| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
7,851 |
5,703 |
$730K |
| 97110 |
|
13,293 |
1,628 |
$388K |
| 87426 |
|
9,611 |
7,604 |
$275K |
| 99284 |
|
1,931 |
1,221 |
$243K |
| 87804 |
|
17,562 |
8,071 |
$234K |
| 96372 |
|
7,143 |
5,426 |
$221K |
| 96365 |
|
1,763 |
1,155 |
$161K |
| 99285 |
|
920 |
720 |
$143K |
| 97530 |
|
7,784 |
1,211 |
$141K |
| 99282 |
|
1,581 |
1,247 |
$100K |
| 80053 |
|
12,887 |
9,655 |
$97K |
| 85025 |
|
15,821 |
11,941 |
$92K |
| 71045 |
|
2,423 |
1,809 |
$83K |
| G0378 |
Hospital observation per hr |
342 |
300 |
$68K |
| 86063 |
|
12,209 |
10,135 |
$67K |
| 71046 |
|
2,122 |
1,678 |
$62K |
| 93005 |
|
3,084 |
2,269 |
$56K |
| 97112 |
|
3,120 |
584 |
$51K |
| 70450 |
|
652 |
562 |
$49K |
| 96361 |
|
440 |
260 |
$46K |
| 36415 |
|
19,928 |
14,596 |
$45K |
| 83880 |
|
1,788 |
1,354 |
$43K |
| 96374 |
|
429 |
352 |
$41K |
| 83735 |
|
8,326 |
6,070 |
$37K |
| 96360 |
|
390 |
224 |
$35K |
| 80061 |
|
3,373 |
2,913 |
$30K |
| 11042 |
|
273 |
95 |
$30K |
| U0003 |
Cov-19 amp prb hgh thruput |
548 |
258 |
$29K |
| 94640 |
|
291 |
148 |
$29K |
| 93306 |
|
113 |
105 |
$25K |
| 83036 |
|
3,441 |
3,001 |
$22K |
| 84443 |
|
1,723 |
1,492 |
$20K |
| 80048 |
|
3,009 |
2,438 |
$18K |
| 84484 |
|
2,039 |
1,317 |
$18K |
| 87591 |
|
672 |
565 |
$17K |
| 87491 |
|
672 |
565 |
$17K |
| 81001 |
|
6,494 |
5,531 |
$17K |
| 82553 |
|
1,909 |
1,225 |
$16K |
| 82306 |
|
782 |
681 |
$15K |
| 87635 |
|
281 |
227 |
$11K |
| 82550 |
|
2,017 |
1,312 |
$11K |
| 96375 |
|
475 |
325 |
$10K |
| 87807 |
|
800 |
671 |
$9K |
| 73560 |
|
214 |
166 |
$8K |
| 92507 |
|
487 |
74 |
$7K |
| G0463 |
Hospital outpt clinic visit |
340 |
328 |
$6K |
| 97116 |
|
543 |
116 |
$5K |
| 97140 |
|
396 |
113 |
$5K |
| 80305 |
|
662 |
540 |
$5K |
| 82607 |
|
388 |
330 |
$4K |
| 81000 |
|
1,986 |
1,504 |
$4K |
| 81025 |
|
713 |
562 |
$4K |
| 74176 |
|
16 |
15 |
$3K |
| M0243 |
Casirivi and imdevi inj |
28 |
25 |
$3K |
| J3420 |
Vitamin b12 injection |
2,338 |
1,910 |
$3K |
| 74177 |
|
12 |
12 |
$2K |
| 73630 |
|
66 |
52 |
$2K |
| 82728 |
|
166 |
161 |
$2K |
| 83550 |
|
251 |
240 |
$2K |
| 82150 |
|
284 |
236 |
$2K |
| 99281 |
|
41 |
36 |
$2K |
| 83540 |
|
251 |
240 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
36 |
34 |
$1K |
| G8978 |
Mobility current status |
14 |
12 |
$1K |
| 97162 |
|
44 |
37 |
$1K |
| 87088 |
|
291 |
231 |
$1K |
| J7030 |
Normal saline solution infus |
583 |
326 |
$1K |
| 83655 |
|
108 |
91 |
$1K |
| 82570 |
|
461 |
378 |
$1K |
| 85610 |
|
304 |
219 |
$1K |
| 96367 |
|
33 |
26 |
$978.60 |
| J3475 |
Inj magnesium sulfate |
446 |
351 |
$958.95 |
| J2405 |
Ondansetron hcl injection |
552 |
357 |
$803.48 |
| A4216 |
Sterile water/saline, 10 ml |
934 |
519 |
$774.81 |
| 85018 |
|
465 |
349 |
$739.14 |
| J0696 |
Ceftriaxone sodium injection |
576 |
384 |
$707.22 |
| 93000 |
|
133 |
85 |
$702.23 |
| 87210 |
|
181 |
159 |
$691.18 |
| 84156 |
|
412 |
337 |
$674.61 |
| J1885 |
Ketorolac tromethamine inj |
653 |
525 |
$666.40 |
| 85014 |
|
396 |
295 |
$658.20 |
| 73030 |
|
14 |
12 |
$651.84 |
| 83690 |
|
155 |
128 |
$605.14 |
| 81002 |
|
293 |
225 |
$588.42 |
| J2001 |
Lidocaine injection |
337 |
263 |
$393.12 |
| 96366 |
|
23 |
12 |
$208.96 |
| 87077 |
|
28 |
25 |
$160.23 |
| 87880 |
|
32 |
18 |
$148.80 |
| 82746 |
|
13 |
12 |
$105.84 |
| J1100 |
Dexamethasone sodium phos |
100 |
87 |
$98.53 |
| 82947 |
|
80 |
73 |
$47.87 |
| 87184 |
|
15 |
13 |
$40.38 |
| J7040 |
Normal saline solution infus |
416 |
138 |
$32.80 |
| 84550 |
|
21 |
12 |
$24.42 |
| 81015 |
|
157 |
118 |
$19.25 |
| J1010 |
Inj, methylpred acetate 1 mg |
25 |
25 |
$8.80 |
| G8979 |
Mobility goal status |
31 |
24 |
$0.00 |
| 94760 |
|
36 |
14 |
$0.00 |
| 96376 |
|
78 |
31 |
$0.00 |