| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
3,999 |
3,677 |
$589K |
| 41899 |
|
575 |
495 |
$481K |
| 99283 |
|
3,887 |
3,650 |
$358K |
| 99285 |
|
1,003 |
938 |
$307K |
| 87636 |
|
1,599 |
1,497 |
$157K |
| 74177 |
|
646 |
607 |
$64K |
| 85025 |
|
6,998 |
5,994 |
$33K |
| 96374 |
|
2,355 |
2,124 |
$32K |
| 99214 |
|
2,042 |
1,930 |
$31K |
| 80053 |
|
4,568 |
3,962 |
$29K |
| 95810 |
|
55 |
53 |
$19K |
| 83605 |
|
2,349 |
1,840 |
$16K |
| 70450 |
|
642 |
597 |
$16K |
| 96361 |
|
1,568 |
1,355 |
$15K |
| 99213 |
|
1,147 |
1,072 |
$15K |
| 71045 |
|
1,913 |
1,765 |
$14K |
| 87426 |
|
382 |
367 |
$11K |
| 87651 |
|
338 |
325 |
$9K |
| 36415 |
|
3,558 |
2,833 |
$9K |
| 84484 |
|
1,400 |
879 |
$8K |
| D2710 |
|
23 |
18 |
$8K |
| 96365 |
|
352 |
322 |
$7K |
| 83690 |
|
1,643 |
1,486 |
$7K |
| 80047 |
|
881 |
824 |
$7K |
| 99204 |
|
496 |
477 |
$7K |
| 81001 |
|
3,154 |
2,889 |
$6K |
| 74176 |
|
209 |
203 |
$6K |
| 96375 |
|
1,743 |
1,504 |
$6K |
| 83735 |
|
1,497 |
1,156 |
$5K |
| 80048 |
|
1,152 |
950 |
$4K |
| 93005 |
|
2,598 |
2,294 |
$4K |
| 80076 |
|
833 |
774 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
411 |
393 |
$4K |
| 90471 |
|
227 |
225 |
$4K |
| 84443 |
|
593 |
548 |
$3K |
| 83880 |
|
286 |
255 |
$3K |
| 71275 |
|
87 |
86 |
$3K |
| 99282 |
|
82 |
77 |
$3K |
| 96360 |
|
176 |
166 |
$3K |
| 87070 |
|
359 |
339 |
$3K |
| 99281 |
|
118 |
107 |
$3K |
| 85610 |
|
1,123 |
1,029 |
$3K |
| 96372 |
|
584 |
508 |
$2K |
| 87086 |
|
685 |
639 |
$2K |
| 87040 |
|
528 |
299 |
$2K |
| 71046 |
|
166 |
158 |
$2K |
| 88305 |
|
295 |
237 |
$2K |
| G0378 |
Hospital observation per hr |
20 |
19 |
$2K |
| 80306 |
|
173 |
164 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
1,297 |
1,155 |
$2K |
| 93306 |
|
93 |
92 |
$2K |
| 99215 |
Prolong outpt/office vis |
64 |
64 |
$2K |
| 72125 |
|
111 |
110 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
610 |
592 |
$1K |
| 84703 |
|
248 |
231 |
$1K |
| 83036 |
|
259 |
251 |
$1K |
| 85027 |
|
406 |
327 |
$1K |
| 87186 |
|
284 |
259 |
$1K |
| 85730 |
|
426 |
397 |
$989.14 |
| 90472 |
|
53 |
51 |
$982.80 |
| 99203 |
|
114 |
112 |
$969.54 |
| J1885 |
Ketorolac tromethamine inj |
1,307 |
1,141 |
$943.86 |
| 82306 |
|
51 |
51 |
$927.36 |
| 80179 |
|
76 |
66 |
$911.99 |
| 80061 |
|
158 |
153 |
$865.45 |
| 92081 |
|
66 |
66 |
$861.59 |
| 92551 |
|
103 |
100 |
$731.47 |
| 81003 |
|
641 |
593 |
$716.59 |
| J3010 |
Fentanyl citrate injection |
1,114 |
941 |
$648.64 |
| 88304 |
|
27 |
26 |
$636.29 |
| 87501 |
|
37 |
31 |
$592.21 |
| J2405 |
Ondansetron hcl injection |
2,169 |
1,899 |
$559.52 |
| 80143 |
|
31 |
27 |
$467.29 |
| 71250 |
|
27 |
26 |
$452.40 |
| J1100 |
Dexamethasone sodium phos |
1,082 |
960 |
$403.35 |
| 84145 |
|
79 |
76 |
$392.02 |
| 87880 |
|
27 |
25 |
$338.09 |
| 85379 |
|
86 |
84 |
$327.26 |
| J2270 |
Morphine sulfate injection |
164 |
130 |
$304.42 |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$296.94 |
| 82962 |
|
168 |
93 |
$275.85 |
| 87077 |
|
92 |
86 |
$255.68 |
| 96127 |
|
61 |
60 |
$248.32 |
| J0696 |
Ceftriaxone sodium injection |
301 |
264 |
$240.70 |
| 87430 |
|
25 |
25 |
$235.66 |
| 99212 |
|
13 |
13 |
$216.24 |
| 84153 |
|
32 |
32 |
$186.96 |
| 82947 |
|
177 |
142 |
$174.48 |
| 51798 |
|
12 |
12 |
$169.57 |
| 83655 |
|
14 |
14 |
$163.19 |
| 96376 |
|
26 |
25 |
$156.54 |
| 86900 |
|
32 |
30 |
$146.42 |
| 88342 |
|
13 |
13 |
$141.44 |
| 96110 |
|
14 |
13 |
$134.83 |
| 84439 |
|
31 |
28 |
$127.40 |
| 82150 |
|
41 |
39 |
$121.55 |
| 94640 |
|
174 |
110 |
$67.55 |
| 86850 |
|
31 |
29 |
$65.28 |
| 73030 |
|
13 |
12 |
$59.80 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$45.37 |
| 96366 |
|
25 |
24 |
$35.63 |
| 85018 |
|
14 |
14 |
$29.24 |
| 0241U |
|
56 |
55 |
$28.58 |
| 82077 |
|
111 |
103 |
$22.52 |
| 86901 |
|
32 |
30 |
$19.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
47 |
40 |
$18.09 |
| J2930 |
Methylprednisolone injection |
13 |
12 |
$13.77 |
| J0690 |
Cefazolin sodium injection |
14 |
12 |
$12.76 |
| J0330 |
Succinycholine chloride inj |
16 |
14 |
$6.13 |
| J2001 |
Lidocaine injection |
76 |
73 |
$5.22 |
| J3490 |
Drugs unclassified injection |
1,825 |
761 |
$4.48 |
| J2250 |
Inj midazolam hydrochloride |
197 |
164 |
$2.61 |
| D2930 |
|
16 |
14 |
$0.00 |
| 90656 |
|
130 |
130 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
19 |
17 |
$0.00 |