| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
31,759 |
24,393 |
$3.89M |
| 99284 |
|
12,021 |
9,182 |
$1.90M |
| D7140 |
|
1,965 |
731 |
$885K |
| 99285 |
|
3,938 |
3,049 |
$713K |
| 99282 |
|
8,670 |
7,060 |
$698K |
| D2930 |
|
7,688 |
1,702 |
$582K |
| 96374 |
|
5,946 |
4,536 |
$441K |
| 99281 |
|
8,719 |
7,092 |
$405K |
| 94640 |
|
3,367 |
2,212 |
$343K |
| 96372 |
|
10,215 |
7,507 |
$331K |
| G0378 |
Hospital observation per hr |
1,226 |
670 |
$331K |
| 74177 |
|
2,162 |
1,661 |
$304K |
| 71045 |
|
6,045 |
4,515 |
$206K |
| 87804 |
|
12,052 |
7,320 |
$193K |
| 69436 |
|
191 |
137 |
$183K |
| 87426 |
|
6,134 |
4,725 |
$163K |
| 71046 |
|
4,156 |
3,321 |
$154K |
| 93005 |
|
8,945 |
6,408 |
$150K |
| 96365 |
|
1,835 |
1,418 |
$139K |
| 70450 |
|
2,895 |
2,291 |
$139K |
| 97110 |
|
4,090 |
752 |
$112K |
| 96361 |
|
2,973 |
2,273 |
$92K |
| 85025 |
|
16,618 |
11,792 |
$79K |
| 73560 |
|
1,959 |
1,490 |
$73K |
| 96375 |
|
3,435 |
2,569 |
$73K |
| 80053 |
|
10,592 |
7,805 |
$67K |
| 87430 |
|
5,511 |
4,564 |
$65K |
| D2391 |
|
1,451 |
680 |
$59K |
| 76801 |
|
727 |
610 |
$55K |
| 42820 |
|
13 |
13 |
$47K |
| 73630 |
|
1,217 |
945 |
$47K |
| 76805 |
|
648 |
556 |
$46K |
| 86900 |
|
923 |
695 |
$45K |
| 72082 |
|
619 |
528 |
$44K |
| 87641 |
|
1,839 |
1,492 |
$41K |
| 36415 |
|
20,610 |
14,298 |
$40K |
| 96360 |
|
548 |
414 |
$39K |
| 73610 |
|
954 |
752 |
$38K |
| 83880 |
|
1,927 |
1,394 |
$36K |
| D3220 |
|
587 |
312 |
$35K |
| 84703 |
|
6,464 |
5,212 |
$35K |
| 77067 |
|
449 |
406 |
$34K |
| 72100 |
|
737 |
551 |
$32K |
| 74176 |
|
312 |
284 |
$31K |
| 87070 |
|
4,223 |
3,557 |
$30K |
| 73130 |
|
785 |
577 |
$30K |
| 73030 |
|
920 |
663 |
$28K |
| 80048 |
|
5,356 |
3,922 |
$27K |
| 81001 |
|
12,670 |
9,813 |
$27K |
| 84484 |
|
3,869 |
2,409 |
$26K |
| 80307 |
|
595 |
463 |
$26K |
| 77077 |
|
338 |
279 |
$24K |
| 87428 |
|
449 |
387 |
$18K |
| 74018 |
|
471 |
355 |
$18K |
| 86850 |
|
748 |
557 |
$16K |
| 86901 |
|
928 |
697 |
$15K |
| 83690 |
|
3,351 |
2,601 |
$14K |
| 84443 |
|
1,222 |
1,026 |
$14K |
| 72170 |
|
225 |
186 |
$14K |
| 97530 |
|
669 |
128 |
$13K |
| D2392 |
|
204 |
108 |
$12K |
| D1120 |
|
805 |
704 |
$12K |
| 87086 |
|
2,361 |
1,855 |
$12K |
| 99211 |
|
1,648 |
1,258 |
$11K |
| 87807 |
|
1,004 |
857 |
$10K |
| D0350 |
|
527 |
456 |
$10K |
| 93303 |
|
28 |
24 |
$10K |
| D1206 |
|
746 |
635 |
$9K |
| 82962 |
|
4,486 |
2,483 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
456 |
388 |
$7K |
| 81025 |
|
1,496 |
1,119 |
$7K |
| 93306 |
|
47 |
41 |
$7K |
| 87635 |
|
177 |
169 |
$7K |
| 85730 |
|
1,410 |
1,095 |
$5K |
| 85610 |
|
1,803 |
1,362 |
$4K |
| 87591 |
|
286 |
213 |
$4K |
| 87491 |
|
286 |
213 |
$4K |
| 83605 |
|
790 |
526 |
$4K |
| D1351 |
|
469 |
122 |
$4K |
| 76856 |
|
61 |
51 |
$4K |
| 76705 |
|
68 |
54 |
$3K |
| 84702 |
|
303 |
232 |
$3K |
| 83735 |
|
1,152 |
726 |
$3K |
| D0150 |
|
547 |
465 |
$3K |
| 97140 |
|
154 |
48 |
$3K |
| 87040 |
|
241 |
185 |
$3K |
| 80061 |
|
269 |
220 |
$3K |
| 73620 |
|
32 |
28 |
$2K |
| 83036 |
|
305 |
278 |
$2K |
| 82550 |
|
389 |
303 |
$2K |
| 73502 |
|
108 |
62 |
$2K |
| 82306 |
|
137 |
98 |
$2K |
| 86756 |
|
174 |
135 |
$2K |
| 82553 |
|
250 |
184 |
$2K |
| 87077 |
|
320 |
248 |
$2K |
| 72125 |
|
42 |
36 |
$2K |
| 73110 |
|
38 |
27 |
$2K |
| 87186 |
|
250 |
199 |
$1K |
| 80164 |
|
106 |
101 |
$1K |
| 12001 |
|
14 |
13 |
$1K |
| 90471 |
|
61 |
54 |
$1K |
| 87389 |
|
70 |
46 |
$1K |
| 76816 |
|
15 |
12 |
$970.74 |
| 81003 |
|
933 |
669 |
$895.54 |
| 82947 |
|
116 |
116 |
$797.58 |
| 97161 |
|
16 |
13 |
$787.18 |
| 73590 |
|
15 |
14 |
$761.91 |
| 85018 |
|
480 |
377 |
$753.78 |
| 85014 |
|
464 |
364 |
$746.63 |
| D2330 |
|
25 |
12 |
$674.59 |
| 73090 |
|
18 |
12 |
$622.20 |
| U0002 |
Covid-19 lab test non-cdc |
31 |
27 |
$516.03 |
| 73552 |
|
12 |
12 |
$514.35 |
| 97016 |
|
49 |
13 |
$492.78 |
| 80076 |
|
99 |
75 |
$458.73 |
| 73562 |
|
15 |
12 |
$440.60 |
| 85378 |
|
89 |
67 |
$390.82 |
| 82248 |
|
132 |
106 |
$289.83 |
| 87797 |
|
14 |
12 |
$283.45 |
| J2175 |
Meperidine hydrochl /100 mg |
510 |
387 |
$264.66 |
| 86592 |
|
50 |
43 |
$195.55 |
| D0140 |
|
44 |
39 |
$190.33 |
| 82150 |
|
29 |
28 |
$185.10 |
| 87340 |
|
20 |
16 |
$144.97 |
| 86803 |
|
32 |
13 |
$139.17 |
| 85651 |
|
17 |
12 |
$107.66 |
| J7030 |
Normal saline solution infus |
7,891 |
5,742 |
$84.67 |
| J1100 |
Dexamethasone sodium phos |
8,353 |
6,521 |
$84.31 |
| G0463 |
Hospital outpt clinic visit |
646 |
502 |
$75.01 |
| 86140 |
|
20 |
15 |
$72.76 |
| J1885 |
Ketorolac tromethamine inj |
7,467 |
5,405 |
$50.54 |
| J0696 |
Ceftriaxone sodium injection |
3,530 |
2,635 |
$36.98 |
| J1170 |
Hydromorphone injection |
1,393 |
984 |
$25.32 |
| J3010 |
Fentanyl citrate injection |
4,759 |
3,585 |
$18.81 |
| J2405 |
Ondansetron hcl injection |
9,675 |
7,437 |
$18.48 |
| 84100 |
|
13 |
12 |
$16.55 |
| J2270 |
Morphine sulfate injection |
4,364 |
3,237 |
$9.84 |
| J2250 |
Inj midazolam hydrochloride |
4,376 |
3,295 |
$6.85 |
| J2550 |
Promethazine hcl injection |
325 |
206 |
$5.08 |
| J7040 |
Normal saline solution infus |
3,787 |
3,050 |
$2.64 |
| J2795 |
Ropivacaine hcl injection |
866 |
612 |
$2.57 |
| J2360 |
Orphenadrine injection |
142 |
122 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
5,425 |
4,059 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,954 |
2,139 |
$0.00 |
| 94760 |
|
1,536 |
1,162 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
308 |
219 |
$0.00 |
| 96376 |
|
477 |
307 |
$0.00 |
| J7050 |
Normal saline solution infus |
217 |
163 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
52 |
38 |
$0.00 |
| J2001 |
Lidocaine injection |
19 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
15 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,926 |
2,221 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
294 |
195 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
268 |
172 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,995 |
1,412 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
194 |
140 |
$0.00 |
| G1002 |
Cdsm medcurrent |
53 |
45 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
223 |
196 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
26 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
22 |
17 |
$0.00 |
| J2930 |
Methylprednisolone injection |
161 |
124 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
52 |
38 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
82 |
67 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
24 |
16 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
52 |
28 |
$0.00 |
| J0780 |
Prochlorperazine injection |
19 |
14 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
32 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
44 |
40 |
$0.00 |