| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
62,382 |
55,771 |
$9.03M |
| 99284 |
|
34,453 |
29,140 |
$4.66M |
| 71045 |
|
20,984 |
17,659 |
$2.44M |
| 99285 |
|
9,195 |
7,657 |
$1.37M |
| 93005 |
|
24,409 |
19,998 |
$1.36M |
| 99282 |
|
9,225 |
8,475 |
$1.12M |
| 11042 |
|
1,695 |
729 |
$910K |
| 69436 |
|
376 |
323 |
$674K |
| 74177 |
|
1,869 |
1,567 |
$555K |
| 87636 |
|
8,195 |
6,946 |
$537K |
| 87637 |
|
4,713 |
4,357 |
$496K |
| 71046 |
|
3,790 |
3,430 |
$300K |
| 85025 |
|
58,548 |
47,644 |
$213K |
| 70450 |
|
1,892 |
1,570 |
$191K |
| 80053 |
|
34,726 |
27,999 |
$178K |
| 96374 |
|
12,258 |
10,589 |
$176K |
| 96361 |
|
7,480 |
6,178 |
$116K |
| 87502 |
|
2,364 |
2,222 |
$95K |
| 45385 |
|
84 |
67 |
$92K |
| 30140 |
|
108 |
100 |
$83K |
| 43239 |
|
67 |
62 |
$82K |
| 80307 |
|
2,044 |
1,593 |
$64K |
| 96413 |
|
315 |
148 |
$64K |
| 87635 |
|
1,867 |
1,683 |
$59K |
| 96375 |
|
5,708 |
4,813 |
$58K |
| 81001 |
|
34,849 |
29,992 |
$55K |
| 84484 |
|
5,661 |
4,584 |
$51K |
| 80048 |
|
13,494 |
11,222 |
$51K |
| 62323 |
|
49 |
41 |
$46K |
| 36415 |
|
21,794 |
17,074 |
$36K |
| U0003 |
Cov-19 amp prb hgh thruput |
555 |
503 |
$36K |
| 87631 |
|
638 |
475 |
$32K |
| 81025 |
|
5,951 |
5,195 |
$26K |
| 45380 |
|
14 |
12 |
$26K |
| 83880 |
|
1,396 |
1,167 |
$24K |
| 83735 |
|
7,102 |
5,597 |
$22K |
| 83690 |
|
7,389 |
6,252 |
$21K |
| 93306 |
|
106 |
67 |
$19K |
| 88305 |
|
560 |
471 |
$18K |
| 76805 |
|
135 |
127 |
$16K |
| 11043 |
|
30 |
12 |
$15K |
| 87651 |
|
616 |
577 |
$15K |
| 74018 |
|
133 |
128 |
$14K |
| 87798 |
|
803 |
760 |
$13K |
| 96372 |
|
987 |
840 |
$10K |
| 82077 |
|
1,046 |
877 |
$10K |
| 99221 |
|
29 |
14 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
135 |
115 |
$9K |
| 64493 |
|
19 |
12 |
$8K |
| 87804 |
|
982 |
659 |
$7K |
| 71275 |
|
17 |
13 |
$7K |
| A9502 |
Tc99m tetrofosmin |
22 |
12 |
$7K |
| 85730 |
|
2,736 |
2,174 |
$6K |
| 84703 |
|
1,294 |
1,136 |
$6K |
| 99211 |
|
54 |
40 |
$5K |
| 85610 |
|
2,912 |
2,315 |
$5K |
| G0463 |
Hospital outpt clinic visit |
347 |
232 |
$5K |
| 94640 |
|
411 |
334 |
$4K |
| 64494 |
|
19 |
12 |
$4K |
| U0005 |
Infec agen detec ampli probe |
229 |
217 |
$4K |
| 11045 |
|
27 |
12 |
$3K |
| 83605 |
|
538 |
424 |
$3K |
| 78452 |
|
22 |
12 |
$2K |
| 74176 |
|
15 |
13 |
$2K |
| 87086 |
|
641 |
538 |
$2K |
| 93017 |
|
23 |
13 |
$1K |
| 80076 |
|
240 |
196 |
$1K |
| 80143 |
|
110 |
100 |
$1K |
| 87880 |
|
241 |
212 |
$1K |
| 80179 |
|
94 |
87 |
$1K |
| 99214 |
|
33 |
26 |
$913.92 |
| 85027 |
|
265 |
210 |
$858.09 |
| 87040 |
|
72 |
52 |
$621.40 |
| 82948 |
|
190 |
140 |
$607.15 |
| 73130 |
|
12 |
12 |
$595.40 |
| 87807 |
|
115 |
99 |
$565.67 |
| 96360 |
|
45 |
36 |
$528.60 |
| 85379 |
|
72 |
61 |
$459.01 |
| 73630 |
|
26 |
24 |
$381.23 |
| 87491 |
|
13 |
12 |
$306.77 |
| 87591 |
|
13 |
12 |
$306.77 |
| 87081 |
|
120 |
96 |
$259.66 |
| 96367 |
|
22 |
13 |
$221.13 |
| 84443 |
|
14 |
13 |
$201.60 |
| 84702 |
|
13 |
12 |
$116.97 |
| 82950 |
|
56 |
53 |
$106.66 |
| J2469 |
Palonosetron hcl |
23 |
14 |
$104.10 |
| 80306 |
|
18 |
15 |
$52.26 |
| 82150 |
|
30 |
25 |
$51.20 |
| 81003 |
|
82 |
53 |
$41.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,271 |
4,446 |
$39.15 |
| 86850 |
|
13 |
12 |
$15.63 |
| 80069 |
|
16 |
13 |
$10.40 |
| 86900 |
|
13 |
12 |
$8.97 |
| 86901 |
|
13 |
12 |
$8.97 |
| J2405 |
Ondansetron hcl injection |
6,764 |
5,691 |
$4.84 |
| J3301 |
Triamcinolone acet inj nos |
148 |
133 |
$4.66 |
| J1200 |
Diphenhydramine hcl injectio |
452 |
372 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
45 |
38 |
$0.00 |
| J2270 |
Morphine sulfate injection |
292 |
237 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
184 |
152 |
$0.00 |
| J2930 |
Methylprednisolone injection |
19 |
12 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
108 |
98 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
71 |
64 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
16 |
14 |
$0.00 |
| 90715 |
|
15 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
4,510 |
3,778 |
$0.00 |
| 36591 |
|
865 |
365 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,152 |
985 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
600 |
478 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
821 |
701 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
86 |
71 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
484 |
402 |
$0.00 |
| J1170 |
Hydromorphone injection |
67 |
48 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
493 |
223 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
280 |
228 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
146 |
114 |
$0.00 |
| 88304 |
|
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
25 |
15 |
$0.00 |
| J7050 |
Normal saline solution infus |
22 |
13 |
$0.00 |