| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
20,544 |
19,176 |
$4.97M |
| 99283 |
|
8,810 |
8,358 |
$977K |
| 99282 |
|
4,900 |
4,737 |
$547K |
| 99285 |
|
1,850 |
1,569 |
$248K |
| 96374 |
|
1,787 |
1,661 |
$206K |
| 80048 |
|
16,685 |
15,158 |
$159K |
| 99460 |
|
1,509 |
1,490 |
$83K |
| 99239 |
|
1,174 |
1,111 |
$68K |
| 0241U |
|
426 |
419 |
$58K |
| 99238 |
|
1,084 |
1,068 |
$46K |
| 99232 |
|
948 |
429 |
$38K |
| 71046 |
|
2,701 |
2,558 |
$37K |
| 93005 |
|
2,331 |
1,942 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
162 |
146 |
$21K |
| 99464 |
|
514 |
507 |
$17K |
| 96375 |
|
386 |
348 |
$16K |
| 87636 |
|
126 |
120 |
$15K |
| J8499 |
Oral prescrip drug non chemo |
22,799 |
11,364 |
$13K |
| 74177 |
|
348 |
330 |
$7K |
| 99462 |
|
240 |
189 |
$4K |
| 99222 |
|
68 |
64 |
$4K |
| 85025 |
|
10,932 |
9,983 |
$4K |
| 87635 |
|
105 |
95 |
$4K |
| U0003 |
Cov-19 amp prb hgh thruput |
30 |
30 |
$3K |
| 99217 |
|
39 |
38 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
23 |
14 |
$2K |
| G0463 |
Hospital outpt clinic visit |
13 |
13 |
$1K |
| 70450 |
|
170 |
162 |
$1K |
| G0378 |
Hospital observation per hr |
23 |
12 |
$1K |
| 93010 |
|
1,509 |
1,226 |
$953.32 |
| 71045 |
|
246 |
157 |
$898.11 |
| 76856 |
|
42 |
39 |
$366.10 |
| 80076 |
|
654 |
574 |
$321.16 |
| 84484 |
|
754 |
557 |
$220.22 |
| J7030 |
Normal saline solution infus |
164 |
149 |
$204.83 |
| J7120 |
Ringers lactate infusion |
473 |
420 |
$202.39 |
| 81025 |
|
177 |
169 |
$127.80 |
| 85027 |
|
248 |
231 |
$118.44 |
| 81001 |
|
492 |
457 |
$96.60 |
| 87430 |
|
12 |
12 |
$53.10 |
| 83690 |
|
246 |
227 |
$30.35 |
| J1885 |
Ketorolac tromethamine inj |
105 |
94 |
$12.52 |
| J1100 |
Dexamethasone sodium phos |
31 |
30 |
$6.50 |
| J1170 |
Hydromorphone injection |
15 |
12 |
$2.79 |
| J2405 |
Ondansetron hcl injection |
43 |
39 |
$2.58 |
| J8597 |
Antiemetic drug oral nos |
27 |
26 |
$0.16 |
| 74176 |
|
33 |
31 |
$0.00 |
| A9270 |
Non-covered item or service |
43 |
28 |
$0.00 |
| J2060 |
Lorazepam injection |
27 |
26 |
$0.00 |
| 71275 |
|
14 |
12 |
$0.00 |
| 76700 |
|
31 |
29 |
$0.00 |