| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
5,768 |
1,154 |
$165K |
| 87631 |
|
1,555 |
1,478 |
$155K |
| 87426 |
|
2,228 |
1,994 |
$80K |
| 70450 |
|
866 |
786 |
$76K |
| 80053 |
|
5,523 |
4,648 |
$72K |
| 74177 |
|
514 |
451 |
$58K |
| 85025 |
|
7,637 |
6,275 |
$51K |
| 80307 |
|
822 |
720 |
$49K |
| U0002 |
Covid-19 lab test non-cdc |
1,115 |
994 |
$47K |
| G0463 |
Hospital outpt clinic visit |
2,645 |
2,151 |
$45K |
| 87651 |
|
985 |
927 |
$45K |
| 97161 |
|
636 |
555 |
$37K |
| 87635 |
|
1,628 |
1,540 |
$23K |
| 93005 |
|
2,503 |
2,119 |
$22K |
| 80050 |
|
572 |
455 |
$21K |
| 99283 |
|
618 |
576 |
$20K |
| 71046 |
|
1,216 |
1,128 |
$20K |
| 71045 |
|
2,184 |
1,875 |
$17K |
| 80048 |
|
1,868 |
1,540 |
$17K |
| 77067 |
|
393 |
335 |
$15K |
| 72148 |
|
58 |
56 |
$14K |
| 80061 |
|
1,156 |
1,027 |
$11K |
| 99284 |
|
485 |
458 |
$11K |
| 96374 |
|
329 |
302 |
$10K |
| 73721 |
|
43 |
40 |
$10K |
| 84484 |
|
1,509 |
1,154 |
$9K |
| 36415 |
|
2,331 |
1,923 |
$9K |
| 81025 |
|
1,031 |
926 |
$8K |
| 0001A |
|
211 |
205 |
$8K |
| 99282 |
|
409 |
363 |
$8K |
| 0002A |
|
181 |
180 |
$8K |
| 82553 |
|
1,090 |
895 |
$8K |
| 82306 |
|
259 |
237 |
$7K |
| 73560 |
|
210 |
163 |
$7K |
| 83036 |
|
858 |
777 |
$7K |
| 83735 |
|
1,434 |
1,204 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
93 |
86 |
$7K |
| 81001 |
|
2,332 |
2,088 |
$6K |
| 83690 |
|
934 |
838 |
$6K |
| 96372 |
|
161 |
141 |
$6K |
| 87086 |
|
1,065 |
942 |
$6K |
| 82550 |
|
1,070 |
887 |
$6K |
| 87804 |
|
592 |
525 |
$6K |
| 99285 |
|
179 |
166 |
$4K |
| 83880 |
|
256 |
208 |
$4K |
| 87591 |
|
81 |
76 |
$4K |
| 87491 |
|
81 |
76 |
$4K |
| 82150 |
|
542 |
491 |
$3K |
| 83605 |
|
348 |
307 |
$3K |
| 85730 |
|
780 |
668 |
$3K |
| 87880 |
|
221 |
206 |
$2K |
| 20610 |
|
104 |
86 |
$2K |
| 84443 |
|
158 |
147 |
$2K |
| 85610 |
|
970 |
812 |
$2K |
| 77063 |
|
91 |
81 |
$2K |
| 86756 |
|
134 |
118 |
$2K |
| 87186 |
|
573 |
494 |
$2K |
| 74176 |
|
24 |
24 |
$2K |
| 81003 |
|
824 |
749 |
$2K |
| 83655 |
|
111 |
109 |
$2K |
| 73630 |
|
77 |
66 |
$2K |
| 82962 |
|
305 |
212 |
$2K |
| 74018 |
|
105 |
95 |
$2K |
| 80320 |
|
108 |
93 |
$2K |
| 87088 |
|
297 |
266 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
511 |
455 |
$1K |
| J2405 |
Ondansetron hcl injection |
349 |
317 |
$1K |
| 73130 |
|
43 |
38 |
$886.69 |
| 72125 |
|
13 |
13 |
$860.00 |
| 73610 |
|
45 |
37 |
$852.51 |
| 96365 |
|
12 |
12 |
$785.27 |
| 87040 |
|
60 |
51 |
$782.34 |
| J0696 |
Ceftriaxone sodium injection |
137 |
116 |
$710.65 |
| 73562 |
|
28 |
26 |
$694.37 |
| J1100 |
Dexamethasone sodium phos |
97 |
84 |
$515.16 |
| 0012A |
|
67 |
67 |
$421.53 |
| 86901 |
|
14 |
12 |
$395.09 |
| 0011A |
|
68 |
68 |
$392.80 |
| 84439 |
|
30 |
28 |
$326.14 |
| 73030 |
|
14 |
13 |
$320.95 |
| 80143 |
|
14 |
12 |
$319.10 |
| 80179 |
|
14 |
12 |
$319.10 |
| 94640 |
|
88 |
68 |
$276.00 |
| C9803 |
Hopd covid-19 spec collect |
974 |
917 |
$252.25 |
| 72100 |
|
12 |
12 |
$241.10 |
| 82803 |
|
16 |
12 |
$229.05 |
| 84145 |
|
18 |
14 |
$226.65 |
| 82565 |
|
12 |
12 |
$218.39 |
| 85018 |
|
48 |
37 |
$147.60 |
| 82728 |
|
12 |
12 |
$136.22 |
| 82607 |
|
17 |
14 |
$129.12 |
| Q0162 |
Ondansetron oral |
41 |
40 |
$48.31 |
| 85651 |
|
13 |
12 |
$47.00 |
| J0690 |
Cefazolin sodium injection |
34 |
30 |
$29.76 |
| 96375 |
|
64 |
58 |
$8.73 |
| J1170 |
Hydromorphone injection |
31 |
27 |
$8.01 |
| J2001 |
Lidocaine injection |
64 |
44 |
$8.00 |
| J3010 |
Fentanyl citrate injection |
28 |
28 |
$3.66 |
| G0008 |
Admin influenza virus vac |
15 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
42 |
39 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
13 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
18 |
18 |
$0.00 |
| J2930 |
Methylprednisolone injection |
19 |
16 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
20 |
14 |
$0.00 |