| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
4,687 |
4,137 |
$168K |
| 99284 |
|
3,851 |
3,115 |
$119K |
| 99213 |
|
5,668 |
3,641 |
$63K |
| 99285 |
|
3,099 |
2,217 |
$55K |
| 74177 |
|
817 |
738 |
$46K |
| 0202U |
|
1,523 |
1,386 |
$45K |
| 99282 |
|
1,056 |
980 |
$33K |
| 80053 |
|
9,827 |
8,110 |
$20K |
| 87633 |
|
518 |
490 |
$18K |
| 97530 |
|
2,099 |
761 |
$18K |
| 96374 |
|
2,325 |
1,912 |
$17K |
| 70450 |
|
356 |
316 |
$16K |
| 97110 |
|
5,427 |
2,098 |
$14K |
| 85025 |
|
10,241 |
8,266 |
$12K |
| 96361 |
|
2,426 |
1,880 |
$11K |
| G0378 |
Hospital observation per hr |
154 |
122 |
$10K |
| 86140 |
|
4,392 |
3,611 |
$10K |
| 71045 |
|
1,556 |
1,358 |
$8K |
| 71046 |
|
753 |
704 |
$7K |
| 36415 |
|
12,312 |
9,776 |
$6K |
| J7120 |
Ringers lactate infusion |
2,939 |
2,458 |
$6K |
| 99214 |
|
2,306 |
1,730 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,997 |
1,788 |
$4K |
| 83690 |
|
2,299 |
1,982 |
$4K |
| 96375 |
|
1,729 |
1,373 |
$4K |
| 90837 |
|
113 |
72 |
$4K |
| 84443 |
|
3,382 |
3,175 |
$4K |
| 96365 |
|
1,371 |
772 |
$3K |
| 81001 |
|
2,537 |
2,173 |
$3K |
| 87631 |
|
114 |
107 |
$3K |
| 93005 |
|
1,977 |
1,681 |
$3K |
| J7050 |
Normal saline solution infus |
2,705 |
1,141 |
$2K |
| 96360 |
|
293 |
267 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
1,555 |
1,405 |
$2K |
| 81003 |
|
1,600 |
1,428 |
$2K |
| 80307 |
|
224 |
172 |
$2K |
| 90471 |
|
280 |
269 |
$2K |
| 73130 |
|
75 |
67 |
$2K |
| 87086 |
|
1,007 |
886 |
$2K |
| 99394 |
|
14 |
14 |
$2K |
| 84484 |
|
1,484 |
1,035 |
$2K |
| 87651 |
|
102 |
98 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
599 |
514 |
$2K |
| 82306 |
|
590 |
577 |
$1K |
| 80048 |
|
1,366 |
1,123 |
$1K |
| 80061 |
|
1,583 |
1,533 |
$1K |
| 84703 |
|
755 |
672 |
$1K |
| 97162 |
|
176 |
164 |
$1K |
| 87591 |
|
282 |
269 |
$1K |
| 87491 |
|
282 |
269 |
$1K |
| J7030 |
Normal saline solution infus |
581 |
499 |
$1K |
| 83036 |
|
1,906 |
1,844 |
$1K |
| J3010 |
Fentanyl citrate injection |
1,368 |
1,068 |
$994.39 |
| G0480 |
Drug test def 1-7 classes |
410 |
339 |
$974.71 |
| 83605 |
|
874 |
617 |
$938.09 |
| J2405 |
Ondansetron hcl injection |
1,392 |
1,195 |
$914.03 |
| 84439 |
|
381 |
361 |
$909.55 |
| 73610 |
|
41 |
37 |
$777.66 |
| 85379 |
|
50 |
38 |
$669.86 |
| 73630 |
|
72 |
63 |
$620.10 |
| 99281 |
|
15 |
12 |
$605.60 |
| 73110 |
|
32 |
26 |
$572.40 |
| J1100 |
Dexamethasone sodium phos |
402 |
369 |
$556.29 |
| 97140 |
|
1,750 |
714 |
$536.40 |
| 85027 |
|
550 |
520 |
$523.93 |
| 87798 |
|
88 |
87 |
$510.30 |
| 85610 |
|
1,612 |
1,223 |
$398.83 |
| 94640 |
|
71 |
51 |
$385.19 |
| 81025 |
|
161 |
141 |
$384.41 |
| 87186 |
|
377 |
304 |
$372.26 |
| 96372 |
|
603 |
448 |
$368.96 |
| 85652 |
|
227 |
207 |
$359.16 |
| J2704 |
Inj, propofol, 10 mg |
343 |
313 |
$351.55 |
| 83525 |
|
267 |
257 |
$341.10 |
| J2250 |
Inj midazolam hydrochloride |
498 |
441 |
$337.74 |
| J1885 |
Ketorolac tromethamine inj |
624 |
539 |
$318.15 |
| 87486 |
|
87 |
86 |
$310.50 |
| 90472 |
|
12 |
12 |
$293.96 |
| 90686 |
|
114 |
114 |
$256.48 |
| 80050 |
|
16 |
14 |
$246.60 |
| 87581 |
|
86 |
85 |
$234.00 |
| 87077 |
|
376 |
283 |
$225.80 |
| 73562 |
|
29 |
25 |
$220.50 |
| 96376 |
|
134 |
96 |
$212.40 |
| 86677 |
|
15 |
15 |
$207.89 |
| 97161 |
|
58 |
52 |
$144.90 |
| J2001 |
Lidocaine injection |
139 |
126 |
$126.32 |
| 80305 |
|
69 |
59 |
$119.69 |
| 90688 |
|
73 |
66 |
$111.37 |
| 36416 |
|
362 |
274 |
$104.40 |
| 83735 |
|
206 |
154 |
$95.39 |
| 82728 |
|
27 |
25 |
$83.70 |
| J1200 |
Diphenhydramine hcl injectio |
15 |
12 |
$68.63 |
| J0690 |
Cefazolin sodium injection |
30 |
25 |
$48.36 |
| 85651 |
|
53 |
52 |
$40.50 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
149 |
99 |
$27.00 |
| 82962 |
|
36 |
25 |
$24.30 |
| 77063 |
|
167 |
164 |
$0.00 |
| G0008 |
Admin influenza virus vac |
88 |
88 |
$0.00 |
| 85730 |
|
15 |
12 |
$0.00 |
| Q3014 |
Telehealth facility fee |
81 |
60 |
$0.00 |
| 99308 |
|
53 |
44 |
$0.00 |
| 97112 |
|
30 |
13 |
$0.00 |
| 86901 |
|
41 |
37 |
$0.00 |
| 87040 |
|
44 |
24 |
$0.00 |
| 99202 |
|
17 |
16 |
$0.00 |
| 86803 |
|
16 |
16 |
$0.00 |
| 83880 |
|
34 |
27 |
$0.00 |
| 99309 |
|
12 |
12 |
$0.00 |
| 87507 |
|
17 |
12 |
$0.00 |
| 86850 |
|
26 |
25 |
$0.00 |
| 93306 |
|
17 |
16 |
$0.00 |
| 93010 |
|
199 |
164 |
$0.00 |
| 99212 |
|
4,882 |
3,510 |
$0.00 |
| 97533 |
|
326 |
122 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$0.00 |
| 77067 |
|
167 |
164 |
$0.00 |
| 86900 |
|
41 |
37 |
$0.00 |
| 99211 |
|
437 |
373 |
$0.00 |
| 99392 |
|
34 |
34 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
35 |
25 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
19 |
17 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
64 |
64 |
$0.00 |
| 87880 |
|
28 |
28 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
12 |
12 |
$0.00 |
| 76000 |
|
34 |
27 |
$0.00 |
| 99203 |
|
14 |
14 |
$0.00 |
| 84702 |
|
18 |
12 |
$0.00 |
| 99391 |
|
23 |
23 |
$0.00 |