| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
35,491 |
31,026 |
$5.88M |
| 99285 |
|
23,031 |
16,696 |
$5.13M |
| 99284 |
|
25,599 |
19,894 |
$4.38M |
| 99283 |
|
28,433 |
21,890 |
$4.04M |
| 85025 |
|
23,982 |
22,262 |
$2.06M |
| X4011 |
|
8,753 |
8,217 |
$1.42M |
| 80053 |
|
18,138 |
17,070 |
$1.37M |
| 93005 |
|
9,216 |
8,565 |
$773K |
| 92507 |
|
4,373 |
1,682 |
$684K |
| 97530 |
|
4,033 |
1,447 |
$581K |
| 96374 |
|
4,119 |
3,878 |
$550K |
| 87804 |
|
1,595 |
1,385 |
$448K |
| 81001 |
|
3,096 |
2,940 |
$430K |
| 81003 |
|
4,057 |
3,886 |
$395K |
| 71045 |
|
5,332 |
5,067 |
$392K |
| 80048 |
|
2,124 |
2,000 |
$381K |
| 97112 |
|
2,619 |
1,004 |
$368K |
| 83690 |
|
3,277 |
3,113 |
$263K |
| 81025 |
|
1,433 |
1,382 |
$260K |
| 71046 |
|
782 |
755 |
$253K |
| 99213 |
|
717 |
492 |
$220K |
| 87880 |
|
688 |
680 |
$220K |
| 87081 |
|
516 |
509 |
$168K |
| 80307 |
|
1,291 |
1,214 |
$162K |
| X4003 |
|
1,577 |
940 |
$159K |
| 96413 |
|
959 |
542 |
$151K |
| X4006 |
|
361 |
284 |
$131K |
| 70450 |
|
413 |
393 |
$110K |
| 84484 |
|
2,857 |
2,236 |
$107K |
| 96375 |
|
2,583 |
2,055 |
$103K |
| 0241U |
|
852 |
837 |
$101K |
| 66984 |
|
196 |
141 |
$97K |
| 99282 |
|
803 |
624 |
$80K |
| 87086 |
|
231 |
209 |
$77K |
| 74177 |
|
183 |
175 |
$68K |
| 87636 |
|
1,113 |
998 |
$68K |
| 97110 |
|
1,132 |
230 |
$59K |
| 96365 |
|
613 |
398 |
$56K |
| G0463 |
Hospital outpt clinic visit |
580 |
446 |
$52K |
| 85610 |
|
611 |
578 |
$38K |
| Y7507 |
|
904 |
492 |
$35K |
| 87807 |
|
80 |
79 |
$30K |
| G0378 |
Hospital observation per hr |
64 |
63 |
$25K |
| 85730 |
|
357 |
336 |
$22K |
| 95811 |
|
40 |
40 |
$21K |
| 97140 |
|
262 |
64 |
$21K |
| J3490 |
Drugs unclassified injection |
4,326 |
2,820 |
$20K |
| 96367 |
|
347 |
173 |
$17K |
| 88305 |
|
106 |
104 |
$13K |
| 83735 |
|
416 |
394 |
$12K |
| 94640 |
|
71 |
65 |
$11K |
| 82150 |
|
50 |
48 |
$11K |
| Q3014 |
Telehealth facility fee |
613 |
603 |
$10K |
| 95810 |
|
24 |
24 |
$9K |
| 83880 |
|
408 |
387 |
$9K |
| 96372 |
|
146 |
142 |
$8K |
| 87040 |
|
15 |
13 |
$7K |
| 72125 |
|
13 |
12 |
$5K |
| 86140 |
|
336 |
318 |
$5K |
| 87088 |
|
14 |
12 |
$4K |
| 83605 |
|
136 |
125 |
$3K |
| 73630 |
|
128 |
119 |
$2K |
| 94761 |
|
28 |
28 |
$2K |
| 82077 |
|
139 |
127 |
$2K |
| 87635 |
|
137 |
130 |
$2K |
| 76856 |
|
24 |
24 |
$2K |
| 84443 |
|
160 |
145 |
$1K |
| 80143 |
|
69 |
64 |
$1K |
| 80179 |
|
66 |
61 |
$1K |
| 96523 |
|
25 |
25 |
$615.40 |
| 86900 |
|
12 |
12 |
$408.00 |
| J7050 |
Normal saline solution infus |
711 |
414 |
$401.61 |
| 86901 |
|
12 |
12 |
$243.62 |
| U0003 |
Cov-19 amp prb hgh thruput |
13 |
13 |
$200.00 |
| J7030 |
Normal saline solution infus |
63 |
61 |
$144.14 |
| 84702 |
|
12 |
12 |
$94.18 |
| J7040 |
Normal saline solution infus |
15 |
13 |
$77.23 |
| 87400 |
|
28 |
28 |
$70.72 |
| 85379 |
|
17 |
15 |
$36.64 |
| J1642 |
Inj heparin sodium per 10 u |
803 |
532 |
$17.63 |
| J0171 |
Adrenalin epinephrine inject |
18 |
12 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
18 |
12 |
$0.00 |