| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
9,448 |
9,016 |
$2.22M |
| 99283 |
|
8,501 |
8,095 |
$1.27M |
| G0463 |
Hospital outpt clinic visit |
5,340 |
4,845 |
$405K |
| 99211 |
|
37,204 |
35,638 |
$394K |
| 99285 |
|
647 |
611 |
$204K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,548 |
1,520 |
$138K |
| 96374 |
|
790 |
758 |
$103K |
| 59025 |
|
651 |
357 |
$79K |
| 0241U |
|
725 |
676 |
$72K |
| 62323 |
|
133 |
128 |
$52K |
| 96361 |
|
813 |
782 |
$46K |
| 36415 |
|
16,309 |
14,128 |
$36K |
| 20552 |
|
134 |
130 |
$24K |
| 71046 |
|
444 |
418 |
$22K |
| 80061 |
|
1,703 |
1,641 |
$19K |
| 84443 |
|
1,452 |
1,394 |
$17K |
| 20610 |
|
106 |
93 |
$17K |
| 80053 |
|
7,965 |
7,573 |
$16K |
| 97597 |
|
138 |
67 |
$13K |
| 99281 |
|
2,016 |
1,963 |
$12K |
| 85025 |
|
11,678 |
11,059 |
$12K |
| 76815 |
|
119 |
112 |
$10K |
| 96375 |
|
215 |
207 |
$9K |
| U0005 |
Infec agen detec ampli probe |
478 |
467 |
$7K |
| 0202U |
|
16 |
16 |
$6K |
| 93005 |
|
800 |
741 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
1,488 |
1,401 |
$4K |
| 80048 |
|
898 |
854 |
$4K |
| 71045 |
|
45 |
43 |
$2K |
| 86900 |
|
28 |
27 |
$2K |
| 87389 |
|
123 |
121 |
$2K |
| 80076 |
|
352 |
328 |
$2K |
| 82306 |
|
111 |
100 |
$2K |
| 85027 |
|
746 |
710 |
$2K |
| 87635 |
|
31 |
31 |
$1K |
| 83036 |
|
180 |
170 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| 86762 |
|
68 |
66 |
$814.74 |
| 87340 |
|
80 |
78 |
$569.37 |
| J3301 |
Triamcinolone acet inj nos |
163 |
158 |
$558.75 |
| 86593 |
|
269 |
258 |
$534.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
54 |
54 |
$443.00 |
| 86803 |
|
29 |
28 |
$292.57 |
| 84702 |
|
17 |
15 |
$264.90 |
| J1885 |
Ketorolac tromethamine inj |
128 |
124 |
$179.96 |
| 80307 |
|
13 |
13 |
$117.15 |
| 83690 |
|
710 |
673 |
$112.86 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
13 |
$100.75 |
| J3010 |
Fentanyl citrate injection |
15 |
12 |
$73.89 |
| 81003 |
|
825 |
793 |
$63.50 |
| 83735 |
|
261 |
250 |
$38.22 |
| 81025 |
|
455 |
440 |
$32.72 |
| 87804 |
|
1,087 |
500 |
$31.44 |
| 84484 |
|
173 |
129 |
$27.57 |
| 81001 |
|
112 |
106 |
$7.13 |
| J2405 |
Ondansetron hcl injection |
43 |
42 |
$6.90 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
24 |
$0.00 |
| 76942 |
|
27 |
24 |
$0.00 |
| 87081 |
|
206 |
197 |
$0.00 |
| 96372 |
|
71 |
65 |
$0.00 |
| 87430 |
|
272 |
260 |
$0.00 |
| 94640 |
|
35 |
32 |
$0.00 |
| 86901 |
|
28 |
27 |
$0.00 |
| 83605 |
|
13 |
12 |
$0.00 |
| 87807 |
|
17 |
16 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
12 |
$0.00 |
| 87086 |
|
12 |
12 |
$0.00 |
| 86850 |
|
28 |
27 |
$0.00 |
| 86140 |
|
12 |
12 |
$0.00 |