| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
3,377 |
2,796 |
$380K |
| 99282 |
|
4,632 |
4,120 |
$293K |
| 92507 |
|
4,510 |
1,134 |
$287K |
| 99284 |
|
595 |
460 |
$97K |
| 80053 |
|
3,309 |
2,955 |
$94K |
| 36415 |
|
6,903 |
5,599 |
$70K |
| 85025 |
|
4,238 |
3,737 |
$58K |
| 93005 |
|
430 |
350 |
$33K |
| 97530 |
|
721 |
235 |
$31K |
| G0463 |
Hospital outpt clinic visit |
633 |
384 |
$22K |
| 96372 |
|
439 |
363 |
$22K |
| 84484 |
|
435 |
355 |
$21K |
| 86140 |
|
808 |
709 |
$16K |
| 83605 |
|
295 |
241 |
$14K |
| 80305 |
|
1,559 |
1,369 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
77 |
73 |
$9K |
| 0202U |
|
33 |
32 |
$8K |
| 87804 |
|
469 |
287 |
$8K |
| 71045 |
|
330 |
232 |
$8K |
| 81001 |
|
774 |
691 |
$7K |
| 96361 |
|
134 |
102 |
$7K |
| 96374 |
|
246 |
220 |
$7K |
| 80307 |
|
128 |
105 |
$7K |
| 80048 |
|
195 |
170 |
$6K |
| 80306 |
|
127 |
114 |
$5K |
| 87635 |
|
52 |
50 |
$3K |
| 96375 |
|
50 |
39 |
$3K |
| 71046 |
|
111 |
80 |
$3K |
| 82077 |
|
99 |
92 |
$3K |
| 87880 |
|
222 |
203 |
$3K |
| 83690 |
|
182 |
159 |
$3K |
| 83036 |
|
126 |
123 |
$3K |
| 87651 |
|
94 |
75 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
471 |
400 |
$2K |
| 80061 |
|
66 |
61 |
$2K |
| 84443 |
|
103 |
95 |
$2K |
| 87081 |
|
176 |
159 |
$2K |
| 82150 |
|
148 |
133 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
81 |
78 |
$2K |
| J7030 |
Normal saline solution infus |
201 |
172 |
$2K |
| 87798 |
|
19 |
17 |
$1K |
| 84703 |
|
56 |
48 |
$1K |
| 83880 |
|
16 |
14 |
$829.12 |
| 83874 |
|
14 |
12 |
$829.12 |
| 74019 |
|
14 |
12 |
$646.94 |
| J1030 |
Methylprednisolone 40 mg inj |
28 |
25 |
$589.25 |
| 87486 |
|
19 |
17 |
$572.88 |
| 87581 |
|
19 |
17 |
$572.88 |
| 81003 |
|
42 |
39 |
$274.62 |
| 82550 |
|
33 |
27 |
$261.53 |
| J1040 |
Methylprednisolone 80 mg inj |
16 |
16 |
$258.40 |
| 82553 |
|
15 |
13 |
$252.94 |
| J2704 |
Inj, propofol, 10 mg |
27 |
25 |
$230.55 |
| 87807 |
|
25 |
22 |
$226.36 |
| 83735 |
|
14 |
12 |
$212.18 |
| 82728 |
|
12 |
12 |
$210.74 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
24 |
$180.92 |
| 85610 |
|
14 |
12 |
$146.98 |
| 99214 |
|
31 |
26 |
$70.58 |
| J2405 |
Ondansetron hcl injection |
14 |
12 |
$53.51 |
| A9270 |
Non-covered item or service |
17 |
12 |
$0.00 |