| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
24,410 |
21,542 |
$819K |
| 87631 |
|
2,080 |
1,885 |
$121K |
| 80053 |
|
8,466 |
6,999 |
$71K |
| 85025 |
|
8,916 |
7,537 |
$62K |
| 11042 |
|
568 |
241 |
$52K |
| 87804 |
|
2,837 |
2,057 |
$51K |
| 87811 |
|
1,855 |
1,553 |
$43K |
| 87430 |
|
2,003 |
1,840 |
$28K |
| 87070 |
|
2,819 |
2,546 |
$26K |
| 87635 |
|
575 |
517 |
$21K |
| 84443 |
|
1,079 |
967 |
$19K |
| 80061 |
|
1,159 |
1,011 |
$18K |
| 99284 |
|
541 |
461 |
$16K |
| G2023 |
Specimen collect covid-19 |
1,184 |
1,085 |
$14K |
| 70450 |
|
168 |
147 |
$12K |
| 71046 |
|
1,825 |
1,647 |
$11K |
| 99283 |
|
960 |
732 |
$11K |
| 81001 |
|
3,551 |
3,077 |
$11K |
| 80048 |
|
1,377 |
1,192 |
$9K |
| G0463 |
Hospital outpt clinic visit |
278 |
168 |
$8K |
| 87086 |
|
836 |
756 |
$8K |
| 80307 |
|
147 |
117 |
$6K |
| 93005 |
|
1,136 |
1,018 |
$6K |
| 71045 |
|
1,480 |
1,309 |
$6K |
| 87254 |
|
568 |
532 |
$5K |
| 66984 |
|
19 |
16 |
$4K |
| 86756 |
|
206 |
157 |
$4K |
| 99285 |
|
18 |
15 |
$3K |
| 86701 |
|
207 |
195 |
$3K |
| 80076 |
|
356 |
297 |
$2K |
| 87801 |
|
92 |
81 |
$2K |
| 96365 |
|
220 |
193 |
$2K |
| 86592 |
|
300 |
279 |
$2K |
| 95810 |
|
13 |
13 |
$2K |
| 96372 |
|
3,186 |
2,525 |
$1K |
| 96367 |
|
63 |
27 |
$1K |
| 86850 |
|
204 |
193 |
$1K |
| 83690 |
|
286 |
260 |
$1K |
| 86762 |
|
58 |
58 |
$1K |
| 85027 |
|
762 |
670 |
$1K |
| 83036 |
|
107 |
103 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
1,944 |
1,680 |
$1K |
| 84484 |
|
193 |
174 |
$1K |
| J0885 |
Epoetin alfa, non-esrd |
39 |
13 |
$1K |
| 87340 |
|
57 |
57 |
$897.97 |
| 87077 |
|
129 |
106 |
$889.02 |
| 85007 |
|
175 |
165 |
$735.15 |
| 82550 |
|
162 |
150 |
$672.00 |
| 82150 |
|
150 |
145 |
$621.39 |
| 87186 |
|
95 |
75 |
$576.27 |
| 81025 |
|
164 |
147 |
$555.37 |
| 85018 |
|
173 |
164 |
$534.94 |
| 96374 |
|
592 |
511 |
$504.00 |
| 82306 |
|
47 |
44 |
$450.30 |
| 83655 |
|
27 |
27 |
$437.32 |
| 85014 |
|
137 |
128 |
$415.76 |
| 84439 |
|
39 |
37 |
$390.71 |
| J1642 |
Inj heparin sodium per 10 u |
142 |
44 |
$332.50 |
| 96375 |
|
280 |
233 |
$323.00 |
| 85660 |
|
54 |
53 |
$304.41 |
| 82950 |
|
43 |
37 |
$247.45 |
| 83735 |
|
26 |
26 |
$246.16 |
| J2550 |
Promethazine hcl injection |
181 |
158 |
$243.16 |
| 86900 |
|
71 |
71 |
$233.52 |
| 86901 |
|
71 |
71 |
$231.38 |
| 0011A |
|
13 |
12 |
$215.52 |
| J7030 |
Normal saline solution infus |
140 |
90 |
$141.66 |
| 74018 |
|
15 |
14 |
$136.08 |
| 94640 |
|
18 |
14 |
$134.80 |
| 80305 |
|
15 |
15 |
$115.17 |
| J2930 |
Methylprednisolone injection |
26 |
25 |
$106.36 |
| 82728 |
|
18 |
15 |
$89.68 |
| J0696 |
Ceftriaxone sodium injection |
96 |
80 |
$87.85 |
| 83550 |
|
13 |
12 |
$82.39 |
| 87210 |
|
15 |
14 |
$82.24 |
| 86593 |
|
17 |
17 |
$80.80 |
| 96360 |
|
271 |
231 |
$78.00 |
| J7120 |
Ringers lactate infusion |
357 |
297 |
$69.75 |
| 83605 |
|
14 |
12 |
$67.26 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
13 |
$54.16 |
| J2175 |
Meperidine hydrochl /100 mg |
28 |
27 |
$52.58 |
| J1100 |
Dexamethasone sodium phos |
141 |
99 |
$24.27 |
| J2704 |
Inj, propofol, 10 mg |
731 |
590 |
$23.41 |
| 96361 |
|
96 |
65 |
$13.00 |
| 36415 |
|
5,630 |
4,596 |
$11.12 |
| J1200 |
Diphenhydramine hcl injectio |
52 |
25 |
$7.93 |
| J2405 |
Ondansetron hcl injection |
12 |
12 |
$1.04 |
| J3010 |
Fentanyl citrate injection |
17 |
12 |
$0.89 |
| J2250 |
Inj midazolam hydrochloride |
71 |
64 |
$0.36 |
| C9803 |
Hopd covid-19 spec collect |
192 |
184 |
$0.00 |
| 3078F |
|
91 |
72 |
$0.00 |
| 93010 |
|
29 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
25 |
25 |
$0.00 |
| 99203 |
|
15 |
15 |
$0.00 |
| 87880 |
|
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
143 |
112 |
$0.00 |
| 0241U |
|
88 |
87 |
$0.00 |
| 99214 |
|
49 |
39 |
$0.00 |
| 36591 |
|
32 |
12 |
$0.00 |
| 3074F |
|
102 |
77 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| 99202 |
|
13 |
12 |
$0.00 |