 84443 |
|
2,516 |
2,421 |
$25K |
| 87635 |
|
579 |
558 |
$23K |
| 80048 |
|
4,586 |
3,651 |
$23K |
| 80307 |
|
1,270 |
1,152 |
$21K |
| 77063 |
|
433 |
425 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
323 |
312 |
$20K |
| 71045 |
|
2,947 |
2,626 |
$20K |
| 84439 |
|
2,049 |
1,954 |
$20K |
| 76700 |
|
100 |
94 |
$19K |
| 96374 |
|
4,243 |
3,401 |
$18K |
| 96375 |
|
2,786 |
2,322 |
$17K |
| J3490 |
Drugs unclassified injection |
9,332 |
5,448 |
$16K |
| 87086 |
|
2,775 |
2,530 |
$16K |
| 80061 |
|
2,827 |
2,761 |
$16K |
| 76705 |
|
82 |
76 |
$14K |
| 82306 |
|
490 |
478 |
$14K |
| 87653 |
|
319 |
306 |
$13K |
| 76856 |
|
55 |
53 |
$12K |
| 87661 |
|
553 |
517 |
$12K |
| 99213 |
|
396 |
323 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
571 |
538 |
$12K |
| J7030 |
Normal saline solution infus |
2,726 |
2,238 |
$11K |
| 87806 |
|
457 |
421 |
$11K |
| 88305 |
|
624 |
520 |
$10K |
| 96372 |
|
2,713 |
2,061 |
$10K |
| 80050 |
|
1,129 |
1,092 |
$10K |
| G0378 |
Hospital observation per hr |
64 |
24 |
$10K |
| 99281 |
|
248 |
222 |
$10K |
| 72148 |
|
47 |
45 |
$9K |
| 36415 |
|
2,749 |
2,101 |
$9K |
| 82607 |
|
603 |
586 |
$8K |
| 87634 |
|
1,055 |
1,017 |
$8K |
| 86140 |
|
1,078 |
917 |
$8K |
| U0005 |
Infec agen detec ampli probe |
326 |
315 |
$7K |
| M0243 |
Casirivi and imdevi inj |
17 |
17 |
$6K |
| 97161 |
|
129 |
118 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,404 |
2,044 |
$6K |
| 87077 |
|
1,078 |
966 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
8,662 |
3,984 |
$5K |
| 59025 |
|
15 |
12 |
$5K |
| 83036 |
|
712 |
679 |
$5K |
| J7120 |
Ringers lactate infusion |
1,434 |
1,250 |
$5K |
| 86803 |
|
499 |
469 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,814 |
1,636 |
$4K |
| 82728 |
|
382 |
374 |
$4K |
| Q0162 |
Ondansetron oral |
521 |
505 |
$4K |
| 99211 |
|
119 |
89 |
$4K |
| 81001 |
|
3,734 |
3,407 |
$4K |
| 87186 |
|
1,012 |
891 |
$3K |
| 87088 |
|
586 |
540 |
$3K |
| 85027 |
|
977 |
853 |
$3K |
| 83735 |
|
1,850 |
1,429 |
$3K |
| 83880 |
|
405 |
352 |
$3K |
| 93971 |
|
25 |
25 |
$3K |
| 80055 |
|
169 |
159 |
$3K |
| 84484 |
|
1,970 |
1,634 |
$3K |
| 97140 |
|
39 |
13 |
$3K |
| 81025 |
|
1,501 |
1,382 |
$2K |
| 83690 |
|
2,032 |
1,805 |
$2K |
| 73630 |
|
56 |
54 |
$2K |
| 99212 |
|
20 |
12 |
$2K |
| 85610 |
|
1,072 |
769 |
$2K |
| 77067 |
|
456 |
448 |
$2K |
| 84145 |
|
405 |
350 |
$2K |
| J1100 |
Dexamethasone sodium phos |
74 |
74 |
$2K |
| 87070 |
|
263 |
242 |
$1K |
| 83540 |
|
295 |
285 |
$1K |
| 86787 |
|
107 |
104 |
$1K |
| 87506 |
|
13 |
12 |
$1K |
| 85651 |
|
400 |
322 |
$1K |
| 82950 |
|
200 |
193 |
$1K |
| 76811 |
|
13 |
13 |
$1K |
| 84466 |
|
181 |
175 |
$1K |
| J3010 |
Fentanyl citrate injection |
474 |
432 |
$1K |
| J1170 |
Hydromorphone injection |
414 |
327 |
$1K |
| 86769 |
|
30 |
28 |
$926.86 |
| 87205 |
|
300 |
273 |
$800.14 |
| 81003 |
|
1,725 |
1,571 |
$774.10 |
| G0480 |
Drug test def 1-7 classes |
641 |
551 |
$759.18 |
| J2001 |
Lidocaine injection |
61 |
57 |
$691.21 |
| A4216 |
Sterile water/saline, 10 ml |
1,633 |
666 |
$612.93 |
| 85379 |
|
696 |
647 |
$610.75 |
| 87899 |
|
47 |
40 |
$552.67 |
| J2704 |
Inj, propofol, 10 mg |
133 |
132 |
$479.00 |
| 84702 |
|
48 |
38 |
$470.86 |
| 82947 |
|
95 |
95 |
$413.07 |
| 86703 |
|
35 |
30 |
$410.39 |
| 86900 |
|
29 |
28 |
$385.55 |
| J7620 |
Albuterol ipratrop non-comp |
145 |
134 |
$343.45 |
| 73562 |
|
45 |
42 |
$299.79 |
| 97162 |
|
13 |
12 |
$251.70 |
| 99156 |
|
386 |
362 |
$225.29 |
| 73610 |
|
26 |
26 |
$198.43 |
| J2250 |
Inj midazolam hydrochloride |
55 |
55 |
$186.56 |
| J2270 |
Morphine sulfate injection |
506 |
385 |
$175.51 |
| 96376 |
|
430 |
310 |
$173.94 |
| 82570 |
|
55 |
43 |
$171.98 |
| 84100 |
|
146 |
110 |
$169.89 |
| 86850 |
|
15 |
14 |
$146.28 |
| 73110 |
|
14 |
13 |
$143.58 |
| 82962 |
|
1,230 |
747 |
$134.39 |
| 82247 |
|
21 |
12 |
$130.14 |
| 85730 |
|
153 |
143 |
$114.06 |
| 83605 |
|
757 |
645 |
$94.68 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,101 |
1,030 |
$76.16 |
| 80143 |
|
314 |
279 |
$72.15 |
| 80179 |
|
298 |
262 |
$64.04 |
| 82077 |
|
114 |
94 |
$63.39 |
| 84703 |
|
171 |
160 |
$60.26 |
| 90686 |
|
48 |
47 |
$55.65 |
| 87040 |
|
101 |
89 |
$51.80 |
| J7050 |
Normal saline solution infus |
1,260 |
970 |
$51.03 |
| 90682 |
|
54 |
54 |
$46.40 |
| 99157 |
|
107 |
99 |
$28.52 |
| 82977 |
|
74 |
68 |
$25.34 |
| 86901 |
|
29 |
27 |
$24.12 |
| J2060 |
Lorazepam injection |
65 |
56 |
$15.59 |
| 84156 |
|
15 |
12 |
$14.07 |
| J0690 |
Cefazolin sodium injection |
196 |
158 |
$12.60 |
| J0696 |
Ceftriaxone sodium injection |
334 |
122 |
$0.00 |
| G0008 |
Admin influenza virus vac |
127 |
125 |
$0.00 |
| 99214 |
|
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
228 |
197 |
$0.00 |
| G1004 |
Cdsm ndsc |
28 |
27 |
$0.00 |
| J7040 |
Normal saline solution infus |
13 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
32 |
30 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |