| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,593 |
11,863 |
$5.61M |
| 99284 |
|
5,447 |
5,063 |
$3.05M |
| 0241U |
|
3,638 |
3,439 |
$650K |
| 99282 |
|
1,378 |
1,318 |
$241K |
| 96374 |
|
2,050 |
1,906 |
$171K |
| 93005 |
|
1,004 |
912 |
$126K |
| 96361 |
|
834 |
749 |
$106K |
| 99285 |
|
147 |
132 |
$106K |
| J3490 |
Drugs unclassified injection |
26,701 |
14,429 |
$102K |
| C9803 |
Hopd covid-19 spec collect |
3,257 |
3,045 |
$100K |
| 96375 |
|
596 |
542 |
$91K |
| 71046 |
|
700 |
653 |
$90K |
| 85025 |
|
9,538 |
8,781 |
$86K |
| 80053 |
|
5,818 |
5,344 |
$57K |
| 74177 |
|
12 |
12 |
$26K |
| 70450 |
|
36 |
34 |
$16K |
| J7030 |
Normal saline solution infus |
1,416 |
1,298 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
254 |
237 |
$9K |
| G0378 |
Hospital observation per hr |
15 |
12 |
$7K |
| 84703 |
|
566 |
538 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
274 |
252 |
$6K |
| 71045 |
|
60 |
54 |
$5K |
| J2405 |
Ondansetron hcl injection |
147 |
126 |
$5K |
| 87804 |
|
220 |
200 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
59 |
52 |
$4K |
| 80048 |
|
305 |
283 |
$3K |
| 87430 |
|
145 |
137 |
$3K |
| 95806 |
|
15 |
14 |
$2K |
| 96372 |
|
29 |
25 |
$2K |
| 87086 |
|
181 |
175 |
$2K |
| 81001 |
|
384 |
363 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
25 |
25 |
$1K |
| 87070 |
|
71 |
71 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
26 |
26 |
$783.13 |
| 83735 |
|
108 |
101 |
$759.87 |
| 84484 |
|
52 |
30 |
$682.24 |
| 83690 |
|
55 |
51 |
$445.48 |
| 81025 |
|
55 |
52 |
$412.24 |
| J8597 |
Antiemetic drug oral nos |
74 |
69 |
$110.45 |
| J7120 |
Ringers lactate infusion |
12 |
12 |
$109.31 |
| 81003 |
|
38 |
37 |
$82.34 |
| J8499 |
Oral prescrip drug non chemo |
63 |
41 |
$17.41 |