| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
24,083 |
18,733 |
$3.07M |
| G0330 |
Facility svs dental rehab |
158 |
123 |
$564K |
| 99284 |
|
2,029 |
1,601 |
$257K |
| 99282 |
|
2,761 |
2,359 |
$252K |
| 99211 |
|
1,708 |
1,345 |
$164K |
| 0241U |
|
992 |
745 |
$118K |
| 71045 |
|
605 |
481 |
$102K |
| C9803 |
Hopd covid-19 spec collect |
1,393 |
1,096 |
$100K |
| 93005 |
|
2,076 |
1,612 |
$98K |
| 96374 |
|
1,727 |
1,339 |
$83K |
| 85025 |
|
20,464 |
14,818 |
$75K |
| 11042 |
|
59 |
26 |
$53K |
| 71046 |
|
707 |
560 |
$47K |
| 41899 |
|
38 |
30 |
$47K |
| 69436 |
|
19 |
12 |
$44K |
| 80053 |
|
8,380 |
5,992 |
$43K |
| U0002 |
Covid-19 lab test non-cdc |
1,006 |
884 |
$42K |
| 87491 |
|
1,288 |
1,150 |
$36K |
| 87591 |
|
1,288 |
1,150 |
$36K |
| 36415 |
|
20,688 |
14,718 |
$36K |
| 99285 |
|
241 |
208 |
$35K |
| 99212 |
|
1,865 |
1,292 |
$34K |
| G0378 |
Hospital observation per hr |
262 |
146 |
$28K |
| 99218 |
|
236 |
156 |
$27K |
| G0463 |
Hospital outpt clinic visit |
1,174 |
808 |
$25K |
| 87661 |
|
865 |
774 |
$24K |
| 92557 |
|
292 |
240 |
$24K |
| 92567 |
|
775 |
656 |
$20K |
| 96361 |
|
813 |
604 |
$18K |
| 96413 |
|
144 |
79 |
$16K |
| 80500 |
|
227 |
179 |
$16K |
| 88175 |
|
842 |
739 |
$11K |
| J3300 |
Triamcinolone a inj prs-free |
361 |
275 |
$9K |
| 97530 |
|
78 |
25 |
$9K |
| 70486 |
|
58 |
41 |
$8K |
| 84443 |
|
593 |
518 |
$6K |
| 99281 |
|
44 |
37 |
$5K |
| 84484 |
|
761 |
566 |
$4K |
| 80048 |
|
1,149 |
898 |
$4K |
| 80503 |
|
39 |
28 |
$3K |
| 80061 |
|
418 |
369 |
$3K |
| 97110 |
|
28 |
12 |
$3K |
| 80081 |
|
39 |
36 |
$3K |
| 76805 |
|
17 |
12 |
$2K |
| 83655 |
|
197 |
181 |
$2K |
| 87088 |
|
320 |
270 |
$2K |
| 85652 |
|
1,106 |
943 |
$2K |
| 96375 |
|
624 |
453 |
$2K |
| 36591 |
|
32 |
12 |
$1K |
| 83036 |
|
318 |
264 |
$1K |
| 83690 |
|
483 |
376 |
$1K |
| 84703 |
|
342 |
264 |
$1K |
| 87798 |
|
78 |
64 |
$1K |
| 87426 |
|
95 |
79 |
$1K |
| 82728 |
|
138 |
117 |
$979.38 |
| 87563 |
|
27 |
24 |
$753.10 |
| 87624 |
|
25 |
25 |
$736.89 |
| 81001 |
|
487 |
393 |
$704.67 |
| A0425 |
Ground mileage |
2,578 |
1,589 |
$679.35 |
| 82565 |
|
213 |
169 |
$528.16 |
| 84460 |
|
172 |
125 |
$443.15 |
| 84450 |
|
172 |
125 |
$433.29 |
| 99213 |
|
18 |
13 |
$374.27 |
| 84439 |
|
66 |
59 |
$363.53 |
| 87389 |
|
15 |
12 |
$331.36 |
| A0428 |
Bls |
23 |
15 |
$259.98 |
| 83550 |
|
51 |
39 |
$224.86 |
| J1642 |
Inj heparin sodium per 10 u |
158 |
36 |
$206.52 |
| 80307 |
|
13 |
13 |
$205.04 |
| 81003 |
|
238 |
176 |
$198.33 |
| 82040 |
|
91 |
57 |
$197.89 |
| 83540 |
|
51 |
39 |
$167.50 |
| 87040 |
|
21 |
12 |
$135.23 |
| 86885 |
|
14 |
12 |
$111.00 |
| 86431 |
|
13 |
12 |
$86.29 |
| J2405 |
Ondansetron hcl injection |
261 |
183 |
$45.36 |
| 88305 |
|
23 |
12 |
$44.89 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
47 |
39 |
$33.46 |
| 86901 |
|
14 |
12 |
$11.60 |
| 86900 |
|
14 |
12 |
$11.60 |
| A0427 |
Als1-emergency |
227 |
156 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
45 |
25 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
27 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
127 |
95 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
117 |
77 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
13 |
12 |
$0.00 |
| A0429 |
Bls-emergency |
585 |
462 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
30 |
25 |
$0.00 |
| J2270 |
Morphine sulfate injection |
22 |
16 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
22 |
13 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
18 |
12 |
$0.00 |