| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,295 |
12,891 |
$1.54M |
| 99284 |
|
5,084 |
4,362 |
$627K |
| 96361 |
|
1,153 |
813 |
$352K |
| 99213 |
|
7,019 |
5,679 |
$260K |
| 97110 |
|
2,541 |
726 |
$167K |
| 0241U |
|
1,457 |
1,272 |
$165K |
| 74177 |
|
602 |
486 |
$143K |
| 99282 |
|
912 |
853 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
507 |
487 |
$95K |
| 96365 |
|
568 |
430 |
$88K |
| 70450 |
|
353 |
311 |
$81K |
| 80053 |
|
5,090 |
4,463 |
$64K |
| 84443 |
|
2,473 |
2,310 |
$56K |
| 94640 |
|
425 |
284 |
$54K |
| 99285 |
|
467 |
375 |
$49K |
| 99203 |
|
944 |
888 |
$45K |
| 99214 |
|
789 |
707 |
$44K |
| 99211 |
|
442 |
360 |
$40K |
| 87651 |
|
808 |
734 |
$38K |
| 85025 |
|
10,101 |
8,566 |
$35K |
| 87635 |
|
987 |
917 |
$32K |
| 87491 |
|
674 |
616 |
$27K |
| 74176 |
|
93 |
82 |
$27K |
| 80061 |
|
1,808 |
1,696 |
$24K |
| 97140 |
|
872 |
262 |
$22K |
| 88175 |
|
1,304 |
1,251 |
$22K |
| 87880 |
|
2,118 |
1,734 |
$22K |
| 83036 |
|
1,632 |
1,531 |
$21K |
| 87624 |
|
430 |
407 |
$17K |
| 87428 |
|
612 |
505 |
$16K |
| 87591 |
|
671 |
615 |
$15K |
| 71046 |
|
515 |
453 |
$14K |
| 36415 |
|
10,532 |
8,759 |
$14K |
| G0378 |
Hospital observation per hr |
140 |
55 |
$13K |
| 82306 |
|
538 |
499 |
$13K |
| 87804 |
|
1,382 |
879 |
$12K |
| 11042 |
|
81 |
37 |
$11K |
| 87086 |
|
1,249 |
1,061 |
$11K |
| 80048 |
|
2,597 |
2,048 |
$10K |
| 93306 |
|
28 |
26 |
$8K |
| U0005 |
Infec agen detec ampli probe |
271 |
260 |
$7K |
| 84439 |
|
374 |
336 |
$7K |
| 96374 |
|
2,208 |
1,787 |
$6K |
| 87806 |
|
179 |
159 |
$6K |
| G0472 |
Hep c screen high risk/other |
187 |
169 |
$5K |
| 83540 |
|
505 |
470 |
$5K |
| 43239 |
|
14 |
13 |
$5K |
| 71045 |
|
1,175 |
989 |
$4K |
| 85652 |
|
1,146 |
1,090 |
$4K |
| 96360 |
|
16 |
12 |
$4K |
| 82728 |
|
160 |
154 |
$3K |
| 87430 |
|
457 |
405 |
$3K |
| 93005 |
|
1,769 |
1,442 |
$3K |
| 80307 |
|
181 |
143 |
$3K |
| 96375 |
|
1,766 |
1,347 |
$2K |
| 82570 |
|
238 |
206 |
$2K |
| 81001 |
|
1,600 |
1,338 |
$2K |
| 80076 |
|
438 |
344 |
$2K |
| 85027 |
|
320 |
261 |
$2K |
| 87077 |
|
245 |
201 |
$2K |
| 83550 |
|
218 |
206 |
$2K |
| 86850 |
|
112 |
105 |
$2K |
| 87186 |
|
308 |
262 |
$2K |
| 82607 |
|
80 |
74 |
$2K |
| 73630 |
|
81 |
70 |
$2K |
| 86140 |
|
236 |
202 |
$2K |
| G0463 |
Hospital outpt clinic visit |
31 |
28 |
$1K |
| 83735 |
|
679 |
523 |
$1K |
| 77063 |
|
19 |
13 |
$1K |
| 59025 |
|
19 |
13 |
$1K |
| 88305 |
|
187 |
155 |
$1K |
| 96372 |
|
905 |
621 |
$1K |
| 97162 |
|
15 |
15 |
$1K |
| 77067 |
|
35 |
28 |
$1K |
| 87661 |
|
41 |
40 |
$981.12 |
| 81003 |
|
436 |
379 |
$948.91 |
| 99204 |
|
15 |
15 |
$930.02 |
| 96376 |
|
194 |
124 |
$800.53 |
| 86900 |
|
150 |
133 |
$798.89 |
| 86901 |
|
150 |
133 |
$781.19 |
| 87070 |
|
69 |
67 |
$736.07 |
| 82962 |
|
568 |
371 |
$561.44 |
| C9803 |
Hopd covid-19 spec collect |
13 |
13 |
$545.04 |
| 84153 |
|
29 |
29 |
$534.85 |
| 87071 |
|
51 |
50 |
$485.57 |
| 86762 |
|
28 |
27 |
$466.10 |
| 84484 |
|
1,115 |
814 |
$441.28 |
| 83690 |
|
940 |
721 |
$382.72 |
| J3490 |
Drugs unclassified injection |
155 |
88 |
$370.04 |
| 80320 |
|
55 |
38 |
$370.00 |
| 73130 |
|
13 |
12 |
$327.20 |
| 82043 |
|
45 |
39 |
$310.78 |
| 85610 |
|
158 |
136 |
$303.26 |
| 73610 |
|
13 |
12 |
$269.82 |
| 84702 |
|
18 |
12 |
$196.02 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
985 |
808 |
$194.83 |
| 83880 |
|
96 |
84 |
$116.76 |
| 81025 |
|
616 |
476 |
$109.53 |
| J7030 |
Normal saline solution infus |
944 |
677 |
$100.03 |
| 90715 |
|
14 |
12 |
$87.10 |
| 87205 |
|
16 |
14 |
$76.43 |
| J7120 |
Ringers lactate infusion |
578 |
432 |
$50.67 |
| J1885 |
Ketorolac tromethamine inj |
1,135 |
824 |
$46.17 |
| 85730 |
|
34 |
28 |
$42.82 |
| 83605 |
|
127 |
104 |
$32.19 |
| 82150 |
|
125 |
118 |
$30.23 |
| 84703 |
|
52 |
41 |
$27.67 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
12 |
$24.86 |
| J1170 |
Hydromorphone injection |
157 |
129 |
$18.92 |
| J2405 |
Ondansetron hcl injection |
1,487 |
1,091 |
$14.62 |
| J3301 |
Triamcinolone acet inj nos |
16 |
13 |
$13.18 |
| J2270 |
Morphine sulfate injection |
29 |
27 |
$3.60 |
| J1100 |
Dexamethasone sodium phos |
234 |
168 |
$3.39 |
| J2550 |
Promethazine hcl injection |
35 |
25 |
$3.20 |
| J2704 |
Inj, propofol, 10 mg |
516 |
358 |
$2.16 |
| J2250 |
Inj midazolam hydrochloride |
49 |
44 |
$0.33 |
| J2930 |
Methylprednisolone injection |
15 |
13 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
37 |
34 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
139 |
121 |
$0.00 |
| 82803 |
|
33 |
28 |
$0.00 |
| 85379 |
|
18 |
14 |
$0.00 |