| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
21,979 |
18,660 |
$1.19M |
| 99284 |
|
7,583 |
6,418 |
$505K |
| 87635 |
|
5,794 |
4,623 |
$268K |
| 41899 |
|
245 |
205 |
$254K |
| C9803 |
Hopd covid-19 spec collect |
8,752 |
7,102 |
$195K |
| 87428 |
|
1,796 |
1,476 |
$120K |
| 87650 |
|
4,573 |
3,995 |
$106K |
| 96361 |
|
713 |
579 |
$93K |
| 85025 |
|
12,479 |
10,664 |
$92K |
| 96372 |
|
1,227 |
1,024 |
$90K |
| 71046 |
|
2,975 |
2,695 |
$86K |
| 80053 |
|
8,745 |
7,559 |
$84K |
| 99281 |
|
1,782 |
1,611 |
$51K |
| 71045 |
|
2,106 |
1,753 |
$49K |
| 99282 |
|
1,144 |
972 |
$43K |
| 80307 |
|
1,269 |
1,147 |
$42K |
| 84703 |
|
4,437 |
3,864 |
$36K |
| 87400 |
|
2,870 |
2,616 |
$34K |
| J7030 |
Normal saline solution infus |
2,178 |
1,863 |
$34K |
| 36415 |
|
13,151 |
11,258 |
$24K |
| 93005 |
|
2,124 |
1,810 |
$20K |
| U0003 |
Cov-19 amp prb hgh thruput |
209 |
199 |
$19K |
| 81001 |
|
6,219 |
5,327 |
$19K |
| 11042 |
|
317 |
91 |
$17K |
| 87070 |
|
1,624 |
1,496 |
$17K |
| G0379 |
Direct refer hospital observ |
224 |
139 |
$15K |
| 83690 |
|
2,120 |
1,852 |
$13K |
| 96374 |
|
245 |
204 |
$13K |
| 80048 |
|
2,001 |
1,676 |
$12K |
| 94640 |
|
380 |
306 |
$9K |
| G0378 |
Hospital observation per hr |
434 |
182 |
$9K |
| 70450 |
|
191 |
165 |
$7K |
| 84484 |
|
860 |
707 |
$6K |
| 87420 |
|
345 |
300 |
$5K |
| 96375 |
|
64 |
57 |
$5K |
| 99285 |
|
61 |
52 |
$5K |
| 74177 |
|
32 |
25 |
$5K |
| 87086 |
|
547 |
477 |
$4K |
| 80061 |
|
218 |
182 |
$3K |
| 99212 |
|
210 |
121 |
$3K |
| D1120 |
|
13 |
12 |
$3K |
| 83036 |
|
218 |
179 |
$3K |
| 74176 |
|
25 |
24 |
$2K |
| 99213 |
|
54 |
39 |
$2K |
| 83735 |
|
275 |
229 |
$2K |
| 81003 |
|
745 |
650 |
$1K |
| J1100 |
Dexamethasone sodium phos |
319 |
234 |
$1K |
| 87591 |
|
41 |
39 |
$954.10 |
| 87491 |
|
41 |
39 |
$954.10 |
| 87389 |
|
27 |
26 |
$828.86 |
| 82077 |
|
31 |
30 |
$801.95 |
| 84443 |
|
32 |
24 |
$439.92 |
| D1206 |
|
15 |
12 |
$372.28 |
| G0463 |
Hospital outpt clinic visit |
41 |
26 |
$335.16 |
| J2405 |
Ondansetron hcl injection |
832 |
692 |
$289.57 |
| J1885 |
Ketorolac tromethamine inj |
816 |
686 |
$274.84 |
| J1020 |
Methylprednisolone 20 mg inj |
27 |
25 |
$240.83 |
| J2704 |
Inj, propofol, 10 mg |
316 |
251 |
$215.05 |
| 86592 |
|
28 |
27 |
$160.11 |
| J2550 |
Promethazine hcl injection |
24 |
24 |
$105.45 |
| J2270 |
Morphine sulfate injection |
34 |
29 |
$100.11 |
| J3010 |
Fentanyl citrate injection |
305 |
249 |
$93.52 |
| 87210 |
|
13 |
13 |
$43.80 |
| 85378 |
|
13 |
12 |
$35.56 |
| 91301 |
|
18 |
16 |
$0.00 |