| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
5,968 |
3,947 |
$1.14M |
| 99283 |
|
7,049 |
5,287 |
$770K |
| 99284 |
|
5,437 |
4,100 |
$691K |
| 99282 |
|
5,207 |
4,052 |
$386K |
| 96374 |
|
3,137 |
2,448 |
$270K |
| 70450 |
|
2,609 |
1,890 |
$269K |
| 96361 |
|
2,096 |
1,101 |
$195K |
| 96365 |
|
1,871 |
1,413 |
$194K |
| 71045 |
|
5,005 |
3,589 |
$175K |
| 87502 |
|
2,986 |
2,460 |
$175K |
| 74176 |
|
696 |
540 |
$141K |
| 87635 |
|
4,070 |
3,287 |
$137K |
| A0425 |
Ground mileage |
4,289 |
2,829 |
$119K |
| 80053 |
|
8,697 |
6,417 |
$119K |
| 96372 |
|
3,158 |
2,345 |
$117K |
| 96375 |
|
2,887 |
2,127 |
$83K |
| 74177 |
|
291 |
233 |
$74K |
| A0427 |
Als1-emergency |
3,162 |
2,453 |
$58K |
| 85025 |
|
9,439 |
6,963 |
$57K |
| 71046 |
|
1,036 |
830 |
$42K |
| 87880 |
|
2,463 |
2,047 |
$41K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,234 |
1,049 |
$39K |
| 83880 |
|
1,749 |
1,332 |
$36K |
| 84484 |
|
3,254 |
2,310 |
$26K |
| G0378 |
Hospital observation per hr |
188 |
123 |
$22K |
| 87430 |
|
869 |
733 |
$20K |
| 36415 |
|
6,132 |
4,533 |
$19K |
| 87040 |
|
2,706 |
1,605 |
$18K |
| 87804 |
|
1,218 |
500 |
$16K |
| 81001 |
|
3,916 |
3,095 |
$15K |
| 87088 |
|
2,653 |
2,114 |
$15K |
| 83735 |
|
2,988 |
2,334 |
$15K |
| 83874 |
|
1,440 |
1,074 |
$14K |
| 83690 |
|
1,985 |
1,600 |
$13K |
| 83605 |
|
2,375 |
1,582 |
$13K |
| 86756 |
|
477 |
397 |
$12K |
| 82553 |
|
1,462 |
1,095 |
$12K |
| 81025 |
|
627 |
505 |
$11K |
| 80305 |
|
1,073 |
892 |
$9K |
| J7030 |
Normal saline solution infus |
1,982 |
1,255 |
$8K |
| 93005 |
|
305 |
263 |
$7K |
| M0243 |
Casirivi and imdevi inj |
47 |
40 |
$5K |
| 97110 |
|
111 |
31 |
$5K |
| 87426 |
|
80 |
69 |
$4K |
| A0426 |
Als 1 |
453 |
386 |
$4K |
| 85730 |
|
1,259 |
1,034 |
$4K |
| 85610 |
|
1,520 |
1,222 |
$3K |
| 87420 |
|
259 |
213 |
$3K |
| 82550 |
|
16 |
13 |
$3K |
| J2405 |
Ondansetron hcl injection |
883 |
661 |
$3K |
| 94664 |
|
708 |
568 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,509 |
1,153 |
$2K |
| J0561 |
Penicillin g benzathine inj |
55 |
50 |
$2K |
| 96360 |
|
30 |
27 |
$2K |
| 71250 |
|
21 |
14 |
$2K |
| 81003 |
|
1,080 |
890 |
$2K |
| 71275 |
|
15 |
12 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
22 |
20 |
$2K |
| 72125 |
|
15 |
12 |
$2K |
| 84443 |
|
115 |
105 |
$2K |
| 87077 |
|
391 |
281 |
$1K |
| 82150 |
|
213 |
178 |
$1K |
| 86328 |
|
27 |
26 |
$936.33 |
| 87186 |
|
169 |
128 |
$836.09 |
| 36600 |
|
13 |
13 |
$785.98 |
| 80048 |
|
99 |
80 |
$734.05 |
| J1885 |
Ketorolac tromethamine inj |
1,528 |
1,238 |
$677.77 |
| 96366 |
|
35 |
28 |
$666.36 |
| 85379 |
|
94 |
80 |
$628.10 |
| 85378 |
|
71 |
65 |
$481.96 |
| J1100 |
Dexamethasone sodium phos |
765 |
610 |
$414.81 |
| 82803 |
|
14 |
13 |
$328.44 |
| J2270 |
Morphine sulfate injection |
67 |
56 |
$129.74 |
| 80061 |
|
14 |
13 |
$120.50 |
| 93010 |
|
111 |
98 |
$94.00 |
| 83036 |
|
16 |
14 |
$78.66 |
| 82728 |
|
26 |
24 |
$73.62 |
| J2930 |
Methylprednisolone injection |
34 |
24 |
$50.58 |
| 86140 |
|
27 |
25 |
$27.96 |
| 83615 |
|
24 |
22 |
$21.76 |
| J0456 |
Azithromycin |
16 |
13 |
$0.00 |
| J1956 |
Levofloxacin injection |
13 |
13 |
$0.00 |