| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
16,863 |
15,431 |
$2.45M |
| 99284 |
|
6,438 |
5,809 |
$1.04M |
| 99281 |
|
5,470 |
5,003 |
$734K |
| 99285 |
|
2,061 |
1,780 |
$638K |
| 96361 |
|
1,824 |
1,638 |
$577K |
| 99282 |
|
2,069 |
1,890 |
$279K |
| 97110 |
|
5,204 |
1,442 |
$160K |
| 80053 |
|
11,471 |
10,337 |
$152K |
| U0003 |
Cov-19 amp prb hgh thruput |
621 |
610 |
$50K |
| 87635 |
|
522 |
485 |
$39K |
| 74177 |
|
109 |
100 |
$35K |
| 64721 |
|
32 |
29 |
$32K |
| 0241U |
|
360 |
343 |
$30K |
| 70450 |
|
169 |
147 |
$30K |
| 83605 |
|
1,426 |
1,158 |
$21K |
| 97140 |
|
1,969 |
577 |
$15K |
| 84484 |
|
1,318 |
872 |
$14K |
| 80048 |
|
1,320 |
1,166 |
$14K |
| 97530 |
|
910 |
521 |
$13K |
| 94640 |
|
44 |
38 |
$9K |
| 76830 |
|
55 |
40 |
$8K |
| 76856 |
|
40 |
40 |
$7K |
| 96375 |
|
2,812 |
2,501 |
$5K |
| 74176 |
|
16 |
15 |
$5K |
| 88305 |
|
75 |
52 |
$4K |
| 96374 |
|
7,077 |
6,364 |
$4K |
| 96360 |
|
27 |
26 |
$4K |
| 80307 |
|
49 |
38 |
$3K |
| G0378 |
Hospital observation per hr |
26 |
12 |
$3K |
| 87400 |
|
82 |
31 |
$2K |
| 76816 |
|
14 |
13 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| J7030 |
Normal saline solution infus |
3,853 |
2,985 |
$1K |
| 93005 |
|
5,115 |
4,140 |
$1K |
| 80047 |
|
44 |
40 |
$1K |
| 85025 |
|
17,105 |
15,241 |
$1K |
| 71046 |
|
625 |
544 |
$961.93 |
| 87420 |
|
14 |
12 |
$904.86 |
| 96372 |
|
350 |
307 |
$883.85 |
| 81001 |
|
2,160 |
1,991 |
$671.70 |
| J1885 |
Ketorolac tromethamine inj |
1,806 |
1,710 |
$533.85 |
| 71045 |
|
1,348 |
1,234 |
$361.26 |
| 80076 |
|
16 |
13 |
$352.41 |
| J7120 |
Ringers lactate infusion |
3,741 |
2,557 |
$309.14 |
| J0171 |
Adrenalin epinephrine inject |
18 |
12 |
$235.48 |
| 87804 |
|
651 |
453 |
$226.96 |
| 87502 |
|
114 |
108 |
$173.57 |
| 97161 |
|
14 |
12 |
$151.95 |
| 87811 |
|
291 |
280 |
$140.38 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
711 |
644 |
$128.57 |
| J1100 |
Dexamethasone sodium phos |
780 |
707 |
$90.00 |
| 81003 |
|
232 |
216 |
$88.04 |
| J2704 |
Inj, propofol, 10 mg |
2,583 |
1,683 |
$79.87 |
| 87086 |
|
187 |
174 |
$63.91 |
| 83690 |
|
813 |
747 |
$42.85 |
| J2405 |
Ondansetron hcl injection |
1,637 |
1,432 |
$42.25 |
| 81025 |
|
75 |
67 |
$28.68 |
| J3010 |
Fentanyl citrate injection |
1,465 |
1,136 |
$28.46 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
113 |
89 |
$28.02 |
| 82077 |
|
78 |
65 |
$16.23 |
| 85610 |
|
12 |
12 |
$2.58 |
| J3490 |
Drugs unclassified injection |
14,612 |
7,453 |
$1.77 |
| 85014 |
|
29 |
24 |
$0.00 |
| 0753T |
|
17 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
63 |
26 |
$0.00 |
| 82565 |
|
68 |
40 |
$0.00 |
| 0752T |
|
13 |
12 |
$0.00 |
| 82947 |
|
67 |
40 |
$0.00 |
| 87880 |
|
13 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
14 |
14 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
30 |
29 |
$0.00 |
| 84540 |
|
86 |
54 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
921 |
845 |
$0.00 |
| 85018 |
|
30 |
25 |
$0.00 |
| J2001 |
Lidocaine injection |
1,481 |
1,061 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
714 |
644 |
$0.00 |
| 80051 |
|
68 |
40 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
56 |
51 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| 82330 |
|
86 |
54 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
48 |
40 |
$0.00 |
| 87651 |
|
13 |
13 |
$0.00 |
| 84443 |
|
57 |
53 |
$0.00 |
| 83735 |
|
19 |
15 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
14 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
19 |
17 |
$0.00 |