| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
12,270 |
11,104 |
$492K |
| 99284 |
|
3,058 |
2,699 |
$126K |
| 0241U |
|
706 |
661 |
$70K |
| 99282 |
|
1,642 |
1,529 |
$59K |
| 85025 |
|
12,121 |
10,266 |
$46K |
| 99281 |
|
1,122 |
1,037 |
$41K |
| G0463 |
Hospital outpt clinic visit |
6,884 |
5,821 |
$38K |
| 80053 |
|
5,235 |
4,368 |
$35K |
| 87804 |
|
1,374 |
1,031 |
$34K |
| 96374 |
|
1,946 |
1,548 |
$26K |
| 96361 |
|
674 |
536 |
$17K |
| 71045 |
|
1,121 |
937 |
$14K |
| 96375 |
|
634 |
489 |
$13K |
| 87811 |
|
485 |
445 |
$13K |
| 80307 |
|
228 |
207 |
$12K |
| 99213 |
|
663 |
596 |
$12K |
| 87635 |
|
349 |
329 |
$10K |
| 87591 |
|
323 |
297 |
$9K |
| 87491 |
|
323 |
297 |
$9K |
| 97110 |
|
215 |
42 |
$9K |
| 87400 |
|
1,031 |
502 |
$9K |
| 84443 |
|
763 |
723 |
$9K |
| 87880 |
|
918 |
867 |
$8K |
| 99285 |
|
127 |
114 |
$7K |
| 87081 |
|
804 |
760 |
$7K |
| 93005 |
|
731 |
528 |
$6K |
| 87420 |
|
456 |
429 |
$5K |
| 87086 |
|
404 |
369 |
$4K |
| 74177 |
|
45 |
39 |
$4K |
| 80048 |
|
478 |
421 |
$4K |
| 83036 |
|
635 |
576 |
$3K |
| 80061 |
|
478 |
447 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
53 |
52 |
$3K |
| 97530 |
|
107 |
33 |
$3K |
| 83655 |
|
218 |
217 |
$3K |
| 87661 |
|
198 |
176 |
$3K |
| 84439 |
|
409 |
381 |
$3K |
| 81001 |
|
1,136 |
984 |
$3K |
| 99211 |
|
182 |
132 |
$2K |
| 83690 |
|
608 |
495 |
$2K |
| G0378 |
Hospital observation per hr |
31 |
13 |
$2K |
| 71046 |
|
210 |
195 |
$2K |
| 87502 |
|
24 |
24 |
$2K |
| 84484 |
|
277 |
181 |
$2K |
| 87651 |
|
144 |
139 |
$2K |
| 83605 |
|
173 |
140 |
$2K |
| 90460 |
|
50 |
49 |
$2K |
| 94640 |
|
139 |
85 |
$1K |
| 96372 |
|
89 |
81 |
$1K |
| 87807 |
|
100 |
94 |
$1K |
| 96360 |
|
32 |
32 |
$1K |
| 87389 |
|
41 |
40 |
$1K |
| 99214 |
|
76 |
68 |
$1K |
| 88142 |
|
58 |
58 |
$1K |
| 86780 |
|
72 |
64 |
$1K |
| 86850 |
|
150 |
134 |
$1K |
| 93306 |
|
14 |
12 |
$954.86 |
| 97140 |
|
57 |
18 |
$933.67 |
| 86140 |
|
129 |
118 |
$865.39 |
| 85027 |
|
88 |
80 |
$862.49 |
| 94664 |
|
59 |
51 |
$781.98 |
| 70450 |
|
13 |
13 |
$768.10 |
| 99215 |
Prolong outpt/office vis |
201 |
181 |
$745.67 |
| 36415 |
|
11,466 |
9,977 |
$722.11 |
| 87077 |
|
72 |
70 |
$637.88 |
| 87070 |
|
130 |
122 |
$571.57 |
| 86901 |
|
105 |
94 |
$510.42 |
| 81025 |
|
70 |
66 |
$495.55 |
| 83970 |
|
42 |
42 |
$478.11 |
| 74018 |
|
46 |
44 |
$462.63 |
| 97161 |
|
13 |
12 |
$446.95 |
| 87186 |
|
46 |
45 |
$439.87 |
| 73610 |
|
35 |
30 |
$433.23 |
| 86900 |
|
105 |
94 |
$404.16 |
| 87340 |
|
28 |
28 |
$383.90 |
| 86762 |
|
59 |
52 |
$378.29 |
| 85610 |
|
91 |
80 |
$355.89 |
| 86738 |
|
48 |
44 |
$334.10 |
| 84703 |
|
52 |
50 |
$327.76 |
| 74019 |
|
19 |
19 |
$313.88 |
| 73630 |
|
18 |
17 |
$309.45 |
| 81003 |
|
283 |
252 |
$305.77 |
| 82570 |
|
80 |
79 |
$246.88 |
| 86803 |
|
14 |
14 |
$219.43 |
| 83735 |
|
42 |
31 |
$205.45 |
| 73030 |
|
14 |
12 |
$187.08 |
| J7120 |
Ringers lactate infusion |
339 |
267 |
$162.47 |
| 87045 |
|
12 |
12 |
$153.34 |
| J2405 |
Ondansetron hcl injection |
158 |
127 |
$125.38 |
| 84156 |
|
54 |
51 |
$102.88 |
| J7030 |
Normal saline solution infus |
589 |
483 |
$70.98 |
| 85018 |
|
36 |
36 |
$61.44 |
| 85651 |
|
12 |
12 |
$43.26 |
| 85014 |
|
24 |
24 |
$39.33 |
| 84550 |
|
14 |
12 |
$39.30 |
| 84100 |
|
16 |
16 |
$37.92 |
| 87427 |
|
16 |
12 |
$35.44 |
| 82248 |
|
15 |
13 |
$33.04 |
| J1885 |
Ketorolac tromethamine inj |
62 |
43 |
$32.09 |
| 82043 |
|
12 |
12 |
$25.90 |
| J2704 |
Inj, propofol, 10 mg |
184 |
123 |
$24.40 |
| G0480 |
Drug test def 1-7 classes |
120 |
103 |
$10.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
173 |
152 |
$3.00 |
| J2001 |
Lidocaine injection |
22 |
12 |
$0.30 |
| G0008 |
Admin influenza virus vac |
33 |
28 |
$0.01 |
| 90662 |
|
12 |
12 |
$0.00 |
| 82077 |
|
15 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
113 |
42 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 80050 |
|
15 |
15 |
$0.00 |