| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
|
2,558 |
2,021 |
$1.04M |
| 99283 |
|
15,919 |
13,002 |
$928K |
| 80053 |
|
21,129 |
15,707 |
$693K |
| 99282 |
|
14,453 |
12,366 |
$551K |
| 85025 |
|
43,251 |
21,340 |
$442K |
| 87502 |
|
6,640 |
5,695 |
$411K |
| 70450 |
|
1,405 |
1,074 |
$360K |
| 71046 |
|
4,066 |
3,262 |
$284K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,328 |
3,525 |
$272K |
| 97110 |
|
5,036 |
1,069 |
$271K |
| 87651 |
|
6,412 |
5,751 |
$244K |
| 99284 |
|
2,560 |
1,828 |
$238K |
| 87426 |
|
5,023 |
4,000 |
$232K |
| 87634 |
|
4,033 |
3,406 |
$227K |
| 80061 |
|
5,583 |
5,002 |
$222K |
| 71045 |
|
3,281 |
2,420 |
$194K |
| 84443 |
|
6,576 |
5,844 |
$187K |
| G0378 |
Hospital observation per hr |
1,538 |
932 |
$182K |
| 36415 |
|
30,077 |
21,552 |
$136K |
| 93005 |
|
3,597 |
2,677 |
$130K |
| 84439 |
|
8,764 |
4,009 |
$110K |
| U0002 |
Covid-19 lab test non-cdc |
1,427 |
1,140 |
$85K |
| 84484 |
|
2,210 |
1,683 |
$72K |
| 81001 |
|
8,332 |
6,919 |
$67K |
| 87260 |
|
389 |
316 |
$62K |
| 83036 |
|
3,727 |
3,236 |
$59K |
| 83874 |
|
2,081 |
1,625 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
6,428 |
4,232 |
$48K |
| 82553 |
|
2,108 |
1,620 |
$46K |
| 83605 |
|
6,118 |
2,317 |
$45K |
| 82150 |
|
2,104 |
1,700 |
$41K |
| 87088 |
|
4,245 |
2,652 |
$41K |
| 83690 |
|
2,155 |
1,724 |
$41K |
| 80307 |
|
747 |
551 |
$36K |
| 82607 |
|
1,679 |
1,482 |
$33K |
| 71250 |
|
99 |
73 |
$30K |
| 80048 |
|
1,636 |
1,225 |
$29K |
| 97161 |
|
359 |
313 |
$28K |
| 86677 |
|
533 |
408 |
$23K |
| 87186 |
|
1,770 |
1,505 |
$20K |
| 83880 |
|
455 |
307 |
$18K |
| 81025 |
|
715 |
613 |
$18K |
| G0103 |
Psa screening |
1,431 |
535 |
$18K |
| 73630 |
|
226 |
180 |
$17K |
| 87076 |
|
1,784 |
1,517 |
$17K |
| 99285 |
|
131 |
89 |
$17K |
| 85652 |
|
1,755 |
1,035 |
$15K |
| 94640 |
|
769 |
302 |
$14K |
| 73562 |
|
223 |
178 |
$13K |
| 85610 |
|
1,883 |
1,192 |
$13K |
| 84436 |
|
814 |
712 |
$11K |
| 73610 |
|
187 |
137 |
$11K |
| 87070 |
|
1,080 |
838 |
$11K |
| 86308 |
|
663 |
603 |
$11K |
| 82306 |
|
973 |
595 |
$10K |
| 87880 |
|
327 |
282 |
$9K |
| 87798 |
|
174 |
136 |
$9K |
| 87804 |
|
481 |
395 |
$9K |
| 85730 |
|
869 |
637 |
$8K |
| 82728 |
|
768 |
558 |
$8K |
| 84479 |
|
560 |
489 |
$7K |
| 82043 |
|
1,741 |
660 |
$7K |
| 87040 |
|
271 |
223 |
$7K |
| 87635 |
|
123 |
101 |
$7K |
| 84145 |
|
115 |
62 |
$6K |
| 86769 |
|
443 |
368 |
$6K |
| 85379 |
|
167 |
120 |
$6K |
| 73030 |
|
102 |
71 |
$5K |
| 72100 |
|
110 |
72 |
$5K |
| 73130 |
|
64 |
53 |
$5K |
| 74022 |
|
49 |
41 |
$5K |
| 83615 |
|
437 |
299 |
$5K |
| 74019 |
|
86 |
69 |
$5K |
| 97140 |
|
55 |
12 |
$5K |
| 82570 |
|
532 |
472 |
$4K |
| 87631 |
|
48 |
40 |
$4K |
| 83735 |
|
372 |
298 |
$4K |
| 99219 |
|
100 |
84 |
$3K |
| M0243 |
Casirivi and imdevi inj |
38 |
33 |
$3K |
| 0012A |
|
320 |
280 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
959 |
705 |
$3K |
| 0011A |
|
340 |
300 |
$3K |
| 97032 |
|
78 |
12 |
$2K |
| 99239 |
|
77 |
53 |
$2K |
| 77080 |
|
39 |
26 |
$1K |
| 83540 |
|
102 |
88 |
$1K |
| 99217 |
|
64 |
40 |
$1K |
| 99232 |
|
101 |
16 |
$880.66 |
| 73502 |
|
15 |
13 |
$870.62 |
| 94760 |
|
201 |
94 |
$838.07 |
| 0064A |
|
117 |
76 |
$818.40 |
| 99222 |
|
13 |
12 |
$770.40 |
| 73110 |
|
16 |
14 |
$758.27 |
| 86757 |
|
20 |
12 |
$754.22 |
| J0696 |
Ceftriaxone sodium injection |
84 |
28 |
$688.78 |
| 82948 |
|
117 |
50 |
$608.15 |
| 99231 |
|
91 |
26 |
$604.75 |
| 86603 |
|
13 |
12 |
$583.54 |
| 99221 |
|
38 |
28 |
$500.58 |
| 86738 |
|
13 |
12 |
$487.37 |
| J1642 |
Inj heparin sodium per 10 u |
282 |
176 |
$469.58 |
| 86618 |
|
16 |
13 |
$443.82 |
| 87420 |
|
45 |
34 |
$361.97 |
| 82550 |
|
111 |
45 |
$355.57 |
| 93010 |
|
165 |
134 |
$181.99 |
| 96372 |
|
17 |
13 |
$128.80 |
| J3301 |
Triamcinolone acet inj nos |
16 |
12 |
$116.55 |
| J7030 |
Normal saline solution infus |
207 |
75 |
$108.02 |
| J2405 |
Ondansetron hcl injection |
26 |
24 |
$94.88 |
| J2001 |
Lidocaine injection |
42 |
39 |
$47.16 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$29.28 |
| J3490 |
Drugs unclassified injection |
32 |
12 |
$6.54 |