| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
15,056 |
13,923 |
$585K |
| 99284 |
|
8,592 |
7,737 |
$582K |
| 99285 |
|
1,437 |
1,316 |
$423K |
| 87635 |
|
5,174 |
4,893 |
$232K |
| 87502 |
|
2,827 |
2,668 |
$177K |
| 80053 |
|
7,836 |
6,959 |
$83K |
| 85025 |
|
9,171 |
8,054 |
$77K |
| 87651 |
|
1,838 |
1,755 |
$57K |
| 87430 |
|
3,165 |
2,973 |
$46K |
| 87400 |
|
8,494 |
4,006 |
$42K |
| 87077 |
|
3,838 |
3,450 |
$31K |
| 71046 |
|
1,959 |
1,836 |
$22K |
| U0003 |
Cov-19 amp prb hgh thruput |
367 |
317 |
$19K |
| 81001 |
|
4,145 |
3,698 |
$15K |
| 71045 |
|
2,493 |
2,285 |
$15K |
| 87449 |
|
803 |
763 |
$14K |
| 93005 |
|
785 |
696 |
$8K |
| 74177 |
|
43 |
40 |
$8K |
| 81025 |
|
1,782 |
1,618 |
$6K |
| 83735 |
|
617 |
551 |
$5K |
| 93010 |
|
1,831 |
894 |
$5K |
| 83690 |
|
554 |
475 |
$3K |
| 76805 |
|
125 |
114 |
$3K |
| 80306 |
|
237 |
211 |
$3K |
| 81003 |
|
1,882 |
1,737 |
$3K |
| 70450 |
|
27 |
24 |
$2K |
| 87086 |
|
228 |
198 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,678 |
1,539 |
$2K |
| G0378 |
Hospital observation per hr |
28 |
26 |
$2K |
| 82150 |
|
245 |
219 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
889 |
821 |
$1K |
| 0002A |
|
38 |
30 |
$1K |
| 82553 |
|
79 |
65 |
$1K |
| 74176 |
|
14 |
13 |
$1K |
| 84443 |
|
39 |
38 |
$957.06 |
| 0001A |
|
21 |
21 |
$800.00 |
| 84484 |
|
79 |
65 |
$775.61 |
| 82550 |
|
93 |
78 |
$758.69 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
94 |
89 |
$623.50 |
| 80061 |
|
25 |
25 |
$523.50 |
| 83655 |
|
34 |
33 |
$521.42 |
| J1100 |
Dexamethasone sodium phos |
488 |
458 |
$485.69 |
| 94640 |
|
27 |
25 |
$366.60 |
| J2405 |
Ondansetron hcl injection |
999 |
909 |
$295.24 |
| 76801 |
|
12 |
12 |
$269.60 |
| 84439 |
|
14 |
14 |
$186.48 |
| 80048 |
|
12 |
12 |
$147.96 |
| 87186 |
|
15 |
14 |
$101.10 |
| 82947 |
|
28 |
24 |
$97.65 |
| 82950 |
|
12 |
12 |
$84.84 |
| 87070 |
|
13 |
12 |
$84.77 |
| 85610 |
|
20 |
13 |
$51.93 |
| J2270 |
Morphine sulfate injection |
16 |
15 |
$38.61 |
| J7030 |
Normal saline solution infus |
15 |
14 |
$27.90 |
| Q0162 |
Ondansetron oral |
25 |
25 |
$0.00 |
| J7040 |
Normal saline solution infus |
122 |
111 |
$0.00 |
| 91300 |
|
81 |
60 |
$0.00 |