| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
15,061 |
11,135 |
$445K |
| 11042 |
|
2,129 |
912 |
$349K |
| 97110 |
|
8,810 |
1,881 |
$312K |
| 87502 |
|
2,909 |
2,555 |
$278K |
| 70450 |
|
2,213 |
1,803 |
$245K |
| 74177 |
|
1,031 |
862 |
$157K |
| 96365 |
|
1,186 |
838 |
$121K |
| 87651 |
|
2,908 |
2,543 |
$118K |
| 85025 |
|
16,125 |
11,649 |
$114K |
| 96374 |
|
1,842 |
1,432 |
$103K |
| 99283 |
|
1,653 |
1,302 |
$93K |
| 92507 |
|
2,204 |
356 |
$78K |
| 96361 |
|
1,805 |
1,103 |
$71K |
| U0001 |
2019-ncov diagnostic p |
3,366 |
2,866 |
$65K |
| 99284 |
|
1,940 |
1,483 |
$65K |
| 80050 |
|
1,364 |
1,155 |
$63K |
| 99285 |
|
3,200 |
2,422 |
$62K |
| 74176 |
|
513 |
437 |
$54K |
| 82553 |
|
3,657 |
2,259 |
$50K |
| 96372 |
|
2,096 |
1,538 |
$49K |
| 71046 |
|
2,367 |
2,015 |
$48K |
| 97530 |
|
1,603 |
275 |
$46K |
| 82550 |
|
4,025 |
2,484 |
$46K |
| 93005 |
|
4,974 |
3,649 |
$40K |
| 87631 |
|
443 |
389 |
$36K |
| 96375 |
|
1,684 |
1,214 |
$35K |
| 71045 |
|
4,234 |
3,238 |
$35K |
| 80061 |
|
2,881 |
2,523 |
$33K |
| 80306 |
|
1,703 |
1,368 |
$33K |
| 84484 |
|
4,369 |
2,598 |
$32K |
| 83880 |
|
2,363 |
1,662 |
$32K |
| 72148 |
|
115 |
104 |
$31K |
| 87798 |
|
2,635 |
252 |
$31K |
| 87426 |
|
651 |
547 |
$28K |
| G0463 |
Hospital outpt clinic visit |
578 |
381 |
$26K |
| 81001 |
|
6,007 |
4,828 |
$24K |
| 80048 |
|
1,491 |
1,125 |
$23K |
| 83605 |
|
1,987 |
1,218 |
$22K |
| 83036 |
|
2,575 |
2,222 |
$21K |
| 84703 |
|
2,035 |
1,689 |
$20K |
| 83690 |
|
1,989 |
1,628 |
$19K |
| 36415 |
|
10,536 |
7,607 |
$18K |
| 82728 |
|
953 |
809 |
$17K |
| J1100 |
Dexamethasone sodium phos |
585 |
494 |
$16K |
| 84443 |
|
1,732 |
1,487 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,072 |
1,024 |
$15K |
| 84145 |
|
1,307 |
853 |
$14K |
| 73721 |
|
45 |
38 |
$13K |
| 87634 |
|
172 |
154 |
$12K |
| 36600 |
|
214 |
125 |
$12K |
| J2405 |
Ondansetron hcl injection |
2,008 |
1,468 |
$12K |
| 83540 |
|
1,360 |
733 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
1,060 |
745 |
$12K |
| 82150 |
|
931 |
758 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
2,207 |
1,682 |
$11K |
| 83735 |
|
1,786 |
1,373 |
$10K |
| 82306 |
|
419 |
373 |
$10K |
| 87086 |
|
1,752 |
1,440 |
$10K |
| 87040 |
|
1,474 |
889 |
$9K |
| 87481 |
|
1,085 |
217 |
$8K |
| 83655 |
|
498 |
442 |
$8K |
| 87801 |
|
690 |
216 |
$7K |
| 73630 |
|
266 |
221 |
$7K |
| 74018 |
|
313 |
260 |
$7K |
| 81003 |
|
2,553 |
2,175 |
$6K |
| 87186 |
|
1,587 |
981 |
$6K |
| 85610 |
|
1,996 |
1,300 |
$6K |
| 87633 |
|
38 |
34 |
$6K |
| 82962 |
|
2,490 |
756 |
$5K |
| 82803 |
|
394 |
223 |
$5K |
| 80320 |
|
318 |
244 |
$4K |
| 73562 |
|
116 |
90 |
$4K |
| 85730 |
|
710 |
566 |
$4K |
| 73610 |
|
195 |
155 |
$4K |
| 71020 |
|
366 |
284 |
$4K |
| 87635 |
|
594 |
502 |
$3K |
| 87070 |
|
170 |
129 |
$3K |
| 77067 |
|
105 |
93 |
$3K |
| 82565 |
|
221 |
167 |
$3K |
| 73030 |
|
89 |
76 |
$3K |
| 87640 |
|
255 |
219 |
$3K |
| 87500 |
|
253 |
217 |
$3K |
| 87641 |
|
258 |
221 |
$3K |
| 87088 |
|
479 |
345 |
$3K |
| 87653 |
|
254 |
218 |
$3K |
| 84439 |
|
258 |
215 |
$2K |
| 0202U |
|
935 |
813 |
$2K |
| 72125 |
|
15 |
13 |
$2K |
| 85045 |
|
390 |
338 |
$2K |
| 85378 |
|
299 |
237 |
$2K |
| 94640 |
|
499 |
264 |
$2K |
| 73130 |
|
56 |
51 |
$2K |
| 87880 |
|
121 |
110 |
$1K |
| 87804 |
|
128 |
118 |
$1K |
| 85027 |
|
331 |
276 |
$1K |
| 87077 |
|
165 |
99 |
$1K |
| 87486 |
|
38 |
33 |
$1K |
| 87581 |
|
34 |
31 |
$1K |
| 97162 |
|
19 |
16 |
$1K |
| 73110 |
|
36 |
25 |
$1K |
| 80329 |
|
119 |
53 |
$894.63 |
| 77063 |
|
88 |
79 |
$834.19 |
| J1650 |
Inj enoxaparin sodium |
24 |
15 |
$739.40 |
| 86140 |
|
193 |
153 |
$726.05 |
| 76376 |
|
93 |
65 |
$660.00 |
| 97161 |
|
18 |
15 |
$593.28 |
| G0378 |
Hospital observation per hr |
139 |
74 |
$582.55 |
| 99281 |
|
49 |
37 |
$485.32 |
| J2930 |
Methylprednisolone injection |
244 |
188 |
$450.95 |
| 72110 |
|
12 |
12 |
$440.00 |
| 84520 |
|
26 |
25 |
$419.53 |
| 83615 |
|
64 |
46 |
$398.25 |
| J2250 |
Inj midazolam hydrochloride |
177 |
103 |
$334.70 |
| 87807 |
|
31 |
29 |
$318.26 |
| 76705 |
|
13 |
12 |
$242.64 |
| 96360 |
|
70 |
27 |
$238.38 |
| J3475 |
Inj magnesium sulfate |
13 |
12 |
$203.04 |
| J2704 |
Inj, propofol, 10 mg |
283 |
174 |
$152.22 |
| 82542 |
|
17 |
12 |
$137.09 |
| 82607 |
|
15 |
13 |
$129.12 |
| 84702 |
|
14 |
13 |
$126.94 |
| 71010 |
|
51 |
26 |
$108.00 |
| J2270 |
Morphine sulfate injection |
464 |
258 |
$97.42 |
| J1170 |
Hydromorphone injection |
164 |
99 |
$55.27 |
| 85018 |
|
17 |
14 |
$37.18 |
| 85014 |
|
16 |
14 |
$37.18 |
| 99282 |
|
54 |
50 |
$30.10 |
| J2060 |
Lorazepam injection |
15 |
12 |
$19.81 |
| J1200 |
Diphenhydramine hcl injectio |
13 |
13 |
$13.32 |
| 36000 |
|
43 |
37 |
$0.00 |
| J2001 |
Lidocaine injection |
14 |
12 |
$0.00 |
| 96367 |
|
51 |
13 |
$0.00 |