| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
13,853 |
12,388 |
$859K |
| 99284 |
|
7,501 |
6,644 |
$783K |
| 11042 |
|
1,544 |
615 |
$218K |
| 99282 |
|
3,342 |
3,085 |
$137K |
| 71046 |
|
2,417 |
2,199 |
$87K |
| 99281 |
|
2,755 |
2,537 |
$78K |
| 99285 |
|
612 |
548 |
$72K |
| 70450 |
|
440 |
398 |
$68K |
| 87804 |
|
2,081 |
1,899 |
$53K |
| 80053 |
|
7,262 |
6,308 |
$53K |
| 85025 |
|
9,671 |
8,321 |
$52K |
| 93005 |
|
1,217 |
1,073 |
$40K |
| 29881 |
|
68 |
65 |
$38K |
| 41899 |
|
139 |
125 |
$37K |
| 96375 |
|
982 |
858 |
$33K |
| 96372 |
|
1,982 |
1,703 |
$33K |
| 80307 |
|
583 |
496 |
$30K |
| 96374 |
|
1,133 |
1,026 |
$24K |
| 71045 |
|
1,294 |
1,112 |
$23K |
| 81001 |
|
6,506 |
5,659 |
$16K |
| 80050 |
|
383 |
367 |
$15K |
| J2405 |
Ondansetron hcl injection |
2,969 |
2,600 |
$13K |
| G0378 |
Hospital observation per hr |
245 |
203 |
$13K |
| 69436 |
|
60 |
44 |
$13K |
| 96365 |
|
305 |
276 |
$12K |
| 81025 |
|
1,858 |
1,680 |
$12K |
| 84484 |
|
1,489 |
1,217 |
$10K |
| 82553 |
|
1,334 |
1,080 |
$9K |
| J7030 |
Normal saline solution infus |
1,667 |
1,350 |
$9K |
| 74177 |
|
12 |
12 |
$8K |
| 96361 |
|
542 |
489 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
2,317 |
2,143 |
$6K |
| 82550 |
|
1,493 |
1,222 |
$6K |
| 94640 |
|
196 |
176 |
$6K |
| 87086 |
|
910 |
823 |
$6K |
| 80061 |
|
487 |
454 |
$5K |
| 72100 |
|
129 |
125 |
$5K |
| 84439 |
|
510 |
480 |
$4K |
| 87081 |
|
535 |
503 |
$3K |
| 66984 |
|
44 |
28 |
$3K |
| 83690 |
|
626 |
551 |
$3K |
| 80048 |
|
576 |
503 |
$3K |
| 17250 |
|
103 |
54 |
$3K |
| 36415 |
|
1,178 |
1,040 |
$2K |
| 83036 |
|
307 |
281 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,975 |
1,725 |
$2K |
| 43239 |
|
26 |
14 |
$2K |
| 84480 |
|
354 |
332 |
$2K |
| 97597 |
|
114 |
58 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
34 |
32 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
257 |
246 |
$1K |
| 83880 |
|
78 |
61 |
$1K |
| G0463 |
Hospital outpt clinic visit |
129 |
87 |
$947.90 |
| 87420 |
|
66 |
62 |
$862.92 |
| Q0162 |
Ondansetron oral |
40 |
40 |
$807.40 |
| 81003 |
|
403 |
382 |
$781.21 |
| 83735 |
|
148 |
136 |
$780.54 |
| J1200 |
Diphenhydramine hcl injectio |
111 |
87 |
$772.38 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
100 |
88 |
$746.38 |
| 77067 |
|
13 |
13 |
$658.20 |
| 88305 |
|
70 |
60 |
$595.07 |
| 73562 |
|
14 |
12 |
$572.61 |
| 86140 |
|
123 |
116 |
$556.61 |
| 87491 |
|
13 |
13 |
$509.04 |
| 87591 |
|
13 |
13 |
$509.04 |
| U0003 |
Cov-19 amp prb hgh thruput |
25 |
19 |
$500.00 |
| 82150 |
|
120 |
94 |
$485.75 |
| J1170 |
Hydromorphone injection |
1,056 |
820 |
$468.76 |
| 87661 |
|
13 |
13 |
$462.12 |
| 96376 |
|
12 |
12 |
$361.20 |
| J2250 |
Inj midazolam hydrochloride |
939 |
816 |
$325.84 |
| J1030 |
Methylprednisolone 40 mg inj |
83 |
66 |
$303.26 |
| 82306 |
|
12 |
12 |
$266.40 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
15 |
$200.06 |
| J2175 |
Meperidine hydrochl /100 mg |
440 |
376 |
$177.86 |
| 80320 |
|
12 |
12 |
$161.52 |
| 86038 |
|
12 |
12 |
$135.10 |
| 86403 |
|
12 |
12 |
$113.90 |
| 83550 |
|
13 |
13 |
$88.65 |
| 87077 |
|
13 |
12 |
$80.73 |
| 82043 |
|
12 |
12 |
$58.32 |
| 85027 |
|
17 |
12 |
$58.11 |
| 82962 |
|
31 |
26 |
$57.73 |
| J3010 |
Fentanyl citrate injection |
944 |
846 |
$54.16 |
| 83540 |
|
13 |
13 |
$51.12 |
| J2550 |
Promethazine hcl injection |
45 |
41 |
$27.95 |
| J1100 |
Dexamethasone sodium phos |
371 |
340 |
$8.89 |
| J2274 |
Inj morphine pf epid ithc |
29 |
14 |
$5.76 |
| C1780 |
Lens, intraocular (new tech) |
44 |
28 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
39 |
27 |
$0.00 |
| J7040 |
Normal saline solution infus |
38 |
28 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
25 |
24 |
$0.00 |
| L8699 |
Prosthetic implant nos |
48 |
44 |
$0.00 |