| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,432 |
5,065 |
$2.27M |
| 99284 |
|
6,077 |
3,618 |
$1.56M |
| 99285 |
|
3,784 |
2,207 |
$1.08M |
| 99282 |
|
2,851 |
2,137 |
$412K |
| 74177 |
|
834 |
617 |
$291K |
| 70450 |
|
1,269 |
856 |
$271K |
| 96365 |
|
1,530 |
1,036 |
$125K |
| 96361 |
|
2,343 |
1,538 |
$122K |
| 96375 |
|
2,066 |
1,387 |
$96K |
| 93005 |
|
3,715 |
2,386 |
$94K |
| 71045 |
|
2,551 |
1,674 |
$72K |
| 96374 |
|
2,480 |
1,755 |
$71K |
| 97110 |
|
1,779 |
499 |
$67K |
| J3490 |
Drugs unclassified injection |
9,005 |
3,471 |
$58K |
| 41899 |
|
21 |
15 |
$46K |
| 80307 |
|
1,405 |
994 |
$46K |
| G0480 |
Drug test def 1-7 classes |
1,416 |
1,018 |
$44K |
| 94640 |
|
578 |
275 |
$38K |
| J7030 |
Normal saline solution infus |
2,065 |
1,497 |
$33K |
| 71046 |
|
1,097 |
813 |
$33K |
| 80053 |
|
6,180 |
4,262 |
$29K |
| G0463 |
Hospital outpt clinic visit |
2,735 |
1,435 |
$28K |
| 71275 |
|
46 |
37 |
$27K |
| 80050 |
|
3,037 |
2,488 |
$24K |
| 96372 |
|
1,025 |
670 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,468 |
1,085 |
$24K |
| 96376 |
|
437 |
292 |
$23K |
| 85025 |
|
6,520 |
4,300 |
$22K |
| 72125 |
|
73 |
54 |
$20K |
| 96360 |
|
388 |
277 |
$20K |
| 87635 |
|
365 |
296 |
$15K |
| 84484 |
|
3,037 |
1,665 |
$12K |
| 74176 |
|
34 |
33 |
$12K |
| 80061 |
|
1,100 |
963 |
$10K |
| G2023 |
Specimen collect covid-19 |
425 |
350 |
$8K |
| 87804 |
|
934 |
398 |
$7K |
| 83690 |
|
1,800 |
1,311 |
$7K |
| 87040 |
|
1,426 |
527 |
$7K |
| 80305 |
|
1,450 |
1,075 |
$7K |
| 87591 |
|
359 |
308 |
$7K |
| 87491 |
|
357 |
306 |
$7K |
| 84443 |
|
694 |
559 |
$7K |
| J7060 |
5% dextrose/water |
332 |
189 |
$7K |
| 87086 |
|
1,389 |
1,047 |
$6K |
| 80048 |
|
984 |
616 |
$5K |
| 83605 |
|
1,159 |
636 |
$5K |
| 99213 |
|
1,098 |
648 |
$5K |
| 85610 |
|
2,733 |
1,441 |
$4K |
| 82947 |
|
1,289 |
377 |
$4K |
| 81001 |
|
2,589 |
1,878 |
$4K |
| 83036 |
|
648 |
550 |
$4K |
| 99214 |
|
602 |
342 |
$4K |
| 87186 |
|
833 |
551 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
1,457 |
1,081 |
$3K |
| J2405 |
Ondansetron hcl injection |
1,477 |
1,004 |
$3K |
| 83880 |
|
220 |
156 |
$3K |
| 82306 |
|
152 |
135 |
$3K |
| 84703 |
|
573 |
472 |
$3K |
| 96366 |
|
56 |
40 |
$3K |
| 83735 |
|
705 |
516 |
$3K |
| 73610 |
|
39 |
27 |
$2K |
| 87088 |
|
871 |
657 |
$2K |
| 81025 |
|
432 |
346 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
75 |
43 |
$2K |
| 36415 |
|
9,532 |
6,665 |
$2K |
| 85027 |
|
406 |
315 |
$2K |
| 85379 |
|
284 |
237 |
$2K |
| 81003 |
|
1,371 |
1,003 |
$1K |
| 87077 |
|
249 |
174 |
$1K |
| J7120 |
Ringers lactate infusion |
82 |
68 |
$1K |
| 99001 |
|
165 |
150 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
92 |
70 |
$1K |
| 97162 |
|
18 |
14 |
$889.55 |
| 86317 |
|
82 |
64 |
$876.60 |
| 87081 |
|
172 |
134 |
$736.08 |
| 87880 |
|
78 |
55 |
$678.65 |
| J2270 |
Morphine sulfate injection |
77 |
41 |
$558.59 |
| J7040 |
Normal saline solution infus |
18 |
14 |
$512.42 |
| C9803 |
Hopd covid-19 spec collect |
227 |
157 |
$493.75 |
| 80074 |
|
15 |
13 |
$473.57 |
| Q0162 |
Ondansetron oral |
138 |
117 |
$401.52 |
| J1100 |
Dexamethasone sodium phos |
81 |
42 |
$391.76 |
| 87449 |
|
45 |
39 |
$352.52 |
| J2060 |
Lorazepam injection |
93 |
57 |
$206.88 |
| 80076 |
|
32 |
27 |
$197.47 |
| 86140 |
|
33 |
26 |
$196.45 |
| 85730 |
|
64 |
55 |
$194.39 |
| 84439 |
|
26 |
12 |
$132.87 |
| 82728 |
|
12 |
12 |
$123.22 |
| 36416 |
|
156 |
104 |
$55.37 |
| 85652 |
|
31 |
25 |
$46.81 |
| J7620 |
Albuterol ipratrop non-comp |
17 |
12 |
$42.66 |
| 87205 |
|
16 |
15 |
$40.93 |