| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
26,499 |
24,690 |
$1.71M |
| 99285 |
|
3,058 |
2,883 |
$962K |
| 99283 |
|
22,752 |
21,207 |
$827K |
| G0463 |
Hospital outpt clinic visit |
11,169 |
9,140 |
$339K |
| 85025 |
|
25,076 |
21,855 |
$199K |
| 80048 |
|
10,072 |
8,750 |
$95K |
| 87804 |
|
2,914 |
2,738 |
$62K |
| 99282 |
|
1,396 |
1,328 |
$59K |
| G0378 |
Hospital observation per hr |
1,549 |
1,211 |
$45K |
| 92507 |
|
2,373 |
755 |
$41K |
| 80053 |
|
4,000 |
2,828 |
$40K |
| 81001 |
|
9,986 |
9,247 |
$37K |
| 80076 |
|
5,877 |
5,381 |
$36K |
| 93005 |
|
3,906 |
3,442 |
$35K |
| 11042 |
|
873 |
337 |
$33K |
| 74177 |
|
248 |
214 |
$31K |
| 87635 |
|
738 |
683 |
$29K |
| 96413 |
|
472 |
229 |
$28K |
| 80047 |
|
4,253 |
3,922 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,162 |
1,003 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
494 |
474 |
$24K |
| 99281 |
|
598 |
569 |
$22K |
| 87880 |
|
1,281 |
1,217 |
$19K |
| 87426 |
|
807 |
783 |
$18K |
| J7050 |
Normal saline solution infus |
765 |
313 |
$17K |
| 71046 |
|
1,333 |
1,229 |
$12K |
| 95810 |
|
45 |
41 |
$11K |
| 70450 |
|
130 |
118 |
$10K |
| 84484 |
|
1,300 |
1,121 |
$10K |
| 87081 |
|
1,092 |
1,030 |
$10K |
| 71045 |
|
1,967 |
1,756 |
$9K |
| 46505 |
|
42 |
42 |
$9K |
| 83735 |
|
1,146 |
987 |
$8K |
| 87798 |
|
200 |
195 |
$8K |
| 87486 |
|
200 |
195 |
$8K |
| 87581 |
|
200 |
195 |
$8K |
| 87637 |
|
86 |
85 |
$8K |
| 59025 |
|
1,243 |
924 |
$7K |
| 97530 |
|
224 |
62 |
$5K |
| 81002 |
|
1,771 |
1,685 |
$5K |
| 36415 |
|
793 |
637 |
$4K |
| 85014 |
|
4,506 |
4,094 |
$4K |
| 83690 |
|
671 |
607 |
$4K |
| 81025 |
|
1,099 |
1,028 |
$4K |
| 80307 |
|
45 |
43 |
$3K |
| 96372 |
|
330 |
257 |
$3K |
| 87633 |
|
12 |
12 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,630 |
2,415 |
$2K |
| 94640 |
|
192 |
161 |
$2K |
| 87420 |
|
138 |
128 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,895 |
1,598 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,175 |
1,044 |
$1K |
| J7030 |
Normal saline solution infus |
778 |
700 |
$1K |
| 96365 |
|
109 |
69 |
$716.76 |
| 94664 |
|
108 |
105 |
$602.86 |
| 77336 |
|
36 |
13 |
$445.06 |
| 95812 |
|
14 |
13 |
$424.06 |
| 83605 |
|
42 |
38 |
$403.56 |
| 84702 |
|
26 |
25 |
$395.37 |
| J2360 |
Orphenadrine injection |
43 |
41 |
$214.37 |
| 87430 |
|
17 |
17 |
$208.52 |
| 87807 |
|
14 |
14 |
$172.90 |
| J1642 |
Inj heparin sodium per 10 u |
368 |
174 |
$153.00 |
| 85610 |
|
28 |
26 |
$141.52 |
| 73110 |
|
12 |
12 |
$136.44 |
| 73610 |
|
13 |
12 |
$136.44 |
| 96375 |
|
542 |
369 |
$116.07 |
| J7040 |
Normal saline solution infus |
101 |
53 |
$65.00 |
| 87210 |
|
12 |
12 |
$54.45 |
| J0696 |
Ceftriaxone sodium injection |
13 |
12 |
$27.72 |
| J1200 |
Diphenhydramine hcl injectio |
70 |
55 |
$26.64 |
| J2270 |
Morphine sulfate injection |
13 |
12 |
$18.46 |
| 85027 |
|
13 |
12 |
$10.76 |
| 96374 |
|
405 |
318 |
$5.41 |
| 0202U |
|
557 |
545 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
173 |
168 |
$0.00 |
| 94799 |
|
12 |
12 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
104 |
103 |
$0.00 |
| J7120 |
Ringers lactate infusion |
233 |
211 |
$0.00 |
| Q0162 |
Ondansetron oral |
51 |
51 |
$0.00 |
| 94760 |
|
95 |
92 |
$0.00 |
| 80320 |
|
84 |
79 |
$0.00 |
| 36591 |
|
274 |
148 |
$0.00 |