| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
5,939 |
5,673 |
$2.07M |
| 99284 |
|
2,593 |
2,446 |
$1.39M |
| 99281 |
|
1,759 |
1,705 |
$506K |
| 99282 |
|
1,203 |
1,165 |
$406K |
| 87426 |
|
4,087 |
3,905 |
$162K |
| 87804 |
|
3,011 |
2,652 |
$117K |
| 71045 |
|
747 |
694 |
$58K |
| 93005 |
|
551 |
498 |
$45K |
| 80053 |
|
3,212 |
2,966 |
$36K |
| 86403 |
|
1,666 |
1,621 |
$30K |
| 99285 |
|
81 |
77 |
$28K |
| 85025 |
|
3,642 |
3,325 |
$26K |
| 81001 |
|
3,328 |
2,989 |
$17K |
| 86756 |
|
245 |
240 |
$8K |
| 70450 |
|
40 |
40 |
$5K |
| 94060 |
|
25 |
25 |
$4K |
| CP007 |
|
51 |
39 |
$3K |
| 84703 |
|
260 |
248 |
$3K |
| 94729 |
|
25 |
25 |
$2K |
| 87081 |
|
139 |
134 |
$2K |
| 99213 |
|
13 |
12 |
$2K |
| 94726 |
|
12 |
12 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
68 |
67 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
13 |
$839.14 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
44 |
36 |
$768.25 |
| 83690 |
|
135 |
126 |
$755.14 |
| J1885 |
Ketorolac tromethamine inj |
27 |
25 |
$731.61 |
| J2405 |
Ondansetron hcl injection |
158 |
144 |
$652.02 |
| 87086 |
|
30 |
25 |
$385.18 |
| G0463 |
Hospital outpt clinic visit |
16 |
13 |
$360.28 |
| 83655 |
|
13 |
13 |
$264.86 |
| C9803 |
Hopd covid-19 spec collect |
13 |
13 |
$260.03 |
| 83735 |
|
41 |
38 |
$199.54 |
| J2250 |
Inj midazolam hydrochloride |
140 |
125 |
$198.08 |
| 84484 |
|
96 |
79 |
$177.78 |
| 82465 |
|
32 |
32 |
$143.81 |
| 85014 |
|
13 |
13 |
$97.07 |
| 96374 |
|
14 |
12 |
$90.63 |
| J3010 |
Fentanyl citrate injection |
145 |
129 |
$84.22 |
| 85610 |
|
57 |
53 |
$55.44 |
| 85018 |
|
13 |
13 |
$43.97 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$29.50 |
| 85730 |
|
12 |
12 |
$20.31 |
| 36415 |
|
65 |
57 |
$1.80 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
16 |
$0.00 |