| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,208 |
13,589 |
$2.87M |
| 41899 |
|
2,020 |
1,777 |
$2.26M |
| 99283 |
|
18,486 |
15,813 |
$1.86M |
| 99285 |
|
1,732 |
1,438 |
$387K |
| 87637 |
|
1,891 |
1,603 |
$202K |
| G0463 |
Hospital outpt clinic visit |
6,304 |
5,557 |
$134K |
| 85025 |
|
18,209 |
15,032 |
$113K |
| 71046 |
|
2,112 |
1,776 |
$113K |
| 80053 |
|
14,314 |
11,965 |
$102K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,452 |
1,194 |
$101K |
| C9803 |
Hopd covid-19 spec collect |
3,793 |
3,157 |
$95K |
| 93005 |
|
2,578 |
2,012 |
$73K |
| 72148 |
|
336 |
275 |
$52K |
| 99282 |
|
949 |
833 |
$35K |
| 36415 |
|
17,044 |
14,106 |
$34K |
| 96374 |
|
1,923 |
1,530 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
1,635 |
1,424 |
$32K |
| 81001 |
|
10,369 |
8,761 |
$28K |
| 87426 |
|
645 |
491 |
$27K |
| U0005 |
Infec agen detec ampli probe |
1,024 |
848 |
$23K |
| 87631 |
|
371 |
292 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
2,028 |
1,756 |
$20K |
| 99211 |
|
1,096 |
1,079 |
$16K |
| 87651 |
|
467 |
414 |
$15K |
| J2270 |
Morphine sulfate injection |
1,518 |
1,350 |
$14K |
| J2405 |
Ondansetron hcl injection |
1,927 |
1,701 |
$14K |
| 87798 |
|
450 |
429 |
$13K |
| 74177 |
|
44 |
39 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
354 |
310 |
$11K |
| 87581 |
|
390 |
370 |
$10K |
| 87486 |
|
390 |
370 |
$10K |
| 96372 |
|
416 |
351 |
$9K |
| J1100 |
Dexamethasone sodium phos |
1,726 |
1,538 |
$9K |
| 69436 |
|
13 |
13 |
$7K |
| 84484 |
|
758 |
548 |
$5K |
| 87400 |
|
142 |
109 |
$4K |
| 70450 |
|
59 |
42 |
$4K |
| 71045 |
|
151 |
133 |
$4K |
| 83690 |
|
714 |
587 |
$4K |
| 96375 |
|
309 |
224 |
$4K |
| 96361 |
|
227 |
183 |
$4K |
| J7120 |
Ringers lactate infusion |
504 |
451 |
$4K |
| 80048 |
|
930 |
706 |
$4K |
| 93296 |
|
543 |
478 |
$3K |
| 93306 |
|
13 |
12 |
$3K |
| 11042 |
|
36 |
12 |
$3K |
| 99214 |
|
35 |
32 |
$3K |
| 62323 |
|
14 |
12 |
$2K |
| 80307 |
|
50 |
38 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
304 |
255 |
$2K |
| 81025 |
|
262 |
224 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
342 |
260 |
$2K |
| 87635 |
|
34 |
34 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
149 |
128 |
$2K |
| 87150 |
|
43 |
37 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
155 |
136 |
$1K |
| 77067 |
|
43 |
38 |
$1K |
| 99213 |
|
30 |
25 |
$1K |
| J3010 |
Fentanyl citrate injection |
193 |
163 |
$946.22 |
| 97110 |
|
28 |
12 |
$894.05 |
| 71250 |
|
16 |
15 |
$783.78 |
| J3490 |
Drugs unclassified injection |
345 |
260 |
$770.61 |
| G0480 |
Drug test def 1-7 classes |
15 |
13 |
$737.46 |
| 85610 |
|
173 |
154 |
$599.93 |
| 84703 |
|
82 |
73 |
$542.88 |
| 76705 |
|
16 |
13 |
$542.01 |
| 81000 |
|
143 |
55 |
$446.35 |
| J7030 |
Normal saline solution infus |
124 |
96 |
$424.97 |
| 84443 |
|
30 |
26 |
$368.97 |
| 87430 |
|
16 |
16 |
$185.64 |
| J2250 |
Inj midazolam hydrochloride |
50 |
37 |
$167.76 |
| 85027 |
|
28 |
27 |
$161.32 |
| 83735 |
|
29 |
26 |
$137.70 |
| 83605 |
|
15 |
14 |
$114.93 |
| 87088 |
|
12 |
12 |
$101.52 |
| 87081 |
|
15 |
15 |
$93.34 |
| G0279 |
Tomosynthesis, mammo |
198 |
182 |
$74.32 |
| A4217 |
Sterile water/saline, 500 ml |
16 |
15 |
$57.45 |
| 81003 |
|
14 |
13 |
$19.60 |