| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
38,256 |
37,650 |
$5.75M |
| X4011 |
|
4,963 |
4,859 |
$4.26M |
| 95810 |
|
1,751 |
1,720 |
$1.89M |
| G0463 |
Hospital outpt clinic visit |
22,891 |
22,550 |
$1.61M |
| X4014 |
|
1,186 |
1,178 |
$1.40M |
| 99284 |
|
7,506 |
7,411 |
$1.06M |
| 95782 |
|
684 |
672 |
$940K |
| 99282 |
|
9,285 |
9,132 |
$895K |
| 87400 |
|
2,161 |
1,068 |
$541K |
| 87502 |
|
2,355 |
2,329 |
$482K |
| 93005 |
|
3,201 |
3,082 |
$367K |
| 87430 |
|
1,186 |
1,169 |
$292K |
| X4003 |
|
3,654 |
3,482 |
$285K |
| 99213 |
|
44,605 |
43,220 |
$247K |
| 0241U |
|
2,138 |
2,120 |
$245K |
| 97110 |
|
2,609 |
1,060 |
$240K |
| 99285 |
|
1,092 |
1,077 |
$192K |
| 87081 |
|
1,097 |
1,080 |
$171K |
| 71046 |
|
937 |
917 |
$140K |
| 86003 |
|
135 |
27 |
$95K |
| 76770 |
|
489 |
476 |
$94K |
| 93306 |
|
143 |
126 |
$87K |
| 69436 |
|
90 |
90 |
$86K |
| 93325 |
|
423 |
385 |
$73K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,903 |
1,853 |
$73K |
| 92523 |
|
251 |
249 |
$53K |
| 95700 |
|
247 |
242 |
$51K |
| 93303 |
|
261 |
245 |
$49K |
| 80048 |
|
733 |
689 |
$42K |
| 70551 |
|
99 |
98 |
$38K |
| G0378 |
Hospital observation per hr |
90 |
88 |
$28K |
| 87631 |
|
42 |
41 |
$28K |
| 74018 |
|
281 |
272 |
$26K |
| 83036 |
|
657 |
647 |
$25K |
| 84443 |
|
328 |
319 |
$25K |
| 87635 |
|
807 |
797 |
$25K |
| 43239 |
|
64 |
59 |
$24K |
| 87634 |
|
453 |
441 |
$23K |
| 81003 |
|
349 |
346 |
$23K |
| 92567 |
|
669 |
663 |
$23K |
| 72082 |
|
135 |
134 |
$22K |
| 92504 |
|
442 |
417 |
$21K |
| 94664 |
|
267 |
264 |
$20K |
| 87880 |
|
1,706 |
1,692 |
$20K |
| 93320 |
|
194 |
179 |
$19K |
| 94640 |
|
397 |
365 |
$17K |
| 80076 |
|
377 |
356 |
$14K |
| 85025 |
|
542 |
492 |
$13K |
| 83516 |
|
129 |
124 |
$12K |
| 31720 |
|
292 |
141 |
$12K |
| J3535 |
Metered dose inhaler drug |
218 |
206 |
$8K |
| 92507 |
|
186 |
84 |
$8K |
| 82785 |
|
37 |
37 |
$8K |
| 97112 |
|
283 |
147 |
$7K |
| 97530 |
|
165 |
93 |
$7K |
| 99212 |
|
696 |
685 |
$7K |
| 73100 |
|
53 |
50 |
$7K |
| 73130 |
|
19 |
14 |
$6K |
| 95715 |
|
28 |
26 |
$6K |
| J3490 |
Drugs unclassified injection |
619 |
324 |
$5K |
| 69210 |
|
31 |
31 |
$5K |
| 95117 |
|
180 |
94 |
$5K |
| 97161 |
|
65 |
64 |
$4K |
| 72170 |
|
94 |
94 |
$4K |
| 94010 |
|
66 |
64 |
$3K |
| S0119 |
Ondansetron 4 mg |
409 |
403 |
$3K |
| 96360 |
|
48 |
47 |
$2K |
| 93321 |
|
73 |
63 |
$2K |
| 80061 |
|
126 |
125 |
$2K |
| 76705 |
|
49 |
47 |
$2K |
| 82728 |
|
94 |
93 |
$2K |
| 86140 |
|
295 |
283 |
$2K |
| 87086 |
|
133 |
129 |
$2K |
| 93304 |
|
30 |
25 |
$2K |
| 92526 |
|
97 |
75 |
$2K |
| 84439 |
|
116 |
112 |
$2K |
| 82784 |
|
94 |
87 |
$1K |
| 77072 |
|
49 |
48 |
$1K |
| 96365 |
|
15 |
13 |
$1K |
| 96374 |
|
44 |
43 |
$1K |
| 85027 |
|
116 |
114 |
$1K |
| 87420 |
|
90 |
87 |
$1K |
| 76700 |
|
15 |
15 |
$1K |
| 51701 |
|
36 |
35 |
$1K |
| 99214 |
|
231 |
228 |
$1K |
| 92610 |
|
12 |
12 |
$1K |
| 12011 |
|
13 |
13 |
$1K |
| 81001 |
|
198 |
189 |
$1K |
| 87077 |
|
69 |
67 |
$997.07 |
| 73110 |
|
15 |
14 |
$970.05 |
| 73610 |
|
46 |
46 |
$917.07 |
| 72081 |
|
14 |
12 |
$841.15 |
| 85652 |
|
158 |
150 |
$768.88 |
| 96372 |
|
34 |
34 |
$750.73 |
| 82306 |
|
76 |
75 |
$735.60 |
| 73630 |
|
32 |
32 |
$711.71 |
| 96375 |
|
18 |
13 |
$679.16 |
| 87147 |
|
73 |
72 |
$668.27 |
| 92524 |
|
14 |
13 |
$651.12 |
| 87186 |
|
40 |
39 |
$636.34 |
| 73552 |
|
13 |
13 |
$628.37 |
| 96361 |
|
26 |
25 |
$596.07 |
| 82570 |
|
73 |
70 |
$546.32 |
| 84305 |
|
22 |
21 |
$540.72 |
| 73140 |
|
28 |
25 |
$446.52 |
| 73590 |
|
21 |
19 |
$425.55 |
| 83655 |
|
34 |
34 |
$418.31 |
| 83690 |
|
44 |
44 |
$390.02 |
| 73090 |
|
18 |
17 |
$387.53 |
| J8540 |
Oral dexamethasone |
145 |
144 |
$360.46 |
| 81025 |
|
42 |
41 |
$349.01 |
| 87040 |
|
27 |
26 |
$329.55 |
| 73562 |
|
13 |
13 |
$297.83 |
| 86376 |
|
12 |
12 |
$296.59 |
| 84100 |
|
54 |
40 |
$290.46 |
| 82977 |
|
32 |
30 |
$284.09 |
| 87070 |
|
30 |
30 |
$262.12 |
| J8499 |
Oral prescrip drug non chemo |
577 |
458 |
$250.64 |
| 85610 |
|
24 |
24 |
$136.31 |
| 92587 |
|
14 |
14 |
$131.50 |
| J2405 |
Ondansetron hcl injection |
200 |
192 |
$114.67 |
| 82150 |
|
12 |
12 |
$97.56 |
| J7699 |
Inhalation solution for dme |
12 |
12 |
$83.00 |
| J7611 |
Albuterol non-comp con |
59 |
51 |
$82.98 |
| J3010 |
Fentanyl citrate injection |
163 |
158 |
$82.17 |
| 84156 |
|
16 |
14 |
$75.47 |
| J1885 |
Ketorolac tromethamine inj |
85 |
81 |
$69.65 |
| J1100 |
Dexamethasone sodium phos |
154 |
153 |
$67.78 |
| J7644 |
Ipratropium bromide non-comp |
49 |
48 |
$66.71 |
| J7030 |
Normal saline solution infus |
77 |
71 |
$55.92 |
| J2270 |
Morphine sulfate injection |
48 |
48 |
$25.97 |
| J7040 |
Normal saline solution infus |
21 |
21 |
$24.23 |
| J7510 |
Prednisolone oral per 5 mg |
58 |
54 |
$18.71 |
| J2001 |
Lidocaine injection |
52 |
52 |
$15.69 |
| J7050 |
Normal saline solution infus |
18 |
18 |
$11.52 |
| S0020 |
Injection, bupivicaine hydro |
21 |
21 |
$1.91 |
| J2704 |
Inj, propofol, 10 mg |
148 |
148 |
$0.00 |
| 36415 |
|
55 |
54 |
$0.00 |
| 96040 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
89 |
89 |
$0.00 |