| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
13,454 |
12,751 |
$1.90M |
| 99284 |
|
7,457 |
6,994 |
$1.67M |
| 87635 |
|
6,687 |
6,401 |
$410K |
| 99282 |
|
3,383 |
3,256 |
$319K |
| 71045 |
|
2,390 |
2,265 |
$223K |
| 99281 |
|
3,345 |
3,148 |
$216K |
| 87804 |
|
5,506 |
5,254 |
$194K |
| 87880 |
|
3,570 |
3,435 |
$121K |
| 99285 |
|
718 |
672 |
$104K |
| 80053 |
|
7,223 |
6,473 |
$98K |
| 85025 |
|
7,882 |
7,123 |
$75K |
| 71046 |
|
439 |
430 |
$56K |
| 99213 |
|
1,169 |
910 |
$54K |
| 86756 |
|
1,151 |
1,110 |
$48K |
| 93005 |
|
2,481 |
2,138 |
$44K |
| U0003 |
Cov-19 amp prb hgh thruput |
393 |
373 |
$43K |
| 76815 |
|
142 |
123 |
$25K |
| 74177 |
|
81 |
79 |
$25K |
| 70450 |
|
436 |
412 |
$24K |
| 81001 |
|
5,130 |
4,694 |
$21K |
| C9803 |
Hopd covid-19 spec collect |
786 |
753 |
$14K |
| 81025 |
|
1,025 |
965 |
$13K |
| 87502 |
|
74 |
72 |
$12K |
| 83735 |
|
1,537 |
1,379 |
$9K |
| 99214 |
|
132 |
111 |
$8K |
| 83690 |
|
999 |
917 |
$7K |
| 84484 |
|
1,091 |
826 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
270 |
259 |
$6K |
| 85027 |
|
805 |
731 |
$5K |
| 76818 |
|
28 |
24 |
$5K |
| 94640 |
|
183 |
148 |
$5K |
| 87340 |
|
226 |
222 |
$4K |
| 80048 |
|
715 |
632 |
$4K |
| 74018 |
|
29 |
26 |
$4K |
| 87634 |
|
25 |
25 |
$3K |
| J1100 |
Dexamethasone sodium phos |
875 |
826 |
$3K |
| 74176 |
|
15 |
13 |
$3K |
| CP007 |
|
68 |
55 |
$3K |
| 81003 |
|
909 |
865 |
$3K |
| 87086 |
|
355 |
340 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,535 |
1,384 |
$2K |
| G0378 |
Hospital observation per hr |
14 |
13 |
$2K |
| 83880 |
|
102 |
95 |
$2K |
| 99212 |
|
25 |
24 |
$2K |
| 87491 |
|
29 |
27 |
$2K |
| 87591 |
|
29 |
27 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
864 |
780 |
$2K |
| G0463 |
Hospital outpt clinic visit |
215 |
176 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
550 |
498 |
$1K |
| 86850 |
|
103 |
100 |
$1K |
| 59025 |
|
15 |
14 |
$1K |
| J2270 |
Morphine sulfate injection |
356 |
289 |
$1K |
| 86592 |
|
102 |
100 |
$829.83 |
| 84702 |
|
43 |
38 |
$782.21 |
| 85610 |
|
495 |
459 |
$736.42 |
| 86900 |
|
232 |
219 |
$711.39 |
| 83498 |
|
20 |
17 |
$694.84 |
| 86901 |
|
232 |
219 |
$688.18 |
| 85730 |
|
305 |
279 |
$561.01 |
| 83789 |
|
20 |
17 |
$554.91 |
| 87389 |
|
14 |
13 |
$533.01 |
| 80306 |
|
15 |
14 |
$463.41 |
| 82261 |
|
20 |
17 |
$431.42 |
| 83605 |
|
71 |
57 |
$380.92 |
| 83520 |
|
20 |
17 |
$372.11 |
| 83020 |
|
20 |
17 |
$329.27 |
| 82776 |
|
20 |
17 |
$270.14 |
| 84437 |
|
20 |
17 |
$165.53 |
| J3010 |
Fentanyl citrate injection |
242 |
230 |
$112.70 |
| J1170 |
Hydromorphone injection |
52 |
41 |
$103.06 |
| 86308 |
|
12 |
12 |
$68.68 |
| 96374 |
|
717 |
640 |
$63.18 |
| U0002 |
Covid-19 lab test non-cdc |
215 |
207 |
$63.14 |
| 80061 |
|
13 |
12 |
$46.87 |
| 87186 |
|
13 |
12 |
$29.42 |
| 82550 |
|
13 |
13 |
$18.84 |
| J0690 |
Cefazolin sodium injection |
14 |
13 |
$17.63 |
| 85379 |
|
14 |
14 |
$15.54 |
| J2250 |
Inj midazolam hydrochloride |
73 |
68 |
$13.71 |
| 36415 |
|
914 |
777 |
$13.08 |
| 96375 |
|
168 |
157 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
355 |
336 |
$0.00 |
| 82962 |
|
325 |
171 |
$0.00 |
| 96372 |
|
41 |
39 |
$0.00 |
| S3620 |
Newborn metabolic screening |
28 |
28 |
$0.00 |