| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
10,133 |
8,076 |
$2.26M |
| 99285 |
|
5,233 |
4,132 |
$1.79M |
| 99283 |
|
11,354 |
8,991 |
$1.72M |
| 85025 |
|
20,754 |
16,107 |
$445K |
| J3490 |
Drugs unclassified injection |
14,908 |
5,145 |
$433K |
| 96374 |
|
3,966 |
3,197 |
$422K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,280 |
4,216 |
$337K |
| 97110 |
|
7,779 |
2,069 |
$337K |
| 36415 |
|
19,689 |
15,212 |
$306K |
| 80053 |
|
10,432 |
8,253 |
$286K |
| 82565 |
|
9,853 |
7,787 |
$206K |
| 82310 |
|
9,172 |
7,356 |
$180K |
| 82947 |
|
9,059 |
7,265 |
$172K |
| 96361 |
|
2,649 |
2,095 |
$168K |
| 84520 |
|
9,111 |
7,293 |
$157K |
| 84132 |
|
9,019 |
7,228 |
$151K |
| 82374 |
|
8,979 |
7,208 |
$149K |
| 82435 |
|
8,978 |
7,208 |
$148K |
| 84295 |
|
8,963 |
7,195 |
$141K |
| 84443 |
|
7,168 |
6,254 |
$137K |
| 71046 |
|
2,819 |
2,390 |
$133K |
| 80048 |
|
3,294 |
2,469 |
$130K |
| 81001 |
|
5,635 |
4,657 |
$128K |
| 96375 |
|
2,321 |
1,799 |
$117K |
| 80307 |
|
2,810 |
2,031 |
$116K |
| 82040 |
|
7,283 |
6,006 |
$113K |
| U0005 |
Infec agen detec ampli probe |
4,486 |
3,532 |
$112K |
| G0463 |
Hospital outpt clinic visit |
2,907 |
2,286 |
$112K |
| 82247 |
|
6,929 |
5,766 |
$105K |
| 84460 |
|
7,258 |
6,019 |
$104K |
| 84450 |
|
7,264 |
6,027 |
$103K |
| 84155 |
|
6,925 |
5,759 |
$99K |
| 93005 |
|
4,445 |
3,597 |
$95K |
| 84075 |
|
6,917 |
5,763 |
$92K |
| 99282 |
|
763 |
687 |
$84K |
| 74177 |
|
691 |
593 |
$82K |
| 97140 |
|
4,380 |
1,098 |
$74K |
| 84484 |
|
3,540 |
2,062 |
$73K |
| 82306 |
|
2,864 |
2,474 |
$68K |
| 87624 |
|
2,351 |
2,271 |
$67K |
| 80061 |
|
3,410 |
2,903 |
$58K |
| 88142 |
|
3,716 |
3,523 |
$53K |
| 83036 |
|
3,753 |
3,317 |
$50K |
| 87491 |
|
1,567 |
1,354 |
$50K |
| 87591 |
|
1,567 |
1,353 |
$50K |
| G0378 |
Hospital observation per hr |
1,607 |
1,344 |
$50K |
| 83690 |
|
2,186 |
1,734 |
$41K |
| 88305 |
|
2,137 |
1,878 |
$41K |
| 70450 |
|
1,127 |
981 |
$40K |
| 87086 |
|
2,785 |
2,257 |
$38K |
| 84439 |
|
2,360 |
2,085 |
$38K |
| 83735 |
|
2,129 |
1,616 |
$37K |
| 77067 |
|
241 |
213 |
$37K |
| 96360 |
|
416 |
373 |
$37K |
| 0241U |
|
387 |
349 |
$37K |
| 85610 |
|
3,779 |
2,324 |
$36K |
| 96365 |
|
400 |
262 |
$33K |
| 71045 |
|
1,036 |
868 |
$33K |
| 85027 |
|
2,308 |
1,861 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
1,705 |
1,520 |
$28K |
| 82728 |
|
2,022 |
1,873 |
$24K |
| J7030 |
Normal saline solution infus |
670 |
541 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,029 |
1,709 |
$19K |
| 82607 |
|
1,352 |
1,252 |
$19K |
| 83550 |
|
2,259 |
2,083 |
$19K |
| 99211 |
|
455 |
356 |
$18K |
| 80305 |
|
201 |
142 |
$17K |
| 84703 |
|
1,577 |
1,320 |
$16K |
| 43239 |
|
70 |
63 |
$16K |
| 81003 |
|
1,394 |
1,260 |
$16K |
| 83540 |
|
2,285 |
2,106 |
$15K |
| 77063 |
|
192 |
188 |
$15K |
| 96372 |
|
1,855 |
1,420 |
$14K |
| 83718 |
|
1,686 |
1,601 |
$11K |
| J2405 |
Ondansetron hcl injection |
1,575 |
1,219 |
$11K |
| 87502 |
|
364 |
318 |
$10K |
| 86140 |
|
829 |
662 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,733 |
1,351 |
$6K |
| 83605 |
|
307 |
230 |
$6K |
| 86666 |
|
100 |
90 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
88 |
84 |
$4K |
| 86618 |
|
262 |
249 |
$3K |
| 87389 |
|
98 |
62 |
$3K |
| 76705 |
|
24 |
24 |
$3K |
| 85652 |
|
286 |
179 |
$3K |
| 87637 |
|
35 |
33 |
$2K |
| 72125 |
|
61 |
48 |
$2K |
| 87651 |
|
50 |
38 |
$2K |
| 74176 |
|
29 |
27 |
$2K |
| 94664 |
|
281 |
229 |
$2K |
| 87635 |
|
49 |
42 |
$2K |
| 87186 |
|
69 |
62 |
$1K |
| 82962 |
|
976 |
628 |
$1K |
| 97112 |
|
35 |
12 |
$1K |
| 97162 |
|
29 |
26 |
$1K |
| 87469 |
|
12 |
12 |
$1K |
| 82746 |
|
65 |
65 |
$926.08 |
| 82248 |
|
237 |
206 |
$905.28 |
| 82570 |
|
111 |
85 |
$790.90 |
| 82465 |
|
1,696 |
1,609 |
$650.08 |
| G1004 |
Cdsm ndsc |
318 |
238 |
$597.90 |
| 86900 |
|
18 |
14 |
$576.78 |
| 97530 |
|
18 |
13 |
$561.78 |
| 73562 |
|
16 |
14 |
$542.30 |
| 86038 |
|
31 |
31 |
$451.23 |
| 87070 |
|
112 |
104 |
$425.28 |
| 84478 |
|
1,698 |
1,610 |
$383.50 |
| 86803 |
|
41 |
39 |
$381.64 |
| 82784 |
|
15 |
14 |
$301.83 |
| 73560 |
|
21 |
12 |
$218.52 |
| 87480 |
|
14 |
13 |
$210.65 |
| 87510 |
|
14 |
13 |
$210.65 |
| 87660 |
|
14 |
13 |
$210.65 |
| 81002 |
|
33 |
24 |
$202.76 |
| 82042 |
|
37 |
28 |
$194.90 |
| 85007 |
|
31 |
25 |
$146.16 |
| 84550 |
|
13 |
12 |
$69.10 |
| 83880 |
|
13 |
13 |
$64.84 |
| G0659 |
Drug test def simple all cl |
139 |
118 |
$47.89 |
| 87077 |
|
27 |
24 |
$46.32 |
| 87040 |
|
87 |
38 |
$44.61 |
| 85379 |
|
38 |
36 |
$19.44 |
| 85730 |
|
37 |
26 |
$17.19 |
| 82550 |
|
45 |
40 |
$13.17 |
| 81000 |
|
17 |
15 |
$9.06 |
| 87205 |
|
12 |
12 |
$4.07 |
| J2270 |
Morphine sulfate injection |
376 |
269 |
$2.27 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
34 |
31 |
$0.00 |
| 96376 |
|
152 |
89 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
118 |
95 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
59 |
51 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
93 |
78 |
$0.00 |
| J2060 |
Lorazepam injection |
38 |
25 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
43 |
42 |
$0.00 |
| 94640 |
|
12 |
12 |
$0.00 |
| 86901 |
|
18 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
55 |
49 |
$0.00 |
| J1170 |
Hydromorphone injection |
14 |
12 |
$0.00 |
| 86850 |
|
18 |
14 |
$0.00 |
| J7040 |
Normal saline solution infus |
300 |
260 |
$0.00 |
| J7120 |
Ringers lactate infusion |
725 |
584 |
$0.00 |
| 87631 |
|
15 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
55 |
38 |
$0.00 |