| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
|
7,529 |
2,203 |
$3.23M |
| 99284 |
|
12,412 |
9,907 |
$2.09M |
| 99283 |
|
10,616 |
8,894 |
$1.44M |
| D2930 |
|
30,370 |
4,244 |
$1.39M |
| D7210 |
|
2,589 |
704 |
$1.03M |
| 99285 |
|
5,548 |
4,346 |
$983K |
| 41899 |
|
6,604 |
5,881 |
$778K |
| D3220 |
|
17,746 |
3,830 |
$581K |
| D2934 |
|
5,816 |
1,400 |
$430K |
| D7240 |
|
1,050 |
400 |
$428K |
| G0378 |
Hospital observation per hr |
1,341 |
965 |
$368K |
| 96374 |
|
4,816 |
3,698 |
$363K |
| 96372 |
|
8,096 |
6,287 |
$317K |
| 87426 |
|
7,353 |
6,134 |
$208K |
| 11042 |
|
2,024 |
833 |
$161K |
| 96365 |
|
2,385 |
1,893 |
$152K |
| D7230 |
|
319 |
143 |
$149K |
| 80307 |
|
3,871 |
3,159 |
$149K |
| 71045 |
|
4,419 |
3,481 |
$149K |
| C9803 |
Hopd covid-19 spec collect |
9,676 |
8,208 |
$144K |
| 99282 |
|
1,678 |
1,443 |
$141K |
| D2391 |
|
4,444 |
1,234 |
$134K |
| 87635 |
|
3,516 |
3,081 |
$125K |
| 70450 |
|
2,636 |
2,189 |
$120K |
| 74176 |
|
1,267 |
1,104 |
$113K |
| 87804 |
|
5,180 |
4,227 |
$113K |
| 74177 |
|
696 |
552 |
$103K |
| 96361 |
|
3,231 |
2,405 |
$103K |
| 96375 |
|
3,786 |
2,844 |
$103K |
| 93005 |
|
5,890 |
4,597 |
$102K |
| 80053 |
|
15,627 |
11,518 |
$100K |
| 86900 |
|
1,367 |
1,107 |
$86K |
| D2931 |
|
1,173 |
302 |
$78K |
| 97110 |
|
2,284 |
448 |
$75K |
| 94640 |
|
746 |
506 |
$72K |
| 85025 |
|
15,272 |
11,786 |
$71K |
| 99281 |
|
1,469 |
1,305 |
$68K |
| D2392 |
|
1,488 |
544 |
$57K |
| 87880 |
|
4,375 |
3,745 |
$53K |
| D7250 |
|
309 |
88 |
$46K |
| 96360 |
|
592 |
461 |
$45K |
| 83880 |
|
2,213 |
1,621 |
$43K |
| 90853 |
|
1,057 |
81 |
$43K |
| J0561 |
Penicillin g benzathine inj |
370 |
320 |
$42K |
| D0272 |
|
126 |
100 |
$40K |
| 76801 |
|
577 |
489 |
$39K |
| G0481 |
Drug test def 8-14 classes |
609 |
512 |
$38K |
| 86850 |
|
1,243 |
1,009 |
$35K |
| G0480 |
Drug test def 1-7 classes |
658 |
511 |
$34K |
| 71046 |
|
808 |
699 |
$30K |
| 84484 |
|
4,156 |
2,855 |
$29K |
| 82306 |
|
1,436 |
1,245 |
$28K |
| 86901 |
|
1,404 |
1,136 |
$26K |
| 84443 |
|
2,321 |
1,969 |
$26K |
| 87389 |
|
1,492 |
1,295 |
$26K |
| 80061 |
|
2,812 |
2,441 |
$25K |
| 43239 |
|
56 |
52 |
$24K |
| D1120 |
|
2,935 |
2,536 |
$23K |
| 76815 |
|
334 |
274 |
$23K |
| 87086 |
|
4,255 |
3,418 |
$22K |
| 84703 |
|
3,864 |
3,236 |
$21K |
| 83735 |
|
5,289 |
3,506 |
$19K |
| D1206 |
|
3,026 |
2,619 |
$18K |
| 85027 |
|
4,566 |
3,372 |
$18K |
| 36600 |
|
486 |
377 |
$16K |
| 83036 |
|
2,449 |
2,124 |
$16K |
| 71250 |
|
389 |
343 |
$15K |
| 80048 |
|
2,753 |
2,035 |
$15K |
| 84702 |
|
1,213 |
932 |
$13K |
| D2750 |
|
149 |
44 |
$13K |
| 74018 |
|
275 |
241 |
$12K |
| D2330 |
|
709 |
276 |
$12K |
| 73030 |
|
302 |
244 |
$12K |
| 81220 |
|
40 |
28 |
$11K |
| G0463 |
Hospital outpt clinic visit |
1,083 |
600 |
$11K |
| 92507 |
|
172 |
53 |
$11K |
| 72125 |
|
245 |
204 |
$11K |
| 81003 |
|
8,253 |
6,585 |
$11K |
| D7241 |
|
24 |
15 |
$10K |
| 97597 |
|
278 |
147 |
$10K |
| J7040 |
Normal saline solution infus |
104 |
94 |
$10K |
| 77067 |
|
110 |
106 |
$9K |
| 93041 |
|
719 |
583 |
$9K |
| 87186 |
|
1,373 |
1,143 |
$9K |
| 83690 |
|
2,041 |
1,602 |
$9K |
| 87040 |
|
1,226 |
806 |
$9K |
| 76805 |
|
114 |
101 |
$8K |
| 76856 |
|
127 |
111 |
$8K |
| 83605 |
|
1,252 |
934 |
$8K |
| 87807 |
|
724 |
631 |
$8K |
| 82803 |
|
457 |
346 |
$7K |
| D2150 |
|
36 |
13 |
$7K |
| 86762 |
|
639 |
547 |
$7K |
| 85378 |
|
1,395 |
1,078 |
$6K |
| 96366 |
|
240 |
185 |
$6K |
| 36415 |
|
1,090 |
886 |
$6K |
| 59050 |
|
168 |
138 |
$6K |
| 73610 |
|
124 |
109 |
$6K |
| 71047 |
|
166 |
143 |
$5K |
| 86592 |
|
1,655 |
1,446 |
$5K |
| 73560 |
|
140 |
115 |
$5K |
| 73630 |
|
157 |
115 |
$5K |
| 76816 |
|
53 |
51 |
$5K |
| 87340 |
|
592 |
509 |
$5K |
| 87798 |
|
105 |
51 |
$4K |
| M0243 |
Casirivi and imdevi inj |
19 |
18 |
$4K |
| 87088 |
|
800 |
684 |
$4K |
| 82150 |
|
1,047 |
850 |
$4K |
| D2933 |
|
48 |
12 |
$4K |
| 82962 |
|
2,306 |
1,291 |
$4K |
| 73110 |
|
71 |
46 |
$4K |
| 72148 |
|
48 |
40 |
$4K |
| 83021 |
|
238 |
212 |
$4K |
| 76811 |
|
58 |
55 |
$3K |
| 86318 |
|
317 |
255 |
$3K |
| 73130 |
|
69 |
53 |
$3K |
| 71275 |
|
45 |
39 |
$3K |
| 81001 |
|
1,081 |
889 |
$2K |
| 82677 |
|
111 |
102 |
$2K |
| D2335 |
|
39 |
13 |
$2K |
| 82728 |
|
217 |
186 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
9,566 |
7,926 |
$2K |
| J3490 |
Drugs unclassified injection |
4,153 |
2,690 |
$2K |
| 82607 |
|
176 |
146 |
$2K |
| 87070 |
|
270 |
205 |
$2K |
| D1351 |
|
211 |
56 |
$2K |
| 82105 |
|
113 |
104 |
$2K |
| 87350 |
|
140 |
135 |
$2K |
| 86336 |
|
111 |
102 |
$1K |
| 86140 |
|
425 |
337 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,154 |
732 |
$1K |
| 82077 |
|
134 |
104 |
$1K |
| 83020 |
|
162 |
130 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,759 |
1,419 |
$1K |
| 72131 |
|
30 |
25 |
$1K |
| J2405 |
Ondansetron hcl injection |
11,410 |
8,079 |
$1K |
| 85610 |
|
500 |
385 |
$1K |
| 76830 |
|
17 |
14 |
$1K |
| 87491 |
|
48 |
40 |
$1K |
| 99212 |
|
72 |
64 |
$1K |
| 87481 |
|
19 |
18 |
$1K |
| 82950 |
|
220 |
194 |
$945.92 |
| J1100 |
Dexamethasone sodium phos |
9,191 |
7,313 |
$930.83 |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$909.09 |
| 87077 |
|
153 |
128 |
$849.91 |
| 86803 |
|
90 |
82 |
$823.19 |
| 87653 |
|
50 |
46 |
$804.07 |
| 87591 |
|
35 |
28 |
$761.54 |
| 97162 |
|
12 |
12 |
$685.61 |
| 84439 |
|
108 |
93 |
$671.65 |
| 73090 |
|
22 |
12 |
$650.40 |
| J0696 |
Ceftriaxone sodium injection |
2,937 |
2,186 |
$578.71 |
| 99211 |
|
79 |
70 |
$541.50 |
| D9999 |
|
1,096 |
1,011 |
$521.06 |
| 87500 |
|
35 |
32 |
$451.20 |
| 87493 |
|
15 |
12 |
$376.71 |
| J2704 |
Inj, propofol, 10 mg |
8,252 |
7,003 |
$373.50 |
| 87081 |
|
54 |
54 |
$344.12 |
| 82570 |
|
103 |
95 |
$340.38 |
| 82043 |
|
83 |
79 |
$318.92 |
| 84550 |
|
102 |
85 |
$300.68 |
| J0330 |
Succinycholine chloride inj |
2,089 |
1,393 |
$217.72 |
| 87641 |
|
29 |
27 |
$190.08 |
| 84100 |
|
80 |
53 |
$169.38 |
| 83550 |
|
26 |
24 |
$158.27 |
| J3010 |
Fentanyl citrate injection |
4,982 |
4,058 |
$139.14 |
| 87651 |
|
15 |
12 |
$105.27 |
| J2270 |
Morphine sulfate injection |
3,872 |
3,339 |
$86.15 |
| 94760 |
|
1,045 |
696 |
$82.39 |
| G0379 |
Direct refer hospital observ |
45 |
39 |
$70.05 |
| 83540 |
|
15 |
14 |
$64.02 |
| 85730 |
|
19 |
14 |
$60.00 |
| 82565 |
|
15 |
12 |
$53.32 |
| 87210 |
|
14 |
12 |
$52.40 |
| 85007 |
|
20 |
15 |
$47.88 |
| 85045 |
|
13 |
12 |
$46.67 |
| J2060 |
Lorazepam injection |
57 |
51 |
$41.35 |
| G2023 |
Specimen collect covid-19 |
74 |
65 |
$23.46 |
| J1170 |
Hydromorphone injection |
700 |
335 |
$13.40 |
| 36000 |
|
3,701 |
2,741 |
$12.97 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
14 |
$6.75 |
| J0780 |
Prochlorperazine injection |
207 |
155 |
$0.00 |
| J7120 |
Ringers lactate infusion |
483 |
432 |
$0.00 |
| J2550 |
Promethazine hcl injection |
130 |
98 |
$0.00 |
| D0220 |
|
136 |
109 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
130 |
102 |
$0.00 |
| J2930 |
Methylprednisolone injection |
125 |
96 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
134 |
102 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
166 |
158 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
21 |
19 |
$0.00 |
| 80361 |
|
12 |
12 |
$0.00 |
| J1956 |
Levofloxacin injection |
87 |
51 |
$0.00 |
| D0230 |
|
103 |
68 |
$0.00 |
| 80349 |
|
45 |
41 |
$0.00 |
| 96376 |
|
265 |
178 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
435 |
234 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
68 |
58 |
$0.00 |
| 80320 |
|
32 |
29 |
$0.00 |
| 94761 |
|
988 |
806 |
$0.00 |
| J2360 |
Orphenadrine injection |
229 |
166 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
49 |
37 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
102 |
98 |
$0.00 |
| 11045 |
|
21 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
40 |
$0.00 |
| J1940 |
Furosemide injection |
65 |
39 |
$0.00 |
| J7050 |
Normal saline solution infus |
57 |
57 |
$0.00 |