| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,995 |
13,407 |
$1.78M |
| 99284 |
|
7,713 |
6,660 |
$977K |
| 96361 |
|
2,953 |
1,959 |
$950K |
| 99211 |
|
9,026 |
7,766 |
$785K |
| 99285 |
|
3,256 |
2,700 |
$435K |
| 99282 |
|
3,761 |
3,266 |
$392K |
| 0240U |
|
1,861 |
1,471 |
$250K |
| 97110 |
|
3,266 |
789 |
$219K |
| 74176 |
|
763 |
612 |
$213K |
| 74177 |
|
708 |
499 |
$186K |
| 70450 |
|
594 |
468 |
$152K |
| 80053 |
|
8,993 |
7,318 |
$100K |
| 94640 |
|
637 |
450 |
$90K |
| 96365 |
|
762 |
524 |
$88K |
| 96360 |
|
322 |
181 |
$73K |
| 97016 |
|
991 |
245 |
$48K |
| 97140 |
|
1,508 |
411 |
$45K |
| 96366 |
|
261 |
153 |
$44K |
| 36415 |
|
15,146 |
11,916 |
$35K |
| 71046 |
|
922 |
766 |
$29K |
| 84443 |
|
1,428 |
1,169 |
$24K |
| 85025 |
|
14,466 |
11,647 |
$24K |
| U0003 |
Cov-19 amp prb hgh thruput |
133 |
129 |
$21K |
| 96374 |
|
4,157 |
3,292 |
$19K |
| 80061 |
|
1,003 |
862 |
$14K |
| 80048 |
|
1,539 |
1,140 |
$13K |
| 80307 |
|
874 |
681 |
$11K |
| G0378 |
Hospital observation per hr |
257 |
84 |
$11K |
| 73630 |
|
350 |
285 |
$11K |
| 84484 |
|
2,962 |
2,255 |
$10K |
| 82805 |
|
317 |
239 |
$10K |
| 77063 |
|
179 |
151 |
$9K |
| 73130 |
|
371 |
283 |
$9K |
| 74018 |
|
217 |
167 |
$9K |
| 83036 |
|
672 |
555 |
$9K |
| 93306 |
|
43 |
41 |
$9K |
| 87086 |
|
671 |
558 |
$8K |
| 73610 |
|
333 |
264 |
$8K |
| 71275 |
|
16 |
15 |
$8K |
| 87502 |
|
622 |
577 |
$7K |
| J3490 |
Drugs unclassified injection |
471 |
219 |
$6K |
| 93005 |
|
3,976 |
3,191 |
$6K |
| 96372 |
|
2,186 |
1,487 |
$6K |
| 71045 |
|
2,935 |
2,376 |
$6K |
| 0202U |
|
27 |
27 |
$6K |
| 73030 |
|
172 |
152 |
$5K |
| G0463 |
Hospital outpt clinic visit |
119 |
99 |
$5K |
| 72100 |
|
169 |
140 |
$5K |
| 81001 |
|
6,932 |
5,901 |
$5K |
| 73110 |
|
162 |
122 |
$4K |
| 82306 |
|
165 |
151 |
$4K |
| 73560 |
|
162 |
130 |
$4K |
| 82728 |
|
242 |
214 |
$4K |
| 87077 |
|
246 |
211 |
$4K |
| 85610 |
|
1,416 |
960 |
$3K |
| 76705 |
|
31 |
25 |
$3K |
| 97162 |
|
141 |
99 |
$3K |
| 85027 |
|
507 |
359 |
$3K |
| 82607 |
|
105 |
88 |
$2K |
| 97161 |
|
35 |
28 |
$2K |
| 84703 |
|
1,260 |
904 |
$2K |
| 77067 |
|
179 |
151 |
$2K |
| 83880 |
|
837 |
597 |
$2K |
| 82565 |
|
2,319 |
1,898 |
$2K |
| 80051 |
|
2,234 |
1,832 |
$2K |
| 83735 |
|
376 |
261 |
$2K |
| 84702 |
|
89 |
44 |
$1K |
| 87186 |
|
198 |
171 |
$1K |
| 80076 |
|
1,228 |
1,062 |
$1K |
| 82248 |
|
587 |
451 |
$1K |
| 99281 |
|
15 |
13 |
$1K |
| 83540 |
|
139 |
129 |
$1K |
| 96375 |
|
3,164 |
2,250 |
$1K |
| 86140 |
|
105 |
87 |
$1K |
| 87651 |
|
745 |
571 |
$1K |
| 84439 |
|
54 |
37 |
$801.66 |
| 73562 |
|
12 |
12 |
$761.56 |
| 73502 |
|
35 |
25 |
$727.98 |
| 83550 |
|
103 |
96 |
$696.16 |
| 83690 |
|
1,816 |
1,404 |
$652.38 |
| 84520 |
|
2,238 |
1,831 |
$624.97 |
| 85652 |
|
50 |
37 |
$596.00 |
| 82947 |
|
2,222 |
1,819 |
$588.59 |
| 82077 |
|
396 |
287 |
$536.24 |
| 76830 |
|
15 |
12 |
$530.51 |
| 83605 |
|
910 |
705 |
$513.62 |
| U0005 |
Infec agen detec ampli probe |
133 |
129 |
$457.36 |
| 74022 |
|
20 |
14 |
$456.34 |
| 87491 |
|
15 |
12 |
$427.60 |
| 82570 |
|
35 |
27 |
$417.74 |
| U0002 |
Covid-19 lab test non-cdc |
784 |
749 |
$400.38 |
| 36416 |
|
615 |
420 |
$344.00 |
| 87591 |
|
15 |
12 |
$213.83 |
| 87661 |
|
15 |
12 |
$213.83 |
| 85379 |
|
510 |
385 |
$136.38 |
| J1885 |
Ketorolac tromethamine inj |
3,616 |
2,868 |
$130.22 |
| 87040 |
|
177 |
141 |
$115.25 |
| 82150 |
|
30 |
24 |
$114.98 |
| 87081 |
|
134 |
130 |
$76.93 |
| 87636 |
|
69 |
65 |
$73.17 |
| 80143 |
|
35 |
26 |
$70.81 |
| 87205 |
|
13 |
12 |
$70.10 |
| J7030 |
Normal saline solution infus |
3,347 |
2,108 |
$67.63 |
| 87880 |
|
223 |
218 |
$55.78 |
| 96376 |
|
278 |
156 |
$40.03 |
| 80179 |
|
33 |
24 |
$35.40 |
| J7120 |
Ringers lactate infusion |
290 |
194 |
$29.38 |
| J2405 |
Ondansetron hcl injection |
2,245 |
1,580 |
$27.57 |
| J7050 |
Normal saline solution infus |
257 |
111 |
$16.72 |
| J1642 |
Inj heparin sodium per 10 u |
43 |
13 |
$12.75 |
| J3301 |
Triamcinolone acet inj nos |
21 |
12 |
$9.47 |
| 85730 |
|
15 |
14 |
$8.58 |
| J2930 |
Methylprednisolone injection |
173 |
96 |
$5.96 |
| J1200 |
Diphenhydramine hcl injectio |
162 |
118 |
$5.95 |
| J2704 |
Inj, propofol, 10 mg |
338 |
232 |
$5.81 |
| J2270 |
Morphine sulfate injection |
66 |
43 |
$5.28 |
| J2250 |
Inj midazolam hydrochloride |
77 |
53 |
$0.35 |
| J0696 |
Ceftriaxone sodium injection |
55 |
38 |
$0.00 |
| J1170 |
Hydromorphone injection |
108 |
60 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
17 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
31 |
26 |
$0.00 |
| J2360 |
Orphenadrine injection |
35 |
17 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
71 |
41 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,196 |
909 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
17 |
16 |
$0.00 |
| J0780 |
Prochlorperazine injection |
49 |
12 |
$0.00 |