| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,746 |
10,327 |
$1.42M |
| 99284 |
|
6,882 |
6,588 |
$1.28M |
| 41899 |
|
275 |
264 |
$894K |
| G0463 |
Hospital outpt clinic visit |
40,642 |
36,638 |
$815K |
| 0241U |
|
1,028 |
993 |
$164K |
| 99285 |
|
420 |
408 |
$139K |
| 85025 |
|
14,300 |
12,162 |
$87K |
| 80053 |
|
11,207 |
10,226 |
$81K |
| J3490 |
Drugs unclassified injection |
16,698 |
9,654 |
$72K |
| 93005 |
|
1,748 |
1,620 |
$38K |
| U0003 |
Cov-19 amp prb hgh thruput |
372 |
355 |
$31K |
| 96374 |
|
711 |
682 |
$26K |
| 99282 |
|
301 |
296 |
$22K |
| 81003 |
|
5,457 |
4,295 |
$16K |
| 74177 |
|
12 |
12 |
$15K |
| 71045 |
|
343 |
326 |
$14K |
| 97597 |
|
441 |
251 |
$14K |
| 96375 |
|
342 |
261 |
$12K |
| 87798 |
|
139 |
134 |
$12K |
| 81001 |
|
3,911 |
3,763 |
$11K |
| 70450 |
|
51 |
50 |
$11K |
| 97530 |
|
804 |
212 |
$10K |
| M0243 |
Casirivi and imdevi inj |
43 |
41 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
17 |
12 |
$9K |
| C1889 |
Implant/insert device, noc |
28 |
27 |
$9K |
| 36415 |
|
4,024 |
3,532 |
$8K |
| 97112 |
|
769 |
178 |
$7K |
| 96361 |
|
313 |
293 |
$7K |
| J7050 |
Normal saline solution infus |
1,582 |
407 |
$7K |
| 97110 |
|
713 |
199 |
$7K |
| 87502 |
|
95 |
92 |
$5K |
| J7040 |
Normal saline solution infus |
473 |
448 |
$5K |
| 87637 |
|
31 |
29 |
$4K |
| J7030 |
Normal saline solution infus |
280 |
264 |
$4K |
| 83735 |
|
741 |
716 |
$4K |
| 87635 |
|
81 |
79 |
$4K |
| 88305 |
|
39 |
37 |
$3K |
| 96372 |
|
211 |
134 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
312 |
266 |
$2K |
| 87804 |
|
97 |
89 |
$2K |
| 71046 |
|
53 |
52 |
$2K |
| 85027 |
|
252 |
236 |
$2K |
| 73610 |
|
41 |
37 |
$2K |
| J1100 |
Dexamethasone sodium phos |
366 |
333 |
$2K |
| 87880 |
|
145 |
143 |
$2K |
| U0005 |
Infec agen detec ampli probe |
98 |
92 |
$2K |
| 76816 |
|
16 |
15 |
$2K |
| 81025 |
|
207 |
188 |
$2K |
| 93306 |
|
12 |
12 |
$2K |
| 80307 |
|
34 |
29 |
$1K |
| 73030 |
|
27 |
24 |
$1K |
| J2405 |
Ondansetron hcl injection |
313 |
297 |
$1K |
| 83690 |
|
178 |
167 |
$1K |
| 73630 |
|
14 |
14 |
$1K |
| 82306 |
|
26 |
25 |
$1K |
| 97016 |
|
134 |
37 |
$1K |
| 83655 |
|
59 |
54 |
$1K |
| 87491 |
|
31 |
27 |
$1K |
| 87591 |
|
31 |
27 |
$1K |
| 97803 |
|
52 |
45 |
$781.45 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38 |
38 |
$702.58 |
| 84484 |
|
76 |
66 |
$647.50 |
| 82607 |
|
26 |
25 |
$643.23 |
| 82746 |
|
26 |
25 |
$627.53 |
| 73140 |
|
13 |
13 |
$600.34 |
| 87086 |
|
66 |
61 |
$573.29 |
| 85652 |
|
196 |
185 |
$507.93 |
| 81002 |
|
113 |
90 |
$463.46 |
| 90471 |
|
160 |
150 |
$424.78 |
| 86140 |
|
89 |
83 |
$407.50 |
| 84443 |
|
38 |
38 |
$406.20 |
| 96413 |
|
48 |
36 |
$375.48 |
| 80061 |
|
29 |
29 |
$367.40 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
151 |
135 |
$357.55 |
| 73562 |
|
13 |
12 |
$341.36 |
| 20610 |
|
16 |
12 |
$283.31 |
| J7120 |
Ringers lactate infusion |
43 |
43 |
$280.99 |
| J1885 |
Ketorolac tromethamine inj |
53 |
52 |
$226.22 |
| 85651 |
|
69 |
66 |
$216.95 |
| 90686 |
|
105 |
100 |
$213.46 |
| 80048 |
|
24 |
24 |
$209.57 |
| 86592 |
|
42 |
41 |
$201.78 |
| G0480 |
Drug test def 1-7 classes |
15 |
12 |
$200.82 |
| 83540 |
|
26 |
25 |
$193.98 |
| 83036 |
|
27 |
27 |
$132.99 |
| J3301 |
Triamcinolone acet inj nos |
42 |
38 |
$119.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
16 |
15 |
$77.52 |
| J3010 |
Fentanyl citrate injection |
13 |
12 |
$45.24 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
25 |
25 |
$21.62 |
| 82962 |
|
15 |
15 |
$17.52 |
| Q0244 |
Casirivi and imdevi 1200 mg |
41 |
36 |
$0.65 |
| A9270 |
Non-covered item or service |
79 |
50 |
$0.19 |