| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,734 |
13,790 |
$2.34M |
| 99283 |
|
15,701 |
13,881 |
$1.98M |
| G0463 |
Hospital outpt clinic visit |
8,481 |
7,849 |
$1.80M |
| 87502 |
|
2,203 |
1,964 |
$138K |
| 85025 |
|
30,914 |
25,072 |
$133K |
| 93005 |
|
2,459 |
1,980 |
$131K |
| 80053 |
|
21,305 |
17,800 |
$127K |
| 81513 |
|
830 |
750 |
$91K |
| 71045 |
|
685 |
582 |
$87K |
| 84443 |
|
5,482 |
4,998 |
$65K |
| 96374 |
|
4,751 |
3,895 |
$60K |
| 87591 |
|
2,043 |
1,777 |
$58K |
| 87491 |
|
2,043 |
1,777 |
$58K |
| 97110 |
|
662 |
223 |
$57K |
| 87651 |
|
2,459 |
2,270 |
$56K |
| 71046 |
|
569 |
468 |
$52K |
| 87426 |
|
1,985 |
1,804 |
$51K |
| 82306 |
|
2,564 |
2,309 |
$50K |
| 36415 |
|
28,922 |
20,299 |
$46K |
| 80061 |
|
4,774 |
4,397 |
$45K |
| 87661 |
|
1,430 |
1,252 |
$42K |
| 96361 |
|
1,627 |
1,277 |
$42K |
| 62323 |
|
34 |
27 |
$37K |
| 99285 |
|
174 |
159 |
$28K |
| 99212 |
|
264 |
243 |
$27K |
| 83036 |
|
3,580 |
3,282 |
$24K |
| 87481 |
|
863 |
777 |
$23K |
| 88305 |
|
78 |
66 |
$21K |
| 82607 |
|
1,627 |
1,503 |
$19K |
| 74177 |
|
45 |
40 |
$17K |
| 86780 |
|
1,583 |
1,351 |
$16K |
| U0003 |
Cov-19 amp prb hgh thruput |
238 |
210 |
$16K |
| 87563 |
|
556 |
447 |
$15K |
| 99282 |
|
133 |
117 |
$11K |
| 99213 |
|
138 |
72 |
$9K |
| 83550 |
|
1,047 |
960 |
$8K |
| M0243 |
Casirivi and imdevi inj |
62 |
50 |
$7K |
| 88175 |
|
597 |
543 |
$7K |
| 43239 |
|
29 |
24 |
$6K |
| 80307 |
|
139 |
110 |
$6K |
| 83540 |
|
1,047 |
960 |
$6K |
| 80048 |
|
2,230 |
1,479 |
$5K |
| 87086 |
|
925 |
759 |
$5K |
| 83735 |
|
925 |
858 |
$5K |
| E0603 |
Electric breast pump |
29 |
24 |
$5K |
| 82746 |
|
335 |
320 |
$4K |
| 96413 |
|
17 |
12 |
$4K |
| 80047 |
|
421 |
349 |
$3K |
| 85027 |
|
1,073 |
832 |
$3K |
| 84484 |
|
459 |
365 |
$3K |
| 87634 |
|
65 |
57 |
$3K |
| 70450 |
|
49 |
41 |
$3K |
| 87389 |
|
149 |
116 |
$3K |
| 84702 |
|
316 |
233 |
$3K |
| 84439 |
|
342 |
321 |
$3K |
| 76856 |
|
13 |
12 |
$2K |
| 82728 |
|
212 |
185 |
$2K |
| 81001 |
|
1,528 |
1,271 |
$2K |
| 87070 |
|
369 |
350 |
$2K |
| 59025 |
|
16 |
14 |
$2K |
| 96375 |
|
834 |
654 |
$2K |
| 84144 |
|
119 |
105 |
$2K |
| 86803 |
|
204 |
152 |
$2K |
| 84481 |
|
124 |
111 |
$2K |
| 87510 |
|
191 |
166 |
$2K |
| 87660 |
|
191 |
166 |
$2K |
| 87480 |
|
191 |
166 |
$2K |
| 86706 |
|
191 |
150 |
$1K |
| 86850 |
|
371 |
299 |
$1K |
| 86696 |
|
94 |
76 |
$1K |
| 83690 |
|
529 |
419 |
$1K |
| 87801 |
|
29 |
26 |
$1K |
| 81003 |
|
646 |
552 |
$995.18 |
| 86762 |
|
88 |
67 |
$935.37 |
| 87340 |
|
136 |
102 |
$885.14 |
| 97140 |
|
100 |
38 |
$757.40 |
| 86695 |
|
63 |
51 |
$593.55 |
| 86376 |
|
48 |
41 |
$582.88 |
| 86901 |
|
266 |
220 |
$500.08 |
| 86900 |
|
266 |
220 |
$500.08 |
| 81025 |
|
133 |
104 |
$484.64 |
| 96132 |
|
17 |
12 |
$414.12 |
| 87635 |
|
12 |
12 |
$343.83 |
| 83021 |
|
19 |
13 |
$307.02 |
| 87624 |
|
13 |
13 |
$279.67 |
| 82950 |
|
72 |
65 |
$267.71 |
| 80164 |
|
26 |
19 |
$178.42 |
| J7030 |
Normal saline solution infus |
1,410 |
1,095 |
$173.77 |
| 82105 |
|
12 |
12 |
$150.93 |
| 84703 |
|
29 |
27 |
$143.34 |
| 82977 |
|
19 |
14 |
$86.40 |
| 82150 |
|
19 |
14 |
$77.76 |
| 84460 |
|
19 |
14 |
$63.60 |
| 84075 |
|
19 |
14 |
$62.16 |
| 84450 |
|
19 |
14 |
$62.16 |
| 82247 |
|
19 |
14 |
$60.24 |
| 82040 |
|
19 |
14 |
$59.40 |
| 84155 |
|
19 |
14 |
$44.04 |
| 82565 |
|
12 |
12 |
$35.84 |
| J2405 |
Ondansetron hcl injection |
392 |
274 |
$3.65 |
| J1100 |
Dexamethasone sodium phos |
106 |
77 |
$0.00 |
| J7050 |
Normal saline solution infus |
19 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
175 |
93 |
$0.00 |
| 96139 |
|
17 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
18 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
49 |
26 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
22 |
13 |
$0.00 |
| 96138 |
|
17 |
12 |
$0.00 |
| 96133 |
|
17 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
524 |
353 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
561 |
225 |
$0.00 |
| J7120 |
Ringers lactate infusion |
145 |
110 |
$0.00 |