| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99282 |
|
8,581 |
8,045 |
$296K |
| 99283 |
|
8,649 |
8,084 |
$279K |
| 85025 |
|
8,268 |
7,515 |
$57K |
| 80053 |
|
6,667 |
6,081 |
$56K |
| 99284 |
|
1,176 |
1,076 |
$53K |
| U0003 |
Cov-19 amp prb hgh thruput |
770 |
642 |
$43K |
| 87631 |
|
592 |
544 |
$37K |
| 93005 |
|
3,136 |
2,674 |
$26K |
| G0463 |
Hospital outpt clinic visit |
560 |
438 |
$23K |
| 87804 |
|
2,518 |
1,231 |
$18K |
| 87426 |
|
472 |
441 |
$10K |
| 97110 |
|
556 |
139 |
$9K |
| 71046 |
|
905 |
845 |
$8K |
| 87880 |
|
503 |
482 |
$7K |
| 80306 |
|
620 |
572 |
$7K |
| 84484 |
|
1,090 |
839 |
$6K |
| 71045 |
|
1,129 |
1,047 |
$5K |
| 80307 |
|
92 |
89 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
143 |
137 |
$4K |
| 81000 |
|
1,486 |
1,368 |
$4K |
| 97032 |
|
409 |
108 |
$4K |
| U0005 |
Infec agen detec ampli probe |
277 |
177 |
$4K |
| 87086 |
|
386 |
355 |
$4K |
| 82553 |
|
391 |
306 |
$3K |
| 87070 |
|
293 |
283 |
$3K |
| 88175 |
|
134 |
122 |
$3K |
| 83874 |
|
394 |
309 |
$3K |
| 87389 |
|
103 |
94 |
$2K |
| 83690 |
|
338 |
315 |
$2K |
| 82550 |
|
430 |
336 |
$2K |
| 86762 |
|
88 |
80 |
$2K |
| 81025 |
|
517 |
488 |
$2K |
| 99001 |
|
461 |
443 |
$2K |
| 74177 |
|
13 |
12 |
$1K |
| 70450 |
|
26 |
24 |
$1K |
| 83880 |
|
70 |
66 |
$1K |
| 80048 |
|
140 |
121 |
$1K |
| 87661 |
|
53 |
48 |
$918.69 |
| 87340 |
|
67 |
62 |
$858.46 |
| 84443 |
|
51 |
48 |
$799.37 |
| 80305 |
|
129 |
118 |
$795.72 |
| 0011A |
|
18 |
18 |
$720.00 |
| 80061 |
|
43 |
43 |
$698.00 |
| 0012A |
|
17 |
17 |
$680.00 |
| 81003 |
|
285 |
262 |
$607.61 |
| 86850 |
|
90 |
81 |
$528.75 |
| 86592 |
|
104 |
95 |
$523.13 |
| J1100 |
Dexamethasone sodium phos |
687 |
632 |
$471.51 |
| 82677 |
|
14 |
14 |
$421.40 |
| 87651 |
|
12 |
12 |
$365.64 |
| 84702 |
|
27 |
26 |
$347.06 |
| 82105 |
|
14 |
14 |
$308.14 |
| 87591 |
|
14 |
14 |
$299.16 |
| 87150 |
|
12 |
12 |
$284.24 |
| 86336 |
|
14 |
14 |
$267.40 |
| 86900 |
|
89 |
81 |
$243.46 |
| 86901 |
|
89 |
81 |
$241.24 |
| 87899 |
|
24 |
14 |
$220.22 |
| 82150 |
|
39 |
38 |
$217.89 |
| J1885 |
Ketorolac tromethamine inj |
589 |
545 |
$217.65 |
| 87335 |
|
15 |
14 |
$216.82 |
| 87045 |
|
15 |
14 |
$178.92 |
| 83630 |
|
14 |
13 |
$160.55 |
| 83036 |
|
12 |
12 |
$155.54 |
| 85610 |
|
66 |
58 |
$154.31 |
| 86706 |
|
15 |
13 |
$145.50 |
| 85027 |
|
46 |
30 |
$128.60 |
| J2550 |
Promethazine hcl injection |
95 |
89 |
$125.90 |
| 87040 |
|
20 |
13 |
$121.32 |
| 82306 |
|
12 |
12 |
$98.78 |
| 80076 |
|
12 |
12 |
$91.96 |
| J0696 |
Ceftriaxone sodium injection |
196 |
178 |
$83.75 |
| 87491 |
|
14 |
14 |
$66.48 |
| 96372 |
|
2,052 |
1,897 |
$58.55 |
| 85730 |
|
43 |
38 |
$43.80 |
| 96374 |
|
567 |
532 |
$42.46 |
| J2405 |
Ondansetron hcl injection |
434 |
378 |
$42.36 |
| J2270 |
Morphine sulfate injection |
16 |
13 |
$27.00 |
| J1170 |
Hydromorphone injection |
25 |
12 |
$22.61 |
| 96375 |
|
188 |
182 |
$18.44 |
| 96361 |
|
217 |
201 |
$12.81 |
| 36415 |
|
1,108 |
1,033 |
$8.12 |
| A0425 |
Ground mileage |
3,606 |
2,908 |
$0.00 |
| A0429 |
Bls-emergency |
545 |
482 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
16 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
28 |
25 |
$0.00 |
| 31000 |
|
100 |
49 |
$0.00 |
| A0427 |
Als1-emergency |
1,772 |
1,576 |
$0.00 |
| A0428 |
Bls |
768 |
515 |
$0.00 |