| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
14,015 |
13,456 |
$12.56M |
| 99283 |
|
11,608 |
11,164 |
$1.76M |
| 99285 |
|
2,571 |
2,432 |
$1.20M |
| 99282 |
|
2,771 |
2,681 |
$366K |
| 93005 |
|
2,950 |
2,693 |
$232K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,411 |
4,254 |
$198K |
| 71045 |
|
5,802 |
5,541 |
$144K |
| 80053 |
|
13,200 |
11,784 |
$109K |
| 85025 |
|
15,609 |
13,594 |
$80K |
| C9803 |
Hopd covid-19 spec collect |
5,679 |
5,468 |
$78K |
| 74177 |
|
486 |
472 |
$77K |
| 76801 |
|
775 |
676 |
$71K |
| U0005 |
Infec agen detec ampli probe |
4,272 |
4,129 |
$64K |
| 76817 |
|
633 |
552 |
$49K |
| 70450 |
|
850 |
816 |
$42K |
| G0378 |
Hospital observation per hr |
476 |
420 |
$23K |
| 87400 |
|
2,003 |
1,941 |
$22K |
| 84703 |
|
3,649 |
3,435 |
$20K |
| 71046 |
|
844 |
814 |
$20K |
| 81001 |
|
5,715 |
5,215 |
$17K |
| 84484 |
|
3,716 |
2,114 |
$17K |
| 99281 |
|
207 |
199 |
$14K |
| 87088 |
|
2,410 |
2,282 |
$13K |
| 87880 |
|
907 |
879 |
$12K |
| 86850 |
|
817 |
773 |
$12K |
| 83880 |
|
1,117 |
1,023 |
$11K |
| 87651 |
|
357 |
350 |
$11K |
| 84702 |
|
1,019 |
885 |
$10K |
| 0202U |
|
339 |
334 |
$9K |
| 74176 |
|
114 |
113 |
$8K |
| J7120 |
Ringers lactate infusion |
959 |
769 |
$7K |
| 96365 |
|
360 |
281 |
$6K |
| 0241U |
|
2,566 |
2,510 |
$6K |
| 80048 |
|
1,635 |
1,240 |
$5K |
| 83690 |
|
1,291 |
1,136 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,188 |
1,111 |
$4K |
| 97110 |
|
496 |
167 |
$3K |
| 87635 |
|
159 |
156 |
$3K |
| 87070 |
|
295 |
286 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
539 |
501 |
$2K |
| 81003 |
|
961 |
904 |
$2K |
| 96361 |
|
30 |
27 |
$2K |
| 83735 |
|
1,518 |
994 |
$2K |
| 86901 |
|
1,089 |
1,027 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,323 |
1,097 |
$2K |
| 94640 |
|
38 |
30 |
$2K |
| 86900 |
|
934 |
881 |
$1K |
| J2270 |
Morphine sulfate injection |
465 |
328 |
$1K |
| 85610 |
|
1,146 |
1,046 |
$1K |
| 87636 |
|
15 |
15 |
$1K |
| 74018 |
|
25 |
25 |
$1K |
| 85730 |
|
645 |
608 |
$1K |
| 96374 |
|
962 |
884 |
$1K |
| 87077 |
|
358 |
284 |
$993.66 |
| J1100 |
Dexamethasone sodium phos |
175 |
167 |
$887.46 |
| 83605 |
|
208 |
121 |
$865.78 |
| 96372 |
|
805 |
608 |
$710.97 |
| 87186 |
|
219 |
180 |
$651.93 |
| CP007 |
|
13 |
13 |
$589.91 |
| 87420 |
|
37 |
37 |
$572.84 |
| 85027 |
|
180 |
144 |
$521.86 |
| 86769 |
|
32 |
29 |
$427.20 |
| J0696 |
Ceftriaxone sodium injection |
162 |
147 |
$385.09 |
| J1644 |
Inj heparin sodium per 1000u |
76 |
37 |
$380.14 |
| 87040 |
|
60 |
37 |
$326.53 |
| 36415 |
|
2,063 |
1,722 |
$316.31 |
| 96375 |
|
938 |
697 |
$278.29 |
| 84100 |
|
560 |
371 |
$268.37 |
| 72125 |
|
12 |
12 |
$228.92 |
| J3010 |
Fentanyl citrate injection |
244 |
210 |
$209.47 |
| 83036 |
|
157 |
155 |
$204.69 |
| 82247 |
|
12 |
12 |
$173.80 |
| 87210 |
|
22 |
16 |
$132.05 |
| 80061 |
|
69 |
69 |
$105.88 |
| J2765 |
Metoclopramide hcl injection |
28 |
24 |
$97.66 |
| 88305 |
|
42 |
25 |
$65.05 |
| 97161 |
|
12 |
12 |
$22.14 |
| 82570 |
|
16 |
13 |
$8.70 |
| 96376 |
|
122 |
81 |
$8.44 |
| 84156 |
|
16 |
12 |
$6.16 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
12 |
$5.34 |
| J2250 |
Inj midazolam hydrochloride |
45 |
40 |
$3.48 |
| J2704 |
Inj, propofol, 10 mg |
321 |
310 |
$0.28 |
| 80197 |
|
37 |
25 |
$0.00 |