| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
21,746 |
20,514 |
$2.51M |
| 99284 |
|
11,717 |
11,064 |
$2.29M |
| 99285 |
|
4,527 |
4,286 |
$752K |
| 0241U |
|
2,081 |
2,004 |
$342K |
| 99282 |
|
2,567 |
2,476 |
$239K |
| G0463 |
Hospital outpt clinic visit |
20,656 |
17,110 |
$201K |
| 93005 |
|
5,464 |
5,177 |
$195K |
| 71045 |
|
3,804 |
3,608 |
$190K |
| 62323 |
|
846 |
784 |
$160K |
| 85025 |
|
18,696 |
16,756 |
$127K |
| 96374 |
|
3,392 |
3,172 |
$122K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,365 |
1,265 |
$111K |
| 87491 |
|
2,635 |
2,453 |
$95K |
| 87591 |
|
2,637 |
2,455 |
$95K |
| 80053 |
|
10,719 |
9,359 |
$80K |
| 96375 |
|
1,166 |
1,013 |
$68K |
| C9803 |
Hopd covid-19 spec collect |
2,363 |
2,248 |
$64K |
| 87389 |
|
1,683 |
1,603 |
$54K |
| 71046 |
|
804 |
772 |
$39K |
| 96372 |
|
1,088 |
1,016 |
$36K |
| 81001 |
|
9,526 |
9,009 |
$30K |
| 96361 |
|
745 |
675 |
$30K |
| 36591 |
|
2,702 |
1,952 |
$29K |
| 70450 |
|
167 |
161 |
$28K |
| 80048 |
|
3,618 |
3,366 |
$25K |
| 0225U |
|
58 |
56 |
$23K |
| 86780 |
|
992 |
928 |
$21K |
| 84484 |
|
2,414 |
2,259 |
$20K |
| 81025 |
|
2,176 |
2,017 |
$19K |
| 87804 |
|
853 |
805 |
$19K |
| 87651 |
|
487 |
465 |
$19K |
| 87088 |
|
1,650 |
1,541 |
$17K |
| 80307 |
|
199 |
183 |
$13K |
| U0005 |
Infec agen detec ampli probe |
501 |
481 |
$12K |
| 11056 |
|
1,022 |
1,007 |
$10K |
| 96413 |
|
185 |
107 |
$10K |
| 83735 |
|
1,755 |
1,614 |
$10K |
| 83690 |
|
1,204 |
1,124 |
$8K |
| J3490 |
Drugs unclassified injection |
1,090 |
805 |
$8K |
| J7030 |
Normal saline solution infus |
985 |
815 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
115 |
103 |
$7K |
| 86762 |
|
371 |
349 |
$7K |
| 86850 |
|
440 |
411 |
$6K |
| 82728 |
|
524 |
488 |
$6K |
| 86003 |
|
57 |
54 |
$5K |
| 36415 |
|
2,700 |
2,295 |
$5K |
| 45378 |
|
14 |
14 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
458 |
427 |
$5K |
| 74176 |
|
13 |
13 |
$5K |
| 84466 |
|
444 |
413 |
$5K |
| 87340 |
|
393 |
368 |
$4K |
| 97110 |
|
162 |
51 |
$4K |
| 86803 |
|
204 |
183 |
$4K |
| 81220 |
|
13 |
13 |
$4K |
| 86787 |
|
231 |
211 |
$4K |
| 0352U |
|
110 |
106 |
$4K |
| Q0138 |
Ferumoxytol, non-esrd |
16 |
12 |
$4K |
| 83880 |
|
174 |
129 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
695 |
651 |
$3K |
| 86592 |
|
690 |
674 |
$3K |
| 94640 |
|
144 |
141 |
$3K |
| 83540 |
|
442 |
413 |
$3K |
| 87430 |
|
176 |
172 |
$2K |
| 11721 |
|
439 |
433 |
$2K |
| 86900 |
|
441 |
412 |
$2K |
| 86901 |
|
441 |
412 |
$2K |
| 77067 |
|
38 |
37 |
$2K |
| 82962 |
|
692 |
643 |
$2K |
| 73630 |
|
15 |
15 |
$956.61 |
| J7120 |
Ringers lactate infusion |
150 |
141 |
$945.89 |
| 84443 |
|
43 |
39 |
$878.98 |
| 81003 |
|
340 |
317 |
$815.51 |
| 83036 |
|
58 |
55 |
$797.23 |
| 20610 |
|
12 |
12 |
$760.54 |
| 87081 |
|
111 |
107 |
$736.21 |
| 77063 |
|
38 |
37 |
$721.46 |
| 11720 |
|
161 |
160 |
$680.68 |
| 82950 |
|
110 |
109 |
$655.73 |
| 77002 |
|
12 |
12 |
$622.08 |
| 82306 |
|
28 |
27 |
$587.98 |
| 86703 |
|
313 |
302 |
$544.00 |
| 87210 |
|
79 |
75 |
$497.09 |
| 94060 |
|
28 |
28 |
$491.95 |
| 94729 |
|
29 |
29 |
$489.03 |
| 94726 |
|
28 |
28 |
$489.03 |
| A4217 |
Sterile water/saline, 500 ml |
73 |
42 |
$412.12 |
| J2405 |
Ondansetron hcl injection |
147 |
138 |
$396.41 |
| 82785 |
|
54 |
41 |
$386.70 |
| J2704 |
Inj, propofol, 10 mg |
59 |
36 |
$379.54 |
| 96365 |
|
12 |
12 |
$378.00 |
| 84480 |
|
15 |
12 |
$368.42 |
| 84436 |
|
42 |
38 |
$348.27 |
| J2001 |
Lidocaine injection |
137 |
119 |
$344.24 |
| 85027 |
|
65 |
64 |
$310.15 |
| 84702 |
|
26 |
25 |
$261.60 |
| 87070 |
|
26 |
26 |
$257.52 |
| 83970 |
|
16 |
15 |
$245.99 |
| 85018 |
|
79 |
78 |
$241.24 |
| 85014 |
|
78 |
77 |
$238.29 |
| 80061 |
|
14 |
14 |
$233.80 |
| 94664 |
|
29 |
29 |
$230.40 |
| J0690 |
Cefazolin sodium injection |
40 |
38 |
$227.16 |
| 83605 |
|
37 |
37 |
$224.75 |
| 83525 |
|
13 |
13 |
$185.25 |
| 87807 |
|
14 |
14 |
$128.52 |
| 36000 |
|
12 |
12 |
$112.91 |
| 84479 |
|
12 |
12 |
$89.16 |
| 82947 |
|
13 |
13 |
$63.57 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
93 |
84 |
$61.69 |
| 80069 |
|
12 |
12 |
$39.52 |
| J3010 |
Fentanyl citrate injection |
13 |
13 |
$35.78 |
| J2250 |
Inj midazolam hydrochloride |
12 |
12 |
$30.24 |
| G1010 |
Cdsm stanson |
232 |
185 |
$17.23 |
| 94375 |
|
26 |
26 |
$0.00 |