| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
2,578 |
1,925 |
$322K |
| 99284 |
|
371 |
193 |
$47K |
| 99211 |
|
4,340 |
4,069 |
$44K |
| 0241U |
|
261 |
249 |
$41K |
| 80053 |
|
813 |
701 |
$37K |
| G0463 |
Hospital outpt clinic visit |
330 |
297 |
$24K |
| 36415 |
|
1,882 |
1,613 |
$22K |
| 85025 |
|
775 |
639 |
$21K |
| 0202U |
|
67 |
64 |
$21K |
| 87811 |
|
403 |
381 |
$21K |
| 87651 |
|
295 |
283 |
$14K |
| 87635 |
|
220 |
205 |
$13K |
| 99282 |
|
201 |
164 |
$13K |
| 87502 |
|
76 |
70 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
36 |
$4K |
| 97110 |
|
47 |
13 |
$4K |
| J2175 |
Meperidine hydrochl /100 mg |
65 |
56 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
65 |
56 |
$3K |
| 81001 |
|
195 |
174 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51 |
48 |
$3K |
| 99281 |
|
247 |
242 |
$3K |
| A0425 |
Ground mileage |
58 |
36 |
$2K |
| J2795 |
Ropivacaine hcl injection |
52 |
42 |
$2K |
| A0429 |
Bls-emergency |
16 |
12 |
$2K |
| J1100 |
Dexamethasone sodium phos |
47 |
38 |
$2K |
| J7042 |
5% dextrose/normal saline |
65 |
56 |
$2K |
| 84145 |
|
33 |
26 |
$2K |
| 71046 |
|
14 |
12 |
$2K |
| 93005 |
|
29 |
26 |
$1K |
| 99152 |
|
27 |
26 |
$1K |
| 86140 |
|
47 |
42 |
$1K |
| 80048 |
|
17 |
16 |
$862.36 |
| 83605 |
|
32 |
29 |
$824.94 |
| 84443 |
|
14 |
14 |
$628.30 |
| 77003 |
|
13 |
12 |
$493.24 |
| 90674 |
|
20 |
20 |
$450.45 |
| 84484 |
|
19 |
13 |
$447.44 |
| 96361 |
|
15 |
12 |
$416.89 |
| G0008 |
Admin influenza virus vac |
37 |
37 |
$382.45 |
| 83690 |
|
15 |
13 |
$332.64 |
| 87081 |
|
12 |
12 |
$301.95 |
| 87880 |
|
13 |
12 |
$290.40 |
| 96374 |
|
14 |
12 |
$285.05 |
| 85027 |
|
12 |
12 |
$210.48 |