| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,388 |
11,476 |
$582K |
| 99284 |
|
9,495 |
8,567 |
$475K |
| 99285 |
|
7,444 |
6,494 |
$371K |
| 87428 |
|
1,998 |
1,810 |
$75K |
| 80053 |
|
7,258 |
6,137 |
$75K |
| 96374 |
|
2,703 |
2,270 |
$59K |
| 85025 |
|
9,934 |
8,415 |
$54K |
| 81001 |
|
7,116 |
6,326 |
$41K |
| 81025 |
|
3,326 |
2,903 |
$34K |
| 93005 |
|
2,457 |
2,013 |
$31K |
| 71045 |
|
2,124 |
1,828 |
$31K |
| 87804 |
|
1,754 |
849 |
$30K |
| 11042 |
|
334 |
137 |
$30K |
| 80307 |
|
415 |
377 |
$24K |
| 96375 |
|
978 |
802 |
$24K |
| 96361 |
|
1,039 |
872 |
$20K |
| 70450 |
|
268 |
241 |
$19K |
| 87086 |
|
1,836 |
1,612 |
$16K |
| 74177 |
|
137 |
122 |
$11K |
| 84484 |
|
1,733 |
1,177 |
$11K |
| 96372 |
|
747 |
589 |
$10K |
| 83690 |
|
1,839 |
1,566 |
$9K |
| G0378 |
Hospital observation per hr |
383 |
261 |
$9K |
| 36415 |
|
10,355 |
8,713 |
$8K |
| 97110 |
|
204 |
64 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
137 |
128 |
$7K |
| 71046 |
|
318 |
304 |
$6K |
| 80048 |
|
694 |
598 |
$6K |
| 99282 |
|
96 |
95 |
$4K |
| 99281 |
|
124 |
119 |
$4K |
| 62323 |
|
27 |
24 |
$3K |
| 83735 |
|
439 |
381 |
$3K |
| 87591 |
|
64 |
64 |
$3K |
| 87491 |
|
64 |
64 |
$3K |
| 87880 |
|
298 |
292 |
$3K |
| 85610 |
|
525 |
434 |
$3K |
| 96360 |
|
56 |
54 |
$3K |
| 74176 |
|
48 |
42 |
$2K |
| 87426 |
|
74 |
71 |
$2K |
| 96365 |
|
36 |
32 |
$2K |
| 80076 |
|
70 |
67 |
$2K |
| 87070 |
|
191 |
190 |
$2K |
| 76801 |
|
30 |
28 |
$2K |
| 83880 |
|
127 |
112 |
$2K |
| 76856 |
|
28 |
28 |
$2K |
| 97140 |
|
93 |
29 |
$2K |
| 76805 |
|
27 |
25 |
$2K |
| U0005 |
Infec agen detec ampli probe |
88 |
86 |
$2K |
| 94640 |
|
131 |
107 |
$1K |
| 85730 |
|
365 |
297 |
$1K |
| 97597 |
|
19 |
12 |
$994.49 |
| 72125 |
|
12 |
12 |
$986.07 |
| 97162 |
|
16 |
16 |
$766.98 |
| 82553 |
|
57 |
51 |
$714.44 |
| 87420 |
|
55 |
55 |
$663.91 |
| 73610 |
|
26 |
25 |
$514.75 |
| 87807 |
|
34 |
33 |
$497.72 |
| 87186 |
|
37 |
34 |
$456.30 |
| 77067 |
|
29 |
27 |
$427.17 |
| 81003 |
|
415 |
369 |
$415.02 |
| 73630 |
|
18 |
17 |
$414.53 |
| J1040 |
Methylprednisolone 80 mg inj |
275 |
216 |
$406.08 |
| G0379 |
Direct refer hospital observ |
313 |
242 |
$391.23 |
| 87077 |
|
42 |
39 |
$360.32 |
| 96376 |
|
28 |
26 |
$355.50 |
| J1885 |
Ketorolac tromethamine inj |
544 |
436 |
$292.27 |
| 84702 |
|
26 |
25 |
$274.90 |
| G0480 |
Drug test def 1-7 classes |
72 |
66 |
$274.71 |
| G0463 |
Hospital outpt clinic visit |
455 |
339 |
$256.03 |
| 87081 |
|
36 |
33 |
$224.86 |
| Q0111 |
Wet mounts/ w preparations |
40 |
40 |
$197.78 |
| 84443 |
|
17 |
17 |
$181.13 |
| 83605 |
|
35 |
24 |
$171.82 |
| J1030 |
Methylprednisolone 40 mg inj |
218 |
165 |
$168.74 |
| 82962 |
|
47 |
29 |
$163.87 |
| 85379 |
|
16 |
14 |
$142.95 |
| J1010 |
Inj, methylpred acetate 1 mg |
214 |
97 |
$128.91 |
| 90471 |
|
26 |
25 |
$100.02 |
| J2405 |
Ondansetron hcl injection |
414 |
365 |
$97.41 |
| 86901 |
|
14 |
12 |
$73.40 |
| J7030 |
Normal saline solution infus |
1,988 |
1,689 |
$62.08 |
| J1100 |
Dexamethasone sodium phos |
89 |
64 |
$47.34 |
| J3010 |
Fentanyl citrate injection |
138 |
114 |
$45.46 |
| C9803 |
Hopd covid-19 spec collect |
28 |
25 |
$35.16 |
| J0696 |
Ceftriaxone sodium injection |
60 |
47 |
$27.12 |
| J8540 |
Oral dexamethasone |
140 |
125 |
$8.57 |
| J1200 |
Diphenhydramine hcl injectio |
26 |
25 |
$5.99 |
| 85007 |
|
33 |
33 |
$5.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
16 |
15 |
$2.44 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
426 |
236 |
$1.91 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
29 |
14 |
$1.25 |
| J2704 |
Inj, propofol, 10 mg |
149 |
116 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
289 |
252 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$0.00 |