| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
44,167 |
40,695 |
$10.66M |
| 99284 |
|
39,685 |
34,987 |
$9.81M |
| 96374 |
|
22,429 |
19,739 |
$1.06M |
| 99282 |
|
1,209 |
1,145 |
$181K |
| 87635 |
|
3,101 |
2,907 |
$98K |
| 87426 |
|
3,462 |
3,268 |
$64K |
| 80053 |
|
38,353 |
33,539 |
$41K |
| 99285 |
|
168 |
131 |
$31K |
| 96372 |
|
1,329 |
1,131 |
$26K |
| G0378 |
Hospital observation per hr |
53 |
39 |
$21K |
| G0330 |
Facility svs dental rehab |
19 |
15 |
$17K |
| 96375 |
|
4,080 |
3,494 |
$15K |
| 11042 |
|
216 |
80 |
$14K |
| 97530 |
|
151 |
54 |
$11K |
| 85027 |
|
42,981 |
37,580 |
$8K |
| 92507 |
|
123 |
49 |
$7K |
| G0383 |
Lev 4 hosp type b ed visit |
29 |
27 |
$7K |
| U0003 |
Cov-19 amp prb hgh thruput |
151 |
138 |
$6K |
| 84484 |
|
3,320 |
2,614 |
$5K |
| 81001 |
|
17,143 |
15,299 |
$4K |
| 87804 |
|
7,405 |
6,754 |
$4K |
| 36415 |
|
15,830 |
13,977 |
$4K |
| 74177 |
|
160 |
135 |
$4K |
| 93005 |
|
9,568 |
8,153 |
$3K |
| 70450 |
|
371 |
316 |
$3K |
| 71046 |
|
4,078 |
3,755 |
$1K |
| 83690 |
|
5,762 |
5,095 |
$1K |
| 84703 |
|
3,183 |
2,897 |
$901.74 |
| 87880 |
|
2,247 |
2,159 |
$807.37 |
| 71260 |
|
16 |
12 |
$804.31 |
| 71045 |
|
2,959 |
2,556 |
$573.86 |
| 74176 |
|
13 |
12 |
$517.72 |
| J7030 |
Normal saline solution infus |
8,328 |
7,726 |
$502.33 |
| G0463 |
Hospital outpt clinic visit |
24 |
14 |
$369.08 |
| 81025 |
|
306 |
272 |
$100.00 |
| 80048 |
|
369 |
342 |
$99.99 |
| J1885 |
Ketorolac tromethamine inj |
1,835 |
1,688 |
$95.35 |
| 80307 |
|
336 |
292 |
$62.14 |
| 87807 |
|
125 |
118 |
$20.17 |
| J2405 |
Ondansetron hcl injection |
2,245 |
2,022 |
$18.34 |
| J2270 |
Morphine sulfate injection |
390 |
335 |
$3.36 |
| 81003 |
|
629 |
574 |
$2.25 |
| 87081 |
|
803 |
769 |
$0.00 |
| 87070 |
|
426 |
417 |
$0.00 |
| 85730 |
|
171 |
149 |
$0.00 |
| 83735 |
|
310 |
268 |
$0.00 |
| 83605 |
|
63 |
52 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
26 |
25 |
$0.00 |
| 82077 |
|
89 |
76 |
$0.00 |
| 87040 |
|
76 |
60 |
$0.00 |
| J1170 |
Hydromorphone injection |
18 |
18 |
$0.00 |
| 74022 |
|
14 |
12 |
$0.00 |
| 96361 |
|
43 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
19 |
12 |
$0.00 |
| 96376 |
|
18 |
12 |
$0.00 |
| 87086 |
|
18 |
12 |
$0.00 |
| 94640 |
|
12 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
363 |
317 |
$0.00 |
| 85610 |
|
470 |
411 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33 |
27 |
$0.00 |
| J2550 |
Promethazine hcl injection |
234 |
217 |
$0.00 |