| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
29,091 |
25,236 |
$1.30M |
| 99284 |
|
18,811 |
15,877 |
$1.29M |
| 87635 |
|
9,938 |
9,199 |
$435K |
| 87804 |
|
10,896 |
10,049 |
$269K |
| 99285 |
|
880 |
719 |
$175K |
| 80053 |
|
14,579 |
11,953 |
$141K |
| 87880 |
|
8,032 |
7,382 |
$128K |
| 85025 |
|
16,451 |
13,381 |
$122K |
| G2023 |
Specimen collect covid-19 |
5,477 |
5,242 |
$93K |
| 99282 |
|
1,965 |
1,773 |
$91K |
| 70450 |
|
703 |
620 |
$58K |
| 99281 |
|
1,349 |
1,178 |
$53K |
| G0463 |
Hospital outpt clinic visit |
1,085 |
693 |
$47K |
| 71045 |
|
4,423 |
3,786 |
$36K |
| 93005 |
|
2,467 |
1,961 |
$31K |
| 71046 |
|
1,933 |
1,714 |
$29K |
| 81001 |
|
7,823 |
6,217 |
$26K |
| 74177 |
|
179 |
160 |
$26K |
| 84703 |
|
3,118 |
2,686 |
$18K |
| 76805 |
|
600 |
443 |
$13K |
| 92507 |
|
1,037 |
154 |
$11K |
| 87807 |
|
752 |
703 |
$11K |
| 87086 |
|
699 |
628 |
$8K |
| 83690 |
|
1,007 |
880 |
$7K |
| 84484 |
|
899 |
606 |
$6K |
| 82553 |
|
559 |
411 |
$5K |
| 82550 |
|
953 |
667 |
$5K |
| 42820 |
|
12 |
12 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,048 |
521 |
$5K |
| 81003 |
|
1,424 |
1,301 |
$4K |
| 43239 |
|
37 |
24 |
$4K |
| 74176 |
|
41 |
38 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
347 |
274 |
$4K |
| 80307 |
|
69 |
59 |
$3K |
| 83735 |
|
345 |
287 |
$2K |
| 83704 |
|
95 |
51 |
$2K |
| 85610 |
|
391 |
326 |
$1K |
| 84443 |
|
128 |
75 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
18 |
17 |
$1K |
| 82172 |
|
95 |
51 |
$1K |
| 80061 |
|
109 |
64 |
$1K |
| 85027 |
|
224 |
180 |
$1K |
| 85007 |
|
211 |
168 |
$862.65 |
| 72125 |
|
14 |
12 |
$673.44 |
| 83695 |
|
95 |
51 |
$671.60 |
| J1885 |
Ketorolac tromethamine inj |
744 |
632 |
$631.85 |
| J2405 |
Ondansetron hcl injection |
1,276 |
1,054 |
$571.93 |
| 82247 |
|
190 |
155 |
$541.30 |
| 85730 |
|
192 |
163 |
$369.05 |
| 85651 |
|
133 |
77 |
$365.40 |
| J0696 |
Ceftriaxone sodium injection |
57 |
52 |
$205.69 |
| 73630 |
|
13 |
12 |
$200.10 |
| J2270 |
Morphine sulfate injection |
73 |
53 |
$170.61 |
| 83036 |
|
13 |
12 |
$169.68 |
| 94640 |
|
13 |
12 |
$161.76 |
| 96374 |
|
12 |
12 |
$131.37 |
| J7030 |
Normal saline solution infus |
60 |
44 |
$95.00 |
| J2550 |
Promethazine hcl injection |
36 |
30 |
$66.77 |
| J1170 |
Hydromorphone injection |
19 |
13 |
$52.16 |
| 86900 |
|
16 |
12 |
$29.61 |
| 86901 |
|
16 |
12 |
$29.34 |
| J1100 |
Dexamethasone sodium phos |
42 |
38 |
$27.72 |
| 86140 |
|
12 |
12 |
$24.42 |
| J2274 |
Inj morphine pf epid ithc |
67 |
49 |
$10.59 |
| 87077 |
|
38 |
25 |
$0.00 |
| 88305 |
|
147 |
85 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
39 |
38 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
14 |
14 |
$0.00 |