| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,969 |
15,212 |
$2.35M |
| 99285 |
|
10,098 |
8,012 |
$1.54M |
| 99282 |
|
14,164 |
10,314 |
$1.39M |
| 92507 |
|
9,890 |
2,303 |
$1.02M |
| 99284 |
|
9,431 |
7,559 |
$961K |
| 80053 |
|
26,268 |
21,356 |
$453K |
| 96361 |
|
1,058 |
826 |
$409K |
| 87635 |
|
4,036 |
3,466 |
$279K |
| 87633 |
|
1,977 |
1,834 |
$195K |
| G0463 |
Hospital outpt clinic visit |
13,771 |
8,804 |
$184K |
| 96413 |
|
1,375 |
745 |
$106K |
| 74177 |
|
420 |
339 |
$99K |
| 83605 |
|
3,740 |
3,041 |
$98K |
| 0241U |
|
1,084 |
939 |
$96K |
| 70450 |
|
402 |
331 |
$92K |
| 87486 |
|
1,981 |
1,837 |
$89K |
| J1642 |
Inj heparin sodium per 10 u |
1,687 |
692 |
$89K |
| 87491 |
|
2,457 |
2,256 |
$86K |
| 97530 |
|
3,067 |
1,020 |
$80K |
| 36415 |
|
44,702 |
35,335 |
$63K |
| 96365 |
|
622 |
423 |
$62K |
| 87591 |
|
981 |
926 |
$60K |
| 85025 |
|
29,446 |
23,676 |
$60K |
| 87086 |
|
1,906 |
1,650 |
$53K |
| 93306 |
|
360 |
289 |
$44K |
| 87581 |
|
1,982 |
1,838 |
$43K |
| A0427 |
Als1-emergency |
1,088 |
762 |
$41K |
| 97110 |
|
1,916 |
561 |
$39K |
| 76816 |
|
329 |
284 |
$34K |
| 87798 |
|
1,982 |
1,838 |
$28K |
| 84484 |
|
1,783 |
1,236 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
224 |
212 |
$25K |
| 97533 |
|
335 |
104 |
$24K |
| 81514 |
|
134 |
127 |
$18K |
| 76811 |
|
165 |
144 |
$18K |
| 86592 |
|
990 |
877 |
$17K |
| 88305 |
|
1,793 |
1,546 |
$16K |
| A0429 |
Bls-emergency |
420 |
259 |
$16K |
| 84443 |
|
1,448 |
1,275 |
$15K |
| 85027 |
|
1,217 |
1,006 |
$12K |
| 87502 |
|
250 |
233 |
$12K |
| 83036 |
|
1,102 |
968 |
$9K |
| 45380 |
|
16 |
12 |
$9K |
| 80074 |
|
362 |
317 |
$9K |
| 86703 |
|
689 |
608 |
$8K |
| 71045 |
|
3,150 |
2,560 |
$7K |
| 88175 |
|
354 |
327 |
$6K |
| 87624 |
|
192 |
172 |
$6K |
| 96374 |
|
3,503 |
2,812 |
$6K |
| 80048 |
|
466 |
368 |
$6K |
| 76856 |
|
39 |
36 |
$6K |
| 73630 |
|
91 |
73 |
$5K |
| 80307 |
|
106 |
80 |
$5K |
| A0425 |
Ground mileage |
3,182 |
2,276 |
$5K |
| 80061 |
|
613 |
525 |
$5K |
| 85007 |
|
832 |
686 |
$4K |
| 87651 |
|
124 |
112 |
$4K |
| 99214 |
|
781 |
724 |
$4K |
| 96415 |
|
18 |
13 |
$4K |
| 99213 |
|
1,186 |
1,014 |
$4K |
| 83615 |
|
1,759 |
1,140 |
$4K |
| 99212 |
|
93 |
44 |
$3K |
| 87653 |
|
75 |
71 |
$3K |
| J3010 |
Fentanyl citrate injection |
893 |
638 |
$3K |
| 86850 |
|
332 |
298 |
$3K |
| 93005 |
|
5,156 |
4,170 |
$3K |
| 86762 |
|
234 |
212 |
$3K |
| 96360 |
|
18 |
12 |
$3K |
| 36591 |
|
275 |
148 |
$3K |
| 94640 |
|
12 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
9,020 |
5,260 |
$2K |
| 80055 |
|
60 |
58 |
$2K |
| 82306 |
|
113 |
97 |
$2K |
| 80320 |
|
14 |
13 |
$2K |
| 93017 |
|
32 |
25 |
$2K |
| 62323 |
|
17 |
12 |
$2K |
| 80076 |
|
117 |
103 |
$2K |
| 96375 |
|
3,749 |
2,502 |
$1K |
| 73562 |
|
31 |
25 |
$1K |
| 86900 |
|
331 |
291 |
$1K |
| 81001 |
|
8,916 |
7,513 |
$1K |
| 82950 |
|
193 |
180 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
182 |
152 |
$1K |
| 36000 |
|
472 |
267 |
$1K |
| 97140 |
|
448 |
142 |
$967.79 |
| 87077 |
|
102 |
94 |
$864.21 |
| 93975 |
|
26 |
24 |
$804.19 |
| 87340 |
|
127 |
111 |
$757.29 |
| 83735 |
|
365 |
286 |
$647.40 |
| 87661 |
|
51 |
47 |
$455.81 |
| J2405 |
Ondansetron hcl injection |
1,165 |
980 |
$420.00 |
| 84439 |
|
31 |
26 |
$419.80 |
| J1885 |
Ketorolac tromethamine inj |
1,881 |
1,600 |
$374.08 |
| 86803 |
|
96 |
85 |
$342.57 |
| J0690 |
Cefazolin sodium injection |
72 |
51 |
$314.47 |
| J3490 |
Drugs unclassified injection |
52 |
25 |
$313.72 |
| 84703 |
|
1,645 |
1,405 |
$304.17 |
| 94761 |
|
727 |
395 |
$233.45 |
| 85379 |
|
44 |
37 |
$215.30 |
| 83690 |
|
3,613 |
3,056 |
$207.91 |
| 99203 |
|
33 |
31 |
$207.72 |
| 82728 |
|
14 |
12 |
$204.70 |
| 72125 |
|
14 |
12 |
$150.71 |
| 71046 |
|
342 |
319 |
$128.12 |
| 96372 |
|
94 |
84 |
$111.43 |
| G0378 |
Hospital observation per hr |
47 |
37 |
$97.20 |
| G0008 |
Admin influenza virus vac |
24 |
15 |
$72.66 |
| 85660 |
|
13 |
12 |
$65.79 |
| J2704 |
Inj, propofol, 10 mg |
2,052 |
1,742 |
$53.04 |
| 93010 |
|
890 |
790 |
$51.51 |
| 36416 |
|
20 |
18 |
$49.64 |
| 82077 |
|
215 |
162 |
$47.30 |
| 80305 |
|
153 |
119 |
$44.75 |
| 99231 |
|
31 |
12 |
$41.13 |
| 84145 |
|
28 |
26 |
$31.56 |
| 82043 |
|
15 |
12 |
$30.42 |
| J1100 |
Dexamethasone sodium phos |
266 |
126 |
$23.44 |
| 90471 |
|
28 |
23 |
$22.48 |
| 85610 |
|
77 |
37 |
$19.52 |
| J3301 |
Triamcinolone acet inj nos |
13 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
157 |
147 |
$0.00 |
| 92557 |
|
13 |
13 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
202 |
162 |
$0.00 |
| 99211 |
|
52 |
39 |
$0.00 |
| 99152 |
|
17 |
15 |
$0.00 |
| 90837 |
|
15 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
40 |
32 |
$0.00 |
| 81002 |
|
21 |
13 |
$0.00 |
| E0445 |
Oximeter non-invasive |
38 |
30 |
$0.00 |
| 99204 |
|
12 |
12 |
$0.00 |
| 96367 |
|
27 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
17 |
12 |
$0.00 |
| 99238 |
|
16 |
13 |
$0.00 |
| T5999 |
Supply, nos |
17 |
15 |
$0.00 |
| 81025 |
|
27 |
25 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
21 |
12 |
$0.00 |
| 99347 |
|
19 |
19 |
$0.00 |
| 90834 |
|
276 |
159 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,022 |
513 |
$0.00 |
| 99309 |
|
142 |
129 |
$0.00 |
| 88304 |
|
109 |
97 |
$0.00 |
| 87040 |
|
61 |
27 |
$0.00 |
| A4556 |
Electrodes, pair |
39 |
31 |
$0.00 |
| 99308 |
|
99 |
91 |
$0.00 |
| J2001 |
Lidocaine injection |
125 |
102 |
$0.00 |
| Q0162 |
Ondansetron oral |
19 |
13 |
$0.00 |
| 94760 |
|
103 |
59 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
13 |
12 |
$0.00 |
| 86140 |
|
51 |
42 |
$0.00 |
| 99232 |
|
88 |
42 |
$0.00 |
| 97162 |
|
19 |
17 |
$0.00 |
| 92567 |
|
15 |
15 |
$0.00 |
| 88342 |
|
39 |
26 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
14 |
13 |
$0.00 |