| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,869 |
5,985 |
$1.04M |
| 99283 |
|
8,312 |
7,453 |
$848K |
| 99285 |
|
2,371 |
1,900 |
$400K |
| 99282 |
|
1,491 |
1,380 |
$106K |
| 74177 |
|
411 |
361 |
$87K |
| 36415 |
|
6,648 |
4,877 |
$68K |
| 96372 |
|
2,438 |
1,879 |
$53K |
| 80053 |
|
8,746 |
6,737 |
$46K |
| 70450 |
|
940 |
746 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
1,412 |
1,214 |
$35K |
| 96365 |
|
1,053 |
797 |
$35K |
| 71046 |
|
1,752 |
1,506 |
$31K |
| 99281 |
|
318 |
266 |
$28K |
| J7030 |
Normal saline solution infus |
1,627 |
1,136 |
$26K |
| 96361 |
|
1,111 |
846 |
$25K |
| 81003 |
|
4,289 |
3,555 |
$24K |
| 85025 |
|
8,088 |
6,339 |
$21K |
| 96374 |
|
2,029 |
1,670 |
$20K |
| 93005 |
|
2,851 |
2,119 |
$18K |
| 74176 |
|
116 |
93 |
$17K |
| 87804 |
|
4,288 |
3,121 |
$16K |
| 87880 |
|
2,474 |
2,290 |
$16K |
| 84484 |
|
1,920 |
1,364 |
$11K |
| 81025 |
|
1,008 |
932 |
$11K |
| 82550 |
|
1,683 |
1,252 |
$9K |
| 84703 |
|
359 |
330 |
$9K |
| 77067 |
|
225 |
203 |
$8K |
| 87086 |
|
1,264 |
1,066 |
$8K |
| 86403 |
|
372 |
348 |
$8K |
| 71045 |
|
2,033 |
1,628 |
$8K |
| 87635 |
|
184 |
172 |
$7K |
| 73130 |
|
247 |
211 |
$7K |
| 96375 |
|
1,416 |
1,132 |
$7K |
| 80305 |
|
1,050 |
903 |
$6K |
| 87426 |
|
3,151 |
2,836 |
$6K |
| 81015 |
|
1,726 |
1,415 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
1,283 |
1,066 |
$5K |
| J2405 |
Ondansetron hcl injection |
595 |
481 |
$4K |
| 85610 |
|
1,245 |
969 |
$4K |
| 73560 |
|
107 |
80 |
$4K |
| 85730 |
|
1,113 |
896 |
$4K |
| 83880 |
|
353 |
247 |
$3K |
| 84443 |
|
617 |
522 |
$3K |
| 76856 |
|
26 |
26 |
$3K |
| 76700 |
|
14 |
14 |
$3K |
| 87186 |
|
1,111 |
899 |
$3K |
| 74018 |
|
73 |
60 |
$3K |
| 83690 |
|
1,133 |
971 |
$3K |
| 94664 |
|
340 |
294 |
$3K |
| 86756 |
|
135 |
131 |
$3K |
| 72100 |
|
94 |
79 |
$3K |
| 85027 |
|
588 |
470 |
$2K |
| 73030 |
|
103 |
82 |
$2K |
| 73620 |
|
69 |
56 |
$2K |
| 87088 |
|
910 |
756 |
$2K |
| 73610 |
|
51 |
39 |
$2K |
| 87077 |
|
978 |
829 |
$2K |
| 76642 |
|
36 |
26 |
$2K |
| 87040 |
|
136 |
73 |
$1K |
| A0425 |
Ground mileage |
302 |
206 |
$1K |
| 96360 |
|
49 |
45 |
$1K |
| 80307 |
|
210 |
191 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
168 |
142 |
$897.67 |
| 76830 |
|
12 |
12 |
$848.76 |
| 80061 |
|
547 |
462 |
$631.90 |
| 87081 |
|
1,135 |
1,060 |
$599.71 |
| 85379 |
|
148 |
123 |
$593.71 |
| 82948 |
|
140 |
93 |
$463.26 |
| 83036 |
|
242 |
216 |
$299.09 |
| 96376 |
|
68 |
44 |
$298.18 |
| 85652 |
|
18 |
14 |
$229.76 |
| 82150 |
|
60 |
55 |
$192.58 |
| J2250 |
Inj midazolam hydrochloride |
53 |
38 |
$172.45 |
| 82553 |
|
36 |
28 |
$168.90 |
| 80048 |
|
59 |
41 |
$123.92 |
| 77063 |
|
173 |
155 |
$100.67 |
| J2704 |
Inj, propofol, 10 mg |
36 |
28 |
$9.32 |
| 83605 |
|
30 |
25 |
$0.00 |
| G2024 |
Spec coll snf/lab covid-19 |
52 |
51 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
35 |
26 |
$0.00 |
| 86140 |
|
22 |
12 |
$0.00 |
| A0427 |
Als1-emergency |
22 |
12 |
$0.00 |
| 88305 |
|
13 |
13 |
$0.00 |
| G0378 |
Hospital observation per hr |
16 |
14 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
21 |
17 |
$0.00 |
| G0404 |
Ekg tracing for initial prev |
15 |
13 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31 |
25 |
$0.00 |