| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,546 |
1,242 |
$376K |
| 99283 |
|
1,835 |
1,488 |
$322K |
| 99282 |
|
2,533 |
2,128 |
$298K |
| 97110 |
|
4,390 |
1,314 |
$221K |
| 80050 |
|
1,617 |
1,268 |
$186K |
| 99212 |
|
4,914 |
4,178 |
$89K |
| 99285 |
|
284 |
231 |
$87K |
| 93005 |
|
726 |
546 |
$66K |
| J7030 |
Normal saline solution infus |
1,115 |
800 |
$64K |
| 97530 |
|
1,390 |
517 |
$63K |
| U0003 |
Cov-19 amp prb hgh thruput |
726 |
658 |
$57K |
| 36415 |
|
4,331 |
3,146 |
$43K |
| 80053 |
|
1,340 |
1,009 |
$41K |
| J7120 |
Ringers lactate infusion |
632 |
448 |
$40K |
| 87502 |
|
378 |
358 |
$36K |
| J3490 |
Drugs unclassified injection |
1,426 |
836 |
$34K |
| 81001 |
|
1,930 |
1,675 |
$32K |
| 84484 |
|
469 |
372 |
$31K |
| 71045 |
|
370 |
313 |
$29K |
| 85025 |
|
1,476 |
1,125 |
$27K |
| J8499 |
Oral prescrip drug non chemo |
4,469 |
1,191 |
$23K |
| 92507 |
|
236 |
77 |
$21K |
| 86140 |
|
480 |
395 |
$18K |
| G0378 |
Hospital observation per hr |
30 |
29 |
$18K |
| 70450 |
|
26 |
24 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
919 |
826 |
$14K |
| 80048 |
|
374 |
280 |
$14K |
| 84145 |
|
230 |
179 |
$13K |
| G0463 |
Hospital outpt clinic visit |
590 |
509 |
$11K |
| 83690 |
|
256 |
198 |
$10K |
| J2405 |
Ondansetron hcl injection |
439 |
328 |
$10K |
| 85027 |
|
541 |
416 |
$9K |
| 97161 |
|
260 |
236 |
$8K |
| 99211 |
|
317 |
202 |
$7K |
| 83880 |
|
79 |
68 |
$6K |
| 82150 |
|
187 |
146 |
$6K |
| 87651 |
|
123 |
118 |
$5K |
| U0005 |
Infec agen detec ampli probe |
406 |
363 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
228 |
183 |
$4K |
| 87426 |
|
131 |
116 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
32 |
26 |
$2K |
| 85379 |
|
25 |
25 |
$1K |
| 71046 |
|
13 |
12 |
$1K |
| 87086 |
|
44 |
39 |
$1K |
| 88305 |
|
13 |
12 |
$1K |
| 77067 |
|
12 |
12 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$897.45 |
| 81025 |
|
17 |
15 |
$764.40 |
| A4657 |
Syringe w/wo needle |
15 |
12 |
$756.22 |
| 87807 |
|
12 |
12 |
$664.56 |
| G2023 |
Specimen collect covid-19 |
42 |
40 |
$485.80 |
| 87880 |
|
13 |
13 |
$461.76 |
| 87210 |
|
12 |
12 |
$410.28 |
| 83605 |
|
17 |
13 |
$381.47 |
| 87077 |
|
12 |
12 |
$342.37 |
| 82550 |
|
19 |
15 |
$327.57 |
| 82553 |
|
17 |
13 |
$318.99 |
| 81015 |
|
12 |
12 |
$266.76 |
| U0004 |
Cov-19 test non-cdc hgh thru |
14 |
14 |
$0.00 |