| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
36,539 |
30,417 |
$5.51M |
| 99283 |
|
34,851 |
30,626 |
$4.88M |
| 71045 |
|
9,163 |
7,785 |
$1.31M |
| 99285 |
|
5,760 |
4,787 |
$830K |
| 93005 |
|
13,727 |
9,193 |
$799K |
| 43239 |
|
1,095 |
911 |
$773K |
| C9803 |
Hopd covid-19 spec collect |
10,715 |
9,427 |
$733K |
| 45380 |
|
454 |
397 |
$563K |
| 87502 |
|
5,968 |
5,330 |
$461K |
| 99212 |
|
2,673 |
2,391 |
$436K |
| 96413 |
|
1,978 |
928 |
$406K |
| 97110 |
|
10,894 |
2,832 |
$392K |
| J7030 |
Normal saline solution infus |
8,101 |
5,895 |
$328K |
| 87635 |
|
7,671 |
6,671 |
$321K |
| 96361 |
|
7,712 |
5,840 |
$296K |
| 80053 |
|
39,342 |
30,992 |
$279K |
| 85025 |
|
46,598 |
35,629 |
$243K |
| 96374 |
|
10,407 |
8,511 |
$230K |
| 69436 |
|
130 |
118 |
$224K |
| 87636 |
|
1,908 |
1,814 |
$192K |
| 41899 |
|
111 |
90 |
$180K |
| 74177 |
|
432 |
355 |
$178K |
| 99213 |
|
1,480 |
1,315 |
$171K |
| 71046 |
|
2,120 |
1,823 |
$170K |
| 42820 |
|
45 |
44 |
$123K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,778 |
1,634 |
$123K |
| 99282 |
|
1,067 |
969 |
$111K |
| 36415 |
|
31,197 |
24,500 |
$96K |
| 45385 |
|
54 |
51 |
$74K |
| 64493 |
|
117 |
101 |
$51K |
| 87651 |
|
1,769 |
1,593 |
$46K |
| J7050 |
Normal saline solution infus |
1,449 |
572 |
$45K |
| 97530 |
|
1,208 |
813 |
$38K |
| 76805 |
|
189 |
174 |
$35K |
| 84484 |
|
4,143 |
2,441 |
$34K |
| 96372 |
|
552 |
391 |
$30K |
| 76816 |
|
251 |
204 |
$30K |
| 92507 |
|
503 |
155 |
$29K |
| 70450 |
|
271 |
225 |
$29K |
| 97161 |
|
383 |
308 |
$28K |
| 81001 |
|
10,700 |
8,795 |
$23K |
| 97140 |
|
1,061 |
366 |
$21K |
| 97112 |
|
901 |
324 |
$20K |
| 99211 |
|
100 |
94 |
$19K |
| 96375 |
|
686 |
573 |
$18K |
| U0005 |
Infec agen detec ampli probe |
780 |
738 |
$18K |
| 99202 |
|
101 |
96 |
$17K |
| 81025 |
|
3,073 |
2,530 |
$16K |
| 64483 |
|
17 |
15 |
$15K |
| 87804 |
|
3,430 |
1,403 |
$15K |
| 83690 |
|
3,865 |
3,114 |
$14K |
| 88305 |
|
3,266 |
2,499 |
$14K |
| 96360 |
|
280 |
256 |
$11K |
| 87389 |
|
493 |
464 |
$10K |
| 80307 |
|
259 |
217 |
$10K |
| 99221 |
|
32 |
12 |
$9K |
| 96523 |
|
123 |
106 |
$9K |
| 80055 |
|
293 |
277 |
$9K |
| 83735 |
|
1,764 |
1,505 |
$9K |
| 87634 |
|
145 |
136 |
$8K |
| 77067 |
|
65 |
59 |
$8K |
| 97014 |
|
99 |
27 |
$7K |
| 64494 |
|
82 |
75 |
$5K |
| 87430 |
|
1,015 |
886 |
$5K |
| 76856 |
|
27 |
25 |
$5K |
| 80048 |
|
1,240 |
844 |
$5K |
| 76801 |
|
27 |
27 |
$5K |
| 27096 |
|
15 |
15 |
$5K |
| 80050 |
|
28 |
26 |
$4K |
| 82728 |
|
510 |
443 |
$4K |
| G0283 |
Elec stim other than wound |
551 |
194 |
$4K |
| 81003 |
|
2,305 |
1,974 |
$4K |
| 83615 |
|
605 |
488 |
$4K |
| 80061 |
|
472 |
398 |
$3K |
| 87086 |
|
525 |
447 |
$3K |
| G0463 |
Hospital outpt clinic visit |
47 |
44 |
$3K |
| 36591 |
|
80 |
41 |
$3K |
| 82306 |
|
197 |
168 |
$3K |
| 96365 |
|
83 |
65 |
$3K |
| 76830 |
|
14 |
14 |
$2K |
| 83540 |
|
501 |
440 |
$2K |
| 93017 |
|
26 |
13 |
$2K |
| 83550 |
|
325 |
280 |
$2K |
| 84703 |
|
330 |
280 |
$2K |
| 87081 |
|
738 |
639 |
$2K |
| 96367 |
|
48 |
25 |
$2K |
| 82607 |
|
145 |
134 |
$1K |
| 82746 |
|
128 |
117 |
$1K |
| 84439 |
|
210 |
183 |
$1K |
| 83655 |
|
81 |
76 |
$1K |
| 84443 |
|
169 |
131 |
$974.36 |
| 82077 |
|
70 |
53 |
$884.22 |
| 83036 |
|
174 |
152 |
$878.19 |
| 85027 |
|
222 |
187 |
$861.58 |
| 94060 |
|
13 |
12 |
$798.96 |
| 72110 |
|
13 |
13 |
$734.26 |
| 94640 |
|
81 |
69 |
$710.63 |
| 84436 |
|
115 |
104 |
$525.39 |
| 82950 |
|
130 |
122 |
$519.66 |
| 84702 |
|
49 |
36 |
$463.27 |
| 85651 |
|
106 |
96 |
$306.71 |
| 85610 |
|
267 |
162 |
$273.18 |
| 84146 |
|
28 |
16 |
$264.72 |
| 82747 |
|
14 |
13 |
$195.16 |
| 82105 |
|
12 |
12 |
$187.82 |
| 85379 |
|
29 |
26 |
$181.51 |
| 86803 |
|
13 |
13 |
$179.92 |
| 85730 |
|
32 |
29 |
$106.54 |
| 84550 |
|
60 |
45 |
$100.87 |
| 87420 |
|
14 |
12 |
$73.71 |
| 80076 |
|
13 |
12 |
$70.23 |
| 82248 |
|
16 |
12 |
$43.13 |
| 85007 |
|
21 |
15 |
$39.81 |
| 84100 |
|
13 |
12 |
$34.02 |
| 94729 |
|
13 |
12 |
$13.36 |
| J2270 |
Morphine sulfate injection |
356 |
268 |
$2.40 |
| J2250 |
Inj midazolam hydrochloride |
5,049 |
4,037 |
$1.01 |
| J3010 |
Fentanyl citrate injection |
3,926 |
3,173 |
$0.70 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
569 |
487 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,427 |
1,884 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
349 |
288 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
551 |
442 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
159 |
140 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
341 |
126 |
$0.00 |
| G1004 |
Cdsm ndsc |
98 |
54 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
94 |
61 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
30 |
24 |
$0.00 |
| 77002 |
|
14 |
13 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
2,721 |
2,224 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,332 |
1,109 |
$0.00 |
| 88342 |
|
20 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
54 |
43 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
136 |
112 |
$0.00 |
| 88304 |
|
33 |
28 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
115 |
105 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
42 |
27 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
13 |
13 |
$0.00 |