| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
14,064 |
12,677 |
$1.14M |
| 99284 |
|
7,991 |
6,959 |
$779K |
| 99285 |
|
2,343 |
1,971 |
$301K |
| 96374 |
|
4,150 |
3,619 |
$208K |
| 96372 |
|
5,165 |
4,531 |
$202K |
| 80307 |
|
2,657 |
2,140 |
$196K |
| 71045 |
|
2,980 |
2,519 |
$130K |
| 96375 |
|
3,390 |
2,888 |
$130K |
| 93005 |
|
3,628 |
3,054 |
$103K |
| 99281 |
|
2,206 |
2,046 |
$97K |
| 99282 |
|
1,848 |
1,714 |
$91K |
| 96365 |
|
1,330 |
1,149 |
$86K |
| 71046 |
|
1,284 |
1,165 |
$81K |
| 96361 |
|
2,973 |
2,604 |
$71K |
| 85025 |
|
9,255 |
7,927 |
$41K |
| 80053 |
|
9,598 |
8,206 |
$36K |
| 70450 |
|
485 |
420 |
$36K |
| 87430 |
|
4,394 |
4,164 |
$33K |
| 84484 |
|
2,763 |
2,224 |
$22K |
| 94664 |
|
331 |
304 |
$22K |
| 94640 |
|
301 |
267 |
$21K |
| 87400 |
|
5,429 |
5,061 |
$20K |
| 36415 |
|
12,786 |
10,772 |
$17K |
| 59025 |
|
485 |
276 |
$16K |
| 74177 |
|
84 |
74 |
$15K |
| 84703 |
|
2,328 |
2,146 |
$14K |
| 92507 |
|
265 |
72 |
$12K |
| 81001 |
|
8,730 |
7,531 |
$10K |
| 83690 |
|
2,225 |
1,933 |
$9K |
| 87420 |
|
767 |
739 |
$9K |
| J2405 |
Ondansetron hcl injection |
2,615 |
2,272 |
$8K |
| 74176 |
|
106 |
91 |
$8K |
| 96360 |
|
103 |
89 |
$8K |
| 83880 |
|
889 |
740 |
$8K |
| 87086 |
|
1,343 |
1,203 |
$7K |
| 87426 |
|
273 |
237 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
390 |
349 |
$5K |
| 83735 |
|
1,072 |
879 |
$3K |
| U0003 |
Cov-19 amp prb hgh thruput |
43 |
40 |
$3K |
| 87040 |
|
370 |
281 |
$3K |
| 74018 |
|
26 |
24 |
$2K |
| 83655 |
|
110 |
109 |
$2K |
| 85027 |
|
460 |
410 |
$2K |
| 82550 |
|
497 |
431 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
846 |
752 |
$1K |
| 97110 |
|
71 |
25 |
$1K |
| 82150 |
|
390 |
335 |
$1K |
| 80048 |
|
346 |
306 |
$1K |
| 93017 |
|
12 |
12 |
$936.65 |
| 85007 |
|
450 |
398 |
$904.14 |
| J1100 |
Dexamethasone sodium phos |
607 |
557 |
$779.26 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
127 |
116 |
$615.24 |
| J2550 |
Promethazine hcl injection |
789 |
654 |
$577.31 |
| J1885 |
Ketorolac tromethamine inj |
1,923 |
1,720 |
$517.06 |
| 87070 |
|
247 |
236 |
$436.45 |
| 85014 |
|
125 |
123 |
$422.66 |
| 85018 |
|
126 |
124 |
$402.44 |
| 87186 |
|
77 |
63 |
$401.09 |
| J2270 |
Morphine sulfate injection |
354 |
300 |
$360.48 |
| 36600 |
|
14 |
12 |
$249.02 |
| 85610 |
|
222 |
173 |
$245.29 |
| 99156 |
|
43 |
27 |
$244.98 |
| 85730 |
|
143 |
111 |
$180.77 |
| 82803 |
|
15 |
13 |
$107.44 |
| 86140 |
|
26 |
24 |
$94.74 |
| J3301 |
Triamcinolone acet inj nos |
125 |
89 |
$84.25 |
| 96376 |
|
14 |
12 |
$40.95 |
| J2930 |
Methylprednisolone injection |
53 |
40 |
$37.20 |
| J1170 |
Hydromorphone injection |
44 |
36 |
$30.32 |
| J3010 |
Fentanyl citrate injection |
101 |
69 |
$22.74 |
| J2250 |
Inj midazolam hydrochloride |
84 |
59 |
$15.66 |
| J0780 |
Prochlorperazine injection |
15 |
12 |
$14.67 |
| J7030 |
Normal saline solution infus |
16 |
14 |
$8.96 |
| J0690 |
Cefazolin sodium injection |
13 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
31 |
28 |
$0.00 |