| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
7,887 |
6,239 |
$398K |
| 99284 |
|
4,364 |
3,387 |
$217K |
| 99282 |
|
4,253 |
3,566 |
$210K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,336 |
1,084 |
$112K |
| 0241U |
|
513 |
478 |
$73K |
| 80053 |
|
4,561 |
3,880 |
$57K |
| 87502 |
|
236 |
219 |
$31K |
| 85025 |
|
4,682 |
4,045 |
$28K |
| 96361 |
|
293 |
239 |
$10K |
| 81001 |
|
2,081 |
1,846 |
$10K |
| 96375 |
|
182 |
150 |
$10K |
| 96374 |
|
343 |
291 |
$9K |
| 97110 |
|
162 |
48 |
$8K |
| 99070 |
|
926 |
863 |
$7K |
| 84443 |
|
534 |
516 |
$6K |
| 36415 |
|
8,832 |
7,264 |
$5K |
| 71045 |
|
370 |
311 |
$4K |
| 96365 |
|
34 |
28 |
$3K |
| 74177 |
|
15 |
12 |
$3K |
| 87086 |
|
166 |
147 |
$2K |
| 93005 |
|
153 |
123 |
$2K |
| 71046 |
|
82 |
75 |
$2K |
| 93010 |
|
297 |
246 |
$2K |
| 96372 |
|
67 |
56 |
$2K |
| 87651 |
|
98 |
95 |
$2K |
| G0381 |
Lev 2 hosp type b ed visit |
43 |
41 |
$1K |
| G0382 |
Lev 3 hosp type b ed visit |
19 |
18 |
$1K |
| 97140 |
|
38 |
13 |
$1K |
| 83036 |
|
63 |
61 |
$922.13 |
| 80048 |
|
142 |
129 |
$881.61 |
| 84484 |
|
72 |
55 |
$809.38 |
| 81025 |
|
64 |
59 |
$730.60 |
| 85610 |
|
186 |
130 |
$720.82 |
| 80061 |
|
53 |
48 |
$666.84 |
| 87426 |
|
20 |
16 |
$645.88 |
| 83690 |
|
65 |
57 |
$586.07 |
| 83605 |
|
52 |
42 |
$584.24 |
| 94640 |
|
42 |
29 |
$538.82 |
| 85027 |
|
61 |
51 |
$439.29 |
| 87184 |
|
40 |
34 |
$412.16 |
| 85730 |
|
46 |
42 |
$238.53 |
| J1885 |
Ketorolac tromethamine inj |
48 |
40 |
$149.61 |
| 83735 |
|
18 |
14 |
$142.29 |
| 87081 |
|
13 |
13 |
$138.37 |
| 84439 |
|
15 |
12 |
$120.07 |
| J2405 |
Ondansetron hcl injection |
92 |
82 |
$94.02 |
| 82306 |
|
59 |
59 |
$75.10 |
| 85007 |
|
38 |
34 |
$68.32 |
| J2704 |
Inj, propofol, 10 mg |
451 |
373 |
$58.84 |
| J7030 |
Normal saline solution infus |
217 |
186 |
$23.68 |
| J3010 |
Fentanyl citrate injection |
35 |
30 |
$23.39 |
| P9604 |
One-way allow prorated trip |
1,128 |
897 |
$6.48 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
18 |
14 |
$0.00 |
| 82607 |
|
25 |
25 |
$0.00 |
| J7050 |
Normal saline solution infus |
17 |
14 |
$0.00 |