| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
31,227 |
29,886 |
$8.75M |
| 99282 |
|
11,477 |
11,016 |
$3.08M |
| 42820 |
|
988 |
963 |
$2.65M |
| 99281 |
|
4,517 |
4,336 |
$1.14M |
| 99284 |
|
2,319 |
2,157 |
$536K |
| 95810 |
|
304 |
292 |
$368K |
| 0241U |
|
2,376 |
2,301 |
$362K |
| 69436 |
|
136 |
132 |
$196K |
| 43239 |
|
117 |
113 |
$126K |
| C9803 |
Hopd covid-19 spec collect |
3,345 |
3,241 |
$120K |
| 42830 |
|
24 |
24 |
$67K |
| G0378 |
Hospital observation per hr |
73 |
67 |
$61K |
| 95819 |
|
163 |
163 |
$52K |
| 85025 |
|
4,743 |
4,095 |
$49K |
| 54161 |
|
12 |
12 |
$34K |
| 95782 |
|
24 |
24 |
$30K |
| 80053 |
|
933 |
840 |
$22K |
| J3490 |
Drugs unclassified injection |
10,129 |
4,440 |
$21K |
| 88305 |
|
93 |
89 |
$18K |
| U0003 |
Cov-19 amp prb hgh thruput |
136 |
131 |
$15K |
| 99285 |
|
153 |
120 |
$11K |
| 96361 |
|
17 |
14 |
$11K |
| 91300 |
|
717 |
623 |
$10K |
| 0002A |
|
393 |
361 |
$10K |
| 87631 |
|
81 |
80 |
$9K |
| 0202U |
|
44 |
44 |
$9K |
| J1100 |
Dexamethasone sodium phos |
4,220 |
3,969 |
$8K |
| 0001A |
|
242 |
214 |
$6K |
| J2405 |
Ondansetron hcl injection |
3,957 |
3,566 |
$5K |
| 87635 |
|
81 |
80 |
$5K |
| 95715 |
|
12 |
12 |
$5K |
| 81001 |
|
915 |
862 |
$4K |
| J3010 |
Fentanyl citrate injection |
4,551 |
3,403 |
$4K |
| 87502 |
|
53 |
51 |
$4K |
| J7050 |
Normal saline solution infus |
107 |
90 |
$4K |
| 95700 |
|
12 |
12 |
$3K |
| 71046 |
|
188 |
182 |
$3K |
| 96374 |
|
44 |
41 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
3,139 |
2,712 |
$2K |
| 91307 |
|
130 |
130 |
$2K |
| 74240 |
|
12 |
12 |
$2K |
| 36415 |
|
669 |
629 |
$2K |
| 0071A |
|
84 |
84 |
$2K |
| J7120 |
Ringers lactate infusion |
1,127 |
774 |
$1K |
| G2023 |
Specimen collect covid-19 |
30 |
29 |
$1K |
| S0119 |
Ondansetron 4 mg |
1,238 |
1,173 |
$1K |
| 0072A |
|
46 |
46 |
$1K |
| 90656 |
|
30 |
30 |
$1K |
| 87086 |
|
209 |
201 |
$1K |
| J0690 |
Cefazolin sodium injection |
384 |
341 |
$781.46 |
| 86140 |
|
134 |
129 |
$743.23 |
| 94640 |
|
14 |
14 |
$576.24 |
| 87651 |
|
88 |
85 |
$544.19 |
| J1885 |
Ketorolac tromethamine inj |
437 |
356 |
$323.67 |
| 85046 |
|
39 |
38 |
$270.61 |
| 90471 |
|
30 |
30 |
$223.36 |
| 82728 |
|
17 |
12 |
$159.52 |
| J0131 |
Inj, acetaminophen (nos) |
38 |
37 |
$139.46 |
| 83690 |
|
28 |
24 |
$98.48 |
| 99213 |
|
1,909 |
1,751 |
$79.00 |
| U0005 |
Infec agen detec ampli probe |
136 |
131 |
$66.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
37 |
37 |
$50.68 |
| J8499 |
Oral prescrip drug non chemo |
214 |
165 |
$26.72 |
| J8540 |
Oral dexamethasone |
145 |
112 |
$11.75 |
| J2001 |
Lidocaine injection |
24 |
24 |
$8.58 |
| C1889 |
Implant/insert device, noc |
92 |
87 |
$0.00 |