| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,939 |
14,243 |
$2.11M |
| 99284 |
|
5,548 |
5,356 |
$679K |
| 99285 |
|
1,892 |
1,812 |
$228K |
| T1015 |
Clinic service |
6,370 |
1,830 |
$211K |
| G0378 |
Hospital observation per hr |
119 |
106 |
$94K |
| 99213 |
|
717 |
677 |
$31K |
| 99282 |
|
293 |
283 |
$30K |
| 74177 |
|
213 |
200 |
$24K |
| X0620 |
|
83 |
66 |
$24K |
| 77067 |
|
177 |
173 |
$14K |
| 80053 |
|
2,462 |
2,324 |
$13K |
| 97162 |
|
195 |
175 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
256 |
237 |
$11K |
| 85025 |
|
3,204 |
3,004 |
$9K |
| S9083 |
Urgent care center global |
73 |
72 |
$9K |
| 93306 |
|
98 |
96 |
$6K |
| 80307 |
|
167 |
159 |
$6K |
| 97161 |
|
84 |
84 |
$6K |
| 70450 |
|
197 |
186 |
$6K |
| 93005 |
|
899 |
838 |
$4K |
| 77063 |
|
176 |
172 |
$4K |
| 96365 |
|
121 |
56 |
$4K |
| 87635 |
|
109 |
103 |
$3K |
| 73564 |
|
149 |
126 |
$2K |
| 73630 |
|
259 |
227 |
$2K |
| 73610 |
|
167 |
160 |
$2K |
| 71046 |
|
232 |
227 |
$2K |
| 87636 |
|
30 |
30 |
$2K |
| 73030 |
|
131 |
118 |
$1K |
| 80048 |
|
277 |
248 |
$1K |
| 84484 |
|
358 |
327 |
$1K |
| 71045 |
|
357 |
339 |
$1K |
| 87880 |
|
242 |
221 |
$908.85 |
| 84443 |
|
98 |
95 |
$848.50 |
| 36415 |
|
858 |
759 |
$788.70 |
| 85610 |
|
310 |
257 |
$719.28 |
| 83690 |
|
267 |
246 |
$691.60 |
| 76700 |
|
12 |
12 |
$572.35 |
| 87811 |
|
78 |
75 |
$536.99 |
| 0241U |
|
57 |
54 |
$520.59 |
| 71250 |
|
12 |
12 |
$477.73 |
| 73130 |
|
49 |
43 |
$455.61 |
| 81001 |
|
304 |
284 |
$440.69 |
| 85730 |
|
157 |
150 |
$414.40 |
| 73502 |
|
25 |
24 |
$377.99 |
| 72050 |
|
12 |
12 |
$309.11 |
| 74176 |
|
12 |
12 |
$216.30 |
| 96372 |
|
18 |
13 |
$210.40 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,226 |
1,148 |
$187.62 |
| 85027 |
|
29 |
28 |
$133.47 |
| 80061 |
|
15 |
13 |
$123.51 |
| 87086 |
|
37 |
36 |
$123.28 |
| U0005 |
Infec agen detec ampli probe |
101 |
93 |
$100.00 |
| J7030 |
Normal saline solution infus |
98 |
83 |
$89.81 |
| 83735 |
|
41 |
40 |
$83.71 |
| 81003 |
|
70 |
67 |
$81.80 |
| 82948 |
|
93 |
80 |
$81.04 |
| J1885 |
Ketorolac tromethamine inj |
1,636 |
1,395 |
$54.28 |
| J2405 |
Ondansetron hcl injection |
1,088 |
953 |
$15.12 |
| 82077 |
|
15 |
14 |
$10.53 |
| 81025 |
|
39 |
38 |
$2.77 |
| J3010 |
Fentanyl citrate injection |
237 |
202 |
$2.01 |
| G1004 |
Cdsm ndsc |
48 |
40 |
$0.02 |
| J1100 |
Dexamethasone sodium phos |
399 |
341 |
$0.00 |
| J2060 |
Lorazepam injection |
38 |
27 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
125 |
119 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
260 |
196 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
32 |
31 |
$0.00 |
| J1170 |
Hydromorphone injection |
72 |
52 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
18 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
131 |
109 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
194 |
168 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
156 |
125 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
12 |
12 |
$0.00 |
| 87804 |
|
13 |
13 |
$0.00 |