| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
21,967 |
19,701 |
$1.27M |
| 99283 |
|
19,888 |
18,243 |
$743K |
| 99285 |
|
2,289 |
2,003 |
$573K |
| 85025 |
|
24,220 |
21,601 |
$184K |
| 80053 |
|
19,259 |
17,296 |
$174K |
| 87426 |
|
2,094 |
1,970 |
$47K |
| 87804 |
|
2,131 |
1,998 |
$45K |
| 81001 |
|
11,849 |
10,670 |
$41K |
| 80307 |
|
681 |
618 |
$32K |
| 87088 |
|
2,511 |
2,285 |
$26K |
| 86703 |
|
1,036 |
947 |
$19K |
| G2023 |
Specimen collect covid-19 |
1,144 |
1,102 |
$16K |
| 93005 |
|
1,889 |
1,646 |
$16K |
| 87400 |
|
3,313 |
1,819 |
$15K |
| 71045 |
|
3,121 |
2,808 |
$15K |
| 84443 |
|
882 |
838 |
$14K |
| 86762 |
|
704 |
643 |
$13K |
| 86592 |
|
2,185 |
2,022 |
$12K |
| 96374 |
|
6,133 |
5,518 |
$12K |
| 97597 |
|
989 |
381 |
$11K |
| 87340 |
|
813 |
745 |
$10K |
| 87880 |
|
725 |
682 |
$9K |
| 71046 |
|
844 |
769 |
$8K |
| 83036 |
|
535 |
504 |
$6K |
| 99281 |
|
150 |
145 |
$6K |
| 86803 |
|
339 |
305 |
$6K |
| 84480 |
|
300 |
282 |
$5K |
| 86850 |
|
768 |
709 |
$5K |
| 82306 |
|
568 |
534 |
$4K |
| 59025 |
|
959 |
588 |
$4K |
| 81025 |
|
1,419 |
1,278 |
$4K |
| 83690 |
|
665 |
604 |
$4K |
| 84439 |
|
380 |
364 |
$4K |
| 82607 |
|
227 |
212 |
$3K |
| 80061 |
|
216 |
202 |
$3K |
| 86756 |
|
178 |
167 |
$2K |
| 99282 |
|
52 |
48 |
$2K |
| 86900 |
|
755 |
696 |
$2K |
| 86901 |
|
755 |
696 |
$2K |
| 43235 |
|
32 |
28 |
$2K |
| 87635 |
|
66 |
62 |
$2K |
| 84484 |
|
246 |
207 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,560 |
1,363 |
$1K |
| 86787 |
|
52 |
37 |
$1K |
| G0378 |
Hospital observation per hr |
26 |
24 |
$1K |
| 87081 |
|
143 |
125 |
$1K |
| 85027 |
|
230 |
213 |
$1K |
| 80048 |
|
148 |
136 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
35 |
33 |
$997.50 |
| 96372 |
|
3,067 |
2,669 |
$997.50 |
| 83735 |
|
169 |
149 |
$957.18 |
| 36415 |
|
27,237 |
23,858 |
$622.23 |
| J1100 |
Dexamethasone sodium phos |
799 |
710 |
$615.04 |
| 0002A |
|
17 |
17 |
$600.00 |
| 86480 |
|
14 |
14 |
$548.24 |
| 82950 |
|
76 |
69 |
$509.17 |
| 83605 |
|
66 |
57 |
$414.77 |
| U0005 |
Infec agen detec ampli probe |
40 |
38 |
$402.50 |
| 0001A |
|
16 |
16 |
$393.88 |
| 85379 |
|
64 |
57 |
$381.82 |
| 83880 |
|
17 |
17 |
$370.70 |
| 86141 |
|
34 |
34 |
$368.00 |
| J2405 |
Ondansetron hcl injection |
753 |
662 |
$284.27 |
| J0696 |
Ceftriaxone sodium injection |
221 |
197 |
$283.28 |
| 82553 |
|
23 |
22 |
$221.13 |
| J1030 |
Methylprednisolone 40 mg inj |
55 |
48 |
$213.82 |
| 82550 |
|
37 |
36 |
$211.20 |
| 96375 |
|
450 |
404 |
$193.78 |
| 74177 |
|
13 |
13 |
$187.30 |
| 86812 |
|
14 |
12 |
$184.85 |
| 86709 |
|
14 |
14 |
$132.64 |
| 86706 |
|
14 |
14 |
$116.40 |
| J0780 |
Prochlorperazine injection |
44 |
38 |
$110.37 |
| 85652 |
|
35 |
34 |
$108.05 |
| 94640 |
|
31 |
25 |
$107.84 |
| 86704 |
|
14 |
14 |
$102.56 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38 |
25 |
$99.45 |
| 85610 |
|
35 |
32 |
$98.09 |
| J2270 |
Morphine sulfate injection |
53 |
47 |
$97.32 |
| J2930 |
Methylprednisolone injection |
12 |
12 |
$80.04 |
| 93010 |
|
309 |
204 |
$62.28 |
| 84479 |
|
16 |
16 |
$59.07 |
| 85730 |
|
35 |
32 |
$49.64 |
| J2250 |
Inj midazolam hydrochloride |
24 |
12 |
$0.48 |
| C9803 |
Hopd covid-19 spec collect |
211 |
192 |
$0.00 |
| 88305 |
|
105 |
92 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
16 |
13 |
$0.00 |