| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
|
4,909 |
1,614 |
$517K |
| 41899 |
|
486 |
452 |
$461K |
| 99283 |
|
3,092 |
2,712 |
$318K |
| S9480 |
Intensive outpatient psychia |
550 |
52 |
$252K |
| 99285 |
|
2,455 |
2,004 |
$208K |
| 96361 |
|
777 |
651 |
$158K |
| 99284 |
|
1,153 |
995 |
$98K |
| 80053 |
|
6,389 |
5,444 |
$91K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,807 |
1,135 |
$62K |
| 90833 |
|
2,914 |
782 |
$55K |
| G0463 |
Hospital outpt clinic visit |
465 |
365 |
$39K |
| 43239 |
|
83 |
79 |
$28K |
| 99223 |
Prolong inpt eval add15 m |
465 |
283 |
$25K |
| 99232 |
|
1,139 |
266 |
$20K |
| 93005 |
|
1,575 |
1,231 |
$18K |
| 99239 |
|
463 |
306 |
$16K |
| 87635 |
|
424 |
233 |
$12K |
| 85025 |
|
12,503 |
10,574 |
$7K |
| 80048 |
|
390 |
312 |
$7K |
| 11045 |
|
358 |
130 |
$7K |
| 0002A |
|
90 |
84 |
$6K |
| 82105 |
|
200 |
148 |
$6K |
| 80307 |
|
92 |
68 |
$4K |
| 99212 |
|
53 |
45 |
$3K |
| 74177 |
|
18 |
16 |
$3K |
| 96360 |
|
17 |
12 |
$3K |
| 90791 |
|
13 |
13 |
$3K |
| 96374 |
|
2,018 |
1,763 |
$3K |
| 88305 |
|
648 |
411 |
$2K |
| 0001A |
|
59 |
51 |
$2K |
| 80320 |
|
38 |
25 |
$2K |
| 85610 |
|
660 |
549 |
$2K |
| 84484 |
|
110 |
72 |
$2K |
| 99213 |
|
72 |
43 |
$2K |
| 86850 |
|
80 |
53 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
50 |
28 |
$1K |
| 73630 |
|
42 |
39 |
$1K |
| 97597 |
|
175 |
106 |
$1K |
| 83605 |
|
37 |
28 |
$822.69 |
| 97110 |
|
35 |
12 |
$767.79 |
| J1100 |
Dexamethasone sodium phos |
579 |
521 |
$677.93 |
| 97535 |
|
21 |
12 |
$411.90 |
| 97116 |
|
30 |
12 |
$294.89 |
| J7120 |
Ringers lactate infusion |
2,122 |
1,436 |
$294.45 |
| J0131 |
Inj, acetaminophen (nos) |
14 |
13 |
$289.80 |
| 86900 |
|
81 |
53 |
$213.44 |
| 80305 |
|
94 |
65 |
$130.36 |
| 83735 |
|
34 |
25 |
$120.99 |
| 86901 |
|
81 |
53 |
$105.60 |
| 80197 |
|
15 |
13 |
$76.69 |
| 71045 |
|
262 |
226 |
$26.48 |
| 84100 |
|
34 |
25 |
$21.61 |
| 81001 |
|
38 |
25 |
$18.28 |
| J2704 |
Inj, propofol, 10 mg |
2,932 |
1,834 |
$9.25 |
| J3490 |
Drugs unclassified injection |
3,723 |
1,568 |
$0.00 |
| J2001 |
Lidocaine injection |
610 |
512 |
$0.00 |
| 96375 |
|
515 |
452 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
62 |
33 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
1,111 |
837 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
80 |
68 |
$0.00 |
| 83690 |
|
53 |
44 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
58 |
51 |
$0.00 |
| 84703 |
|
52 |
51 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
112 |
101 |
$0.00 |
| 82077 |
|
14 |
13 |
$0.00 |
| 84443 |
|
32 |
26 |
$0.00 |
| J7030 |
Normal saline solution infus |
2,876 |
2,163 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
347 |
303 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
757 |
650 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
70 |
64 |
$0.00 |
| 0753T |
|
121 |
80 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
107 |
95 |
$0.00 |
| J1956 |
Levofloxacin injection |
53 |
44 |
$0.00 |