| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,493 |
11,837 |
$2.16M |
| 99284 |
|
8,241 |
6,241 |
$1.12M |
| 71045 |
|
3,989 |
2,934 |
$377K |
| 99285 |
|
2,287 |
1,657 |
$230K |
| 93005 |
|
3,376 |
2,449 |
$150K |
| 99282 |
|
883 |
763 |
$124K |
| C9803 |
Hopd covid-19 spec collect |
1,822 |
1,391 |
$104K |
| 74177 |
|
340 |
241 |
$69K |
| 87426 |
|
2,859 |
2,246 |
$67K |
| 80053 |
|
13,160 |
9,754 |
$64K |
| 85025 |
|
16,235 |
11,817 |
$55K |
| 97110 |
|
561 |
144 |
$52K |
| 71046 |
|
366 |
303 |
$37K |
| 87804 |
|
1,586 |
1,270 |
$32K |
| 36415 |
|
19,926 |
14,831 |
$30K |
| 96374 |
|
2,702 |
2,076 |
$22K |
| 80050 |
|
168 |
152 |
$15K |
| 96375 |
|
2,415 |
1,857 |
$14K |
| U0003 |
Cov-19 amp prb hgh thruput |
213 |
196 |
$14K |
| 96361 |
|
1,640 |
1,225 |
$13K |
| 70450 |
|
248 |
186 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
617 |
478 |
$11K |
| 87651 |
|
541 |
433 |
$10K |
| 84484 |
|
2,207 |
1,347 |
$9K |
| 93306 |
|
42 |
36 |
$9K |
| 80061 |
|
1,398 |
1,117 |
$9K |
| 80307 |
|
381 |
267 |
$7K |
| 85730 |
|
2,676 |
1,920 |
$7K |
| 81001 |
|
3,485 |
2,660 |
$6K |
| 83735 |
|
2,277 |
1,737 |
$6K |
| 85610 |
|
2,819 |
2,007 |
$5K |
| 84443 |
|
559 |
449 |
$5K |
| 83690 |
|
1,860 |
1,387 |
$5K |
| 80048 |
|
2,033 |
1,533 |
$4K |
| 83036 |
|
964 |
768 |
$4K |
| 82150 |
|
1,304 |
964 |
$4K |
| 96372 |
|
772 |
620 |
$3K |
| 83605 |
|
743 |
503 |
$3K |
| 87430 |
|
180 |
133 |
$3K |
| 88305 |
|
66 |
33 |
$2K |
| 83880 |
|
136 |
103 |
$2K |
| 96365 |
|
701 |
557 |
$2K |
| 87040 |
|
667 |
280 |
$2K |
| 94640 |
|
382 |
252 |
$2K |
| 82306 |
|
128 |
107 |
$2K |
| 81025 |
|
296 |
245 |
$2K |
| 84439 |
|
209 |
163 |
$1K |
| 87400 |
|
76 |
47 |
$1K |
| 81003 |
|
1,764 |
1,158 |
$1K |
| 82550 |
|
593 |
400 |
$1K |
| 87807 |
|
73 |
66 |
$737.53 |
| 87086 |
|
136 |
101 |
$575.60 |
| 87635 |
|
15 |
12 |
$564.22 |
| 85027 |
|
120 |
105 |
$454.72 |
| 87491 |
|
16 |
13 |
$421.08 |
| 87591 |
|
16 |
13 |
$421.08 |
| 85379 |
|
68 |
50 |
$399.14 |
| 82553 |
|
341 |
209 |
$383.36 |
| 82607 |
|
33 |
27 |
$285.61 |
| 84481 |
|
20 |
16 |
$231.48 |
| 86800 |
|
20 |
16 |
$218.09 |
| 84432 |
|
19 |
15 |
$203.98 |
| 86376 |
|
20 |
16 |
$200.41 |
| 86803 |
|
17 |
14 |
$185.51 |
| 84482 |
|
18 |
14 |
$184.62 |
| 82077 |
|
21 |
13 |
$138.16 |
| 82728 |
|
17 |
13 |
$110.50 |
| 81000 |
|
80 |
44 |
$57.12 |
| 80069 |
|
17 |
12 |
$43.03 |
| 85007 |
|
24 |
19 |
$26.38 |
| J2250 |
Inj midazolam hydrochloride |
383 |
281 |
$3.94 |
| J3010 |
Fentanyl citrate injection |
400 |
319 |
$3.83 |
| J2270 |
Morphine sulfate injection |
177 |
127 |
$0.00 |
| J2550 |
Promethazine hcl injection |
194 |
160 |
$0.00 |
| J7030 |
Normal saline solution infus |
421 |
309 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
293 |
205 |
$0.00 |
| J7120 |
Ringers lactate infusion |
44 |
21 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
90 |
77 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
856 |
649 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
71 |
63 |
$0.00 |
| J2360 |
Orphenadrine injection |
42 |
24 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
327 |
268 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
47 |
38 |
$0.00 |
| 96366 |
|
30 |
26 |
$0.00 |