| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
40,760 |
36,650 |
$4.19M |
| 99204 |
|
14,748 |
14,694 |
$1.41M |
| 99213 |
|
11,228 |
10,242 |
$1.03M |
| 99203 |
|
5,558 |
5,536 |
$473K |
| 99215 |
Prolong outpt/office vis |
2,621 |
2,333 |
$246K |
| 99205 |
Prolong outpt/office vis |
2,769 |
2,745 |
$233K |
| 87426 |
|
13,430 |
12,725 |
$98K |
| S9088 |
Services provided in urgent |
1,098 |
1,001 |
$84K |
| 87635 |
|
10,382 |
9,533 |
$58K |
| 96372 |
|
11,690 |
10,119 |
$28K |
| 87804 |
|
5,355 |
4,765 |
$20K |
| 94760 |
|
12,165 |
10,610 |
$17K |
| 86328 |
|
3,374 |
3,112 |
$12K |
| J1100 |
Dexamethasone sodium phos |
7,529 |
6,426 |
$12K |
| 87651 |
|
2,984 |
2,957 |
$10K |
| 99072 |
|
11,145 |
9,598 |
$9K |
| U0001 |
2019-ncov diagnostic p |
1,064 |
961 |
$7K |
| 81001 |
|
3,581 |
3,482 |
$7K |
| 87811 |
|
958 |
933 |
$6K |
| 71046 |
|
2,021 |
1,939 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
1,166 |
1,148 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
7,744 |
6,615 |
$4K |
| 87880 |
|
448 |
439 |
$4K |
| 99195 |
|
625 |
620 |
$4K |
| 97597 |
|
613 |
486 |
$3K |
| 93000 |
|
740 |
733 |
$3K |
| 11042 |
|
267 |
224 |
$3K |
| 81025 |
|
1,678 |
1,645 |
$3K |
| 87502 |
|
996 |
974 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,722 |
1,573 |
$2K |
| 73130 |
|
671 |
668 |
$2K |
| 73630 |
|
582 |
578 |
$1K |
| 94640 |
|
690 |
678 |
$1K |
| 79403 |
|
57 |
57 |
$1K |
| 73610 |
|
397 |
394 |
$1K |
| 90715 |
|
148 |
148 |
$910.71 |
| 99000 |
|
414 |
402 |
$689.41 |
| 86318 |
|
528 |
507 |
$555.20 |
| 81003 |
|
1,097 |
1,056 |
$538.12 |
| 85025 |
|
732 |
729 |
$483.75 |
| 73110 |
|
117 |
116 |
$455.21 |
| 82962 |
|
500 |
486 |
$451.33 |
| 72110 |
|
26 |
25 |
$408.38 |
| G8427 |
Docrev cur meds by elig clin |
687 |
610 |
$406.59 |
| 87807 |
|
606 |
590 |
$400.76 |
| 80053 |
|
504 |
503 |
$391.83 |
| 87633 |
|
24 |
24 |
$359.04 |
| 74018 |
|
166 |
164 |
$352.06 |
| 73560 |
|
210 |
208 |
$316.88 |
| 96360 |
|
28 |
28 |
$258.68 |
| 74022 |
|
53 |
53 |
$217.10 |
| 29540 |
|
41 |
41 |
$158.14 |
| 96374 |
|
27 |
27 |
$149.46 |
| 69210 |
|
27 |
27 |
$139.82 |
| 77086 |
|
42 |
42 |
$136.30 |
| J3301 |
Triamcinolone acet inj nos |
171 |
170 |
$134.85 |
| J7613 |
Albuterol non-comp unit |
338 |
337 |
$134.57 |
| 96365 |
|
13 |
13 |
$125.20 |
| 87631 |
|
39 |
37 |
$125.00 |
| 87279 |
|
26 |
26 |
$125.00 |
| J7030 |
Normal saline solution infus |
160 |
156 |
$95.54 |
| 96373 |
|
54 |
54 |
$59.55 |
| J1200 |
Diphenhydramine hcl injectio |
101 |
99 |
$49.29 |
| J8540 |
Oral dexamethasone |
96 |
96 |
$12.12 |
| 82247 |
|
14 |
13 |
$9.07 |
| 86308 |
|
42 |
41 |
$8.28 |
| 84460 |
|
14 |
13 |
$4.53 |
| 84450 |
|
14 |
13 |
$4.37 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$4.33 |
| 82565 |
|
14 |
13 |
$4.27 |
| 84075 |
|
14 |
13 |
$4.09 |
| 82310 |
|
14 |
13 |
$4.06 |
| 82040 |
|
14 |
13 |
$3.98 |
| 84550 |
|
14 |
13 |
$3.97 |
| 84295 |
|
27 |
26 |
$3.47 |
| 84132 |
|
27 |
26 |
$3.41 |
| 84520 |
|
14 |
13 |
$3.12 |
| 84155 |
|
14 |
13 |
$2.93 |
| 36415 |
|
215 |
215 |
$2.15 |
| S0119 |
Ondansetron 4 mg |
29 |
28 |
$1.78 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
17 |
$0.28 |
| Q0162 |
Ondansetron oral |
35 |
35 |
$0.06 |
| 36416 |
|
300 |
297 |
$0.00 |
| 87276 |
|
26 |
26 |
$0.00 |
| 86140 |
|
15 |
15 |
$0.00 |
| 72100 |
|
13 |
12 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
31 |
31 |
$0.00 |
| 87275 |
|
38 |
38 |
$0.00 |
| 82947 |
|
13 |
12 |
$0.00 |
| 10060 |
|
12 |
12 |
$0.00 |