| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
18,860 |
17,926 |
$2.76M |
| 99284 |
|
9,052 |
8,574 |
$2.07M |
| 0225U |
|
4,112 |
3,780 |
$1.40M |
| 99285 |
|
2,749 |
2,526 |
$735K |
| 0241U |
|
3,581 |
3,434 |
$558K |
| 93005 |
|
4,543 |
4,198 |
$331K |
| 71045 |
|
2,820 |
2,660 |
$223K |
| 99282 |
|
1,278 |
1,228 |
$160K |
| 96375 |
|
1,217 |
1,053 |
$119K |
| G0463 |
Hospital outpt clinic visit |
4,215 |
2,852 |
$115K |
| 96374 |
|
1,969 |
1,858 |
$107K |
| C9803 |
Hopd covid-19 spec collect |
3,876 |
3,710 |
$102K |
| 85025 |
|
11,928 |
10,929 |
$99K |
| 70450 |
|
251 |
239 |
$91K |
| 80053 |
|
9,302 |
8,583 |
$90K |
| 71046 |
|
568 |
548 |
$60K |
| 96372 |
|
928 |
855 |
$59K |
| 87651 |
|
1,485 |
1,427 |
$58K |
| 0202U |
|
498 |
491 |
$49K |
| 87633 |
|
334 |
325 |
$47K |
| 29581 |
|
919 |
274 |
$38K |
| J3490 |
Drugs unclassified injection |
1,759 |
1,362 |
$30K |
| 87804 |
|
1,158 |
1,128 |
$27K |
| U0003 |
Cov-19 amp prb hgh thruput |
300 |
284 |
$26K |
| 96361 |
|
252 |
211 |
$24K |
| 97110 |
|
488 |
157 |
$20K |
| 84484 |
|
1,733 |
1,511 |
$18K |
| 81001 |
|
4,048 |
3,860 |
$16K |
| 90853 |
|
470 |
102 |
$16K |
| 80307 |
|
147 |
132 |
$10K |
| 80048 |
|
807 |
774 |
$8K |
| 81025 |
|
708 |
675 |
$7K |
| J0561 |
Penicillin g benzathine inj |
15 |
14 |
$7K |
| 83880 |
|
264 |
227 |
$7K |
| 83605 |
|
647 |
591 |
$6K |
| 94640 |
|
96 |
87 |
$6K |
| 96365 |
|
78 |
70 |
$6K |
| J7030 |
Normal saline solution infus |
713 |
600 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
88 |
69 |
$4K |
| 36415 |
|
1,670 |
1,557 |
$4K |
| 81003 |
|
1,531 |
1,458 |
$4K |
| 83735 |
|
576 |
545 |
$3K |
| 83690 |
|
426 |
400 |
$3K |
| U0005 |
Infec agen detec ampli probe |
108 |
103 |
$3K |
| 87430 |
|
222 |
212 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
307 |
290 |
$2K |
| 97140 |
|
54 |
24 |
$2K |
| 87088 |
|
156 |
149 |
$1K |
| 97530 |
|
34 |
16 |
$1K |
| 84443 |
|
56 |
55 |
$1K |
| 74018 |
|
13 |
12 |
$1K |
| J2405 |
Ondansetron hcl injection |
259 |
226 |
$943.69 |
| 80061 |
|
57 |
57 |
$930.26 |
| 82306 |
|
25 |
25 |
$922.25 |
| 87070 |
|
87 |
87 |
$895.94 |
| J2930 |
Methylprednisolone injection |
58 |
55 |
$814.66 |
| 82962 |
|
291 |
251 |
$727.16 |
| 83036 |
|
56 |
56 |
$660.66 |
| 87081 |
|
100 |
97 |
$660.56 |
| J7120 |
Ringers lactate infusion |
66 |
60 |
$580.12 |
| J2704 |
Inj, propofol, 10 mg |
62 |
58 |
$457.48 |
| J1100 |
Dexamethasone sodium phos |
51 |
50 |
$302.94 |
| Q3014 |
Telehealth facility fee |
46 |
41 |
$228.93 |
| J0696 |
Ceftriaxone sodium injection |
43 |
42 |
$214.56 |
| 86803 |
|
13 |
13 |
$213.48 |
| 87807 |
|
14 |
14 |
$185.64 |
| J2919 |
Inj, methylpred sod succ 5mg |
12 |
12 |
$169.33 |
| 82077 |
|
13 |
12 |
$120.80 |
| J2001 |
Lidocaine injection |
30 |
28 |
$91.06 |
| A4217 |
Sterile water/saline, 500 ml |
13 |
12 |
$38.50 |
| G1010 |
Cdsm stanson |
189 |
157 |
$18.92 |
| 0100U |
|
46 |
41 |
$0.00 |