| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
16,656 |
15,042 |
$2.94M |
| 99285 |
|
9,775 |
8,652 |
$1.97M |
| 99283 |
|
11,831 |
11,145 |
$1.43M |
| 0241U |
|
2,292 |
2,021 |
$195K |
| 96374 |
|
7,908 |
7,057 |
$178K |
| 85025 |
|
18,106 |
15,346 |
$60K |
| 99282 |
|
608 |
574 |
$55K |
| U0003 |
Cov-19 amp prb hgh thruput |
838 |
794 |
$54K |
| 84484 |
|
6,264 |
4,186 |
$46K |
| 74177 |
|
726 |
652 |
$42K |
| G0378 |
Hospital observation per hr |
732 |
624 |
$38K |
| 80053 |
|
15,231 |
13,107 |
$37K |
| 70450 |
|
869 |
764 |
$19K |
| 93005 |
|
6,874 |
5,097 |
$18K |
| 96375 |
|
2,675 |
2,312 |
$15K |
| 99291 |
|
54 |
44 |
$14K |
| 83690 |
|
3,463 |
3,104 |
$13K |
| 87804 |
|
4,067 |
1,963 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
265 |
247 |
$10K |
| 36415 |
|
10,264 |
7,731 |
$9K |
| 80307 |
|
487 |
430 |
$9K |
| 84703 |
|
1,471 |
1,374 |
$8K |
| J2405 |
Ondansetron hcl injection |
2,340 |
2,058 |
$8K |
| 71046 |
|
1,672 |
1,558 |
$7K |
| 87880 |
|
1,410 |
1,374 |
$7K |
| 96372 |
|
1,094 |
1,000 |
$6K |
| 96361 |
|
1,048 |
862 |
$5K |
| 71045 |
|
2,642 |
2,340 |
$5K |
| 87077 |
|
1,661 |
1,614 |
$4K |
| 80048 |
|
2,534 |
1,894 |
$3K |
| J1650 |
Inj enoxaparin sodium |
318 |
173 |
$3K |
| 81001 |
|
4,648 |
4,207 |
$3K |
| 82306 |
|
238 |
221 |
$2K |
| 85027 |
|
1,090 |
891 |
$2K |
| 80061 |
|
232 |
225 |
$2K |
| 85730 |
|
863 |
743 |
$2K |
| 85610 |
|
1,371 |
1,159 |
$2K |
| 87088 |
|
377 |
347 |
$2K |
| 87651 |
|
73 |
63 |
$2K |
| 74022 |
|
213 |
201 |
$2K |
| 72125 |
|
27 |
26 |
$1K |
| 0202U |
|
18 |
18 |
$1K |
| 81003 |
|
2,302 |
2,067 |
$1K |
| 83735 |
|
576 |
437 |
$1K |
| 87040 |
|
384 |
196 |
$892.76 |
| 84443 |
|
191 |
174 |
$841.49 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,962 |
1,735 |
$799.65 |
| 83880 |
|
146 |
125 |
$779.75 |
| 87635 |
|
18 |
17 |
$718.34 |
| 74176 |
|
30 |
28 |
$707.77 |
| 96376 |
|
116 |
55 |
$642.00 |
| 87081 |
|
126 |
112 |
$625.06 |
| G0463 |
Hospital outpt clinic visit |
33 |
29 |
$613.72 |
| 81025 |
|
178 |
168 |
$474.80 |
| 94640 |
|
181 |
91 |
$325.78 |
| 73630 |
|
31 |
31 |
$272.53 |
| 87186 |
|
54 |
52 |
$271.52 |
| 73610 |
|
33 |
28 |
$260.56 |
| 72100 |
|
68 |
65 |
$248.69 |
| 12001 |
|
14 |
12 |
$219.18 |
| 73130 |
|
31 |
28 |
$176.41 |
| J1100 |
Dexamethasone sodium phos |
135 |
119 |
$156.65 |
| 82607 |
|
70 |
52 |
$125.70 |
| 73562 |
|
14 |
13 |
$114.10 |
| 84134 |
|
47 |
40 |
$106.61 |
| 73030 |
|
13 |
12 |
$97.80 |
| 84100 |
|
90 |
68 |
$79.42 |
| J1885 |
Ketorolac tromethamine inj |
971 |
897 |
$75.91 |
| 83036 |
|
44 |
43 |
$68.11 |
| 99213 |
|
16 |
15 |
$64.91 |
| 87807 |
|
13 |
13 |
$52.04 |
| J2270 |
Morphine sulfate injection |
188 |
166 |
$46.37 |
| 87389 |
|
12 |
12 |
$30.71 |
| J7030 |
Normal saline solution infus |
439 |
397 |
$22.68 |
| 86803 |
|
12 |
12 |
$18.20 |
| J2360 |
Orphenadrine injection |
15 |
13 |
$9.18 |
| J2272 |
Inj, morphine (fresenius) |
17 |
13 |
$7.50 |
| J2704 |
Inj, propofol, 10 mg |
274 |
215 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
44 |
37 |
$0.00 |
| 80320 |
|
15 |
13 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
27 |
24 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
36 |
36 |
$0.00 |
| J7120 |
Ringers lactate infusion |
97 |
79 |
$0.00 |