| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
9,590 |
7,914 |
$545K |
| 99211 |
|
13,622 |
12,273 |
$434K |
| 80053 |
|
11,026 |
9,306 |
$356K |
| 85025 |
|
12,929 |
10,841 |
$342K |
| 99284 |
|
3,195 |
2,498 |
$309K |
| 99282 |
|
5,584 |
4,956 |
$193K |
| 36415 |
|
19,589 |
15,717 |
$182K |
| 0202U |
|
687 |
656 |
$170K |
| 70450 |
|
706 |
635 |
$170K |
| 0241U |
|
599 |
573 |
$87K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,106 |
1,065 |
$72K |
| 71046 |
|
1,555 |
1,390 |
$69K |
| 87070 |
|
1,521 |
1,415 |
$64K |
| 84443 |
|
3,168 |
2,854 |
$62K |
| 81001 |
|
3,534 |
3,142 |
$54K |
| 96372 |
|
2,532 |
2,226 |
$49K |
| G0378 |
Hospital observation per hr |
434 |
202 |
$45K |
| 93005 |
|
1,507 |
1,258 |
$44K |
| 86140 |
|
2,928 |
2,556 |
$39K |
| G0463 |
Hospital outpt clinic visit |
1,427 |
1,250 |
$36K |
| 96375 |
|
616 |
519 |
$35K |
| 82150 |
|
2,297 |
2,000 |
$34K |
| 83690 |
|
2,307 |
2,003 |
$34K |
| 96365 |
|
300 |
226 |
$33K |
| 99285 |
|
274 |
220 |
$31K |
| 82306 |
|
1,043 |
993 |
$31K |
| 80061 |
|
894 |
831 |
$27K |
| 96374 |
|
583 |
511 |
$24K |
| 84484 |
|
1,144 |
963 |
$22K |
| U0005 |
Infec agen detec ampli probe |
965 |
927 |
$19K |
| 82607 |
|
692 |
665 |
$19K |
| 83735 |
|
1,115 |
962 |
$16K |
| 83880 |
|
722 |
614 |
$12K |
| 87040 |
|
410 |
347 |
$12K |
| 94640 |
|
499 |
406 |
$12K |
| 80306 |
|
271 |
241 |
$11K |
| 62323 |
|
43 |
39 |
$11K |
| 74177 |
|
15 |
14 |
$9K |
| 72125 |
|
31 |
29 |
$9K |
| 83605 |
|
659 |
563 |
$9K |
| 85610 |
|
889 |
775 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
702 |
659 |
$9K |
| 84145 |
|
482 |
396 |
$8K |
| 82728 |
|
204 |
192 |
$8K |
| 80320 |
|
259 |
224 |
$8K |
| 83036 |
|
311 |
278 |
$7K |
| 80048 |
|
328 |
289 |
$7K |
| 87631 |
|
79 |
75 |
$6K |
| 74176 |
|
14 |
14 |
$5K |
| 85652 |
|
805 |
707 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
730 |
612 |
$5K |
| 82746 |
|
117 |
110 |
$5K |
| 87502 |
|
126 |
116 |
$5K |
| 84703 |
|
172 |
160 |
$5K |
| 92507 |
|
47 |
12 |
$5K |
| 80329 |
|
60 |
56 |
$4K |
| 87635 |
|
67 |
65 |
$4K |
| 83550 |
|
193 |
178 |
$4K |
| 96413 |
|
32 |
14 |
$4K |
| 87651 |
|
165 |
155 |
$4K |
| 83540 |
|
193 |
178 |
$3K |
| 99281 |
|
132 |
125 |
$3K |
| 96361 |
|
42 |
38 |
$2K |
| 82803 |
|
76 |
62 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
308 |
283 |
$2K |
| J2550 |
Promethazine hcl injection |
269 |
237 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
43 |
38 |
$1K |
| 99212 |
|
41 |
38 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
86 |
78 |
$1K |
| 84550 |
|
43 |
42 |
$1K |
| J2795 |
Ropivacaine hcl injection |
183 |
169 |
$1K |
| J2405 |
Ondansetron hcl injection |
185 |
163 |
$1K |
| 87081 |
|
60 |
58 |
$916.24 |
| J3010 |
Fentanyl citrate injection |
140 |
118 |
$897.64 |
| 87480 |
|
38 |
37 |
$719.98 |
| J1040 |
Methylprednisolone 80 mg inj |
43 |
39 |
$685.93 |
| 87660 |
|
38 |
37 |
$512.06 |
| 87510 |
|
38 |
37 |
$512.06 |
| 84439 |
|
27 |
26 |
$497.89 |
| 85018 |
|
34 |
31 |
$468.80 |
| 87430 |
|
33 |
32 |
$388.33 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16 |
15 |
$340.58 |
| 80143 |
|
16 |
14 |
$295.85 |
| 80179 |
|
14 |
12 |
$268.67 |
| 87491 |
|
13 |
13 |
$259.68 |
| 87591 |
|
13 |
13 |
$259.68 |
| J7613 |
Albuterol non-comp unit |
40 |
37 |
$159.54 |
| 84480 |
|
13 |
12 |
$107.64 |
| 87641 |
|
17 |
12 |
$64.41 |
| 87640 |
|
17 |
12 |
$64.41 |
| J1170 |
Hydromorphone injection |
15 |
12 |
$59.03 |
| J7620 |
Albuterol ipratrop non-comp |
13 |
13 |
$46.57 |
| 99217 |
|
18 |
13 |
$37.09 |
| P9604 |
One-way allow prorated trip |
15 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
302 |
203 |
$0.00 |