| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
22,141 |
19,887 |
$3.24M |
| 99284 |
|
13,970 |
12,370 |
$2.97M |
| 99285 |
|
5,100 |
4,291 |
$2.47M |
| 96374 |
|
8,323 |
7,281 |
$1.08M |
| G0463 |
Hospital outpt clinic visit |
12,982 |
10,358 |
$919K |
| 99282 |
|
8,949 |
8,175 |
$801K |
| 99001 |
|
17,193 |
13,403 |
$690K |
| 0202U |
|
2,067 |
1,756 |
$382K |
| 70450 |
|
1,908 |
1,634 |
$334K |
| 43239 |
|
740 |
674 |
$322K |
| 71045 |
|
6,229 |
5,219 |
$268K |
| 96361 |
|
2,254 |
1,994 |
$260K |
| 97597 |
|
2,864 |
1,337 |
$244K |
| 11042 |
|
1,412 |
733 |
$240K |
| 0241U |
|
1,975 |
1,750 |
$199K |
| 74177 |
|
1,350 |
1,199 |
$197K |
| 71046 |
|
2,763 |
2,545 |
$177K |
| 96375 |
|
4,975 |
4,276 |
$150K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,583 |
1,353 |
$98K |
| 87635 |
|
1,608 |
1,314 |
$88K |
| 96365 |
|
544 |
312 |
$85K |
| 71275 |
|
431 |
393 |
$56K |
| 87811 |
|
968 |
838 |
$36K |
| 80050 |
|
452 |
407 |
$33K |
| 36415 |
|
12,902 |
10,602 |
$22K |
| J7030 |
Normal saline solution infus |
7,541 |
5,759 |
$20K |
| 93005 |
|
8,540 |
7,003 |
$17K |
| U0005 |
Infec agen detec ampli probe |
1,119 |
987 |
$15K |
| 80053 |
|
17,687 |
14,604 |
$14K |
| U0001 |
2019-ncov diagnostic p |
508 |
441 |
$12K |
| 85025 |
|
25,358 |
21,130 |
$12K |
| 80048 |
|
10,464 |
8,120 |
$9K |
| 93306 |
|
29 |
26 |
$8K |
| 87631 |
|
687 |
659 |
$7K |
| 87633 |
|
828 |
656 |
$6K |
| G0378 |
Hospital observation per hr |
1,425 |
1,131 |
$5K |
| 84443 |
|
1,790 |
1,548 |
$4K |
| 80307 |
|
3,753 |
3,206 |
$4K |
| 87400 |
|
1,438 |
1,091 |
$4K |
| 80061 |
|
473 |
430 |
$4K |
| 96372 |
|
1,966 |
1,696 |
$4K |
| 96360 |
|
30 |
25 |
$3K |
| 81001 |
|
8,469 |
7,440 |
$3K |
| 76705 |
|
45 |
39 |
$3K |
| G0480 |
Drug test def 1-7 classes |
2,108 |
1,548 |
$2K |
| 84439 |
|
1,474 |
1,282 |
$2K |
| 87252 |
|
636 |
580 |
$2K |
| 87651 |
|
2,478 |
2,259 |
$2K |
| 86900 |
|
285 |
234 |
$2K |
| 87491 |
|
343 |
325 |
$1K |
| J7120 |
Ringers lactate infusion |
1,716 |
1,303 |
$1K |
| 83735 |
|
2,958 |
2,342 |
$995.83 |
| 85027 |
|
3,974 |
2,969 |
$982.64 |
| J2704 |
Inj, propofol, 10 mg |
918 |
724 |
$966.44 |
| 0002A |
|
30 |
29 |
$958.36 |
| 81003 |
|
3,166 |
2,790 |
$849.75 |
| 74176 |
|
14 |
13 |
$814.68 |
| 87880 |
|
493 |
482 |
$809.89 |
| 87300 |
|
636 |
580 |
$782.95 |
| 82570 |
|
3,895 |
3,320 |
$591.35 |
| G0008 |
Admin influenza virus vac |
29 |
29 |
$584.72 |
| 83880 |
|
2,031 |
1,762 |
$571.58 |
| J2405 |
Ondansetron hcl injection |
1,674 |
1,195 |
$541.00 |
| 87420 |
|
181 |
169 |
$520.99 |
| 0001A |
|
32 |
32 |
$493.98 |
| 87077 |
|
1,674 |
1,329 |
$486.33 |
| 84484 |
|
8,111 |
5,179 |
$472.42 |
| 86140 |
|
960 |
835 |
$461.16 |
| 87591 |
|
358 |
339 |
$431.92 |
| 83690 |
|
3,707 |
3,213 |
$390.19 |
| 82565 |
|
87 |
76 |
$377.33 |
| 85610 |
|
2,372 |
1,949 |
$354.73 |
| 88305 |
|
1,528 |
1,276 |
$342.36 |
| 72125 |
|
267 |
237 |
$313.63 |
| J1885 |
Ketorolac tromethamine inj |
2,107 |
1,829 |
$301.19 |
| 87186 |
|
1,517 |
1,257 |
$264.86 |
| 84100 |
|
1,162 |
1,014 |
$255.73 |
| 83036 |
|
254 |
228 |
$249.87 |
| 83605 |
|
3,864 |
3,063 |
$233.66 |
| 84702 |
|
596 |
537 |
$211.22 |
| 88342 |
|
613 |
559 |
$177.55 |
| 82077 |
|
2,397 |
1,978 |
$149.43 |
| 84481 |
|
13 |
13 |
$137.05 |
| 87070 |
|
1,430 |
1,175 |
$135.25 |
| 82550 |
|
834 |
652 |
$121.30 |
| 84703 |
|
2,407 |
2,094 |
$116.57 |
| 87205 |
|
1,546 |
1,237 |
$78.30 |
| 85730 |
|
437 |
373 |
$71.40 |
| 87088 |
|
240 |
224 |
$62.01 |
| 85652 |
|
275 |
246 |
$53.50 |
| 80076 |
|
265 |
244 |
$42.62 |
| 87075 |
|
496 |
409 |
$33.77 |
| 82140 |
|
14 |
12 |
$27.96 |
| 82803 |
|
36 |
25 |
$25.27 |
| 81025 |
|
763 |
692 |
$25.23 |
| 80179 |
|
998 |
881 |
$17.71 |
| 80143 |
|
1,070 |
926 |
$17.71 |
| 87086 |
|
277 |
255 |
$17.39 |
| 84520 |
|
13 |
12 |
$13.92 |
| 85380 |
|
1,654 |
1,495 |
$12.35 |
| 82553 |
|
74 |
62 |
$11.19 |
| 81002 |
|
364 |
306 |
$9.93 |
| 84145 |
|
75 |
60 |
$0.00 |
| J2270 |
Morphine sulfate injection |
159 |
76 |
$0.00 |
| 93017 |
|
15 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
95 |
81 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
271 |
247 |
$0.00 |
| 36600 |
|
19 |
12 |
$0.00 |
| 74018 |
|
17 |
15 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
143 |
101 |
$0.00 |
| 86850 |
|
103 |
90 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
261 |
236 |
$0.00 |
| 80320 |
|
80 |
71 |
$0.00 |
| 94640 |
|
258 |
197 |
$0.00 |
| 86901 |
|
285 |
234 |
$0.00 |
| 80329 |
|
26 |
18 |
$0.00 |
| 87184 |
|
41 |
25 |
$0.00 |
| 87040 |
|
374 |
176 |
$0.00 |
| 80047 |
|
17 |
15 |
$0.00 |
| 94760 |
|
36 |
24 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
40 |
26 |
$0.00 |
| J2060 |
Lorazepam injection |
107 |
80 |
$0.00 |
| 96376 |
|
118 |
64 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
16 |
15 |
$0.00 |
| J1170 |
Hydromorphone injection |
14 |
12 |
$0.00 |
| 82330 |
|
20 |
12 |
$0.00 |