| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
14,022 |
11,277 |
$1.30M |
| 99284 |
|
7,827 |
6,206 |
$618K |
| 92507 |
|
4,217 |
1,156 |
$562K |
| 99281 |
|
2,686 |
2,332 |
$289K |
| 96361 |
|
3,366 |
2,545 |
$187K |
| 80053 |
|
13,274 |
9,440 |
$184K |
| 74177 |
|
875 |
718 |
$178K |
| 70450 |
|
1,704 |
1,296 |
$159K |
| 99282 |
|
1,341 |
1,212 |
$124K |
| 99285 |
|
2,661 |
2,039 |
$106K |
| 97530 |
|
349 |
137 |
$80K |
| 36415 |
|
6,094 |
4,358 |
$73K |
| 96365 |
|
2,124 |
1,440 |
$66K |
| 74176 |
|
261 |
205 |
$57K |
| 87420 |
|
2,000 |
1,785 |
$40K |
| 85025 |
|
12,722 |
9,280 |
$39K |
| 71046 |
|
2,224 |
1,867 |
$31K |
| 97110 |
|
898 |
245 |
$30K |
| 87430 |
|
3,902 |
3,513 |
$29K |
| 84443 |
|
1,880 |
1,547 |
$26K |
| 71045 |
|
4,051 |
3,097 |
$26K |
| 81003 |
|
2,993 |
2,491 |
$23K |
| 81001 |
|
4,638 |
3,733 |
$22K |
| 93005 |
|
4,836 |
3,409 |
$21K |
| J7030 |
Normal saline solution infus |
3,390 |
2,538 |
$21K |
| 87086 |
|
2,691 |
2,142 |
$20K |
| 84703 |
|
1,617 |
1,407 |
$20K |
| 96375 |
|
3,407 |
2,475 |
$18K |
| J2405 |
Ondansetron hcl injection |
2,847 |
2,183 |
$18K |
| 86900 |
|
439 |
317 |
$18K |
| 96374 |
|
3,724 |
2,921 |
$15K |
| 80307 |
|
442 |
352 |
$15K |
| 84484 |
|
3,453 |
2,121 |
$15K |
| 87400 |
|
7,786 |
5,192 |
$14K |
| 85610 |
|
3,115 |
2,277 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,493 |
1,242 |
$13K |
| 83690 |
|
2,162 |
1,683 |
$13K |
| 85730 |
|
2,816 |
2,132 |
$13K |
| 85027 |
|
2,486 |
1,850 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
301 |
252 |
$12K |
| 87426 |
|
5,504 |
4,717 |
$12K |
| 83735 |
|
2,555 |
1,721 |
$12K |
| 96366 |
|
292 |
192 |
$11K |
| 97112 |
|
36 |
13 |
$11K |
| 76811 |
|
138 |
117 |
$11K |
| 96360 |
|
414 |
343 |
$11K |
| 94640 |
|
703 |
526 |
$10K |
| 96372 |
|
2,486 |
1,826 |
$10K |
| 80048 |
|
842 |
631 |
$9K |
| 72125 |
|
100 |
66 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
584 |
477 |
$8K |
| 80061 |
|
1,498 |
1,239 |
$8K |
| 92523 |
|
13 |
13 |
$8K |
| 87186 |
|
1,047 |
822 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
1,550 |
1,202 |
$7K |
| 88305 |
|
148 |
134 |
$7K |
| 82962 |
|
723 |
326 |
$7K |
| J1170 |
Hydromorphone injection |
1,046 |
672 |
$7K |
| J3010 |
Fentanyl citrate injection |
334 |
267 |
$7K |
| 83874 |
|
223 |
165 |
$5K |
| 83880 |
|
468 |
326 |
$5K |
| J2274 |
Inj morphine pf epid ithc |
874 |
619 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
123 |
93 |
$5K |
| J1100 |
Dexamethasone sodium phos |
602 |
533 |
$5K |
| 96376 |
|
695 |
455 |
$4K |
| G0378 |
Hospital observation per hr |
196 |
136 |
$4K |
| 87040 |
|
616 |
305 |
$4K |
| 84702 |
|
79 |
49 |
$4K |
| 80305 |
|
74 |
65 |
$4K |
| 87070 |
|
199 |
178 |
$3K |
| 87077 |
|
926 |
730 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
61 |
52 |
$3K |
| 93306 |
|
28 |
26 |
$3K |
| 82150 |
|
305 |
228 |
$3K |
| 99212 |
|
16 |
13 |
$2K |
| 83036 |
|
968 |
804 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
703 |
541 |
$2K |
| 87635 |
|
551 |
444 |
$2K |
| J7040 |
Normal saline solution infus |
247 |
194 |
$2K |
| 83605 |
|
337 |
239 |
$2K |
| 76830 |
|
29 |
28 |
$1K |
| 86901 |
|
436 |
317 |
$1K |
| J2060 |
Lorazepam injection |
349 |
250 |
$953.83 |
| 73610 |
|
24 |
24 |
$842.22 |
| 77067 |
|
37 |
31 |
$639.65 |
| 85379 |
|
97 |
82 |
$542.72 |
| 72110 |
|
13 |
12 |
$471.88 |
| 86850 |
|
55 |
37 |
$430.36 |
| 86140 |
|
154 |
136 |
$321.71 |
| J7512 |
Prednisone ir or dr oral 1mg |
280 |
253 |
$305.57 |
| 97161 |
|
17 |
12 |
$276.65 |
| 84439 |
|
421 |
359 |
$269.28 |
| 84100 |
|
62 |
50 |
$180.39 |
| 92653 |
|
22 |
12 |
$161.23 |
| Q0162 |
Ondansetron oral |
301 |
265 |
$153.46 |
| 73030 |
|
16 |
14 |
$143.11 |
| 87804 |
|
28 |
26 |
$52.64 |
| 85652 |
|
42 |
38 |
$14.30 |
| 83655 |
|
31 |
28 |
$12.14 |
| 87899 |
|
13 |
12 |
$3.54 |
| C9113 |
Inj pantoprazole sodium, via |
24 |
15 |
$0.00 |
| 99218 |
|
14 |
12 |
$0.00 |
| 82306 |
|
13 |
12 |
$0.00 |
| 77063 |
|
34 |
28 |
$0.00 |
| 82746 |
|
16 |
13 |
$0.00 |
| 92609 |
|
186 |
59 |
$0.00 |
| 82607 |
|
46 |
38 |
$0.00 |
| 82550 |
|
22 |
12 |
$0.00 |