| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
3,373 |
2,471 |
$635K |
| 99284 |
|
6,730 |
5,105 |
$566K |
| 99285 |
|
4,865 |
3,650 |
$531K |
| 99283 |
|
5,977 |
4,704 |
$365K |
| 80048 |
|
7,765 |
5,039 |
$150K |
| 96360 |
|
837 |
639 |
$121K |
| 99282 |
|
1,970 |
1,510 |
$114K |
| 74177 |
|
1,421 |
1,098 |
$111K |
| 96374 |
|
4,195 |
3,080 |
$78K |
| 80053 |
|
3,667 |
2,752 |
$64K |
| 96365 |
|
459 |
352 |
$56K |
| 70450 |
|
1,787 |
1,348 |
$53K |
| 81025 |
|
3,439 |
2,595 |
$30K |
| 0241U |
|
1,366 |
1,187 |
$29K |
| G0378 |
Hospital observation per hr |
1,000 |
508 |
$28K |
| 94640 |
|
751 |
402 |
$21K |
| 85025 |
|
10,772 |
7,269 |
$19K |
| U0003 |
Cov-19 amp prb hgh thruput |
360 |
340 |
$17K |
| 36415 |
|
2,377 |
1,735 |
$15K |
| 59025 |
|
255 |
141 |
$13K |
| 87631 |
|
331 |
220 |
$11K |
| 71046 |
|
881 |
651 |
$8K |
| 71045 |
|
3,680 |
2,698 |
$8K |
| 99281 |
|
115 |
79 |
$8K |
| 81001 |
|
4,631 |
3,499 |
$7K |
| 84484 |
|
3,916 |
2,181 |
$7K |
| 93005 |
|
4,073 |
2,852 |
$7K |
| 80305 |
|
1,370 |
1,031 |
$7K |
| 87088 |
|
2,533 |
1,946 |
$7K |
| 86901 |
|
418 |
292 |
$7K |
| 96375 |
|
2,636 |
1,921 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,133 |
1,635 |
$6K |
| J2405 |
Ondansetron hcl injection |
3,095 |
2,175 |
$6K |
| 87635 |
|
361 |
247 |
$6K |
| 71275 |
|
183 |
146 |
$6K |
| 96372 |
|
616 |
487 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
1,232 |
1,110 |
$6K |
| 99205 |
Prolong outpt/office vis |
106 |
53 |
$5K |
| 85610 |
|
2,154 |
1,550 |
$5K |
| 76815 |
|
366 |
240 |
$5K |
| 80076 |
|
3,370 |
2,473 |
$5K |
| 80061 |
|
505 |
399 |
$4K |
| 99217 |
|
99 |
64 |
$4K |
| 87430 |
|
544 |
429 |
$4K |
| 83690 |
|
2,745 |
2,041 |
$3K |
| 85730 |
|
1,674 |
1,206 |
$3K |
| 81003 |
|
1,391 |
1,059 |
$3K |
| 76705 |
|
122 |
93 |
$3K |
| 93306 |
|
62 |
49 |
$3K |
| 74176 |
|
84 |
66 |
$2K |
| 84443 |
|
1,212 |
937 |
$2K |
| 87081 |
|
143 |
113 |
$2K |
| 82962 |
|
279 |
181 |
$2K |
| 76856 |
|
100 |
83 |
$2K |
| 82150 |
|
724 |
512 |
$2K |
| 83880 |
|
653 |
444 |
$2K |
| 87210 |
|
471 |
344 |
$2K |
| 83735 |
|
1,322 |
909 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
1,991 |
1,453 |
$1K |
| J2270 |
Morphine sulfate injection |
1,509 |
1,029 |
$1K |
| 99218 |
|
95 |
52 |
$915.45 |
| 84702 |
|
176 |
103 |
$767.11 |
| 73630 |
|
16 |
12 |
$758.72 |
| 87040 |
|
232 |
118 |
$718.22 |
| 83605 |
|
521 |
403 |
$701.42 |
| 84704 |
|
114 |
82 |
$592.54 |
| 85027 |
|
32 |
24 |
$504.04 |
| 93976 |
|
62 |
41 |
$486.85 |
| 87801 |
|
366 |
265 |
$391.50 |
| 93971 |
|
16 |
14 |
$351.02 |
| 87186 |
|
73 |
64 |
$318.86 |
| 76817 |
|
100 |
56 |
$293.65 |
| J2704 |
Inj, propofol, 10 mg |
89 |
62 |
$278.15 |
| 87077 |
|
93 |
74 |
$263.59 |
| G0463 |
Hospital outpt clinic visit |
37 |
24 |
$219.34 |
| J2550 |
Promethazine hcl injection |
54 |
24 |
$163.65 |
| J0696 |
Ceftriaxone sodium injection |
338 |
247 |
$125.97 |
| 85652 |
|
47 |
38 |
$86.02 |
| J2250 |
Inj midazolam hydrochloride |
56 |
39 |
$81.66 |
| 74018 |
|
17 |
12 |
$77.32 |
| 85379 |
|
214 |
161 |
$60.48 |
| 83036 |
|
77 |
60 |
$56.86 |
| 82550 |
|
429 |
322 |
$50.59 |
| 82565 |
|
168 |
119 |
$44.26 |
| J2001 |
Lidocaine injection |
61 |
45 |
$22.10 |
| 80051 |
|
150 |
107 |
$15.91 |
| 96376 |
|
95 |
66 |
$15.86 |
| 80320 |
|
93 |
78 |
$0.00 |
| 76830 |
|
12 |
12 |
$0.00 |
| J2060 |
Lorazepam injection |
35 |
30 |
$0.00 |
| 87591 |
|
80 |
68 |
$0.00 |
| 82553 |
|
53 |
34 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
38 |
27 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 82607 |
|
16 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
80 |
67 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
39 |
26 |
$0.00 |
| 87205 |
|
15 |
12 |
$0.00 |
| 84520 |
|
153 |
109 |
$0.00 |
| 82947 |
|
153 |
108 |
$0.00 |
| 93017 |
|
19 |
12 |
$0.00 |
| 87491 |
|
80 |
68 |
$0.00 |
| 84100 |
|
16 |
15 |
$0.00 |
| 82248 |
|
71 |
62 |
$0.00 |
| 82310 |
|
150 |
107 |
$0.00 |
| 86900 |
|
23 |
12 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
32 |
13 |
$0.00 |