| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
61,628 |
56,017 |
$15.05M |
| 99284 |
|
44,060 |
37,581 |
$10.67M |
| 96374 |
|
30,835 |
26,029 |
$1.38M |
| 99282 |
|
8,552 |
8,149 |
$1.28M |
| 99285 |
|
1,201 |
996 |
$334K |
| 11042 |
|
3,655 |
1,502 |
$330K |
| 43239 |
|
1,000 |
713 |
$302K |
| 45380 |
|
595 |
433 |
$192K |
| 87635 |
|
4,197 |
3,793 |
$113K |
| 96372 |
|
5,211 |
4,389 |
$104K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,486 |
1,398 |
$67K |
| G0378 |
Hospital observation per hr |
100 |
86 |
$50K |
| 96375 |
|
8,908 |
7,342 |
$47K |
| 71260 |
|
394 |
273 |
$34K |
| 74177 |
|
1,492 |
1,247 |
$33K |
| 99281 |
|
230 |
215 |
$30K |
| 80053 |
|
45,055 |
37,947 |
$27K |
| 87426 |
|
1,362 |
1,229 |
$23K |
| 45385 |
|
56 |
46 |
$22K |
| 69436 |
|
15 |
13 |
$19K |
| 70450 |
|
723 |
581 |
$13K |
| G0463 |
Hospital outpt clinic visit |
672 |
338 |
$9K |
| 84484 |
|
13,238 |
10,065 |
$8K |
| 71046 |
|
2,241 |
2,031 |
$2K |
| 85027 |
|
51,911 |
43,651 |
$2K |
| 93005 |
|
21,406 |
16,442 |
$1K |
| 83605 |
|
790 |
639 |
$1K |
| 85730 |
|
3,359 |
2,693 |
$1K |
| 80048 |
|
2,414 |
2,045 |
$1K |
| 71045 |
|
13,360 |
10,918 |
$867.43 |
| 11045 |
|
58 |
12 |
$627.52 |
| 82784 |
|
87 |
80 |
$627.18 |
| 71250 |
|
28 |
15 |
$522.61 |
| 87804 |
|
8,545 |
7,500 |
$519.91 |
| 77336 |
|
45 |
12 |
$468.13 |
| 86258 |
|
73 |
66 |
$468.06 |
| 86364 |
|
73 |
66 |
$468.06 |
| 88305 |
|
962 |
720 |
$389.98 |
| 81001 |
|
16,687 |
14,510 |
$322.14 |
| J7030 |
Normal saline solution infus |
12,571 |
11,538 |
$302.64 |
| 86231 |
|
72 |
66 |
$245.25 |
| 80307 |
|
1,852 |
1,610 |
$216.94 |
| 84703 |
|
1,323 |
1,232 |
$193.60 |
| 87880 |
|
2,000 |
1,890 |
$175.61 |
| 87070 |
|
1,516 |
1,438 |
$155.31 |
| J1885 |
Ketorolac tromethamine inj |
13,996 |
8,959 |
$149.41 |
| 96361 |
|
743 |
622 |
$108.00 |
| 83880 |
|
1,158 |
874 |
$93.96 |
| J7120 |
Ringers lactate infusion |
2,610 |
2,241 |
$89.05 |
| 83690 |
|
8,712 |
7,427 |
$82.29 |
| 81003 |
|
6,494 |
5,738 |
$66.33 |
| 36415 |
|
15 |
13 |
$57.38 |
| 85651 |
|
30 |
25 |
$34.79 |
| J2405 |
Ondansetron hcl injection |
5,970 |
5,440 |
$27.37 |
| 81025 |
|
4,512 |
4,183 |
$19.22 |
| 86140 |
|
1,985 |
1,656 |
$16.02 |
| 85610 |
|
4,231 |
3,388 |
$11.54 |
| J0696 |
Ceftriaxone sodium injection |
407 |
379 |
$9.64 |
| J1100 |
Dexamethasone sodium phos |
1,123 |
716 |
$7.90 |
| 82550 |
|
1,475 |
1,227 |
$5.86 |
| 83735 |
|
2,129 |
1,713 |
$4.22 |
| 88312 |
|
108 |
80 |
$0.00 |
| J2270 |
Morphine sulfate injection |
331 |
280 |
$0.00 |
| 87420 |
|
195 |
192 |
$0.00 |
| G1003 |
Cdsm medicalis |
568 |
506 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
181 |
175 |
$0.00 |
| 80076 |
|
83 |
68 |
$0.00 |
| 74018 |
|
190 |
153 |
$0.00 |
| 84100 |
|
64 |
53 |
$0.00 |
| J2550 |
Promethazine hcl injection |
15 |
14 |
$0.00 |
| 73630 |
|
13 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
67 |
64 |
$0.00 |
| 85379 |
|
58 |
52 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
106 |
89 |
$0.00 |
| 82553 |
|
105 |
92 |
$0.00 |
| 87086 |
|
854 |
749 |
$0.00 |
| 94640 |
|
70 |
64 |
$0.00 |
| J7050 |
Normal saline solution infus |
499 |
462 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
54 |
50 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
12 |
$0.00 |
| 96365 |
|
15 |
12 |
$0.00 |
| 96376 |
|
17 |
12 |
$0.00 |
| 82150 |
|
48 |
39 |
$0.00 |
| 87040 |
|
230 |
146 |
$0.00 |
| 87077 |
|
36 |
27 |
$0.00 |
| J8540 |
Oral dexamethasone |
53 |
50 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
14 |
14 |
$0.00 |