| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,112 |
12,413 |
$1.23M |
| 99284 |
|
9,556 |
8,053 |
$577K |
| 99282 |
|
3,854 |
3,542 |
$434K |
| 74177 |
|
1,669 |
1,503 |
$296K |
| 70450 |
|
2,948 |
2,329 |
$251K |
| 99285 |
|
3,859 |
3,094 |
$249K |
| 74176 |
|
1,086 |
936 |
$183K |
| 99281 |
|
2,388 |
2,206 |
$170K |
| 96361 |
|
3,236 |
2,685 |
$124K |
| 36415 |
|
11,567 |
8,043 |
$122K |
| C9803 |
Hopd covid-19 spec collect |
1,666 |
1,473 |
$96K |
| 72125 |
|
992 |
756 |
$40K |
| G0378 |
Hospital observation per hr |
1,374 |
953 |
$39K |
| 80053 |
|
11,723 |
8,951 |
$38K |
| 94640 |
|
1,089 |
806 |
$34K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,393 |
2,071 |
$32K |
| 71275 |
|
123 |
104 |
$30K |
| 80307 |
|
2,838 |
2,439 |
$29K |
| 87804 |
|
3,111 |
2,635 |
$27K |
| 96365 |
|
1,287 |
1,045 |
$17K |
| 87086 |
|
2,273 |
1,944 |
$14K |
| 71045 |
|
4,866 |
4,020 |
$13K |
| 87880 |
|
1,792 |
1,653 |
$13K |
| 71046 |
|
1,514 |
1,365 |
$12K |
| 81001 |
|
6,241 |
5,334 |
$11K |
| 85610 |
|
4,636 |
3,686 |
$9K |
| J7030 |
Normal saline solution infus |
2,366 |
1,785 |
$9K |
| 73630 |
|
319 |
296 |
$8K |
| 81003 |
|
1,654 |
1,456 |
$8K |
| 96366 |
|
174 |
128 |
$8K |
| 87635 |
|
2,725 |
2,359 |
$8K |
| 85025 |
|
11,906 |
8,908 |
$8K |
| 93005 |
|
5,265 |
4,149 |
$7K |
| 84484 |
|
4,179 |
2,653 |
$6K |
| 97110 |
|
96 |
24 |
$6K |
| 96360 |
|
681 |
588 |
$6K |
| 96374 |
|
5,689 |
4,767 |
$6K |
| 85730 |
|
4,239 |
3,400 |
$5K |
| 83735 |
|
5,183 |
3,682 |
$4K |
| 96375 |
|
3,933 |
3,181 |
$4K |
| 73564 |
|
197 |
171 |
$4K |
| 73130 |
|
142 |
121 |
$4K |
| 73610 |
|
168 |
152 |
$3K |
| 96372 |
|
3,378 |
2,773 |
$3K |
| 80048 |
|
1,237 |
841 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
2,622 |
2,204 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
268 |
239 |
$2K |
| 85027 |
|
1,052 |
748 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,344 |
1,901 |
$2K |
| 73030 |
|
186 |
146 |
$2K |
| 83690 |
|
3,292 |
2,825 |
$2K |
| 87428 |
|
1,103 |
1,027 |
$1K |
| 82962 |
|
879 |
383 |
$1K |
| 96376 |
|
690 |
404 |
$1K |
| 87426 |
|
797 |
685 |
$1K |
| 82550 |
|
1,588 |
1,142 |
$1K |
| 83880 |
|
1,446 |
1,200 |
$1K |
| 72131 |
|
14 |
13 |
$1K |
| 84703 |
|
423 |
378 |
$820.78 |
| J2270 |
Morphine sulfate injection |
1,095 |
745 |
$818.69 |
| 93306 |
|
30 |
25 |
$752.06 |
| 93971 |
|
45 |
40 |
$493.46 |
| 87040 |
|
575 |
319 |
$364.26 |
| 85379 |
|
865 |
753 |
$352.32 |
| 82150 |
|
472 |
424 |
$351.16 |
| J0696 |
Ceftriaxone sodium injection |
1,070 |
795 |
$350.81 |
| 76830 |
|
16 |
12 |
$345.74 |
| 87186 |
|
585 |
486 |
$274.18 |
| 87807 |
|
512 |
483 |
$268.47 |
| 82553 |
|
938 |
722 |
$234.96 |
| 84443 |
|
439 |
354 |
$181.09 |
| 87491 |
|
41 |
39 |
$171.46 |
| 86901 |
|
29 |
25 |
$141.41 |
| J2930 |
Methylprednisolone injection |
333 |
270 |
$113.91 |
| 86140 |
|
60 |
52 |
$113.85 |
| J1200 |
Diphenhydramine hcl injectio |
156 |
130 |
$113.45 |
| 87210 |
|
12 |
12 |
$110.22 |
| 80061 |
|
342 |
255 |
$106.30 |
| 82077 |
|
556 |
465 |
$97.89 |
| 81025 |
|
1,100 |
983 |
$52.04 |
| C9113 |
Inj pantoprazole sodium, via |
146 |
114 |
$48.53 |
| 86900 |
|
14 |
12 |
$33.33 |
| 87591 |
|
41 |
39 |
$27.84 |
| J3010 |
Fentanyl citrate injection |
24 |
13 |
$25.00 |
| 87077 |
|
412 |
340 |
$14.15 |
| 94760 |
|
560 |
439 |
$1.74 |
| J3475 |
Inj magnesium sulfate |
97 |
80 |
$1.74 |
| 83605 |
|
266 |
208 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
337 |
296 |
$0.00 |
| 87081 |
|
834 |
760 |
$0.00 |
| J2060 |
Lorazepam injection |
153 |
103 |
$0.00 |
| 87430 |
|
966 |
888 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
33 |
29 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
40 |
37 |
$0.00 |
| 83615 |
|
14 |
13 |
$0.00 |
| 87070 |
|
14 |
12 |
$0.00 |
| 87147 |
|
18 |
15 |
$0.00 |
| 85651 |
|
18 |
16 |
$0.00 |
| 80143 |
|
142 |
118 |
$0.00 |
| 84702 |
|
62 |
53 |
$0.00 |
| 80179 |
|
109 |
91 |
$0.00 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$0.00 |