| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
6,753 |
6,334 |
$1.51M |
| 99283 |
|
8,751 |
8,359 |
$1.04M |
| 99285 |
|
3,078 |
2,893 |
$542K |
| 87635 |
|
4,828 |
4,647 |
$263K |
| 87804 |
|
8,672 |
4,217 |
$209K |
| 80053 |
|
9,026 |
8,232 |
$105K |
| C9803 |
Hopd covid-19 spec collect |
4,430 |
4,288 |
$94K |
| 85025 |
|
10,343 |
9,376 |
$83K |
| 71045 |
|
2,487 |
2,345 |
$57K |
| 87880 |
|
1,906 |
1,843 |
$49K |
| 96374 |
|
2,708 |
2,551 |
$31K |
| G0378 |
Hospital observation per hr |
144 |
123 |
$31K |
| 74176 |
|
274 |
264 |
$29K |
| 93005 |
|
2,333 |
2,044 |
$25K |
| 70450 |
|
534 |
520 |
$24K |
| 81025 |
|
1,999 |
1,903 |
$23K |
| 81001 |
|
6,048 |
5,671 |
$22K |
| 96361 |
|
1,257 |
1,042 |
$21K |
| 84484 |
|
2,026 |
1,622 |
$11K |
| 87088 |
|
1,486 |
1,433 |
$11K |
| 83690 |
|
1,479 |
1,383 |
$9K |
| 96365 |
|
290 |
265 |
$8K |
| 96372 |
|
1,540 |
1,273 |
$6K |
| 96375 |
|
1,345 |
1,186 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
791 |
738 |
$5K |
| 83880 |
|
525 |
492 |
$5K |
| 80305 |
|
410 |
372 |
$4K |
| 87807 |
|
175 |
172 |
$4K |
| 80048 |
|
1,222 |
1,072 |
$4K |
| 99282 |
|
98 |
93 |
$4K |
| 99281 |
|
68 |
67 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
231 |
231 |
$3K |
| 84702 |
|
201 |
186 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
1,072 |
999 |
$3K |
| 87426 |
|
154 |
145 |
$3K |
| 83605 |
|
420 |
371 |
$2K |
| G0379 |
Direct refer hospital observ |
15 |
12 |
$2K |
| 74177 |
|
13 |
13 |
$2K |
| CP007 |
|
68 |
62 |
$2K |
| 96360 |
|
67 |
67 |
$2K |
| 82948 |
|
1,108 |
553 |
$2K |
| 72125 |
|
12 |
12 |
$2K |
| 76801 |
|
15 |
15 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
62 |
62 |
$1K |
| 82550 |
|
616 |
504 |
$1K |
| 85730 |
|
762 |
709 |
$1K |
| J2405 |
Ondansetron hcl injection |
996 |
879 |
$1K |
| 85610 |
|
909 |
835 |
$1K |
| 81003 |
|
620 |
597 |
$1K |
| 83735 |
|
303 |
243 |
$1K |
| 87040 |
|
165 |
89 |
$838.24 |
| 87186 |
|
251 |
242 |
$717.71 |
| 86140 |
|
146 |
136 |
$717.34 |
| 87077 |
|
250 |
242 |
$670.16 |
| 36415 |
|
11,582 |
9,969 |
$311.87 |
| 96366 |
|
18 |
15 |
$309.24 |
| 96376 |
|
18 |
12 |
$289.35 |
| 87086 |
|
67 |
50 |
$275.29 |
| 86901 |
|
102 |
95 |
$179.25 |
| 86900 |
|
101 |
94 |
$176.73 |
| 84703 |
|
24 |
24 |
$161.84 |
| 11042 |
|
80 |
40 |
$79.15 |
| J2270 |
Morphine sulfate injection |
21 |
14 |
$70.94 |
| 84145 |
|
13 |
12 |
$66.30 |
| 83874 |
|
34 |
28 |
$54.25 |
| S0028 |
Injection, famotidine, 20 mg |
16 |
13 |
$50.41 |
| J1644 |
Inj heparin sodium per 1000u |
13 |
12 |
$11.05 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
79 |
78 |
$2.29 |
| 93356 |
|
84 |
84 |
$0.00 |