| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
19,818 |
17,762 |
$1.15M |
| 99283 |
|
28,552 |
26,051 |
$1.03M |
| 99285 |
|
3,652 |
3,347 |
$730K |
| 99282 |
|
6,225 |
5,732 |
$252K |
| 85025 |
|
24,021 |
21,168 |
$169K |
| 80047 |
|
20,218 |
17,841 |
$151K |
| 87804 |
|
5,691 |
5,244 |
$124K |
| 74177 |
|
742 |
655 |
$100K |
| 87880 |
|
5,735 |
5,295 |
$84K |
| G0463 |
Hospital outpt clinic visit |
2,865 |
1,589 |
$67K |
| 93005 |
|
7,280 |
6,274 |
$61K |
| 80076 |
|
10,132 |
9,068 |
$55K |
| 70450 |
|
724 |
673 |
$51K |
| 83655 |
|
3,212 |
3,073 |
$49K |
| 84443 |
|
2,399 |
2,328 |
$45K |
| 71046 |
|
4,818 |
4,430 |
$45K |
| 11042 |
|
1,004 |
547 |
$40K |
| 80053 |
|
3,189 |
2,946 |
$37K |
| 83735 |
|
5,188 |
4,717 |
$29K |
| G2023 |
Specimen collect covid-19 |
1,679 |
1,582 |
$26K |
| 87426 |
|
1,329 |
1,144 |
$23K |
| 84484 |
|
3,707 |
2,843 |
$23K |
| 84439 |
|
2,189 |
2,129 |
$22K |
| 81003 |
|
8,719 |
7,899 |
$22K |
| 87086 |
|
2,383 |
2,166 |
$21K |
| 81025 |
|
6,345 |
5,676 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,542 |
1,812 |
$14K |
| 71045 |
|
3,097 |
2,848 |
$14K |
| 87389 |
|
508 |
484 |
$12K |
| 83690 |
|
1,940 |
1,722 |
$11K |
| 70551 |
|
85 |
80 |
$11K |
| 81001 |
|
3,078 |
2,788 |
$10K |
| 87591 |
|
324 |
297 |
$9K |
| 69436 |
|
96 |
25 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
271 |
182 |
$5K |
| 82728 |
|
481 |
467 |
$5K |
| 94640 |
|
542 |
447 |
$5K |
| 83550 |
|
426 |
417 |
$5K |
| 83516 |
|
195 |
186 |
$4K |
| 82784 |
|
296 |
285 |
$4K |
| 95810 |
|
13 |
13 |
$4K |
| 82306 |
|
419 |
407 |
$4K |
| 93225 |
|
70 |
66 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
4,273 |
3,895 |
$3K |
| 87807 |
|
233 |
214 |
$3K |
| 86364 |
|
184 |
184 |
$2K |
| 99281 |
|
85 |
78 |
$2K |
| 86696 |
|
111 |
108 |
$2K |
| 36415 |
|
353 |
218 |
$2K |
| 86695 |
|
111 |
108 |
$2K |
| 86592 |
|
372 |
349 |
$2K |
| 83540 |
|
269 |
261 |
$2K |
| 82962 |
|
346 |
213 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,438 |
1,295 |
$2K |
| 59025 |
|
371 |
280 |
$2K |
| 87635 |
|
67 |
56 |
$2K |
| 83880 |
|
116 |
106 |
$2K |
| 82977 |
|
219 |
210 |
$1K |
| 96374 |
|
256 |
180 |
$1K |
| J1100 |
Dexamethasone sodium phos |
1,309 |
1,214 |
$1K |
| 74018 |
|
106 |
101 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
49 |
27 |
$1K |
| 93226 |
|
13 |
12 |
$889.80 |
| 83605 |
|
111 |
98 |
$784.70 |
| 86140 |
|
351 |
335 |
$695.55 |
| 87186 |
|
155 |
139 |
$657.15 |
| 84702 |
|
53 |
49 |
$644.79 |
| 80048 |
|
21 |
14 |
$632.30 |
| 80061 |
|
39 |
39 |
$593.30 |
| 87077 |
|
155 |
139 |
$583.70 |
| 87070 |
|
182 |
143 |
$496.51 |
| 82607 |
|
25 |
25 |
$414.48 |
| J2405 |
Ondansetron hcl injection |
3,330 |
2,931 |
$344.33 |
| J7030 |
Normal saline solution infus |
405 |
365 |
$344.05 |
| 83001 |
|
12 |
12 |
$290.88 |
| 83002 |
|
12 |
12 |
$288.72 |
| 87040 |
|
32 |
25 |
$247.95 |
| 87205 |
|
179 |
142 |
$220.17 |
| J2360 |
Orphenadrine injection |
65 |
58 |
$163.38 |
| 72110 |
|
15 |
14 |
$159.18 |
| 73564 |
|
14 |
12 |
$131.60 |
| 82043 |
|
26 |
25 |
$111.10 |
| 73630 |
|
14 |
13 |
$90.96 |
| J0690 |
Cefazolin sodium injection |
25 |
15 |
$75.10 |
| J3010 |
Fentanyl citrate injection |
23 |
12 |
$75.10 |
| 85610 |
|
14 |
12 |
$69.24 |
| 85730 |
|
14 |
12 |
$35.04 |
| J2270 |
Morphine sulfate injection |
42 |
36 |
$27.54 |
| C1769 |
Guide wire |
41 |
37 |
$0.00 |
| 0241U |
|
177 |
165 |
$0.00 |
| 0240U |
|
28 |
28 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
31 |
25 |
$0.00 |
| 99214 |
|
38 |
27 |
$0.00 |
| 85027 |
|
19 |
14 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
71 |
61 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 87491 |
|
322 |
296 |
$0.00 |
| C1887 |
Catheter, guiding |
12 |
12 |
$0.00 |