| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
17,538 |
14,339 |
$1.02M |
| 99284 |
|
9,749 |
8,332 |
$1.01M |
| 96361 |
|
1,534 |
1,094 |
$470K |
| 99285 |
|
3,890 |
3,063 |
$451K |
| 74177 |
|
988 |
670 |
$273K |
| 70450 |
|
678 |
529 |
$169K |
| 99211 |
|
1,084 |
1,039 |
$137K |
| U0003 |
Cov-19 amp prb hgh thruput |
676 |
586 |
$126K |
| 96365 |
|
689 |
416 |
$121K |
| 80053 |
|
11,156 |
8,925 |
$116K |
| 97110 |
|
1,266 |
330 |
$98K |
| 99282 |
|
2,126 |
1,908 |
$71K |
| 69436 |
|
39 |
27 |
$63K |
| 71260 |
|
380 |
286 |
$62K |
| 85025 |
|
13,559 |
10,285 |
$52K |
| 94640 |
|
603 |
239 |
$49K |
| 80061 |
|
1,979 |
1,808 |
$47K |
| 96360 |
|
162 |
112 |
$32K |
| 74176 |
|
128 |
83 |
$29K |
| 36415 |
|
17,346 |
12,005 |
$29K |
| 84443 |
|
1,484 |
1,265 |
$27K |
| G0378 |
Hospital observation per hr |
406 |
157 |
$23K |
| 83036 |
|
1,312 |
1,162 |
$19K |
| 80048 |
|
1,429 |
1,008 |
$17K |
| 87633 |
|
153 |
121 |
$17K |
| 84439 |
|
699 |
619 |
$16K |
| 82306 |
|
604 |
532 |
$14K |
| 87491 |
|
238 |
197 |
$12K |
| 71046 |
|
881 |
721 |
$9K |
| 93005 |
|
3,347 |
2,384 |
$8K |
| 87088 |
|
783 |
612 |
$8K |
| 93306 |
|
28 |
26 |
$6K |
| 86140 |
|
1,310 |
986 |
$6K |
| 87591 |
|
238 |
197 |
$6K |
| 81001 |
|
4,539 |
3,511 |
$3K |
| 80307 |
|
266 |
202 |
$3K |
| 84484 |
|
2,348 |
1,215 |
$3K |
| 71045 |
|
1,399 |
1,030 |
$3K |
| 0002A |
|
86 |
79 |
$3K |
| 85027 |
|
324 |
257 |
$3K |
| 0001A |
|
78 |
71 |
$2K |
| 83880 |
|
663 |
475 |
$2K |
| 87400 |
|
100 |
88 |
$2K |
| 85610 |
|
390 |
218 |
$2K |
| 82607 |
|
112 |
106 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
722 |
669 |
$2K |
| 83735 |
|
326 |
225 |
$2K |
| 83690 |
|
1,471 |
940 |
$1K |
| 83605 |
|
826 |
535 |
$1K |
| 72125 |
|
118 |
95 |
$1K |
| 87804 |
|
2,178 |
805 |
$1K |
| 82570 |
|
115 |
83 |
$927.27 |
| 84703 |
|
1,058 |
748 |
$908.55 |
| 80164 |
|
56 |
33 |
$828.34 |
| 85379 |
|
539 |
380 |
$750.35 |
| 87426 |
|
1,441 |
1,108 |
$741.05 |
| 00160 |
|
34 |
26 |
$708.74 |
| 87040 |
|
751 |
345 |
$689.52 |
| 96374 |
|
3,364 |
2,511 |
$567.78 |
| 82948 |
|
433 |
195 |
$484.12 |
| 96375 |
|
2,760 |
1,946 |
$470.35 |
| 87070 |
|
62 |
26 |
$407.63 |
| J1170 |
Hydromorphone injection |
1,090 |
449 |
$379.56 |
| 80076 |
|
58 |
30 |
$317.36 |
| 82043 |
|
43 |
41 |
$298.78 |
| 96372 |
|
688 |
503 |
$297.07 |
| 96376 |
|
448 |
247 |
$284.30 |
| 85651 |
|
61 |
36 |
$262.94 |
| 82728 |
|
14 |
14 |
$262.25 |
| 83540 |
|
27 |
27 |
$255.82 |
| 84702 |
|
18 |
12 |
$242.70 |
| J7030 |
Normal saline solution infus |
3,753 |
2,699 |
$239.67 |
| 87798 |
|
55 |
39 |
$213.27 |
| 87807 |
|
208 |
153 |
$200.64 |
| 82746 |
|
13 |
13 |
$162.83 |
| J7120 |
Ringers lactate infusion |
1,457 |
894 |
$126.48 |
| 87430 |
|
153 |
110 |
$120.77 |
| 73110 |
|
17 |
12 |
$109.58 |
| J1885 |
Ketorolac tromethamine inj |
1,651 |
1,054 |
$107.93 |
| 87486 |
|
40 |
27 |
$106.62 |
| 87581 |
|
40 |
27 |
$106.62 |
| J0696 |
Ceftriaxone sodium injection |
638 |
402 |
$105.21 |
| 85730 |
|
43 |
28 |
$100.43 |
| J2270 |
Morphine sulfate injection |
456 |
240 |
$98.93 |
| 88305 |
|
79 |
40 |
$93.07 |
| 87081 |
|
44 |
24 |
$68.54 |
| J2543 |
Piperacillin/tazobactam |
25 |
13 |
$55.48 |
| J2405 |
Ondansetron hcl injection |
2,990 |
1,759 |
$46.19 |
| J7050 |
Normal saline solution infus |
1,192 |
584 |
$37.22 |
| J1100 |
Dexamethasone sodium phos |
808 |
553 |
$21.10 |
| C9113 |
Inj pantoprazole sodium, via |
44 |
26 |
$20.86 |
| J2930 |
Methylprednisolone injection |
47 |
25 |
$11.31 |
| J2250 |
Inj midazolam hydrochloride |
559 |
374 |
$10.94 |
| J1200 |
Diphenhydramine hcl injectio |
82 |
49 |
$5.85 |
| J3010 |
Fentanyl citrate injection |
1,207 |
584 |
$3.56 |
| J2060 |
Lorazepam injection |
58 |
25 |
$2.19 |
| 91300 |
|
167 |
136 |
$1.37 |
| J2704 |
Inj, propofol, 10 mg |
956 |
661 |
$0.19 |
| J3301 |
Triamcinolone acet inj nos |
127 |
106 |
$0.00 |
| 00170 |
|
41 |
24 |
$0.00 |
| G8598 |
Asa/antiplat ther used |
33 |
14 |
$0.00 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$0.00 |
| 73610 |
|
16 |
15 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
73 |
27 |
$0.00 |
| 80320 |
|
31 |
24 |
$0.00 |