| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
29,094 |
23,997 |
$4.22M |
| 99284 |
|
20,274 |
15,511 |
$2.93M |
| 92507 |
|
17,967 |
5,609 |
$2.26M |
| 43239 |
|
1,592 |
1,157 |
$1.18M |
| 71045 |
|
7,652 |
5,960 |
$1.01M |
| 97110 |
|
7,819 |
2,469 |
$846K |
| 97112 |
|
6,635 |
2,035 |
$833K |
| 69436 |
|
482 |
393 |
$717K |
| 74177 |
|
1,512 |
1,084 |
$575K |
| 99285 |
|
3,693 |
2,822 |
$545K |
| 11042 |
|
830 |
258 |
$538K |
| 93005 |
|
7,566 |
5,258 |
$469K |
| 66984 |
|
336 |
197 |
$317K |
| 93306 |
|
1,223 |
839 |
$313K |
| 87502 |
|
4,662 |
3,865 |
$300K |
| 99282 |
|
2,091 |
1,795 |
$299K |
| 80050 |
|
1,874 |
1,728 |
$241K |
| 97530 |
|
2,599 |
729 |
$226K |
| 87426 |
|
7,567 |
6,232 |
$188K |
| 80053 |
|
34,019 |
24,824 |
$178K |
| 85025 |
|
41,886 |
30,140 |
$167K |
| C9803 |
Hopd covid-19 spec collect |
2,542 |
2,041 |
$148K |
| 78452 |
|
425 |
255 |
$133K |
| 88305 |
|
3,055 |
1,706 |
$120K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,400 |
1,845 |
$117K |
| 36415 |
|
53,656 |
39,158 |
$115K |
| 45380 |
|
74 |
56 |
$113K |
| 62323 |
|
151 |
98 |
$111K |
| 87591 |
|
3,993 |
3,385 |
$105K |
| 87491 |
|
3,996 |
3,388 |
$105K |
| 96361 |
|
6,222 |
4,803 |
$92K |
| 70450 |
|
785 |
591 |
$86K |
| 71046 |
|
969 |
696 |
$79K |
| 80307 |
|
1,842 |
1,514 |
$78K |
| 96374 |
|
9,194 |
7,270 |
$72K |
| U0003 |
Cov-19 amp prb hgh thruput |
817 |
737 |
$65K |
| 87660 |
|
4,229 |
3,646 |
$61K |
| 87480 |
|
4,210 |
3,630 |
$60K |
| 87510 |
|
4,212 |
3,630 |
$60K |
| 88142 |
|
4,153 |
3,751 |
$48K |
| 11043 |
|
57 |
24 |
$40K |
| 84443 |
|
3,536 |
2,927 |
$33K |
| 81001 |
|
18,520 |
14,406 |
$32K |
| 87651 |
|
1,118 |
996 |
$32K |
| 96375 |
|
3,888 |
2,917 |
$31K |
| 43193 |
|
22 |
13 |
$29K |
| 93017 |
|
506 |
316 |
$27K |
| 81025 |
|
4,522 |
3,577 |
$25K |
| 99213 |
|
214 |
162 |
$24K |
| 84484 |
|
3,343 |
2,028 |
$24K |
| 76830 |
|
117 |
104 |
$24K |
| 80061 |
|
3,142 |
2,561 |
$23K |
| 76805 |
|
179 |
150 |
$23K |
| 96413 |
|
101 |
38 |
$22K |
| 87086 |
|
3,705 |
3,069 |
$21K |
| 87389 |
|
1,122 |
941 |
$19K |
| 87150 |
|
587 |
545 |
$19K |
| 31231 |
|
75 |
57 |
$19K |
| 76816 |
|
136 |
108 |
$17K |
| 86803 |
|
1,415 |
1,178 |
$14K |
| 83690 |
|
3,765 |
2,783 |
$13K |
| 45385 |
|
67 |
51 |
$11K |
| 82306 |
|
903 |
808 |
$11K |
| 86850 |
|
2,508 |
2,047 |
$10K |
| 83735 |
|
3,023 |
2,159 |
$10K |
| 87040 |
|
1,829 |
715 |
$10K |
| 86762 |
|
852 |
703 |
$9K |
| 87624 |
|
354 |
323 |
$8K |
| 96372 |
|
709 |
537 |
$7K |
| 97162 |
|
47 |
43 |
$6K |
| 86592 |
|
2,014 |
1,705 |
$6K |
| 99221 |
|
19 |
14 |
$6K |
| 99238 |
|
19 |
14 |
$6K |
| 99214 |
|
53 |
48 |
$6K |
| 87653 |
|
252 |
231 |
$6K |
| 83605 |
|
1,006 |
662 |
$6K |
| 85730 |
|
2,010 |
1,491 |
$5K |
| 87340 |
|
865 |
715 |
$5K |
| 86900 |
|
2,511 |
2,049 |
$5K |
| 93226 |
|
18 |
12 |
$5K |
| 99211 |
|
93 |
71 |
$5K |
| 83655 |
|
428 |
396 |
$5K |
| 86901 |
|
2,506 |
2,046 |
$5K |
| 97165 |
|
47 |
39 |
$5K |
| A9500 |
Tc99m sestamibi |
188 |
131 |
$5K |
| 88342 |
|
364 |
253 |
$5K |
| G0463 |
Hospital outpt clinic visit |
21 |
13 |
$5K |
| 83880 |
|
329 |
232 |
$5K |
| 82728 |
|
527 |
423 |
$5K |
| 83036 |
|
1,021 |
884 |
$5K |
| 45378 |
|
34 |
27 |
$5K |
| 80074 |
|
109 |
102 |
$5K |
| 52000 |
|
17 |
13 |
$4K |
| 82950 |
|
1,081 |
902 |
$4K |
| 85660 |
|
872 |
723 |
$4K |
| 85610 |
|
2,034 |
1,517 |
$4K |
| 85027 |
|
574 |
531 |
$4K |
| 82077 |
|
289 |
235 |
$3K |
| 93296 |
|
51 |
27 |
$3K |
| 83550 |
|
422 |
341 |
$3K |
| 84702 |
|
236 |
166 |
$3K |
| 88304 |
|
312 |
236 |
$2K |
| 83540 |
|
422 |
341 |
$2K |
| 84436 |
|
542 |
391 |
$2K |
| 87807 |
|
107 |
91 |
$1K |
| 96367 |
|
38 |
14 |
$1K |
| G0123 |
Screen cerv/vag thin layer |
246 |
216 |
$984.03 |
| 84439 |
|
504 |
452 |
$981.26 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
358 |
279 |
$898.00 |
| 59025 |
|
68 |
24 |
$879.57 |
| 87635 |
|
13 |
13 |
$800.44 |
| 85379 |
|
45 |
40 |
$424.47 |
| 80048 |
|
110 |
91 |
$423.52 |
| 93225 |
|
39 |
25 |
$410.96 |
| 80076 |
|
54 |
53 |
$407.39 |
| 96360 |
|
135 |
105 |
$392.34 |
| 87798 |
|
18 |
14 |
$378.27 |
| 82150 |
|
161 |
108 |
$365.64 |
| 84146 |
|
31 |
25 |
$315.13 |
| 82247 |
|
65 |
58 |
$311.24 |
| 81000 |
|
187 |
107 |
$182.22 |
| 82607 |
|
17 |
12 |
$150.80 |
| 94640 |
|
30 |
24 |
$147.76 |
| 82550 |
|
65 |
40 |
$144.39 |
| 80055 |
|
15 |
12 |
$110.55 |
| 87109 |
|
18 |
14 |
$92.10 |
| 82553 |
|
37 |
28 |
$73.17 |
| J2795 |
Ropivacaine hcl injection |
917 |
685 |
$68.66 |
| J1885 |
Ketorolac tromethamine inj |
2,656 |
2,133 |
$40.51 |
| J2704 |
Inj, propofol, 10 mg |
3,681 |
2,651 |
$6.55 |
| J2250 |
Inj midazolam hydrochloride |
1,608 |
1,354 |
$0.89 |
| J2405 |
Ondansetron hcl injection |
3,459 |
2,726 |
$0.46 |
| J7030 |
Normal saline solution infus |
1,619 |
1,288 |
$0.00 |
| J1245 |
Dipyridamole injection |
20 |
13 |
$0.00 |
| J2270 |
Morphine sulfate injection |
90 |
68 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
13 |
12 |
$0.00 |
| 88313 |
|
122 |
87 |
$0.00 |
| J7120 |
Ringers lactate infusion |
86 |
54 |
$0.00 |
| J3490 |
Drugs unclassified injection |
38 |
36 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
291 |
225 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,852 |
1,526 |
$0.00 |
| 90471 |
|
378 |
357 |
$0.00 |
| C1889 |
Implant/insert device, noc |
30 |
30 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
553 |
478 |
$0.00 |
| 90744 |
|
424 |
384 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
33 |
25 |
$0.00 |
| L8699 |
Prosthetic implant nos |
94 |
77 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
42 |
25 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
30 |
26 |
$0.00 |