| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
28,063 |
23,085 |
$7.70M |
| 99283 |
|
8,068 |
7,084 |
$1.24M |
| 99285 |
|
4,483 |
3,206 |
$1.21M |
| 97110 |
|
19,597 |
6,658 |
$858K |
| 96361 |
|
2,907 |
2,570 |
$683K |
| 74177 |
|
755 |
733 |
$650K |
| 97140 |
|
9,636 |
3,477 |
$484K |
| 87635 |
|
8,098 |
7,383 |
$367K |
| 96365 |
|
2,083 |
1,496 |
$315K |
| 80053 |
|
19,625 |
17,544 |
$284K |
| 85025 |
|
23,658 |
20,089 |
$265K |
| 99214 |
|
3,258 |
2,727 |
$236K |
| 84443 |
|
7,675 |
7,468 |
$198K |
| 71046 |
|
3,294 |
3,138 |
$192K |
| G0463 |
Hospital outpt clinic visit |
5,452 |
3,897 |
$185K |
| 93005 |
|
6,699 |
5,801 |
$152K |
| 77067 |
|
1,785 |
1,781 |
$148K |
| 96375 |
|
2,218 |
2,032 |
$138K |
| 82306 |
|
4,168 |
4,117 |
$132K |
| 70450 |
|
563 |
540 |
$129K |
| 97161 |
|
813 |
807 |
$122K |
| 96374 |
|
3,066 |
2,830 |
$120K |
| 88305 |
|
447 |
442 |
$114K |
| 80061 |
|
6,787 |
6,672 |
$113K |
| 99213 |
|
1,957 |
1,518 |
$113K |
| 77063 |
|
1,143 |
1,141 |
$97K |
| 76856 |
|
328 |
326 |
$89K |
| 86618 |
|
1,555 |
1,511 |
$73K |
| 87637 |
|
785 |
754 |
$62K |
| 76376 |
|
5,685 |
4,817 |
$54K |
| 83036 |
|
4,521 |
4,441 |
$51K |
| 84439 |
|
3,269 |
3,184 |
$50K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,183 |
2,097 |
$50K |
| 96360 |
|
288 |
257 |
$49K |
| 84703 |
|
2,491 |
2,310 |
$47K |
| 84484 |
|
2,913 |
2,333 |
$45K |
| 87798 |
|
905 |
639 |
$43K |
| 80048 |
|
4,121 |
3,508 |
$37K |
| 82728 |
|
1,130 |
1,101 |
$36K |
| 87491 |
|
590 |
569 |
$36K |
| 87591 |
|
590 |
569 |
$36K |
| 87088 |
|
3,158 |
2,898 |
$33K |
| 83690 |
|
2,677 |
2,468 |
$32K |
| G2023 |
Specimen collect covid-19 |
2,833 |
2,637 |
$28K |
| 86803 |
|
914 |
895 |
$28K |
| 81001 |
|
1,714 |
1,566 |
$25K |
| 87389 |
|
697 |
694 |
$22K |
| 83735 |
|
2,724 |
2,343 |
$21K |
| 76705 |
|
74 |
73 |
$20K |
| 76830 |
|
95 |
93 |
$19K |
| 93306 |
|
26 |
26 |
$18K |
| 87070 |
|
740 |
716 |
$17K |
| 84466 |
|
540 |
536 |
$16K |
| ATP14 |
|
6,656 |
5,350 |
$16K |
| 87502 |
|
388 |
371 |
$16K |
| 73630 |
|
126 |
120 |
$16K |
| 96372 |
|
258 |
248 |
$16K |
| 84182 |
|
297 |
290 |
$15K |
| 74176 |
|
98 |
92 |
$15K |
| 81000 |
|
3,049 |
2,741 |
$14K |
| J2704 |
Inj, propofol, 10 mg |
2,133 |
1,400 |
$13K |
| 82607 |
|
341 |
336 |
$13K |
| 86141 |
|
863 |
810 |
$13K |
| 86140 |
|
721 |
676 |
$10K |
| 73610 |
|
72 |
70 |
$10K |
| 80307 |
|
101 |
90 |
$9K |
| 59025 |
|
46 |
28 |
$9K |
| 85610 |
|
4,090 |
2,461 |
$8K |
| 83540 |
|
594 |
586 |
$8K |
| 86666 |
|
71 |
60 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
1,440 |
1,354 |
$8K |
| 90471 |
|
376 |
356 |
$8K |
| 71045 |
|
551 |
506 |
$7K |
| J7030 |
Normal saline solution infus |
3,043 |
2,300 |
$7K |
| 81003 |
|
802 |
770 |
$7K |
| 87426 |
|
200 |
185 |
$7K |
| 85652 |
|
624 |
599 |
$6K |
| 86780 |
|
323 |
319 |
$6K |
| 0003A |
|
164 |
162 |
$6K |
| 81002 |
|
1,443 |
1,393 |
$6K |
| 97112 |
|
167 |
86 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
2,671 |
1,755 |
$5K |
| 99396 |
|
104 |
104 |
$5K |
| 94640 |
|
81 |
71 |
$5K |
| 99215 |
Prolong outpt/office vis |
91 |
88 |
$4K |
| 90686 |
|
277 |
277 |
$4K |
| 87340 |
|
249 |
234 |
$4K |
| ATP17 |
|
1,496 |
1,343 |
$4K |
| 36415 |
|
8,361 |
6,948 |
$3K |
| 0002A |
|
57 |
57 |
$3K |
| 80076 |
|
325 |
311 |
$3K |
| 73562 |
|
25 |
24 |
$3K |
| 99395 |
|
68 |
68 |
$3K |
| 83605 |
|
579 |
494 |
$3K |
| 87468 |
|
189 |
188 |
$3K |
| 87880 |
|
121 |
121 |
$3K |
| 0001A |
|
45 |
45 |
$3K |
| 87469 |
|
178 |
177 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,347 |
2,009 |
$2K |
| 85730 |
|
509 |
477 |
$2K |
| 86706 |
|
180 |
176 |
$2K |
| 87186 |
|
289 |
267 |
$2K |
| J7050 |
Normal saline solution infus |
678 |
461 |
$2K |
| ATP08 |
|
1,710 |
1,330 |
$2K |
| 97162 |
|
15 |
15 |
$2K |
| 87633 |
|
13 |
13 |
$2K |
| 90715 |
|
29 |
27 |
$2K |
| 97530 |
|
45 |
24 |
$2K |
| 83655 |
|
43 |
42 |
$2K |
| G0480 |
Drug test def 1-7 classes |
157 |
139 |
$2K |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$2K |
| 83880 |
|
185 |
160 |
$1K |
| 87631 |
|
35 |
33 |
$1K |
| 84702 |
|
29 |
25 |
$1K |
| 86704 |
|
122 |
118 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| ATP15 |
|
570 |
438 |
$1K |
| 99204 |
|
15 |
15 |
$1K |
| 85027 |
|
109 |
89 |
$1K |
| 0124A |
|
32 |
32 |
$1K |
| 86709 |
|
147 |
133 |
$934.84 |
| 80164 |
|
244 |
225 |
$897.93 |
| 0013A |
|
15 |
15 |
$866.83 |
| 82077 |
|
30 |
27 |
$840.95 |
| J3010 |
Fentanyl citrate injection |
275 |
238 |
$746.26 |
| 97035 |
|
36 |
13 |
$696.24 |
| 0134A |
|
15 |
15 |
$673.39 |
| 81513 |
|
26 |
16 |
$629.00 |
| 85007 |
|
94 |
77 |
$425.84 |
| J1100 |
Dexamethasone sodium phos |
167 |
123 |
$413.60 |
| 87486 |
|
13 |
13 |
$398.86 |
| 86850 |
|
14 |
14 |
$355.55 |
| 84100 |
|
148 |
120 |
$344.62 |
| 86769 |
|
13 |
12 |
$252.78 |
| 82570 |
|
16 |
15 |
$222.78 |
| 86901 |
|
15 |
14 |
$209.76 |
| 71250 |
|
24 |
24 |
$209.71 |
| 99406 |
|
26 |
26 |
$194.49 |
| 87634 |
|
16 |
15 |
$192.09 |
| 90472 |
|
14 |
14 |
$167.83 |
| 86900 |
|
15 |
14 |
$166.08 |
| 86480 |
|
38 |
36 |
$164.01 |
| 87481 |
|
26 |
16 |
$154.75 |
| 87661 |
|
26 |
16 |
$154.75 |
| J2250 |
Inj midazolam hydrochloride |
161 |
147 |
$119.86 |
| 82962 |
|
36 |
25 |
$99.23 |
| 87040 |
|
39 |
26 |
$95.85 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$70.06 |
| ATP03 |
|
12 |
12 |
$61.65 |
| ATP02 |
|
38 |
37 |
$32.22 |
| 84153 |
|
12 |
12 |
$16.78 |
| 84520 |
|
139 |
132 |
$7.68 |
| 82565 |
|
151 |
146 |
$5.29 |
| G0008 |
Admin influenza virus vac |
14 |
14 |
$3.87 |
| 82248 |
|
29 |
28 |
$0.00 |
| G8978 |
Mobility current status |
52 |
51 |
$0.00 |
| G8979 |
Mobility goal status |
60 |
58 |
$0.00 |
| 91300 |
|
240 |
230 |
$0.00 |
| 91312 |
|
17 |
17 |
$0.00 |
| 84481 |
|
24 |
20 |
$0.00 |
| J2930 |
Methylprednisolone injection |
15 |
13 |
$0.00 |
| 91313 |
|
15 |
15 |
$0.00 |
| 91301 |
|
17 |
16 |
$0.00 |