| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
8,711 |
8,319 |
$3.71M |
| 99283 |
|
21,424 |
20,640 |
$1.45M |
| 87633 |
|
1,518 |
1,482 |
$677K |
| 99281 |
|
6,975 |
6,772 |
$482K |
| 99282 |
|
4,761 |
4,634 |
$324K |
| 93005 |
|
2,711 |
2,508 |
$113K |
| 99211 |
|
716 |
550 |
$86K |
| 87430 |
|
3,698 |
3,588 |
$81K |
| 87400 |
|
3,220 |
1,765 |
$67K |
| 80053 |
|
7,592 |
6,763 |
$60K |
| 99285 |
|
335 |
318 |
$59K |
| C9803 |
Hopd covid-19 spec collect |
3,350 |
3,171 |
$59K |
| 87798 |
|
1,519 |
1,483 |
$57K |
| 87486 |
|
1,519 |
1,483 |
$57K |
| 87581 |
|
1,519 |
1,483 |
$57K |
| U0003 |
Cov-19 amp prb hgh thruput |
940 |
917 |
$55K |
| 85025 |
|
8,613 |
7,692 |
$47K |
| 87635 |
|
1,038 |
1,013 |
$39K |
| 74177 |
|
153 |
143 |
$38K |
| 71045 |
|
2,048 |
1,932 |
$31K |
| 87426 |
|
987 |
964 |
$31K |
| G0378 |
Hospital observation per hr |
27 |
26 |
$27K |
| 81001 |
|
9,084 |
8,580 |
$26K |
| 81025 |
|
2,326 |
2,218 |
$19K |
| 87081 |
|
1,959 |
1,895 |
$17K |
| U0005 |
Infec agen detec ampli probe |
690 |
675 |
$11K |
| CP007 |
|
150 |
94 |
$11K |
| 70450 |
|
192 |
183 |
$7K |
| 76801 |
|
60 |
53 |
$5K |
| 83690 |
|
1,024 |
954 |
$5K |
| 87088 |
|
956 |
895 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
676 |
637 |
$3K |
| J7030 |
Normal saline solution infus |
1,085 |
1,024 |
$3K |
| 84484 |
|
972 |
722 |
$3K |
| J0561 |
Penicillin g benzathine inj |
55 |
55 |
$3K |
| 71046 |
|
166 |
162 |
$2K |
| J2405 |
Ondansetron hcl injection |
435 |
385 |
$2K |
| 94640 |
|
48 |
24 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
182 |
169 |
$2K |
| 87420 |
|
92 |
90 |
$2K |
| 80048 |
|
660 |
609 |
$2K |
| 82553 |
|
540 |
396 |
$2K |
| 93976 |
|
14 |
12 |
$1K |
| 80305 |
|
79 |
76 |
$825.10 |
| 96365 |
|
172 |
109 |
$551.74 |
| 82550 |
|
407 |
307 |
$542.44 |
| 96372 |
|
375 |
293 |
$369.96 |
| 84702 |
|
30 |
25 |
$343.69 |
| 0202U |
|
1,628 |
1,584 |
$323.92 |
| J1100 |
Dexamethasone sodium phos |
77 |
70 |
$298.44 |
| 97110 |
|
243 |
53 |
$296.11 |
| 88305 |
|
25 |
25 |
$271.61 |
| 85027 |
|
193 |
183 |
$239.19 |
| J3010 |
Fentanyl citrate injection |
226 |
206 |
$234.80 |
| 86901 |
|
178 |
153 |
$203.31 |
| 86900 |
|
179 |
153 |
$203.31 |
| 96361 |
|
80 |
77 |
$198.73 |
| 86850 |
|
30 |
27 |
$177.95 |
| 85730 |
|
476 |
423 |
$159.48 |
| 84443 |
|
67 |
65 |
$155.92 |
| 85610 |
|
561 |
497 |
$130.91 |
| 87186 |
|
123 |
82 |
$101.78 |
| 96375 |
|
180 |
161 |
$100.25 |
| J1200 |
Diphenhydramine hcl injectio |
49 |
48 |
$83.19 |
| 36415 |
|
2,947 |
2,172 |
$65.75 |
| 87077 |
|
44 |
43 |
$61.11 |
| 82962 |
|
1,059 |
569 |
$57.35 |
| 0240U |
|
218 |
208 |
$53.92 |
| 96374 |
|
275 |
253 |
$49.82 |
| J0780 |
Prochlorperazine injection |
13 |
13 |
$35.76 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
331 |
309 |
$26.00 |
| 85007 |
|
24 |
24 |
$19.14 |
| J2250 |
Inj midazolam hydrochloride |
127 |
117 |
$6.00 |
| 83735 |
|
15 |
13 |
$5.63 |
| 36416 |
|
704 |
520 |
$3.85 |
| J2704 |
Inj, propofol, 10 mg |
53 |
51 |
$0.00 |
| 83880 |
|
15 |
12 |
$0.00 |
| 0241U |
|
36 |
36 |
$0.00 |