| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,841 |
1,742 |
$650K |
| 92014 |
|
1,870 |
1,734 |
$305K |
| G0382 |
Lev 3 hosp type b ed visit |
949 |
938 |
$232K |
| 42820 |
|
38 |
38 |
$100K |
| 97110 |
|
1,437 |
480 |
$73K |
| 0241U |
|
428 |
419 |
$63K |
| 99282 |
|
201 |
192 |
$63K |
| 92012 |
|
325 |
298 |
$47K |
| G0381 |
Lev 2 hosp type b ed visit |
151 |
141 |
$29K |
| 93303 |
|
35 |
33 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
594 |
571 |
$23K |
| 69436 |
|
12 |
12 |
$17K |
| 86003 |
|
318 |
280 |
$14K |
| 99213 |
|
11,452 |
10,852 |
$13K |
| G0380 |
Lev 1 hosp type b ed visit |
106 |
106 |
$13K |
| J0585 |
Injection,onabotulinumtoxina |
29 |
26 |
$12K |
| 93005 |
|
285 |
274 |
$11K |
| 84439 |
|
405 |
375 |
$7K |
| 82306 |
|
312 |
306 |
$7K |
| 84443 |
|
659 |
626 |
$7K |
| 82728 |
|
155 |
148 |
$6K |
| 82785 |
|
250 |
237 |
$6K |
| 93325 |
|
35 |
33 |
$6K |
| 64642 |
|
52 |
49 |
$5K |
| 99284 |
|
13 |
13 |
$4K |
| 92004 |
|
14 |
13 |
$3K |
| 92567 |
|
411 |
388 |
$2K |
| 84436 |
|
71 |
67 |
$1K |
| 93320 |
|
35 |
33 |
$1K |
| 36415 |
|
269 |
251 |
$1K |
| 77072 |
|
15 |
13 |
$1K |
| J3490 |
Drugs unclassified injection |
301 |
209 |
$821.08 |
| J2704 |
Inj, propofol, 10 mg |
211 |
189 |
$561.18 |
| J3010 |
Fentanyl citrate injection |
334 |
321 |
$374.82 |
| 83036 |
|
53 |
52 |
$355.36 |
| 81025 |
|
13 |
12 |
$172.50 |
| J1100 |
Dexamethasone sodium phos |
158 |
147 |
$159.35 |
| J2405 |
Ondansetron hcl injection |
170 |
159 |
$134.98 |
| 36416 |
|
25 |
25 |
$104.90 |
| 82784 |
|
12 |
12 |
$94.49 |
| J1885 |
Ketorolac tromethamine inj |
38 |
38 |
$61.14 |
| S0119 |
Ondansetron 4 mg |
28 |
28 |
$50.54 |
| 92587 |
|
88 |
78 |
$38.98 |
| J0690 |
Cefazolin sodium injection |
31 |
27 |
$34.81 |
| J8540 |
Oral dexamethasone |
27 |
18 |
$15.16 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| 92579 |
|
52 |
47 |
$0.00 |
| 92582 |
|
13 |
13 |
$0.00 |