| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
12,036 |
11,061 |
$2.59M |
| 99283 |
|
14,546 |
13,569 |
$2.00M |
| 96374 |
|
5,639 |
5,115 |
$589K |
| 99282 |
|
3,067 |
2,935 |
$240K |
| 99285 |
|
357 |
292 |
$146K |
| G0463 |
Hospital outpt clinic visit |
1,725 |
1,123 |
$110K |
| 71046 |
|
1,453 |
1,323 |
$89K |
| 96375 |
|
2,849 |
2,426 |
$89K |
| 74177 |
|
469 |
386 |
$84K |
| 0202U |
|
299 |
271 |
$82K |
| 11042 |
|
375 |
129 |
$59K |
| 0241U |
|
566 |
528 |
$53K |
| 96361 |
|
1,546 |
1,314 |
$50K |
| 59025 |
|
343 |
226 |
$47K |
| 71045 |
|
243 |
227 |
$15K |
| 70450 |
|
121 |
109 |
$14K |
| 87635 |
|
297 |
281 |
$14K |
| 80053 |
|
14,604 |
13,167 |
$12K |
| 87491 |
|
340 |
323 |
$10K |
| U0003 |
Cov-19 amp prb hgh thruput |
175 |
146 |
$9K |
| 87591 |
|
325 |
311 |
$8K |
| 36415 |
|
4,287 |
3,716 |
$7K |
| 76805 |
|
65 |
64 |
$7K |
| 0002A |
|
184 |
180 |
$6K |
| 0001A |
|
194 |
190 |
$6K |
| 84443 |
|
364 |
353 |
$5K |
| 96365 |
|
54 |
43 |
$5K |
| 85025 |
|
16,688 |
14,801 |
$4K |
| 74176 |
|
17 |
12 |
$2K |
| 80061 |
|
182 |
179 |
$2K |
| 0012A |
|
73 |
70 |
$2K |
| 88175 |
|
74 |
69 |
$2K |
| 0011A |
|
71 |
68 |
$1K |
| 87086 |
|
112 |
100 |
$925.02 |
| 99281 |
|
26 |
25 |
$840.59 |
| 93005 |
|
3,043 |
2,633 |
$621.93 |
| 87389 |
|
27 |
25 |
$605.86 |
| 85027 |
|
90 |
89 |
$508.82 |
| 87081 |
|
68 |
64 |
$471.09 |
| 87340 |
|
26 |
24 |
$245.89 |
| 82306 |
|
12 |
12 |
$233.06 |
| 81001 |
|
2,364 |
2,179 |
$217.80 |
| 84703 |
|
2,420 |
2,228 |
$216.04 |
| 83036 |
|
26 |
25 |
$191.10 |
| 96372 |
|
639 |
523 |
$164.79 |
| 87426 |
|
24 |
20 |
$161.46 |
| 86592 |
|
27 |
25 |
$106.72 |
| 94761 |
|
17 |
12 |
$35.67 |
| 80048 |
|
498 |
439 |
$12.01 |
| 83690 |
|
2,192 |
1,938 |
$6.89 |
| 84484 |
|
1,373 |
1,156 |
$4.38 |
| 86140 |
|
814 |
711 |
$3.77 |
| J2405 |
Ondansetron hcl injection |
1,564 |
1,330 |
$2.36 |
| J1885 |
Ketorolac tromethamine inj |
1,248 |
1,131 |
$1.44 |
| 82150 |
|
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
2,388 |
1,906 |
$0.00 |
| 91301 |
|
150 |
105 |
$0.00 |
| 88305 |
|
41 |
41 |
$0.00 |
| 94640 |
|
125 |
102 |
$0.00 |
| 86901 |
|
31 |
27 |
$0.00 |
| 87651 |
|
235 |
222 |
$0.00 |
| J1170 |
Hydromorphone injection |
29 |
24 |
$0.00 |
| Q0162 |
Ondansetron oral |
256 |
237 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
38 |
37 |
$0.00 |
| 83605 |
|
85 |
66 |
$0.00 |
| 83735 |
|
293 |
244 |
$0.00 |
| 96376 |
|
76 |
43 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
15 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
39 |
38 |
$0.00 |
| 85379 |
|
28 |
25 |
$0.00 |
| 86850 |
|
13 |
13 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
15 |
14 |
$0.00 |
| J7030 |
Normal saline solution infus |
2,698 |
2,369 |
$0.00 |
| J2270 |
Morphine sulfate injection |
457 |
401 |
$0.00 |
| 87502 |
|
531 |
510 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
191 |
147 |
$0.00 |
| 87631 |
|
14 |
14 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
881 |
749 |
$0.00 |
| 87634 |
|
100 |
97 |
$0.00 |
| 73562 |
|
13 |
12 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
62 |
52 |
$0.00 |
| 84702 |
|
89 |
74 |
$0.00 |
| 81003 |
|
182 |
165 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
131 |
115 |
$0.00 |
| J7120 |
Ringers lactate infusion |
96 |
84 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
78 |
76 |
$0.00 |
| 73610 |
|
32 |
31 |
$0.00 |
| 73630 |
|
16 |
15 |
$0.00 |
| 91300 |
|
376 |
198 |
$0.00 |