| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
|
9,533 |
8,147 |
$1.62M |
| 99283 |
|
14,932 |
12,525 |
$1.25M |
| 97110 |
|
8,996 |
2,868 |
$811K |
| 99202 |
|
2,272 |
1,086 |
$677K |
| 99201 |
|
2,273 |
1,180 |
$506K |
| 96374 |
|
3,273 |
2,799 |
$504K |
| 77067 |
|
1,259 |
1,242 |
$364K |
| 74177 |
|
491 |
474 |
$343K |
| 96375 |
|
2,546 |
2,092 |
$288K |
| 97139 |
|
5,567 |
1,187 |
$266K |
| 97750 |
|
1,449 |
1,401 |
$228K |
| 93306 |
|
423 |
412 |
$209K |
| 96361 |
|
2,365 |
2,098 |
$199K |
| 93005 |
|
2,201 |
1,998 |
$162K |
| 76700 |
|
649 |
629 |
$135K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,551 |
1,404 |
$118K |
| 96365 |
|
527 |
408 |
$117K |
| 70450 |
|
274 |
257 |
$94K |
| 77063 |
|
1,237 |
1,220 |
$91K |
| J3490 |
Drugs unclassified injection |
11,899 |
6,324 |
$86K |
| 96372 |
|
1,182 |
1,031 |
$81K |
| 87502 |
|
1,209 |
1,090 |
$80K |
| 71045 |
|
2,050 |
1,880 |
$67K |
| 80307 |
|
1,061 |
958 |
$56K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,257 |
1,197 |
$53K |
| 97010 |
|
558 |
167 |
$50K |
| 87635 |
|
965 |
935 |
$49K |
| 80053 |
|
5,705 |
5,010 |
$47K |
| 71046 |
|
1,018 |
981 |
$47K |
| 99070 |
|
2,960 |
1,847 |
$46K |
| J7030 |
Normal saline solution infus |
3,309 |
2,815 |
$42K |
| 85025 |
|
6,193 |
5,386 |
$38K |
| 73721 |
|
39 |
38 |
$34K |
| 96360 |
|
156 |
147 |
$29K |
| C9803 |
Hopd covid-19 spec collect |
1,026 |
1,002 |
$24K |
| 81001 |
|
4,087 |
3,764 |
$20K |
| G0480 |
Drug test def 1-7 classes |
298 |
268 |
$19K |
| Z7502 |
|
500 |
470 |
$19K |
| J2405 |
Ondansetron hcl injection |
2,229 |
1,919 |
$19K |
| J7120 |
Ringers lactate infusion |
1,352 |
1,281 |
$19K |
| 84484 |
|
2,106 |
1,531 |
$17K |
| 76856 |
|
88 |
86 |
$16K |
| 76830 |
|
72 |
71 |
$14K |
| 73221 |
|
15 |
14 |
$13K |
| 83690 |
|
2,360 |
2,136 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
1,974 |
1,757 |
$12K |
| 72148 |
|
15 |
14 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
1,452 |
1,388 |
$11K |
| 94640 |
|
213 |
184 |
$10K |
| 87651 |
|
318 |
302 |
$9K |
| 45378 |
|
31 |
27 |
$8K |
| 83880 |
|
320 |
285 |
$8K |
| 83605 |
|
873 |
679 |
$7K |
| 0450 |
|
31 |
26 |
$6K |
| 43239 |
|
71 |
70 |
$6K |
| 73030 |
|
86 |
79 |
$6K |
| J1100 |
Dexamethasone sodium phos |
406 |
364 |
$6K |
| 87086 |
|
850 |
804 |
$5K |
| 83735 |
|
914 |
826 |
$5K |
| 96366 |
|
16 |
15 |
$5K |
| 73610 |
|
61 |
51 |
$4K |
| 73630 |
|
61 |
57 |
$4K |
| 93017 |
|
13 |
13 |
$3K |
| 81025 |
|
627 |
600 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
163 |
120 |
$2K |
| 97165 |
|
12 |
12 |
$2K |
| 76642 |
|
12 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
166 |
117 |
$2K |
| 85610 |
|
415 |
381 |
$2K |
| 87040 |
|
213 |
107 |
$2K |
| 73562 |
|
17 |
12 |
$1K |
| J3010 |
Fentanyl citrate injection |
246 |
205 |
$1K |
| 84443 |
|
79 |
73 |
$1K |
| 71048 |
|
22 |
22 |
$1K |
| 73564 |
|
14 |
12 |
$1K |
| 73110 |
|
13 |
12 |
$1K |
| 87420 |
|
440 |
376 |
$1K |
| Z7610 |
|
171 |
82 |
$815.28 |
| 85730 |
|
156 |
140 |
$690.69 |
| 80048 |
|
53 |
52 |
$670.00 |
| 73130 |
|
13 |
13 |
$616.42 |
| 82962 |
|
153 |
121 |
$496.00 |
| 84100 |
|
146 |
138 |
$484.34 |
| J2250 |
Inj midazolam hydrochloride |
74 |
65 |
$345.73 |
| 85379 |
|
33 |
31 |
$240.81 |
| 80143 |
|
13 |
12 |
$220.76 |
| J0690 |
Cefazolin sodium injection |
30 |
26 |
$215.82 |
| 84145 |
|
12 |
12 |
$213.24 |
| J7050 |
Normal saline solution infus |
40 |
25 |
$196.38 |
| 80179 |
|
13 |
12 |
$191.04 |
| J2270 |
Morphine sulfate injection |
21 |
15 |
$185.99 |
| 99000 |
|
16 |
15 |
$176.12 |
| J0134 |
Inj acetaminophen -fresenius |
18 |
13 |
$153.77 |
| 87186 |
|
12 |
12 |
$84.84 |
| J1200 |
Diphenhydramine hcl injectio |
16 |
12 |
$78.87 |