| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
18,559 |
17,557 |
$2.44M |
| 99283 |
|
23,248 |
22,276 |
$1.95M |
| 99285 |
|
9,937 |
9,418 |
$1.61M |
| 0241U |
|
4,091 |
3,885 |
$638K |
| 96374 |
|
5,963 |
5,580 |
$230K |
| 71045 |
|
9,506 |
9,001 |
$229K |
| 70450 |
|
1,202 |
1,136 |
$227K |
| 93005 |
|
11,985 |
11,270 |
$212K |
| 85025 |
|
30,163 |
27,333 |
$200K |
| 80053 |
|
24,489 |
22,517 |
$180K |
| 99282 |
|
2,304 |
2,238 |
$156K |
| 74177 |
|
198 |
187 |
$122K |
| 80307 |
|
1,597 |
1,348 |
$98K |
| C9803 |
Hopd covid-19 spec collect |
3,874 |
3,637 |
$96K |
| 11042 |
|
2,839 |
1,245 |
$89K |
| G0463 |
Hospital outpt clinic visit |
3,776 |
3,061 |
$82K |
| 96361 |
|
1,364 |
1,180 |
$77K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,179 |
978 |
$73K |
| 96375 |
|
3,408 |
3,086 |
$72K |
| 71046 |
|
1,457 |
1,435 |
$65K |
| 0225U |
|
177 |
155 |
$64K |
| J3490 |
Drugs unclassified injection |
15,547 |
8,561 |
$62K |
| 84484 |
|
7,416 |
6,720 |
$60K |
| 87502 |
|
984 |
970 |
$56K |
| 74176 |
|
70 |
66 |
$46K |
| 81001 |
|
13,334 |
12,610 |
$37K |
| 96365 |
|
806 |
643 |
$32K |
| 97110 |
|
911 |
267 |
$30K |
| U0003 |
Cov-19 amp prb hgh thruput |
325 |
296 |
$26K |
| 36415 |
|
15,135 |
13,898 |
$25K |
| 83690 |
|
3,780 |
3,534 |
$25K |
| 96372 |
|
1,721 |
1,430 |
$22K |
| 66984 |
|
42 |
39 |
$18K |
| 81025 |
|
2,214 |
2,063 |
$18K |
| 82552 |
|
2,120 |
2,044 |
$18K |
| 96413 |
|
350 |
196 |
$16K |
| 87086 |
|
2,026 |
1,942 |
$15K |
| 85730 |
|
3,162 |
3,060 |
$12K |
| Q0092 |
Set up port xray equipment |
3,911 |
3,791 |
$12K |
| 85610 |
|
4,085 |
3,930 |
$10K |
| J1756 |
Iron sucrose injection |
72 |
29 |
$9K |
| 83735 |
|
1,536 |
1,456 |
$9K |
| J7030 |
Normal saline solution infus |
1,862 |
828 |
$9K |
| 80048 |
|
1,184 |
1,083 |
$8K |
| 87651 |
|
215 |
207 |
$8K |
| 94760 |
|
1,864 |
1,735 |
$7K |
| 93306 |
|
93 |
91 |
$7K |
| 93010 |
|
3,204 |
1,910 |
$7K |
| 82728 |
|
580 |
532 |
$6K |
| U0005 |
Infec agen detec ampli probe |
200 |
182 |
$6K |
| 97530 |
|
428 |
229 |
$6K |
| 11043 |
|
109 |
63 |
$5K |
| 11045 |
|
129 |
69 |
$5K |
| 84466 |
|
496 |
469 |
$5K |
| 83605 |
|
518 |
481 |
$5K |
| 87635 |
|
96 |
90 |
$4K |
| 87400 |
|
169 |
163 |
$4K |
| 94640 |
|
188 |
180 |
$3K |
| 87040 |
|
216 |
213 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,261 |
1,095 |
$3K |
| 83880 |
|
115 |
114 |
$3K |
| 83540 |
|
499 |
470 |
$3K |
| C1769 |
Guide wire |
109 |
95 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
232 |
208 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
449 |
412 |
$2K |
| G0378 |
Hospital observation per hr |
95 |
51 |
$2K |
| 82607 |
|
151 |
142 |
$1K |
| 87631 |
|
21 |
21 |
$1K |
| 87088 |
|
159 |
150 |
$1K |
| 76805 |
|
14 |
14 |
$1K |
| 82746 |
|
122 |
114 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
158 |
85 |
$1K |
| 82565 |
|
311 |
296 |
$1K |
| 74018 |
|
13 |
12 |
$1K |
| Q0162 |
Ondansetron oral |
94 |
83 |
$1K |
| 77067 |
|
13 |
12 |
$970.19 |
| 81003 |
|
418 |
382 |
$941.74 |
| C1894 |
Intro/sheath, non-laser |
59 |
53 |
$908.46 |
| 84443 |
|
64 |
62 |
$892.16 |
| J0696 |
Ceftriaxone sodium injection |
105 |
98 |
$733.45 |
| J0690 |
Cefazolin sodium injection |
71 |
60 |
$718.59 |
| C1887 |
Catheter, guiding |
52 |
51 |
$706.18 |
| 93041 |
|
73 |
63 |
$629.91 |
| 86850 |
|
76 |
67 |
$567.95 |
| J2270 |
Morphine sulfate injection |
198 |
147 |
$528.27 |
| 87581 |
|
21 |
21 |
$520.31 |
| 87486 |
|
21 |
21 |
$520.31 |
| J7120 |
Ringers lactate infusion |
75 |
63 |
$494.00 |
| 96376 |
|
42 |
39 |
$481.02 |
| 84100 |
|
143 |
140 |
$445.47 |
| 80076 |
|
87 |
86 |
$399.54 |
| 82077 |
|
137 |
116 |
$397.99 |
| 96360 |
|
14 |
12 |
$388.12 |
| J3010 |
Fentanyl citrate injection |
215 |
152 |
$383.50 |
| 96367 |
|
29 |
13 |
$355.49 |
| J2001 |
Lidocaine injection |
130 |
123 |
$338.37 |
| 82962 |
|
93 |
86 |
$321.10 |
| 83036 |
|
24 |
24 |
$287.67 |
| 80061 |
|
30 |
25 |
$275.08 |
| V2632 |
Post chmbr intraocular lens |
14 |
13 |
$273.94 |
| 84165 |
|
60 |
53 |
$271.45 |
| 82378 |
|
14 |
13 |
$211.76 |
| J2250 |
Inj midazolam hydrochloride |
157 |
109 |
$210.64 |
| 87186 |
|
27 |
24 |
$179.80 |
| 87077 |
|
29 |
25 |
$176.56 |
| 83521 |
|
60 |
53 |
$136.10 |
| 77063 |
|
13 |
12 |
$133.34 |
| 83615 |
|
37 |
29 |
$126.04 |
| 83010 |
|
18 |
12 |
$108.40 |
| 87807 |
|
14 |
14 |
$104.93 |
| 82247 |
|
13 |
12 |
$85.41 |
| J0171 |
Adrenalin epinephrine inject |
45 |
41 |
$71.85 |
| J7620 |
Albuterol ipratrop non-comp |
28 |
24 |
$59.11 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
13 |
$28.29 |
| G1010 |
Cdsm stanson |
280 |
228 |
$25.79 |
| J1100 |
Dexamethasone sodium phos |
14 |
13 |
$19.74 |
| 86900 |
|
14 |
12 |
$12.85 |
| 86901 |
|
14 |
12 |
$12.85 |