| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
8,711 |
8,093 |
$1.73M |
| 99284 |
|
2,790 |
2,467 |
$807K |
| 99282 |
|
1,135 |
1,067 |
$116K |
| 96374 |
|
1,294 |
1,125 |
$106K |
| 99285 |
|
264 |
234 |
$95K |
| 41899 |
|
44 |
44 |
$87K |
| 80053 |
|
12,600 |
10,660 |
$69K |
| 97110 |
|
1,424 |
431 |
$61K |
| 85025 |
|
13,697 |
11,587 |
$56K |
| G0463 |
Hospital outpt clinic visit |
4,180 |
1,871 |
$53K |
| 93005 |
|
844 |
696 |
$42K |
| 87502 |
|
543 |
525 |
$32K |
| 71045 |
|
1,128 |
994 |
$30K |
| 96375 |
|
297 |
263 |
$28K |
| 74177 |
|
128 |
122 |
$27K |
| 96361 |
|
362 |
321 |
$27K |
| 87491 |
|
893 |
845 |
$24K |
| 87591 |
|
893 |
845 |
$24K |
| 36415 |
|
9,926 |
8,596 |
$24K |
| C9803 |
Hopd covid-19 spec collect |
1,281 |
1,181 |
$20K |
| 87481 |
|
418 |
383 |
$17K |
| 99211 |
|
421 |
139 |
$12K |
| U0002 |
Covid-19 lab test non-cdc |
324 |
306 |
$12K |
| J7030 |
Normal saline solution infus |
1,644 |
1,372 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
155 |
149 |
$10K |
| 87635 |
|
318 |
293 |
$9K |
| 87511 |
|
401 |
383 |
$9K |
| 87661 |
|
387 |
369 |
$8K |
| 11042 |
|
103 |
52 |
$6K |
| 84443 |
|
489 |
473 |
$6K |
| 92507 |
|
95 |
38 |
$6K |
| 71046 |
|
489 |
459 |
$6K |
| 83690 |
|
1,161 |
1,045 |
$5K |
| 97140 |
|
176 |
68 |
$5K |
| 87086 |
|
693 |
645 |
$5K |
| 82306 |
|
196 |
185 |
$4K |
| 87389 |
|
203 |
190 |
$4K |
| 97602 |
|
68 |
29 |
$4K |
| 83036 |
|
613 |
576 |
$3K |
| 84484 |
|
693 |
456 |
$3K |
| 87070 |
|
414 |
381 |
$3K |
| 81001 |
|
1,413 |
1,274 |
$3K |
| 86696 |
|
190 |
178 |
$3K |
| 87660 |
|
175 |
159 |
$3K |
| 86747 |
|
222 |
107 |
$3K |
| 86850 |
|
284 |
256 |
$3K |
| 96372 |
|
41 |
36 |
$2K |
| 86787 |
|
225 |
109 |
$2K |
| G0500 |
Mod sedat endo service >5yrs |
26 |
25 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
633 |
570 |
$2K |
| 84439 |
|
299 |
287 |
$2K |
| 86694 |
|
190 |
178 |
$2K |
| U0005 |
Infec agen detec ampli probe |
108 |
103 |
$2K |
| 85027 |
|
398 |
365 |
$2K |
| 86695 |
|
190 |
178 |
$2K |
| 80061 |
|
231 |
220 |
$2K |
| 87340 |
|
215 |
201 |
$2K |
| 80307 |
|
40 |
38 |
$2K |
| 81003 |
|
954 |
854 |
$2K |
| 86762 |
|
131 |
121 |
$2K |
| 86780 |
|
178 |
166 |
$2K |
| J3010 |
Fentanyl citrate injection |
601 |
546 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
973 |
883 |
$1K |
| 70450 |
|
28 |
27 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,554 |
1,048 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
491 |
451 |
$1K |
| J1100 |
Dexamethasone sodium phos |
611 |
525 |
$922.88 |
| 87077 |
|
101 |
96 |
$874.20 |
| 97162 |
|
14 |
14 |
$783.27 |
| 86900 |
|
276 |
248 |
$719.00 |
| 86901 |
|
273 |
248 |
$712.36 |
| 87624 |
|
33 |
31 |
$712.24 |
| J0690 |
Cefazolin sodium injection |
26 |
14 |
$692.92 |
| 85610 |
|
290 |
255 |
$680.87 |
| 81025 |
|
109 |
106 |
$667.62 |
| J2270 |
Morphine sulfate injection |
339 |
288 |
$631.59 |
| 88175 |
|
42 |
40 |
$596.16 |
| 77067 |
|
110 |
90 |
$507.15 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
44 |
41 |
$461.18 |
| 77063 |
|
97 |
77 |
$430.50 |
| J7120 |
Ringers lactate infusion |
155 |
112 |
$386.43 |
| 82248 |
|
80 |
62 |
$258.50 |
| 84702 |
|
13 |
12 |
$217.49 |
| 84703 |
|
27 |
26 |
$183.92 |
| J1170 |
Hydromorphone injection |
124 |
105 |
$169.84 |
| 87081 |
|
24 |
24 |
$144.00 |
| 85730 |
|
27 |
27 |
$139.38 |
| 82950 |
|
30 |
24 |
$117.26 |
| 80048 |
|
14 |
14 |
$94.24 |
| 86140 |
|
12 |
12 |
$53.46 |
| J7040 |
Normal saline solution infus |
46 |
40 |
$49.50 |
| 83735 |
|
13 |
12 |
$44.11 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$26.17 |
| 11721 |
|
13 |
12 |
$0.17 |