| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
27,628 |
17,497 |
$1.46M |
| 99284 |
|
11,183 |
7,401 |
$611K |
| 99285 |
|
4,860 |
3,303 |
$336K |
| 74176 |
|
973 |
828 |
$191K |
| 99282 |
|
1,133 |
1,026 |
$140K |
| 80053 |
|
9,795 |
7,389 |
$107K |
| 96361 |
|
1,536 |
1,229 |
$103K |
| 87635 |
|
1,133 |
1,018 |
$101K |
| 70450 |
|
767 |
611 |
$89K |
| 96365 |
|
1,075 |
753 |
$82K |
| 41899 |
|
107 |
73 |
$75K |
| 36415 |
|
9,372 |
6,408 |
$60K |
| 96374 |
|
1,795 |
1,471 |
$58K |
| 97110 |
|
1,267 |
309 |
$55K |
| 96372 |
|
3,752 |
2,861 |
$51K |
| 85027 |
|
11,296 |
8,268 |
$48K |
| 96375 |
|
1,210 |
949 |
$42K |
| 87081 |
|
1,767 |
1,603 |
$39K |
| 93005 |
|
3,214 |
2,370 |
$35K |
| 0241U |
|
575 |
507 |
$35K |
| 81015 |
|
3,852 |
3,051 |
$34K |
| 94640 |
|
848 |
420 |
$31K |
| 87804 |
|
1,852 |
1,652 |
$28K |
| 71046 |
|
1,326 |
1,031 |
$20K |
| M0243 |
Casirivi and imdevi inj |
65 |
61 |
$18K |
| 71045 |
|
2,256 |
1,737 |
$16K |
| 84484 |
|
2,057 |
1,437 |
$14K |
| 80048 |
|
1,023 |
712 |
$13K |
| 87070 |
|
1,761 |
1,568 |
$11K |
| 81025 |
|
771 |
690 |
$10K |
| 87086 |
|
2,235 |
1,754 |
$10K |
| 94761 |
|
503 |
284 |
$9K |
| 81005 |
|
1,435 |
1,211 |
$9K |
| 84443 |
|
1,812 |
1,543 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
1,291 |
1,023 |
$8K |
| J1100 |
Dexamethasone sodium phos |
1,702 |
1,420 |
$7K |
| 83690 |
|
992 |
842 |
$7K |
| 80349 |
|
361 |
299 |
$5K |
| 83036 |
|
881 |
753 |
$5K |
| 87426 |
|
1,178 |
1,066 |
$5K |
| 87280 |
|
168 |
165 |
$4K |
| 99202 |
|
166 |
69 |
$3K |
| 83880 |
|
424 |
330 |
$3K |
| J2405 |
Ondansetron hcl injection |
910 |
688 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
531 |
451 |
$3K |
| 87428 |
|
970 |
874 |
$3K |
| 82306 |
|
180 |
162 |
$3K |
| 00170 |
|
147 |
107 |
$2K |
| 94760 |
|
167 |
120 |
$2K |
| 82550 |
|
452 |
318 |
$2K |
| 80061 |
|
1,302 |
1,119 |
$2K |
| 80324 |
|
361 |
299 |
$2K |
| 80346 |
|
362 |
300 |
$2K |
| 83992 |
|
361 |
299 |
$2K |
| 80361 |
|
361 |
299 |
$2K |
| 80367 |
|
361 |
299 |
$2K |
| 80353 |
|
361 |
299 |
$2K |
| 80358 |
|
361 |
299 |
$2K |
| 80345 |
|
361 |
299 |
$2K |
| 80368 |
|
361 |
299 |
$2K |
| 96360 |
|
107 |
93 |
$2K |
| J0690 |
Cefazolin sodium injection |
136 |
106 |
$2K |
| 77063 |
|
29 |
27 |
$2K |
| 83605 |
|
155 |
128 |
$2K |
| 93010 |
|
1,306 |
667 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
127 |
115 |
$1K |
| 83735 |
|
472 |
368 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
1,481 |
1,333 |
$1K |
| 85025 |
|
50 |
42 |
$941.94 |
| 72110 |
|
14 |
14 |
$852.78 |
| 96376 |
|
61 |
39 |
$647.33 |
| 84439 |
|
194 |
178 |
$647.33 |
| 82607 |
|
174 |
153 |
$481.22 |
| 90460 |
|
23 |
15 |
$391.46 |
| G0378 |
Hospital observation per hr |
289 |
79 |
$293.36 |
| J2930 |
Methylprednisolone injection |
17 |
13 |
$262.23 |
| 93000 |
|
14 |
14 |
$252.59 |
| 82728 |
|
13 |
12 |
$229.49 |
| 97802 |
|
20 |
13 |
$209.75 |
| 85610 |
|
35 |
31 |
$209.49 |
| 73630 |
|
15 |
13 |
$197.07 |
| J2270 |
Morphine sulfate injection |
54 |
44 |
$147.23 |
| 85651 |
|
21 |
14 |
$139.75 |
| 85379 |
|
87 |
64 |
$137.71 |
| 83718 |
|
75 |
62 |
$130.16 |
| 99406 |
|
13 |
13 |
$67.78 |
| J0131 |
Inj, acetaminophen (nos) |
80 |
65 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
27 |
26 |
$0.00 |
| 85730 |
|
27 |
25 |
$0.00 |
| 82746 |
|
13 |
12 |
$0.00 |
| 87040 |
|
22 |
13 |
$0.00 |
| J1170 |
Hydromorphone injection |
46 |
29 |
$0.00 |
| 77067 |
|
29 |
27 |
$0.00 |
| 99211 |
|
101 |
96 |
$0.00 |
| 82948 |
|
16 |
14 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
12 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
29 |
28 |
$0.00 |