| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
4,464 |
3,760 |
$2.42M |
| 99283 |
|
12,202 |
10,599 |
$1.87M |
| 0202U |
|
3,748 |
3,274 |
$1.15M |
| 99282 |
|
3,732 |
3,255 |
$370K |
| 99285 |
|
960 |
790 |
$322K |
| 87426 |
|
7,715 |
6,818 |
$253K |
| G0330 |
Facility svs dental rehab |
412 |
365 |
$230K |
| 99284 |
|
1,007 |
864 |
$212K |
| 80053 |
|
22,606 |
19,216 |
$162K |
| 96372 |
|
4,037 |
2,816 |
$138K |
| 71046 |
|
3,018 |
2,606 |
$115K |
| 84443 |
|
8,704 |
7,659 |
$99K |
| 36415 |
|
41,388 |
33,965 |
$95K |
| 97110 |
|
4,543 |
1,055 |
$94K |
| 93005 |
|
1,721 |
1,495 |
$93K |
| 87635 |
|
1,937 |
1,797 |
$91K |
| 80061 |
|
9,441 |
8,466 |
$88K |
| 83036 |
|
8,095 |
7,247 |
$54K |
| 85025 |
|
11,832 |
9,017 |
$48K |
| 82306 |
|
2,246 |
2,007 |
$46K |
| 84439 |
|
6,935 |
6,122 |
$44K |
| 96374 |
|
252 |
174 |
$22K |
| 93000 |
|
391 |
308 |
$19K |
| 87811 |
|
512 |
444 |
$18K |
| G0378 |
Hospital observation per hr |
273 |
136 |
$18K |
| 45378 |
|
45 |
44 |
$18K |
| 43239 |
|
57 |
55 |
$16K |
| 87591 |
|
569 |
455 |
$16K |
| 87804 |
|
1,324 |
1,137 |
$16K |
| 0001A |
|
461 |
373 |
$14K |
| 0002A |
|
385 |
308 |
$13K |
| 87880 |
|
846 |
744 |
$10K |
| 80048 |
|
2,039 |
1,647 |
$10K |
| 74019 |
|
80 |
63 |
$7K |
| 81001 |
|
3,055 |
2,488 |
$6K |
| 87631 |
|
1,976 |
1,855 |
$4K |
| 77067 |
|
48 |
48 |
$4K |
| 84481 |
|
451 |
399 |
$4K |
| 80306 |
|
627 |
519 |
$4K |
| 87086 |
|
686 |
567 |
$4K |
| 87390 |
|
183 |
161 |
$4K |
| 96376 |
|
124 |
27 |
$3K |
| 96375 |
|
144 |
69 |
$3K |
| 70450 |
|
23 |
14 |
$3K |
| 97162 |
|
67 |
63 |
$3K |
| 82728 |
|
215 |
196 |
$3K |
| 83735 |
|
645 |
561 |
$3K |
| 84153 |
|
190 |
168 |
$2K |
| 72100 |
|
62 |
49 |
$2K |
| 86702 |
|
183 |
161 |
$2K |
| 83655 |
|
150 |
140 |
$2K |
| 86696 |
|
118 |
102 |
$2K |
| 77063 |
|
48 |
48 |
$2K |
| 73630 |
|
34 |
24 |
$2K |
| 86780 |
|
146 |
125 |
$1K |
| 71045 |
|
61 |
50 |
$1K |
| 87486 |
|
60 |
42 |
$1K |
| 96365 |
|
17 |
12 |
$1K |
| J8499 |
Oral prescrip drug non chemo |
1,077 |
636 |
$1K |
| 86701 |
|
183 |
161 |
$1K |
| 82043 |
|
445 |
416 |
$1K |
| 86695 |
|
117 |
102 |
$1K |
| 82570 |
|
483 |
444 |
$1K |
| 0011A |
|
71 |
44 |
$1K |
| 97010 |
|
1,116 |
314 |
$1K |
| 0003A |
|
25 |
25 |
$1K |
| 84484 |
|
125 |
88 |
$922.47 |
| J1885 |
Ketorolac tromethamine inj |
2,092 |
1,782 |
$901.11 |
| 97140 |
|
393 |
120 |
$888.67 |
| J7030 |
Normal saline solution infus |
91 |
52 |
$796.50 |
| 82607 |
|
66 |
60 |
$794.72 |
| U0002 |
Covid-19 lab test non-cdc |
289 |
184 |
$761.51 |
| 80069 |
|
199 |
172 |
$749.11 |
| 99281 |
|
13 |
13 |
$735.79 |
| 82746 |
|
63 |
57 |
$730.59 |
| J3490 |
Drugs unclassified injection |
1,690 |
953 |
$718.80 |
| 0012A |
|
38 |
24 |
$630.36 |
| 87491 |
|
14 |
13 |
$616.70 |
| J1100 |
Dexamethasone sodium phos |
2,429 |
2,089 |
$556.91 |
| 83550 |
|
47 |
40 |
$422.64 |
| 83540 |
|
63 |
56 |
$419.50 |
| J0696 |
Ceftriaxone sodium injection |
71 |
62 |
$379.61 |
| 81003 |
|
301 |
253 |
$371.35 |
| 87807 |
|
25 |
25 |
$351.82 |
| 90853 |
|
5,478 |
447 |
$337.45 |
| 83880 |
|
17 |
12 |
$235.57 |
| 82550 |
|
34 |
27 |
$171.63 |
| 82553 |
|
17 |
14 |
$162.03 |
| J3010 |
Fentanyl citrate injection |
2,861 |
2,460 |
$161.58 |
| 82565 |
|
47 |
42 |
$153.60 |
| 80051 |
|
32 |
28 |
$140.20 |
| J7040 |
Normal saline solution infus |
786 |
699 |
$135.46 |
| J2250 |
Inj midazolam hydrochloride |
470 |
416 |
$116.55 |
| C9803 |
Hopd covid-19 spec collect |
5,030 |
3,758 |
$107.85 |
| 81025 |
|
13 |
12 |
$96.16 |
| 82947 |
|
41 |
36 |
$82.53 |
| 91307 |
|
15 |
13 |
$61.78 |
| J2710 |
Neostigmine methylslfte inj |
368 |
324 |
$56.51 |
| J2001 |
Lidocaine injection |
178 |
122 |
$46.55 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$19.36 |
| 84156 |
|
16 |
12 |
$12.12 |
| 91300 |
|
929 |
695 |
$0.75 |
| 97014 |
|
274 |
86 |
$0.48 |
| 91301 |
|
80 |
61 |
$0.02 |
| J2405 |
Ondansetron hcl injection |
801 |
670 |
$0.00 |
| 90832 |
|
31 |
13 |
$0.00 |
| 91305 |
|
60 |
44 |
$0.00 |
| G2061 |
Qual nonmd est pt 5-10m |
71 |
12 |
$0.00 |