| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
10,716 |
10,593 |
$1.72M |
| 99284 |
|
5,658 |
5,609 |
$1.36M |
| 96374 |
|
3,165 |
3,118 |
$443K |
| 99285 |
|
1,016 |
1,008 |
$360K |
| 11042 |
|
1,163 |
477 |
$222K |
| J3490 |
Drugs unclassified injection |
5,751 |
4,327 |
$191K |
| 99282 |
|
1,371 |
1,365 |
$140K |
| 96375 |
|
2,118 |
2,052 |
$113K |
| 80053 |
|
3,413 |
3,379 |
$75K |
| 96372 |
|
925 |
907 |
$67K |
| 71045 |
|
2,773 |
2,756 |
$38K |
| 85025 |
|
5,561 |
5,498 |
$34K |
| 87426 |
|
717 |
715 |
$31K |
| 64493 |
|
50 |
26 |
$19K |
| 93306 |
|
201 |
201 |
$19K |
| 80048 |
|
979 |
964 |
$16K |
| 78452 |
|
53 |
53 |
$12K |
| 96361 |
|
263 |
257 |
$11K |
| 99281 |
|
152 |
152 |
$8K |
| 93005 |
|
1,538 |
1,511 |
$8K |
| 81001 |
|
2,677 |
2,660 |
$7K |
| G2023 |
Specimen collect covid-19 |
319 |
319 |
$7K |
| 84484 |
|
406 |
386 |
$6K |
| 83735 |
|
752 |
747 |
$4K |
| 81025 |
|
532 |
531 |
$4K |
| 83690 |
|
563 |
557 |
$3K |
| 87400 |
|
210 |
137 |
$3K |
| 70450 |
|
61 |
61 |
$3K |
| 96360 |
|
13 |
13 |
$2K |
| 80050 |
|
64 |
64 |
$2K |
| 96365 |
|
16 |
15 |
$2K |
| 80061 |
|
210 |
210 |
$2K |
| 82805 |
|
18 |
18 |
$1K |
| 77067 |
|
12 |
12 |
$928.40 |
| 83036 |
|
146 |
146 |
$867.03 |
| 80307 |
|
13 |
13 |
$718.51 |
| 84443 |
|
72 |
72 |
$715.46 |
| G0463 |
Hospital outpt clinic visit |
25 |
24 |
$618.35 |
| 83880 |
|
13 |
12 |
$419.04 |
| 87880 |
|
27 |
27 |
$367.50 |
| 84703 |
|
51 |
51 |
$334.50 |
| 77063 |
|
12 |
12 |
$252.12 |
| 36415 |
|
100 |
99 |
$216.27 |
| 85610 |
|
56 |
54 |
$194.82 |
| J7120 |
Ringers lactate infusion |
486 |
459 |
$156.16 |
| J2405 |
Ondansetron hcl injection |
387 |
380 |
$145.79 |
| 84702 |
|
14 |
12 |
$143.26 |
| 87070 |
|
12 |
12 |
$84.04 |
| J3010 |
Fentanyl citrate injection |
80 |
79 |
$66.53 |
| 81003 |
|
33 |
33 |
$62.00 |
| J7030 |
Normal saline solution infus |
834 |
823 |
$1.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
50 |
50 |
$1.48 |
| J7050 |
Normal saline solution infus |
13 |
12 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
51 |
50 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
13 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
45 |
41 |
$0.00 |
| J0780 |
Prochlorperazine injection |
18 |
16 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |