| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
4,805 |
4,364 |
$582K |
| 99284 |
|
2,179 |
1,804 |
$284K |
| 99285 |
|
1,555 |
1,235 |
$261K |
| 96361 |
|
739 |
593 |
$39K |
| 99282 |
|
320 |
286 |
$28K |
| 0241U |
|
1,553 |
1,360 |
$16K |
| 92587 |
|
589 |
407 |
$16K |
| 74177 |
|
266 |
220 |
$15K |
| 59025 |
|
111 |
83 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
101 |
88 |
$8K |
| G0378 |
Hospital observation per hr |
391 |
167 |
$8K |
| 70450 |
|
294 |
250 |
$7K |
| 96360 |
|
215 |
196 |
$6K |
| 80053 |
|
1,225 |
944 |
$3K |
| 93306 |
|
31 |
29 |
$3K |
| 93975 |
|
36 |
28 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
345 |
297 |
$2K |
| 96374 |
|
1,049 |
813 |
$1K |
| 80048 |
|
1,114 |
747 |
$1K |
| 71046 |
|
453 |
385 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
571 |
455 |
$879.78 |
| 76705 |
|
85 |
75 |
$679.58 |
| 0202U |
|
82 |
77 |
$626.67 |
| 87081 |
|
214 |
191 |
$558.52 |
| 93005 |
|
978 |
732 |
$455.65 |
| 96372 |
|
194 |
134 |
$454.92 |
| 71275 |
|
13 |
13 |
$440.96 |
| 80305 |
|
212 |
182 |
$425.59 |
| 81001 |
|
1,158 |
921 |
$415.02 |
| 87088 |
|
495 |
414 |
$366.70 |
| 96375 |
|
732 |
546 |
$343.05 |
| 36415 |
|
1,069 |
775 |
$318.63 |
| 85025 |
|
2,522 |
1,715 |
$309.20 |
| 81025 |
|
962 |
751 |
$297.11 |
| 87635 |
|
17 |
13 |
$229.65 |
| 76856 |
|
30 |
29 |
$214.02 |
| 96365 |
|
40 |
32 |
$205.33 |
| 81002 |
|
142 |
121 |
$170.64 |
| J3010 |
Fentanyl citrate injection |
37 |
31 |
$164.67 |
| J2405 |
Ondansetron hcl injection |
718 |
506 |
$164.67 |
| 81003 |
|
207 |
185 |
$130.16 |
| 84704 |
|
66 |
49 |
$98.94 |
| 74019 |
|
76 |
72 |
$41.06 |
| 82248 |
|
57 |
50 |
$39.91 |
| 71045 |
|
683 |
554 |
$36.75 |
| 84484 |
|
775 |
479 |
$14.54 |
| 83735 |
|
340 |
227 |
$12.60 |
| 80076 |
|
313 |
240 |
$8.35 |
| 82962 |
|
136 |
108 |
$6.28 |
| 80051 |
|
72 |
46 |
$5.17 |
| 84443 |
|
77 |
65 |
$4.05 |
| 82310 |
|
72 |
46 |
$3.13 |
| 82565 |
|
102 |
66 |
$3.12 |
| 83690 |
|
642 |
500 |
$2.95 |
| 82947 |
|
74 |
48 |
$1.56 |
| 84520 |
|
74 |
48 |
$1.56 |
| 86901 |
|
97 |
83 |
$1.38 |
| J1885 |
Ketorolac tromethamine inj |
477 |
340 |
$0.00 |
| 86140 |
|
66 |
61 |
$0.00 |
| 87430 |
|
418 |
367 |
$0.00 |
| Q0162 |
Ondansetron oral |
91 |
71 |
$0.00 |
| 94640 |
|
229 |
186 |
$0.00 |
| 85730 |
|
227 |
186 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
87 |
54 |
$0.00 |
| J7611 |
Albuterol non-comp con |
68 |
63 |
$0.00 |
| 87801 |
|
40 |
39 |
$0.00 |
| 76815 |
|
27 |
17 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
21 |
14 |
$0.00 |
| 96376 |
|
53 |
35 |
$0.00 |
| 83605 |
|
103 |
89 |
$0.00 |
| 82550 |
|
15 |
14 |
$0.00 |
| 85379 |
|
45 |
43 |
$0.00 |
| 83880 |
|
16 |
15 |
$0.00 |
| J2001 |
Lidocaine injection |
13 |
12 |
$0.00 |
| 85652 |
|
31 |
30 |
$0.00 |
| 76817 |
|
20 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
15 |
12 |
$0.00 |
| J2270 |
Morphine sulfate injection |
202 |
134 |
$0.00 |
| 85610 |
|
285 |
229 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
27 |
24 |
$0.00 |
| 87210 |
|
34 |
31 |
$0.00 |
| 73610 |
|
14 |
14 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
43 |
25 |
$0.00 |
| 73630 |
|
13 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
31 |
14 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| 84100 |
|
16 |
12 |
$0.00 |