| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
19,014 |
12,288 |
$858K |
| 99282 |
|
8,254 |
5,804 |
$359K |
| 80053 |
|
6,035 |
5,410 |
$73K |
| 99284 |
|
1,552 |
1,253 |
$68K |
| 87502 |
|
474 |
216 |
$58K |
| G0463 |
Hospital outpt clinic visit |
720 |
484 |
$35K |
| 0241U |
|
219 |
209 |
$35K |
| 85025 |
|
6,195 |
5,546 |
$33K |
| 71045 |
|
1,905 |
1,735 |
$19K |
| 93306 |
|
95 |
54 |
$13K |
| 87426 |
|
284 |
267 |
$13K |
| 99213 |
|
485 |
356 |
$12K |
| 87800 |
|
171 |
164 |
$8K |
| G0382 |
Lev 3 hosp type b ed visit |
172 |
163 |
$7K |
| G0378 |
Hospital observation per hr |
203 |
140 |
$7K |
| 59025 |
|
69 |
51 |
$7K |
| 97110 |
|
108 |
31 |
$5K |
| 96375 |
|
143 |
125 |
$5K |
| 84443 |
|
296 |
285 |
$5K |
| 99391 |
|
129 |
79 |
$5K |
| 96360 |
|
132 |
121 |
$5K |
| 87634 |
|
44 |
39 |
$4K |
| 85027 |
|
401 |
350 |
$4K |
| 93005 |
|
505 |
385 |
$4K |
| 92567 |
|
120 |
116 |
$4K |
| 93010 |
|
563 |
450 |
$4K |
| 96374 |
|
171 |
153 |
$3K |
| 87804 |
|
140 |
134 |
$3K |
| 81001 |
|
773 |
705 |
$3K |
| G0381 |
Lev 2 hosp type b ed visit |
110 |
103 |
$3K |
| 80061 |
|
159 |
155 |
$2K |
| 84484 |
|
215 |
178 |
$2K |
| 99392 |
|
44 |
25 |
$2K |
| 92587 |
|
28 |
28 |
$2K |
| 84439 |
|
130 |
122 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
21 |
17 |
$1K |
| 96372 |
|
58 |
53 |
$1K |
| 83036 |
|
88 |
88 |
$1K |
| 70450 |
|
13 |
12 |
$985.55 |
| 99214 |
|
117 |
62 |
$823.31 |
| 87430 |
|
30 |
28 |
$664.21 |
| 87086 |
|
46 |
43 |
$573.09 |
| 11042 |
|
23 |
13 |
$535.97 |
| 99212 |
|
34 |
28 |
$516.69 |
| 80048 |
|
74 |
63 |
$448.27 |
| 83735 |
|
75 |
65 |
$331.43 |
| 87651 |
|
20 |
18 |
$327.72 |
| 85610 |
|
85 |
63 |
$327.32 |
| J1885 |
Ketorolac tromethamine inj |
130 |
118 |
$309.53 |
| 71046 |
|
22 |
22 |
$282.84 |
| 81003 |
|
173 |
154 |
$273.10 |
| 87880 |
|
22 |
22 |
$225.84 |
| 82306 |
|
35 |
35 |
$186.04 |
| 83880 |
|
27 |
24 |
$182.15 |
| 87040 |
|
26 |
15 |
$165.16 |
| 83690 |
|
14 |
14 |
$141.58 |
| 82150 |
|
14 |
14 |
$133.13 |
| J2405 |
Ondansetron hcl injection |
62 |
53 |
$43.85 |
| 36415 |
|
2,570 |
2,243 |
$43.34 |
| 11721 |
|
13 |
13 |
$36.96 |
| J3010 |
Fentanyl citrate injection |
13 |
12 |
$8.28 |
| 96361 |
|
16 |
13 |
$7.80 |
| 0502F |
|
1,329 |
1,061 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
28 |
21 |
$0.00 |
| 36000 |
|
13 |
13 |
$0.00 |