| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
15,565 |
14,190 |
$2.39M |
| 99283 |
|
15,397 |
14,290 |
$1.72M |
| 0241U |
|
10,266 |
9,252 |
$1.61M |
| 99213 |
|
27,196 |
24,862 |
$612K |
| 99214 |
|
22,261 |
20,531 |
$499K |
| 99285 |
|
2,252 |
1,998 |
$402K |
| 96374 |
|
4,577 |
4,175 |
$178K |
| 93005 |
|
6,596 |
5,800 |
$169K |
| C9803 |
Hopd covid-19 spec collect |
5,532 |
5,115 |
$163K |
| 87651 |
|
4,589 |
4,354 |
$150K |
| 43239 |
|
486 |
448 |
$138K |
| 74177 |
|
137 |
122 |
$124K |
| 96375 |
|
1,881 |
1,727 |
$114K |
| 80053 |
|
16,741 |
14,895 |
$114K |
| J3490 |
Drugs unclassified injection |
36,881 |
20,961 |
$107K |
| 85025 |
|
16,819 |
14,809 |
$104K |
| 87502 |
|
1,796 |
1,723 |
$92K |
| 87804 |
|
2,665 |
2,377 |
$67K |
| 71045 |
|
2,793 |
2,455 |
$55K |
| 70450 |
|
198 |
177 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
600 |
509 |
$39K |
| 99205 |
Prolong outpt/office vis |
682 |
552 |
$36K |
| J7030 |
Normal saline solution infus |
3,607 |
3,272 |
$31K |
| 0202U |
|
210 |
176 |
$30K |
| 71046 |
|
469 |
459 |
$30K |
| 99212 |
|
1,125 |
1,063 |
$29K |
| 87426 |
|
1,626 |
1,456 |
$27K |
| 80307 |
|
543 |
491 |
$23K |
| G0378 |
Hospital observation per hr |
531 |
459 |
$22K |
| 87811 |
|
458 |
417 |
$21K |
| 36415 |
|
10,026 |
8,506 |
$20K |
| 87880 |
|
2,424 |
2,359 |
$19K |
| 81001 |
|
6,547 |
4,919 |
$18K |
| M0243 |
Casirivi and imdevi inj |
57 |
51 |
$17K |
| 96361 |
|
660 |
619 |
$14K |
| J7120 |
Ringers lactate infusion |
1,039 |
917 |
$12K |
| 99281 |
|
238 |
219 |
$12K |
| 87631 |
|
141 |
136 |
$11K |
| 83690 |
|
1,678 |
1,543 |
$10K |
| 84484 |
|
1,492 |
1,281 |
$8K |
| 84703 |
|
1,102 |
982 |
$8K |
| 45380 |
|
33 |
24 |
$8K |
| 99203 |
|
393 |
374 |
$8K |
| 96372 |
|
321 |
284 |
$7K |
| 99202 |
|
355 |
338 |
$7K |
| 90471 |
|
560 |
522 |
$7K |
| 76815 |
|
193 |
153 |
$6K |
| 94060 |
|
94 |
93 |
$6K |
| 43249 |
|
46 |
38 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
1,189 |
1,060 |
$5K |
| 0001A |
|
109 |
81 |
$3K |
| 99282 |
|
46 |
45 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
100 |
73 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
380 |
336 |
$3K |
| 0002A |
|
89 |
69 |
$3K |
| 99215 |
Prolong outpt/office vis |
281 |
271 |
$3K |
| 0012A |
|
45 |
45 |
$2K |
| 82550 |
|
827 |
742 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
513 |
471 |
$2K |
| 94640 |
|
40 |
36 |
$2K |
| 76705 |
|
13 |
13 |
$2K |
| 87086 |
|
278 |
248 |
$2K |
| 99204 |
|
52 |
51 |
$2K |
| 76817 |
|
57 |
43 |
$1K |
| 0011A |
|
44 |
43 |
$1K |
| 83735 |
|
229 |
191 |
$1K |
| J2405 |
Ondansetron hcl injection |
1,019 |
921 |
$1K |
| 84443 |
|
55 |
51 |
$1K |
| 76801 |
|
29 |
26 |
$961.72 |
| 94760 |
|
91 |
79 |
$915.04 |
| 85730 |
|
252 |
241 |
$911.59 |
| 87801 |
|
12 |
12 |
$894.40 |
| 20610 |
|
40 |
38 |
$889.71 |
| 96365 |
|
25 |
24 |
$865.89 |
| 87798 |
|
25 |
24 |
$849.87 |
| 94729 |
|
24 |
24 |
$841.50 |
| 87491 |
|
28 |
27 |
$790.97 |
| 80048 |
|
232 |
160 |
$770.78 |
| 99244 |
|
35 |
31 |
$755.40 |
| 87591 |
|
27 |
26 |
$701.51 |
| 85610 |
|
260 |
243 |
$598.29 |
| 80061 |
|
43 |
36 |
$507.30 |
| 87807 |
|
46 |
45 |
$414.12 |
| 82306 |
|
16 |
13 |
$410.27 |
| 87070 |
|
39 |
38 |
$365.33 |
| G0463 |
Hospital outpt clinic visit |
116 |
108 |
$352.60 |
| 90688 |
|
96 |
92 |
$326.42 |
| 81003 |
|
147 |
135 |
$289.40 |
| A4606 |
Oxygen probe used w oximeter |
16 |
15 |
$283.00 |
| 83036 |
|
31 |
27 |
$277.59 |
| J3010 |
Fentanyl citrate injection |
219 |
204 |
$259.25 |
| 87661 |
|
16 |
16 |
$248.24 |
| 94726 |
|
12 |
12 |
$245.66 |
| 82607 |
|
18 |
14 |
$236.36 |
| 82570 |
|
104 |
72 |
$231.45 |
| 86850 |
|
14 |
13 |
$223.47 |
| 94010 |
|
15 |
13 |
$203.92 |
| 85027 |
|
47 |
39 |
$192.19 |
| 83880 |
|
14 |
14 |
$172.02 |
| 90472 |
|
12 |
12 |
$169.42 |
| 94618 |
|
13 |
12 |
$159.41 |
| G2023 |
Specimen collect covid-19 |
193 |
162 |
$137.36 |
| 83605 |
|
20 |
15 |
$104.80 |
| 82150 |
|
12 |
12 |
$80.79 |
| A6402 |
Sterile gauze <= 16 sq in |
131 |
72 |
$77.36 |
| J1100 |
Dexamethasone sodium phos |
65 |
51 |
$69.38 |
| J1170 |
Hydromorphone injection |
42 |
40 |
$49.42 |
| J1650 |
Inj enoxaparin sodium |
16 |
13 |
$37.91 |
| 86705 |
|
12 |
12 |
$32.63 |
| J1030 |
Methylprednisolone 40 mg inj |
28 |
27 |
$20.00 |
| 86704 |
|
12 |
12 |
$15.81 |
| 86706 |
|
12 |
12 |
$14.65 |
| J2270 |
Morphine sulfate injection |
25 |
13 |
$14.45 |
| 87340 |
|
12 |
12 |
$12.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
15 |
12 |
$11.35 |
| Q0162 |
Ondansetron oral |
31 |
31 |
$2.31 |
| 91300 |
|
283 |
205 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
15 |
15 |
$0.00 |
| 87633 |
|
13 |
13 |
$0.00 |
| 80320 |
|
21 |
12 |
$0.00 |
| 91301 |
|
116 |
115 |
$0.00 |
| 87581 |
|
13 |
13 |
$0.00 |
| 87486 |
|
13 |
13 |
$0.00 |