| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
|
2,165 |
1,697 |
$2.19M |
| 99283 |
|
30,816 |
21,146 |
$2.05M |
| 99284 |
|
28,990 |
17,084 |
$1.45M |
| 99213 |
|
48,862 |
29,683 |
$870K |
| 99214 |
|
27,957 |
17,997 |
$723K |
| U0003 |
Cov-19 amp prb hgh thruput |
22,450 |
9,438 |
$664K |
| 97530 |
|
7,152 |
1,426 |
$529K |
| 99285 |
|
7,191 |
4,420 |
$513K |
| 70450 |
|
1,691 |
1,417 |
$336K |
| 36415 |
|
14,455 |
9,148 |
$260K |
| 74177 |
|
934 |
791 |
$198K |
| 97110 |
|
4,269 |
804 |
$194K |
| 99282 |
|
5,302 |
3,181 |
$170K |
| 92507 |
|
1,882 |
577 |
$168K |
| 80053 |
|
16,213 |
10,765 |
$154K |
| 00170 |
|
9,155 |
2,938 |
$140K |
| D2930 |
|
652 |
356 |
$125K |
| 85025 |
|
17,782 |
11,643 |
$98K |
| D7140 |
|
445 |
288 |
$90K |
| 99392 |
|
1,680 |
1,369 |
$88K |
| 11042 |
|
1,361 |
429 |
$85K |
| 99203 |
|
1,858 |
1,188 |
$83K |
| 74176 |
|
445 |
359 |
$82K |
| 87400 |
|
11,671 |
6,072 |
$70K |
| 99391 |
|
1,616 |
1,216 |
$68K |
| D0272 |
|
308 |
272 |
$65K |
| G0378 |
Hospital observation per hr |
1,109 |
804 |
$63K |
| 93005 |
|
5,515 |
3,901 |
$60K |
| 99281 |
|
487 |
439 |
$56K |
| 99204 |
|
509 |
386 |
$53K |
| 99393 |
|
829 |
764 |
$52K |
| 82550 |
|
5,310 |
3,610 |
$52K |
| 82553 |
|
5,217 |
3,558 |
$47K |
| J2405 |
Ondansetron hcl injection |
6,108 |
4,365 |
$47K |
| 96365 |
|
950 |
705 |
$46K |
| 84484 |
|
5,231 |
3,529 |
$46K |
| 96360 |
|
1,053 |
754 |
$45K |
| 71045 |
|
4,972 |
3,985 |
$45K |
| 97161 |
|
252 |
230 |
$45K |
| 87426 |
|
6,248 |
5,452 |
$42K |
| 84703 |
|
2,430 |
2,089 |
$37K |
| 96374 |
|
4,772 |
3,673 |
$37K |
| 71046 |
|
1,176 |
987 |
$36K |
| 96372 |
|
5,842 |
4,455 |
$34K |
| 85610 |
|
1,890 |
1,370 |
$32K |
| 90460 |
|
3,133 |
2,254 |
$30K |
| 83519 |
|
2,951 |
2,121 |
$30K |
| 99394 |
|
508 |
451 |
$28K |
| 81001 |
|
4,919 |
3,845 |
$26K |
| 85730 |
|
1,511 |
1,120 |
$26K |
| 42820 |
|
23 |
12 |
$25K |
| 96375 |
|
1,159 |
812 |
$24K |
| 93010 |
|
2,327 |
1,544 |
$24K |
| 81003 |
|
3,264 |
2,668 |
$21K |
| 82150 |
|
1,921 |
1,522 |
$21K |
| 94640 |
|
1,356 |
710 |
$20K |
| H1000 |
Prenatal care atrisk assessm |
690 |
294 |
$19K |
| 87086 |
|
3,284 |
2,578 |
$19K |
| 87802 |
|
4,245 |
3,848 |
$17K |
| 83690 |
|
2,706 |
2,136 |
$17K |
| 73564 |
|
266 |
214 |
$15K |
| 80306 |
|
2,481 |
2,065 |
$15K |
| 96361 |
|
277 |
228 |
$13K |
| 73630 |
|
304 |
273 |
$12K |
| 94760 |
|
872 |
692 |
$11K |
| D2391 |
|
76 |
63 |
$11K |
| J2270 |
Morphine sulfate injection |
772 |
472 |
$11K |
| 84443 |
|
2,692 |
2,316 |
$10K |
| 87070 |
|
1,400 |
1,294 |
$10K |
| 80048 |
|
1,397 |
924 |
$10K |
| 94664 |
|
816 |
693 |
$9K |
| 87880 |
|
1,605 |
1,348 |
$8K |
| D0220 |
|
36 |
32 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
2,185 |
1,606 |
$7K |
| 80061 |
|
2,203 |
1,902 |
$7K |
| 87635 |
|
505 |
445 |
$6K |
| 73610 |
|
149 |
137 |
$5K |
| 87804 |
|
1,230 |
550 |
$5K |
| 99202 |
|
109 |
58 |
$4K |
| M0243 |
Casirivi and imdevi inj |
36 |
19 |
$4K |
| D3220 |
|
113 |
71 |
$4K |
| 73030 |
|
95 |
84 |
$4K |
| J3010 |
Fentanyl citrate injection |
2,635 |
2,054 |
$3K |
| 99212 |
|
202 |
154 |
$3K |
| 83036 |
|
1,763 |
1,465 |
$3K |
| 83605 |
|
199 |
154 |
$3K |
| 73130 |
|
42 |
39 |
$3K |
| 82306 |
|
885 |
807 |
$3K |
| 76856 |
|
13 |
13 |
$2K |
| 99215 |
Prolong outpt/office vis |
22 |
13 |
$2K |
| 97802 |
|
73 |
66 |
$2K |
| 0011A |
|
51 |
50 |
$2K |
| 87040 |
|
231 |
168 |
$2K |
| 77067 |
|
39 |
37 |
$2K |
| 82607 |
|
725 |
636 |
$2K |
| 83735 |
|
527 |
427 |
$1K |
| 76705 |
|
36 |
27 |
$1K |
| 00320 |
|
14 |
14 |
$1K |
| 0012A |
|
42 |
40 |
$1K |
| 87420 |
|
509 |
468 |
$1K |
| 73110 |
|
44 |
39 |
$1K |
| 86677 |
|
121 |
87 |
$1K |
| 87077 |
|
1,029 |
849 |
$909.89 |
| 99381 |
|
40 |
27 |
$791.35 |
| 87490 |
|
222 |
203 |
$763.57 |
| 87186 |
|
721 |
576 |
$682.14 |
| 99383 |
|
43 |
12 |
$644.21 |
| 99188 |
|
64 |
49 |
$641.65 |
| 72100 |
|
18 |
15 |
$547.02 |
| 90670 |
|
750 |
532 |
$540.88 |
| 90471 |
|
405 |
246 |
$505.00 |
| 99490 |
Ccm add 20min |
157 |
97 |
$475.70 |
| 87811 |
|
64 |
54 |
$472.08 |
| 36600 |
|
20 |
14 |
$379.63 |
| 90472 |
|
156 |
98 |
$355.00 |
| 99442 |
|
37 |
18 |
$312.21 |
| 87651 |
|
1,917 |
1,703 |
$309.90 |
| 99308 |
|
26 |
12 |
$300.36 |
| 20610 |
|
531 |
299 |
$172.43 |
| 84439 |
|
518 |
490 |
$148.21 |
| 90671 |
|
446 |
341 |
$147.52 |
| 82728 |
|
79 |
64 |
$145.05 |
| 80305 |
|
17 |
13 |
$126.42 |
| 90461 |
|
369 |
220 |
$120.00 |
| 84436 |
|
268 |
209 |
$98.33 |
| 99406 |
|
15 |
13 |
$95.16 |
| G2012 |
Brief check in by md/qhp |
65 |
60 |
$93.70 |
| 90686 |
|
252 |
191 |
$81.26 |
| J2930 |
Methylprednisolone injection |
225 |
162 |
$30.24 |
| 83540 |
|
92 |
80 |
$27.02 |
| 82746 |
|
82 |
76 |
$17.43 |
| 84479 |
|
151 |
107 |
$12.66 |
| J0702 |
Betamethasone acet&sod phosp |
203 |
106 |
$12.00 |
| 87590 |
|
222 |
203 |
$11.32 |
| 0013A |
|
22 |
14 |
$8.73 |
| 99173 |
|
517 |
418 |
$5.97 |
| 85027 |
|
166 |
108 |
$2.04 |
| 90672 |
|
71 |
68 |
$0.04 |
| 3078F |
|
7,621 |
5,830 |
$0.03 |
| 1159F |
|
5,167 |
3,999 |
$0.01 |
| 90723 |
|
274 |
189 |
$0.01 |
| 3074F |
|
8,050 |
6,641 |
$0.01 |
| 3008F |
|
12,343 |
9,644 |
$0.01 |
| 1126F |
|
3,567 |
3,122 |
$0.01 |
| 1160F |
|
5,699 |
4,288 |
$0.00 |
| 90633 |
|
253 |
211 |
$0.00 |
| 3077F |
|
101 |
76 |
$0.00 |
| 90710 |
|
368 |
285 |
$0.00 |
| 3725F |
|
185 |
127 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
105 |
40 |
$0.00 |
| 3046F |
|
185 |
70 |
$0.00 |
| J7120 |
Ringers lactate infusion |
155 |
91 |
$0.00 |
| 90648 |
|
326 |
213 |
$0.00 |
| 80076 |
|
20 |
13 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 85378 |
|
13 |
12 |
$0.00 |
| 1036F |
|
5,435 |
3,902 |
$0.00 |
| 1125F |
|
941 |
891 |
$0.00 |
| 1034F |
|
567 |
341 |
$0.00 |
| 3079F |
|
982 |
684 |
$0.00 |
| 92551 |
|
501 |
407 |
$0.00 |
| 3044F |
|
105 |
76 |
$0.00 |
| 90651 |
|
53 |
45 |
$0.00 |
| 90680 |
|
334 |
263 |
$0.00 |
| 99000 |
|
122 |
97 |
$0.00 |
| 90698 |
|
155 |
110 |
$0.00 |
| 90697 |
|
124 |
95 |
$0.00 |
| 3075F |
|
113 |
102 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 90696 |
|
52 |
31 |
$0.00 |
| D2335 |
|
47 |
22 |
$0.00 |
| 3080F |
|
42 |
32 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |