| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,091 |
13,129 |
$3.08M |
| 99283 |
|
19,916 |
18,871 |
$2.88M |
| 96374 |
|
7,724 |
7,152 |
$834K |
| 99285 |
|
1,912 |
1,723 |
$678K |
| 99282 |
|
6,915 |
6,540 |
$578K |
| 71045 |
|
3,560 |
3,320 |
$191K |
| 93306 |
|
641 |
604 |
$185K |
| 96375 |
|
4,925 |
4,350 |
$176K |
| 74177 |
|
785 |
743 |
$166K |
| 71046 |
|
2,045 |
1,898 |
$112K |
| 96361 |
|
2,440 |
2,207 |
$108K |
| G0463 |
Hospital outpt clinic visit |
1,572 |
1,019 |
$100K |
| 80053 |
|
27,430 |
25,308 |
$74K |
| 87635 |
|
1,469 |
1,406 |
$72K |
| 11042 |
|
367 |
182 |
$63K |
| 80061 |
|
4,476 |
4,360 |
$49K |
| 70450 |
|
916 |
857 |
$45K |
| 87491 |
|
1,364 |
1,283 |
$42K |
| 87591 |
|
1,364 |
1,283 |
$38K |
| 84443 |
|
2,723 |
2,646 |
$37K |
| U0002 |
Covid-19 lab test non-cdc |
652 |
638 |
$32K |
| 87480 |
|
2,019 |
1,849 |
$31K |
| 87660 |
|
2,019 |
1,849 |
$29K |
| 87510 |
|
2,019 |
1,849 |
$29K |
| 97597 |
|
358 |
181 |
$25K |
| J8499 |
Oral prescrip drug non chemo |
16,010 |
7,618 |
$24K |
| 96365 |
|
156 |
140 |
$19K |
| 80050 |
|
356 |
339 |
$17K |
| 87502 |
|
2,011 |
1,907 |
$16K |
| 90870 |
|
80 |
27 |
$14K |
| 83036 |
|
1,711 |
1,678 |
$13K |
| 87634 |
|
1,147 |
1,093 |
$9K |
| 84439 |
|
993 |
960 |
$8K |
| 85025 |
|
20,455 |
18,428 |
$8K |
| 87631 |
|
302 |
293 |
$6K |
| 41899 |
|
29 |
26 |
$6K |
| 87651 |
|
171 |
169 |
$4K |
| 87081 |
|
470 |
449 |
$3K |
| J3490 |
Drugs unclassified injection |
13,461 |
8,481 |
$3K |
| 71250 |
|
37 |
36 |
$3K |
| 0352U |
|
907 |
866 |
$3K |
| 87086 |
|
737 |
671 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
19 |
17 |
$1K |
| 97530 |
|
41 |
14 |
$1K |
| 87880 |
|
194 |
187 |
$1K |
| 96372 |
|
4,454 |
3,968 |
$1K |
| 83655 |
|
67 |
66 |
$928.22 |
| 84702 |
|
1,453 |
1,361 |
$872.62 |
| 93005 |
|
5,648 |
5,012 |
$795.91 |
| 87801 |
|
14 |
14 |
$737.62 |
| 80048 |
|
315 |
275 |
$626.38 |
| 36415 |
|
59 |
50 |
$512.31 |
| 81001 |
|
7,934 |
7,375 |
$505.63 |
| 86769 |
|
13 |
13 |
$505.56 |
| U0005 |
Infec agen detec ampli probe |
515 |
486 |
$500.00 |
| 86850 |
|
24 |
24 |
$495.06 |
| 93017 |
|
38 |
38 |
$433.85 |
| 83690 |
|
2,857 |
2,654 |
$420.91 |
| 88305 |
|
40 |
36 |
$261.05 |
| G0480 |
Drug test def 1-7 classes |
119 |
106 |
$246.84 |
| 86703 |
|
13 |
12 |
$144.63 |
| 85018 |
|
27 |
26 |
$72.28 |
| 87077 |
|
15 |
15 |
$46.08 |
| 83605 |
|
3,951 |
3,581 |
$25.59 |
| 87186 |
|
13 |
13 |
$24.66 |
| C9803 |
Hopd covid-19 spec collect |
174 |
165 |
$23.00 |
| J7620 |
Albuterol ipratrop non-comp |
38 |
25 |
$22.95 |
| 84484 |
|
2,062 |
1,823 |
$13.70 |
| J7030 |
Normal saline solution infus |
4,539 |
4,054 |
$9.10 |
| 85730 |
|
1,108 |
1,013 |
$8.67 |
| 81003 |
|
1,259 |
1,178 |
$6.53 |
| 83735 |
|
557 |
485 |
$6.37 |
| 85610 |
|
1,155 |
1,056 |
$5.78 |
| J1200 |
Diphenhydramine hcl injectio |
124 |
114 |
$0.59 |
| J2405 |
Ondansetron hcl injection |
3,163 |
2,884 |
$0.31 |
| J1885 |
Ketorolac tromethamine inj |
2,705 |
2,537 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,509 |
1,395 |
$0.00 |
| 84703 |
|
122 |
114 |
$0.00 |
| 83880 |
|
152 |
142 |
$0.00 |
| 94640 |
|
198 |
147 |
$0.00 |
| 85379 |
|
165 |
154 |
$0.00 |
| 96376 |
|
28 |
25 |
$0.00 |
| Q0162 |
Ondansetron oral |
271 |
257 |
$0.00 |
| J1170 |
Hydromorphone injection |
15 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
13 |
12 |
$0.00 |
| 82962 |
|
16 |
13 |
$0.00 |
| 87040 |
|
14 |
13 |
$0.00 |
| 85027 |
|
16 |
15 |
$0.00 |
| 86141 |
|
15 |
15 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
28 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
592 |
519 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,008 |
1,872 |
$0.00 |
| 84145 |
|
892 |
821 |
$0.00 |
| 85007 |
|
30 |
27 |
$0.00 |
| J7120 |
Ringers lactate infusion |
104 |
93 |
$0.00 |
| 80307 |
|
27 |
25 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
29 |
25 |
$0.00 |
| 81025 |
|
87 |
81 |
$0.00 |
| J7040 |
Normal saline solution infus |
15 |
12 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
15 |
13 |
$0.00 |