| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
13,855 |
12,530 |
$3.12M |
| 99283 |
|
16,936 |
15,608 |
$2.65M |
| 99285 |
|
4,247 |
3,696 |
$1.41M |
| G0463 |
Hospital outpt clinic visit |
48,289 |
38,673 |
$1.12M |
| 87636 |
|
3,793 |
3,291 |
$485K |
| 74177 |
|
431 |
377 |
$471K |
| 96374 |
|
6,742 |
6,073 |
$375K |
| 96375 |
|
3,261 |
2,706 |
$285K |
| 99213 |
|
5,978 |
5,134 |
$245K |
| 96361 |
|
3,299 |
2,934 |
$153K |
| 99199 |
|
47,632 |
46,531 |
$142K |
| 85025 |
|
20,693 |
17,733 |
$142K |
| 80053 |
|
16,375 |
14,121 |
$121K |
| 90471 |
|
9,445 |
8,046 |
$118K |
| 87428 |
|
1,402 |
1,211 |
$110K |
| 99214 |
|
2,740 |
2,447 |
$95K |
| 87637 |
|
563 |
524 |
$93K |
| 93005 |
|
3,118 |
2,686 |
$90K |
| 90472 |
|
5,907 |
5,139 |
$68K |
| U0003 |
Cov-19 amp prb hgh thruput |
796 |
630 |
$63K |
| 96413 |
|
918 |
461 |
$54K |
| 71046 |
|
687 |
631 |
$44K |
| 87880 |
|
2,433 |
2,334 |
$37K |
| 71045 |
|
1,025 |
912 |
$34K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,074 |
927 |
$33K |
| 87804 |
|
3,585 |
2,386 |
$32K |
| 81001 |
|
9,481 |
8,476 |
$29K |
| 99282 |
|
305 |
279 |
$29K |
| 92587 |
|
1,062 |
1,005 |
$26K |
| 70450 |
|
68 |
62 |
$23K |
| 90460 |
|
2,026 |
1,978 |
$20K |
| J7030 |
Normal saline solution infus |
3,672 |
3,089 |
$18K |
| 99391 |
|
176 |
101 |
$16K |
| 99392 |
|
157 |
105 |
$15K |
| 36415 |
|
6,453 |
4,849 |
$15K |
| 87389 |
|
533 |
451 |
$14K |
| 84703 |
|
1,387 |
1,226 |
$13K |
| 90837 |
|
401 |
216 |
$13K |
| 81003 |
|
5,157 |
3,839 |
$13K |
| 83690 |
|
1,889 |
1,682 |
$13K |
| 99203 |
|
399 |
389 |
$12K |
| 96127 |
|
625 |
530 |
$12K |
| 87086 |
|
1,297 |
1,117 |
$11K |
| 69436 |
|
16 |
16 |
$10K |
| 92557 |
|
410 |
395 |
$9K |
| 99493 |
|
151 |
122 |
$8K |
| 81002 |
|
1,904 |
1,406 |
$6K |
| 76816 |
|
158 |
120 |
$6K |
| 84484 |
|
772 |
536 |
$6K |
| 99215 |
Prolong outpt/office vis |
185 |
166 |
$5K |
| J7050 |
Normal saline solution infus |
805 |
495 |
$5K |
| 87070 |
|
452 |
428 |
$5K |
| 87806 |
|
182 |
179 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,105 |
990 |
$5K |
| 81025 |
|
579 |
548 |
$4K |
| 86592 |
|
833 |
732 |
$4K |
| 96372 |
|
161 |
146 |
$4K |
| 92552 |
|
183 |
153 |
$4K |
| J2405 |
Ondansetron hcl injection |
1,235 |
1,084 |
$3K |
| 99393 |
|
39 |
29 |
$3K |
| 80307 |
|
40 |
36 |
$3K |
| 96110 |
|
174 |
123 |
$2K |
| 86850 |
|
179 |
155 |
$2K |
| M0243 |
Casirivi and imdevi inj |
16 |
14 |
$2K |
| J3010 |
Fentanyl citrate injection |
339 |
311 |
$2K |
| 96360 |
|
25 |
24 |
$2K |
| 96367 |
|
92 |
50 |
$2K |
| 76805 |
|
36 |
35 |
$2K |
| 87491 |
|
49 |
40 |
$2K |
| 87591 |
|
49 |
40 |
$2K |
| 76830 |
|
50 |
46 |
$2K |
| 80061 |
|
131 |
107 |
$1K |
| 99394 |
|
13 |
12 |
$1K |
| 87807 |
|
95 |
92 |
$1K |
| 97597 |
|
42 |
25 |
$1K |
| 87651 |
|
26 |
25 |
$977.63 |
| 0011A |
|
20 |
19 |
$960.00 |
| 0012A |
|
17 |
17 |
$960.00 |
| 99212 |
|
29 |
27 |
$950.97 |
| 84112 |
|
13 |
12 |
$918.13 |
| 90686 |
|
2,701 |
2,095 |
$906.78 |
| 85027 |
|
101 |
90 |
$848.36 |
| 87081 |
|
76 |
71 |
$741.65 |
| 0031A |
|
21 |
21 |
$678.73 |
| 86901 |
|
177 |
156 |
$664.68 |
| 92567 |
|
109 |
105 |
$634.87 |
| 83036 |
|
97 |
78 |
$617.26 |
| 86900 |
|
180 |
156 |
$579.77 |
| 92570 |
|
68 |
65 |
$575.20 |
| 99494 |
|
13 |
12 |
$556.67 |
| 90791 |
|
12 |
12 |
$498.75 |
| 80076 |
|
72 |
63 |
$472.75 |
| 90474 |
|
63 |
63 |
$467.28 |
| J2270 |
Morphine sulfate injection |
93 |
77 |
$454.91 |
| 92551 |
|
178 |
132 |
$436.17 |
| 94760 |
|
418 |
386 |
$432.60 |
| J1642 |
Inj heparin sodium per 10 u |
797 |
284 |
$417.90 |
| 59025 |
|
15 |
12 |
$399.92 |
| J1100 |
Dexamethasone sodium phos |
165 |
80 |
$309.92 |
| 82950 |
|
52 |
27 |
$301.92 |
| J3490 |
Drugs unclassified injection |
92 |
76 |
$297.04 |
| 82150 |
|
49 |
46 |
$274.72 |
| D1206 |
|
17 |
12 |
$265.89 |
| 82565 |
|
59 |
51 |
$249.67 |
| 80048 |
|
42 |
38 |
$197.81 |
| J2704 |
Inj, propofol, 10 mg |
16 |
12 |
$176.51 |
| 99173 |
|
158 |
114 |
$167.99 |
| 82947 |
|
111 |
92 |
$156.48 |
| J7120 |
Ringers lactate infusion |
13 |
12 |
$154.10 |
| 86140 |
|
26 |
24 |
$153.75 |
| 90833 |
|
64 |
64 |
$151.98 |
| 85652 |
|
27 |
25 |
$83.49 |
| 90670 |
|
1,758 |
1,572 |
$76.16 |
| 90681 |
|
43 |
41 |
$73.53 |
| J0696 |
Ceftriaxone sodium injection |
16 |
15 |
$65.50 |
| 90688 |
|
100 |
26 |
$44.00 |
| 90734 |
|
16 |
15 |
$42.77 |
| 90647 |
|
405 |
390 |
$37.04 |
| 90744 |
|
12 |
12 |
$26.73 |
| 90648 |
|
97 |
90 |
$22.92 |
| 90656 |
|
124 |
118 |
$18.75 |
| 85018 |
|
16 |
15 |
$5.90 |
| 90633 |
|
41 |
38 |
$5.35 |
| 90723 |
|
575 |
501 |
$0.00 |
| 1036F |
|
1,494 |
794 |
$0.00 |
| 3008F |
|
3,337 |
1,885 |
$0.00 |
| 3074F |
|
1,788 |
1,082 |
$0.00 |
| 90698 |
|
70 |
67 |
$0.00 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90677 |
|
40 |
40 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90685 |
|
145 |
142 |
$0.00 |
| 1159F |
|
3,737 |
1,863 |
$0.00 |
| 1160F |
|
3,941 |
2,004 |
$0.00 |
| 3078F |
|
1,737 |
1,052 |
$0.00 |
| 90707 |
|
66 |
66 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |