| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,592 |
15,983 |
$2.56M |
| 99282 |
|
16,161 |
15,629 |
$2.04M |
| 99284 |
|
4,949 |
4,641 |
$1.84M |
| 87426 |
|
14,061 |
13,624 |
$1.14M |
| 99285 |
|
3,139 |
2,812 |
$1.04M |
| 87804 |
|
24,346 |
12,520 |
$925K |
| 80053 |
|
16,119 |
14,091 |
$524K |
| C9803 |
Hopd covid-19 spec collect |
14,508 |
13,896 |
$350K |
| 85025 |
|
19,888 |
16,858 |
$234K |
| 99212 |
|
2,862 |
2,158 |
$234K |
| 74177 |
|
969 |
912 |
$232K |
| U0002 |
Covid-19 lab test non-cdc |
2,513 |
2,371 |
$232K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,747 |
1,585 |
$203K |
| 93005 |
|
3,699 |
3,222 |
$180K |
| 87430 |
|
3,784 |
3,681 |
$135K |
| 71045 |
|
5,521 |
5,104 |
$133K |
| 59025 |
|
939 |
645 |
$104K |
| 97110 |
|
1,867 |
487 |
$103K |
| 87880 |
|
2,451 |
2,405 |
$90K |
| 87070 |
|
2,208 |
2,145 |
$86K |
| 70450 |
|
1,163 |
1,078 |
$81K |
| 96365 |
|
1,131 |
458 |
$74K |
| 87081 |
|
2,431 |
2,377 |
$73K |
| 99281 |
|
849 |
823 |
$68K |
| 81001 |
|
7,899 |
7,002 |
$64K |
| 96374 |
|
2,907 |
2,585 |
$62K |
| 71260 |
|
408 |
390 |
$60K |
| 99001 |
|
3,068 |
2,927 |
$55K |
| 87807 |
|
1,030 |
1,010 |
$50K |
| 83880 |
|
2,126 |
1,882 |
$42K |
| U0005 |
Infec agen detec ampli probe |
1,245 |
1,157 |
$39K |
| 84484 |
|
2,945 |
2,401 |
$28K |
| 71046 |
|
1,100 |
1,064 |
$27K |
| 94640 |
|
531 |
288 |
$25K |
| 80307 |
|
528 |
477 |
$24K |
| 74176 |
|
191 |
179 |
$24K |
| 99214 |
|
316 |
261 |
$23K |
| 83690 |
|
2,635 |
2,337 |
$21K |
| 36415 |
|
23,099 |
17,951 |
$19K |
| CP007 |
|
549 |
490 |
$18K |
| 81025 |
|
1,393 |
1,305 |
$18K |
| 77067 |
|
476 |
474 |
$16K |
| 87205 |
|
1,215 |
1,170 |
$13K |
| 77063 |
|
425 |
423 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,067 |
1,860 |
$13K |
| 81003 |
|
4,090 |
3,664 |
$13K |
| 96375 |
|
2,408 |
1,858 |
$12K |
| 99213 |
|
250 |
219 |
$12K |
| 96127 |
|
179 |
148 |
$11K |
| 72125 |
|
188 |
177 |
$10K |
| 73630 |
|
303 |
266 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
1,065 |
767 |
$8K |
| 87088 |
|
2,518 |
2,253 |
$8K |
| 92507 |
|
185 |
31 |
$8K |
| 87077 |
|
1,680 |
1,550 |
$7K |
| G0463 |
Hospital outpt clinic visit |
1,468 |
1,023 |
$7K |
| 76805 |
|
62 |
62 |
$7K |
| 84443 |
|
2,363 |
2,291 |
$7K |
| 80048 |
|
1,828 |
1,368 |
$7K |
| 76775 |
|
76 |
74 |
$6K |
| 96361 |
|
331 |
273 |
$6K |
| 76830 |
|
48 |
46 |
$6K |
| 87210 |
|
251 |
213 |
$6K |
| 80061 |
|
2,407 |
2,330 |
$6K |
| 93306 |
|
12 |
12 |
$5K |
| 83605 |
|
610 |
534 |
$5K |
| 87186 |
|
1,240 |
1,148 |
$4K |
| 96372 |
|
1,632 |
992 |
$4K |
| J2405 |
Ondansetron hcl injection |
2,284 |
1,903 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,118 |
983 |
$3K |
| 84703 |
|
364 |
328 |
$3K |
| 76705 |
|
40 |
40 |
$3K |
| 90833 |
|
114 |
101 |
$3K |
| 73610 |
|
80 |
68 |
$3K |
| 87040 |
|
235 |
224 |
$3K |
| 83036 |
|
1,960 |
1,887 |
$3K |
| M0243 |
Casirivi and imdevi inj |
22 |
22 |
$3K |
| 97140 |
|
173 |
65 |
$3K |
| 90832 |
|
102 |
83 |
$2K |
| 82306 |
|
629 |
611 |
$2K |
| J7030 |
Normal saline solution infus |
742 |
625 |
$2K |
| 83735 |
|
757 |
621 |
$2K |
| J2270 |
Morphine sulfate injection |
1,148 |
891 |
$2K |
| 85610 |
|
1,519 |
1,184 |
$2K |
| 96360 |
|
60 |
57 |
$2K |
| 84702 |
|
145 |
114 |
$2K |
| 73030 |
|
72 |
62 |
$2K |
| G0480 |
Drug test def 1-7 classes |
46 |
31 |
$2K |
| 85379 |
|
231 |
215 |
$2K |
| 82565 |
|
802 |
764 |
$2K |
| 96376 |
|
603 |
292 |
$1K |
| 86900 |
|
435 |
390 |
$1K |
| 73562 |
|
46 |
38 |
$1K |
| 99490 |
Ccm add 20min |
533 |
532 |
$1K |
| 76700 |
|
13 |
13 |
$1K |
| 87185 |
|
652 |
613 |
$1K |
| J1100 |
Dexamethasone sodium phos |
436 |
394 |
$994.68 |
| 82607 |
|
428 |
417 |
$971.68 |
| 80164 |
|
323 |
298 |
$933.01 |
| 80047 |
|
159 |
154 |
$906.61 |
| 85730 |
|
356 |
330 |
$817.99 |
| 93971 |
|
14 |
12 |
$780.25 |
| 72131 |
|
13 |
12 |
$777.00 |
| 86850 |
|
53 |
51 |
$744.96 |
| 84112 |
|
12 |
12 |
$731.44 |
| 73502 |
|
12 |
12 |
$673.87 |
| 86901 |
|
310 |
274 |
$506.78 |
| 85027 |
|
116 |
84 |
$505.25 |
| 90715 |
|
27 |
26 |
$441.40 |
| J7120 |
Ringers lactate infusion |
188 |
157 |
$440.39 |
| J1170 |
Hydromorphone injection |
130 |
94 |
$288.62 |
| J1650 |
Inj enoxaparin sodium |
94 |
38 |
$278.99 |
| 82550 |
|
15 |
12 |
$264.63 |
| 0001A |
|
185 |
183 |
$247.35 |
| 0002A |
|
98 |
96 |
$243.05 |
| 74018 |
|
16 |
12 |
$242.44 |
| J3010 |
Fentanyl citrate injection |
229 |
199 |
$239.73 |
| 97161 |
|
13 |
12 |
$210.07 |
| 90471 |
|
14 |
14 |
$207.91 |
| 82728 |
|
161 |
157 |
$203.35 |
| 80320 |
|
13 |
12 |
$177.46 |
| J1200 |
Diphenhydramine hcl injectio |
41 |
28 |
$151.62 |
| 84439 |
|
184 |
176 |
$134.79 |
| 83540 |
|
183 |
175 |
$107.80 |
| 82570 |
|
173 |
164 |
$104.42 |
| J2550 |
Promethazine hcl injection |
35 |
24 |
$74.64 |
| 99406 |
|
15 |
13 |
$73.77 |
| 82043 |
|
110 |
109 |
$55.92 |
| 83550 |
|
79 |
76 |
$55.69 |
| 80069 |
|
54 |
51 |
$52.62 |
| 82746 |
|
53 |
52 |
$44.27 |
| 81002 |
|
17 |
13 |
$44.07 |
| 84100 |
|
16 |
13 |
$35.53 |
| 85651 |
|
34 |
26 |
$33.54 |
| 99173 |
|
15 |
12 |
$32.04 |
| J2250 |
Inj midazolam hydrochloride |
31 |
25 |
$29.11 |
| 92558 |
|
15 |
12 |
$28.50 |
| 82962 |
|
1,470 |
891 |
$6.69 |
| Q0162 |
Ondansetron oral |
12 |
12 |
$0.76 |
| J2704 |
Inj, propofol, 10 mg |
344 |
309 |
$0.00 |
| 0012A |
|
22 |
22 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
137 |
116 |
$0.00 |
| 90863 |
|
32 |
26 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
22 |
22 |
$0.00 |
| 90460 |
|
15 |
12 |
$0.00 |