| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,739 |
13,538 |
$3.53M |
| 87631 |
|
10,795 |
10,190 |
$1.79M |
| 99214 |
|
16,989 |
16,255 |
$1.41M |
| 99283 |
|
19,898 |
18,785 |
$960K |
| 87428 |
|
16,556 |
16,011 |
$930K |
| 99213 |
|
11,070 |
10,548 |
$803K |
| 41899 |
|
683 |
598 |
$638K |
| 87880 |
|
18,628 |
17,926 |
$458K |
| 99203 |
|
4,820 |
4,649 |
$433K |
| 87426 |
|
7,834 |
7,458 |
$421K |
| 99204 |
|
3,429 |
3,280 |
$398K |
| 87804 |
|
20,746 |
10,022 |
$383K |
| 42820 |
|
160 |
155 |
$342K |
| 99285 |
|
2,025 |
1,882 |
$256K |
| 87651 |
|
5,554 |
5,301 |
$239K |
| 80053 |
|
20,765 |
15,928 |
$119K |
| 99282 |
|
2,388 |
2,289 |
$114K |
| 85025 |
|
20,959 |
17,742 |
$110K |
| 87800 |
|
1,799 |
1,704 |
$107K |
| 87635 |
|
1,656 |
1,513 |
$85K |
| 93005 |
|
4,268 |
3,731 |
$72K |
| 87807 |
|
4,587 |
4,381 |
$67K |
| 87086 |
|
7,479 |
5,991 |
$65K |
| 71045 |
|
3,630 |
3,272 |
$55K |
| G0378 |
Hospital observation per hr |
149 |
128 |
$46K |
| 87389 |
|
1,435 |
1,358 |
$44K |
| 84443 |
|
5,281 |
5,066 |
$43K |
| 99218 |
|
206 |
69 |
$42K |
| 96374 |
|
4,519 |
3,670 |
$41K |
| 84702 |
|
2,435 |
1,848 |
$34K |
| 74177 |
|
330 |
310 |
$32K |
| 81001 |
|
11,442 |
10,298 |
$31K |
| 80061 |
|
5,326 |
5,183 |
$26K |
| 36415 |
|
44,261 |
31,853 |
$21K |
| 80047 |
|
3,135 |
2,808 |
$21K |
| 96372 |
|
2,635 |
2,216 |
$21K |
| 70450 |
|
718 |
682 |
$18K |
| 93306 |
|
361 |
354 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
578 |
514 |
$18K |
| 69436 |
|
53 |
51 |
$18K |
| 76811 |
|
106 |
84 |
$17K |
| 83036 |
|
4,739 |
4,576 |
$16K |
| 82306 |
|
1,769 |
1,721 |
$14K |
| 80305 |
|
961 |
882 |
$13K |
| 0352U |
|
1,233 |
1,171 |
$11K |
| 96361 |
|
777 |
631 |
$11K |
| 83690 |
|
2,889 |
2,623 |
$11K |
| 76817 |
|
124 |
100 |
$10K |
| 74176 |
|
176 |
166 |
$10K |
| G0463 |
Hospital outpt clinic visit |
1,801 |
1,357 |
$10K |
| 96375 |
|
1,259 |
1,071 |
$9K |
| 86592 |
|
1,428 |
1,352 |
$8K |
| 85014 |
|
6,040 |
5,340 |
$8K |
| 86803 |
|
400 |
376 |
$8K |
| 82948 |
|
3,238 |
1,888 |
$7K |
| J0561 |
Penicillin g benzathine inj |
65 |
61 |
$7K |
| 81514 |
|
48 |
46 |
$7K |
| 87340 |
|
499 |
464 |
$7K |
| 81003 |
|
1,976 |
1,884 |
$6K |
| 83880 |
|
1,591 |
1,467 |
$6K |
| 87070 |
|
654 |
613 |
$6K |
| 84484 |
|
2,215 |
1,708 |
$5K |
| 82950 |
|
1,410 |
1,236 |
$5K |
| J7040 |
Normal saline solution infus |
3,560 |
2,916 |
$5K |
| 86706 |
|
359 |
340 |
$5K |
| 87591 |
|
109 |
105 |
$5K |
| 0241U |
|
246 |
240 |
$5K |
| 86762 |
|
209 |
198 |
$4K |
| 85027 |
|
2,052 |
1,912 |
$4K |
| 86900 |
|
1,422 |
1,330 |
$4K |
| 86901 |
|
1,421 |
1,326 |
$4K |
| 87081 |
|
424 |
408 |
$4K |
| 88300 |
|
475 |
241 |
$3K |
| 87420 |
|
186 |
175 |
$3K |
| 96365 |
|
164 |
129 |
$3K |
| 71046 |
|
286 |
282 |
$3K |
| 85730 |
|
1,903 |
1,791 |
$3K |
| 80048 |
|
1,448 |
1,220 |
$3K |
| 0353U |
|
732 |
704 |
$3K |
| 77063 |
|
258 |
258 |
$2K |
| J1756 |
Iron sucrose injection |
24 |
13 |
$2K |
| 85610 |
|
2,516 |
2,064 |
$2K |
| 99212 |
|
36 |
34 |
$2K |
| 99202 |
|
50 |
41 |
$2K |
| 77067 |
|
258 |
258 |
$2K |
| 84439 |
|
588 |
579 |
$2K |
| 81025 |
|
249 |
226 |
$2K |
| J7120 |
Ringers lactate infusion |
915 |
783 |
$1K |
| 87491 |
|
54 |
51 |
$1K |
| 87210 |
|
265 |
262 |
$1K |
| 72125 |
|
25 |
25 |
$1K |
| 82105 |
|
57 |
54 |
$1K |
| 85018 |
|
331 |
319 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,876 |
1,723 |
$954.24 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
823 |
756 |
$936.22 |
| 94640 |
|
25 |
24 |
$841.81 |
| J2405 |
Ondansetron hcl injection |
3,845 |
3,448 |
$828.12 |
| 84134 |
|
1,114 |
1,059 |
$797.84 |
| 78452 |
|
14 |
14 |
$788.75 |
| 87186 |
|
1,046 |
912 |
$737.99 |
| 73630 |
|
13 |
13 |
$715.01 |
| 82607 |
|
1,214 |
1,177 |
$652.55 |
| 83735 |
|
838 |
732 |
$652.31 |
| 80177 |
|
717 |
661 |
$547.37 |
| 87077 |
|
986 |
837 |
$525.95 |
| J0696 |
Ceftriaxone sodium injection |
535 |
439 |
$510.40 |
| 96366 |
|
19 |
12 |
$506.27 |
| 87480 |
|
16 |
16 |
$501.98 |
| 88305 |
|
22 |
12 |
$463.92 |
| 84703 |
|
45 |
42 |
$410.84 |
| 83525 |
|
25 |
24 |
$389.31 |
| 80164 |
|
685 |
637 |
$377.16 |
| 86885 |
|
121 |
116 |
$338.85 |
| 72100 |
|
12 |
12 |
$338.49 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$328.74 |
| 82746 |
|
861 |
830 |
$319.25 |
| J1885 |
Ketorolac tromethamine inj |
259 |
246 |
$310.45 |
| 87205 |
|
252 |
228 |
$309.10 |
| J2704 |
Inj, propofol, 10 mg |
1,059 |
978 |
$301.12 |
| 82077 |
|
16 |
13 |
$294.26 |
| J2270 |
Morphine sulfate injection |
283 |
252 |
$234.93 |
| 83655 |
|
13 |
13 |
$234.48 |
| 84480 |
|
13 |
12 |
$216.14 |
| 96360 |
|
41 |
41 |
$209.20 |
| J3010 |
Fentanyl citrate injection |
995 |
948 |
$208.80 |
| 85007 |
|
285 |
258 |
$205.29 |
| 83605 |
|
60 |
54 |
$167.18 |
| 99152 |
|
49 |
39 |
$165.57 |
| 82570 |
|
338 |
332 |
$121.80 |
| 86003 |
|
16 |
13 |
$112.88 |
| 80171 |
|
15 |
14 |
$103.12 |
| 86140 |
|
197 |
162 |
$95.98 |
| 84436 |
|
98 |
95 |
$87.34 |
| J7030 |
Normal saline solution infus |
199 |
182 |
$84.55 |
| J2175 |
Meperidine hydrochl /100 mg |
98 |
81 |
$69.70 |
| J2550 |
Promethazine hcl injection |
136 |
106 |
$63.39 |
| J2250 |
Inj midazolam hydrochloride |
381 |
358 |
$36.87 |
| 82330 |
|
18 |
15 |
$30.84 |
| 84550 |
|
76 |
68 |
$26.60 |
| 84100 |
|
114 |
100 |
$25.07 |
| 87075 |
|
25 |
25 |
$23.85 |
| J0690 |
Cefazolin sodium injection |
65 |
54 |
$18.32 |
| 82043 |
|
121 |
121 |
$14.58 |
| A9150 |
Misc/exper non-prescript dru |
13 |
12 |
$13.93 |
| 81511 |
|
14 |
13 |
$13.46 |
| J1644 |
Inj heparin sodium per 1000u |
62 |
37 |
$12.85 |
| 83615 |
|
22 |
15 |
$10.14 |
| 87102 |
|
12 |
12 |
$7.06 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$6.76 |
| 83540 |
|
56 |
55 |
$5.43 |
| 87206 |
|
13 |
12 |
$4.53 |
| J1200 |
Diphenhydramine hcl injectio |
25 |
24 |
$2.30 |
| J7613 |
Albuterol non-comp unit |
19 |
17 |
$0.00 |
| J2785 |
Regadenoson injection |
13 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
14 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
370 |
357 |
$0.00 |
| 93017 |
|
14 |
14 |
$0.00 |
| 77080 |
|
16 |
16 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
18 |
15 |
$0.00 |