| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
28,787 |
27,010 |
$6.87M |
| 99285 |
|
16,080 |
14,836 |
$5.80M |
| 99283 |
|
33,756 |
32,026 |
$4.47M |
| 0241U |
|
6,174 |
5,874 |
$985K |
| 41899 |
|
1,174 |
1,118 |
$718K |
| 80307 |
|
6,975 |
6,026 |
$461K |
| 11042 |
|
8,203 |
2,121 |
$374K |
| 93005 |
|
13,849 |
12,283 |
$336K |
| 80053 |
|
38,041 |
35,314 |
$326K |
| 85025 |
|
43,925 |
40,640 |
$324K |
| 00170 |
|
1,780 |
1,526 |
$280K |
| 71045 |
|
5,582 |
5,163 |
$197K |
| 88305 |
|
4,990 |
3,815 |
$193K |
| 99282 |
|
2,530 |
2,410 |
$190K |
| 59025 |
|
3,881 |
3,278 |
$189K |
| J3490 |
Drugs unclassified injection |
95,744 |
48,839 |
$156K |
| 93010 |
|
42,604 |
29,759 |
$148K |
| 43239 |
|
620 |
582 |
$148K |
| 81001 |
|
35,633 |
32,676 |
$119K |
| 36415 |
|
51,253 |
45,720 |
$108K |
| 96374 |
|
3,636 |
3,391 |
$102K |
| 71046 |
|
2,115 |
2,015 |
$95K |
| 45380 |
|
323 |
310 |
$90K |
| 96361 |
|
2,158 |
1,965 |
$83K |
| 96375 |
|
1,655 |
1,548 |
$72K |
| C9803 |
Hopd covid-19 spec collect |
3,039 |
2,689 |
$70K |
| 87635 |
|
1,367 |
1,258 |
$65K |
| 99281 |
|
1,333 |
1,233 |
$53K |
| U0003 |
Cov-19 amp prb hgh thruput |
606 |
508 |
$50K |
| 96372 |
|
1,184 |
1,113 |
$37K |
| 94760 |
|
2,126 |
1,847 |
$27K |
| 87651 |
|
689 |
660 |
$26K |
| 76801 |
|
387 |
372 |
$24K |
| J1100 |
Dexamethasone sodium phos |
1,862 |
1,741 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
2,038 |
1,691 |
$22K |
| 84484 |
|
2,822 |
2,174 |
$21K |
| 83690 |
|
2,802 |
2,625 |
$20K |
| 66984 |
|
84 |
65 |
$20K |
| G0463 |
Hospital outpt clinic visit |
991 |
665 |
$19K |
| J2405 |
Ondansetron hcl injection |
2,041 |
1,851 |
$19K |
| 88307 |
|
334 |
289 |
$17K |
| 70450 |
|
81 |
77 |
$17K |
| 99213 |
|
819 |
484 |
$17K |
| 87804 |
|
1,240 |
1,213 |
$15K |
| 93306 |
|
76 |
75 |
$12K |
| 97110 |
|
501 |
132 |
$12K |
| 88304 |
|
605 |
464 |
$12K |
| 30802 |
|
16 |
12 |
$12K |
| 87086 |
|
1,253 |
1,184 |
$11K |
| 88342 |
|
385 |
315 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
1,187 |
1,103 |
$10K |
| 87880 |
|
727 |
695 |
$9K |
| 99201 |
|
585 |
402 |
$9K |
| 87070 |
|
787 |
753 |
$8K |
| 93325 |
|
83 |
79 |
$7K |
| J3010 |
Fentanyl citrate injection |
584 |
531 |
$6K |
| 99211 |
|
381 |
330 |
$6K |
| 99291 |
|
100 |
40 |
$6K |
| 84703 |
|
549 |
520 |
$5K |
| 94640 |
|
142 |
129 |
$5K |
| 76815 |
|
52 |
46 |
$5K |
| 81025 |
|
441 |
427 |
$4K |
| 87591 |
|
105 |
100 |
$3K |
| 87491 |
|
105 |
100 |
$3K |
| U0005 |
Infec agen detec ampli probe |
124 |
98 |
$3K |
| 01967 |
|
32 |
26 |
$3K |
| 93321 |
|
43 |
40 |
$2K |
| 86003 |
|
12 |
12 |
$2K |
| Q3014 |
Telehealth facility fee |
130 |
100 |
$2K |
| J2270 |
Morphine sulfate injection |
213 |
184 |
$2K |
| 82247 |
|
358 |
309 |
$2K |
| 99202 |
|
103 |
68 |
$2K |
| 99406 |
|
407 |
386 |
$2K |
| 80048 |
|
277 |
262 |
$2K |
| 76805 |
|
26 |
25 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
81 |
80 |
$2K |
| 96365 |
|
42 |
37 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
211 |
175 |
$1K |
| 97530 |
|
58 |
27 |
$1K |
| 93971 |
|
137 |
84 |
$1K |
| 73630 |
|
24 |
24 |
$1K |
| 77073 |
|
13 |
12 |
$1K |
| 00142 |
|
30 |
25 |
$986.27 |
| 99214 |
|
40 |
26 |
$832.37 |
| 82550 |
|
190 |
176 |
$702.47 |
| 81005 |
|
315 |
250 |
$656.18 |
| 73130 |
|
13 |
13 |
$583.30 |
| 80061 |
|
37 |
37 |
$524.10 |
| 84443 |
|
24 |
24 |
$487.44 |
| 82306 |
|
12 |
12 |
$442.68 |
| 84112 |
|
14 |
13 |
$435.79 |
| V2632 |
Post chmbr intraocular lens |
56 |
40 |
$429.33 |
| 80076 |
|
34 |
33 |
$329.96 |
| 82785 |
|
12 |
12 |
$321.63 |
| 83735 |
|
39 |
37 |
$300.69 |
| 83655 |
|
17 |
13 |
$268.82 |
| 82553 |
|
39 |
37 |
$262.75 |
| 82248 |
|
358 |
309 |
$235.71 |
| 86140 |
|
32 |
30 |
$223.57 |
| 87420 |
|
16 |
15 |
$214.20 |
| 80047 |
|
19 |
19 |
$189.73 |
| 87210 |
|
43 |
39 |
$145.31 |
| 83605 |
|
15 |
12 |
$140.46 |
| J0696 |
Ceftriaxone sodium injection |
13 |
13 |
$133.88 |
| J0171 |
Adrenalin epinephrine inject |
87 |
68 |
$133.71 |
| 87077 |
|
14 |
12 |
$106.50 |
| 85027 |
|
16 |
13 |
$102.55 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
12 |
$99.77 |
| J2765 |
Metoclopramide hcl injection |
13 |
12 |
$78.84 |
| 85730 |
|
17 |
12 |
$66.36 |
| 85014 |
|
19 |
19 |
$56.65 |
| J7512 |
Prednisone ir or dr oral 1mg |
94 |
91 |
$54.19 |
| 87075 |
|
14 |
12 |
$51.30 |
| 85610 |
|
20 |
15 |
$42.08 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$32.66 |
| S0119 |
Ondansetron 4 mg |
159 |
156 |
$25.52 |
| 87205 |
|
14 |
12 |
$24.34 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
12 |
$2.04 |
| 99292 |
|
13 |
13 |
$0.00 |
| 0202U |
|
30 |
29 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
14 |
13 |
$0.00 |