| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
24,814 |
21,349 |
$5.27M |
| 99283 |
|
33,876 |
30,323 |
$5.04M |
| 99285 |
|
9,911 |
8,783 |
$3.68M |
| 96374 |
|
11,469 |
9,974 |
$456K |
| 80053 |
|
33,951 |
28,404 |
$323K |
| 93005 |
|
12,075 |
10,008 |
$312K |
| 85025 |
|
32,046 |
27,259 |
$271K |
| 96375 |
|
4,616 |
3,996 |
$238K |
| 87502 |
|
3,237 |
2,926 |
$226K |
| 99282 |
|
2,388 |
2,218 |
$194K |
| 83690 |
|
8,612 |
7,528 |
$170K |
| 11042 |
|
2,492 |
1,097 |
$160K |
| 87635 |
|
6,843 |
6,082 |
$108K |
| 96361 |
|
3,435 |
2,989 |
$73K |
| 71045 |
|
6,773 |
5,716 |
$71K |
| 41899 |
|
24 |
24 |
$56K |
| C9803 |
Hopd covid-19 spec collect |
5,941 |
5,231 |
$45K |
| 80307 |
|
948 |
827 |
$42K |
| 97597 |
|
891 |
439 |
$42K |
| 81003 |
|
8,783 |
7,678 |
$42K |
| 11043 |
|
576 |
230 |
$39K |
| 84484 |
|
2,446 |
2,030 |
$36K |
| J7030 |
Normal saline solution infus |
5,269 |
4,670 |
$36K |
| 84703 |
|
2,188 |
1,983 |
$36K |
| 99281 |
|
718 |
621 |
$31K |
| 81001 |
|
4,008 |
3,450 |
$30K |
| 97110 |
|
895 |
289 |
$27K |
| G0463 |
Hospital outpt clinic visit |
1,585 |
893 |
$24K |
| 36415 |
|
9,850 |
7,150 |
$20K |
| 74177 |
|
59 |
52 |
$19K |
| 43239 |
|
117 |
95 |
$18K |
| 85027 |
|
2,959 |
2,018 |
$14K |
| 70450 |
|
80 |
61 |
$12K |
| J7120 |
Ringers lactate infusion |
1,294 |
1,177 |
$11K |
| 96372 |
|
793 |
678 |
$9K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$9K |
| 87430 |
|
712 |
658 |
$8K |
| 87081 |
|
541 |
494 |
$8K |
| 84443 |
|
845 |
642 |
$8K |
| 82803 |
|
433 |
370 |
$7K |
| 99152 |
|
336 |
293 |
$7K |
| 76805 |
|
40 |
38 |
$6K |
| 71046 |
|
147 |
135 |
$5K |
| 87651 |
|
116 |
111 |
$4K |
| 82306 |
|
117 |
114 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
544 |
434 |
$4K |
| 83036 |
|
824 |
635 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,039 |
956 |
$3K |
| 87086 |
|
212 |
181 |
$3K |
| 86592 |
|
234 |
213 |
$3K |
| 87070 |
|
245 |
155 |
$2K |
| 87075 |
|
228 |
146 |
$2K |
| J2405 |
Ondansetron hcl injection |
803 |
729 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
152 |
133 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
54 |
51 |
$2K |
| 86850 |
|
128 |
111 |
$2K |
| 87205 |
|
274 |
166 |
$1K |
| 87491 |
|
36 |
32 |
$1K |
| 96360 |
|
32 |
27 |
$1K |
| G0378 |
Hospital observation per hr |
28 |
24 |
$1K |
| 86787 |
|
62 |
53 |
$1K |
| 86803 |
|
62 |
55 |
$1K |
| 87389 |
|
54 |
45 |
$1K |
| 87801 |
|
12 |
12 |
$959.28 |
| 86901 |
|
129 |
109 |
$956.10 |
| 86900 |
|
128 |
108 |
$944.42 |
| 83605 |
|
79 |
64 |
$889.59 |
| 85610 |
|
292 |
258 |
$864.48 |
| 80061 |
|
216 |
141 |
$822.70 |
| 87186 |
|
56 |
30 |
$777.93 |
| 86762 |
|
49 |
43 |
$759.04 |
| G0480 |
Drug test def 1-7 classes |
15 |
13 |
$642.60 |
| 87340 |
|
30 |
28 |
$552.38 |
| J0690 |
Cefazolin sodium injection |
42 |
39 |
$538.88 |
| 82728 |
|
40 |
36 |
$509.28 |
| 84425 |
|
13 |
12 |
$505.40 |
| 87077 |
|
88 |
52 |
$492.89 |
| 96365 |
|
21 |
15 |
$483.78 |
| 84702 |
|
17 |
12 |
$379.30 |
| 84439 |
|
17 |
15 |
$362.50 |
| 83970 |
|
32 |
24 |
$343.66 |
| 82746 |
|
13 |
12 |
$338.80 |
| U0005 |
Infec agen detec ampli probe |
34 |
31 |
$298.62 |
| 80048 |
|
81 |
68 |
$272.95 |
| 80069 |
|
50 |
41 |
$253.88 |
| 83880 |
|
13 |
12 |
$252.70 |
| J1170 |
Hydromorphone injection |
137 |
129 |
$245.28 |
| 87653 |
|
16 |
12 |
$237.46 |
| J1100 |
Dexamethasone sodium phos |
13 |
12 |
$198.65 |
| J3010 |
Fentanyl citrate injection |
349 |
313 |
$184.92 |
| 83735 |
|
25 |
24 |
$155.89 |
| 83550 |
|
13 |
12 |
$123.20 |
| 83921 |
|
13 |
12 |
$44.80 |
| J7050 |
Normal saline solution infus |
12 |
12 |
$22.96 |
| J2270 |
Morphine sulfate injection |
53 |
50 |
$7.70 |
| 94640 |
|
19 |
12 |
$0.00 |
| 97605 |
|
32 |
12 |
$0.00 |