| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,888 |
4,002 |
$131K |
| 99213 |
|
949 |
908 |
$84K |
| 99284 |
|
4,915 |
3,355 |
$76K |
| 99212 |
|
536 |
496 |
$31K |
| 80053 |
|
9,520 |
7,383 |
$23K |
| 97110 |
|
4,293 |
1,178 |
$22K |
| 99282 |
|
1,382 |
1,204 |
$19K |
| 74177 |
|
580 |
428 |
$18K |
| 85025 |
|
9,453 |
7,109 |
$16K |
| 99285 |
|
1,085 |
739 |
$14K |
| 96361 |
|
1,599 |
1,055 |
$12K |
| 71046 |
|
1,204 |
867 |
$11K |
| 87086 |
|
1,735 |
1,504 |
$10K |
| 92507 |
|
308 |
114 |
$9K |
| 36415 |
|
12,480 |
9,464 |
$8K |
| 87070 |
|
457 |
411 |
$7K |
| 96375 |
|
2,329 |
1,649 |
$7K |
| 96365 |
|
1,015 |
744 |
$7K |
| 93005 |
|
2,243 |
1,767 |
$6K |
| 99203 |
|
65 |
63 |
$5K |
| 82306 |
|
486 |
460 |
$5K |
| 0241U |
|
471 |
433 |
$5K |
| 96374 |
|
2,085 |
1,654 |
$5K |
| 83036 |
|
1,674 |
1,560 |
$4K |
| 99214 |
|
34 |
31 |
$3K |
| J7030 |
Normal saline solution infus |
1,827 |
1,397 |
$3K |
| 83690 |
|
701 |
558 |
$3K |
| 84443 |
|
3,367 |
3,154 |
$3K |
| 83540 |
|
478 |
447 |
$3K |
| 70450 |
|
242 |
165 |
$3K |
| 81001 |
|
1,656 |
1,354 |
$3K |
| 80061 |
|
1,165 |
1,128 |
$2K |
| 80048 |
|
1,401 |
1,168 |
$2K |
| 82150 |
|
246 |
197 |
$2K |
| 71045 |
|
1,228 |
739 |
$2K |
| 83735 |
|
974 |
785 |
$2K |
| 87880 |
|
173 |
117 |
$2K |
| 83605 |
|
1,091 |
822 |
$2K |
| 81003 |
|
2,225 |
1,813 |
$2K |
| 85651 |
|
272 |
238 |
$1K |
| 86140 |
|
261 |
227 |
$1K |
| 85027 |
|
1,960 |
1,769 |
$1K |
| 85610 |
|
1,077 |
753 |
$1K |
| 97161 |
|
148 |
127 |
$1K |
| 82728 |
|
185 |
159 |
$1K |
| 87186 |
|
432 |
380 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,707 |
1,264 |
$974.94 |
| 87804 |
|
311 |
132 |
$907.70 |
| 87077 |
|
495 |
434 |
$843.36 |
| J7120 |
Ringers lactate infusion |
193 |
167 |
$837.00 |
| 84703 |
|
195 |
159 |
$823.45 |
| J3010 |
Fentanyl citrate injection |
699 |
491 |
$679.13 |
| J1885 |
Ketorolac tromethamine inj |
1,413 |
1,107 |
$633.92 |
| 80306 |
|
253 |
216 |
$627.66 |
| 81025 |
|
248 |
187 |
$610.20 |
| J0131 |
Inj, acetaminophen (nos) |
179 |
148 |
$527.33 |
| 83550 |
|
95 |
88 |
$513.90 |
| 84439 |
|
30 |
25 |
$511.20 |
| 82607 |
|
168 |
154 |
$494.10 |
| 96372 |
|
754 |
600 |
$437.43 |
| J2270 |
Morphine sulfate injection |
163 |
108 |
$349.48 |
| 84484 |
|
869 |
648 |
$343.93 |
| 87491 |
|
369 |
340 |
$310.23 |
| 87591 |
|
370 |
340 |
$306.13 |
| 87389 |
|
15 |
13 |
$270.90 |
| 96360 |
|
36 |
29 |
$270.00 |
| 82077 |
|
126 |
111 |
$265.50 |
| J2001 |
Lidocaine injection |
307 |
235 |
$243.72 |
| 73610 |
|
46 |
36 |
$226.80 |
| J2704 |
Inj, propofol, 10 mg |
143 |
110 |
$187.65 |
| 85730 |
|
59 |
51 |
$184.19 |
| 82746 |
|
73 |
66 |
$172.80 |
| 99000 |
|
705 |
568 |
$171.90 |
| 85379 |
|
190 |
136 |
$171.00 |
| J1100 |
Dexamethasone sodium phos |
140 |
104 |
$103.50 |
| J2250 |
Inj midazolam hydrochloride |
47 |
27 |
$44.40 |
| 82962 |
|
18 |
13 |
$37.80 |
| 85652 |
|
18 |
16 |
$27.90 |
| G2023 |
Specimen collect covid-19 |
526 |
451 |
$21.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
123 |
89 |
$17.08 |
| G0378 |
Hospital observation per hr |
17 |
12 |
$0.00 |
| 82550 |
|
34 |
31 |
$0.00 |
| 96376 |
|
14 |
12 |
$0.00 |
| 97140 |
|
143 |
51 |
$0.00 |
| 86850 |
|
30 |
26 |
$0.00 |
| 82553 |
|
30 |
27 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
69 |
49 |
$0.00 |
| 83874 |
|
30 |
27 |
$0.00 |
| 94640 |
|
13 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
56 |
38 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 76377 |
|
19 |
13 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
19 |
12 |
$0.00 |
| 86900 |
|
46 |
39 |
$0.00 |
| 82570 |
|
13 |
12 |
$0.00 |
| 73562 |
|
80 |
62 |
$0.00 |
| 97530 |
|
41 |
13 |
$0.00 |