| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
7,147 |
5,982 |
$1.01M |
| 99284 |
|
6,226 |
5,292 |
$506K |
| 99282 |
|
2,701 |
2,098 |
$325K |
| 96361 |
|
1,657 |
947 |
$246K |
| 96365 |
|
1,033 |
462 |
$198K |
| 45380 |
|
226 |
205 |
$193K |
| 0202U |
|
1,478 |
1,378 |
$179K |
| 97110 |
|
5,263 |
1,515 |
$176K |
| 99285 |
|
1,501 |
1,268 |
$147K |
| 97530 |
|
3,273 |
999 |
$130K |
| 80053 |
|
8,502 |
5,908 |
$129K |
| 97140 |
|
4,695 |
1,321 |
$117K |
| 43239 |
|
297 |
243 |
$108K |
| 93005 |
|
3,556 |
2,327 |
$93K |
| 87635 |
|
1,044 |
986 |
$89K |
| 88305 |
|
1,809 |
1,379 |
$58K |
| 85025 |
|
10,985 |
7,368 |
$52K |
| G0463 |
Hospital outpt clinic visit |
4,057 |
2,638 |
$43K |
| 74177 |
|
140 |
135 |
$43K |
| 87086 |
|
2,015 |
1,437 |
$36K |
| 84443 |
|
2,021 |
1,645 |
$31K |
| 80048 |
|
1,786 |
1,103 |
$28K |
| 93306 |
|
242 |
209 |
$27K |
| 87633 |
|
74 |
37 |
$24K |
| 71045 |
|
695 |
520 |
$23K |
| 83036 |
|
1,319 |
1,062 |
$21K |
| 99214 |
|
392 |
382 |
$20K |
| 45385 |
|
30 |
27 |
$20K |
| 97162 |
|
256 |
222 |
$20K |
| C9803 |
Hopd covid-19 spec collect |
1,077 |
1,005 |
$19K |
| 80320 |
|
512 |
299 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
181 |
177 |
$17K |
| 86803 |
|
638 |
500 |
$16K |
| 71046 |
|
205 |
140 |
$15K |
| 99213 |
|
1,554 |
1,421 |
$15K |
| 70450 |
|
68 |
52 |
$13K |
| 80061 |
|
758 |
669 |
$13K |
| 84484 |
|
544 |
328 |
$13K |
| 82306 |
|
270 |
269 |
$13K |
| 99203 |
|
268 |
246 |
$11K |
| 87653 |
|
302 |
195 |
$11K |
| 86140 |
|
880 |
647 |
$10K |
| J3490 |
Drugs unclassified injection |
1,059 |
636 |
$8K |
| 96360 |
|
48 |
25 |
$8K |
| A9270 |
Non-covered item or service |
11,417 |
5,431 |
$8K |
| 96367 |
|
49 |
29 |
$8K |
| 83721 |
|
353 |
310 |
$7K |
| 93010 |
|
1,038 |
675 |
$6K |
| 64483 |
|
14 |
12 |
$6K |
| 81003 |
|
2,100 |
1,401 |
$6K |
| 97112 |
|
234 |
94 |
$5K |
| 83690 |
|
832 |
529 |
$5K |
| 87389 |
|
232 |
172 |
$5K |
| 94729 |
|
570 |
528 |
$5K |
| 87591 |
|
97 |
95 |
$5K |
| 83605 |
|
165 |
83 |
$5K |
| 94010 |
|
306 |
288 |
$4K |
| 77067 |
|
66 |
65 |
$4K |
| 71275 |
|
14 |
14 |
$4K |
| 96413 |
|
68 |
42 |
$4K |
| 87491 |
|
97 |
95 |
$4K |
| 86850 |
|
558 |
363 |
$4K |
| 80055 |
|
121 |
69 |
$4K |
| 80306 |
|
457 |
284 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
84 |
50 |
$3K |
| 85379 |
|
146 |
143 |
$3K |
| 80081 |
|
69 |
68 |
$3K |
| 82728 |
|
139 |
134 |
$3K |
| 85014 |
|
489 |
336 |
$3K |
| 83735 |
|
375 |
173 |
$3K |
| 87798 |
|
74 |
37 |
$3K |
| 87581 |
|
74 |
37 |
$2K |
| 87486 |
|
74 |
37 |
$2K |
| 93296 |
|
172 |
130 |
$2K |
| 87651 |
|
77 |
73 |
$2K |
| 0241U |
|
14 |
14 |
$2K |
| 87624 |
|
55 |
42 |
$2K |
| 90471 |
|
126 |
98 |
$2K |
| 85018 |
|
482 |
335 |
$2K |
| 99204 |
|
15 |
12 |
$2K |
| 85610 |
|
675 |
472 |
$2K |
| 96375 |
|
48 |
24 |
$2K |
| 87070 |
|
41 |
41 |
$2K |
| J3010 |
Fentanyl citrate injection |
1,097 |
705 |
$2K |
| 86701 |
|
153 |
76 |
$2K |
| 82950 |
|
261 |
178 |
$2K |
| J2405 |
Ondansetron hcl injection |
2,263 |
1,382 |
$1K |
| U0001 |
2019-ncov diagnostic p |
13 |
13 |
$1K |
| U0004 |
Cov-19 test non-cdc hgh thru |
13 |
12 |
$1K |
| 99212 |
|
844 |
793 |
$1K |
| 84145 |
|
51 |
26 |
$1K |
| 90686 |
|
58 |
46 |
$864.81 |
| 99202 |
|
111 |
109 |
$823.28 |
| J2704 |
Inj, propofol, 10 mg |
1,720 |
1,362 |
$714.73 |
| 80076 |
|
16 |
12 |
$711.57 |
| 84703 |
|
170 |
126 |
$652.90 |
| J1885 |
Ketorolac tromethamine inj |
831 |
509 |
$543.10 |
| 87186 |
|
54 |
41 |
$523.47 |
| 81025 |
|
125 |
107 |
$427.92 |
| 83550 |
|
39 |
37 |
$414.49 |
| 94726 |
|
13 |
13 |
$400.78 |
| 83540 |
|
39 |
37 |
$390.30 |
| J2250 |
Inj midazolam hydrochloride |
712 |
517 |
$389.91 |
| 77063 |
|
66 |
65 |
$370.70 |
| 94060 |
|
12 |
12 |
$358.91 |
| 85652 |
|
68 |
66 |
$321.75 |
| 97161 |
|
13 |
12 |
$283.60 |
| 88738 |
|
44 |
37 |
$190.05 |
| 82948 |
|
34 |
12 |
$169.52 |
| 85730 |
|
77 |
62 |
$161.70 |
| J0690 |
Cefazolin sodium injection |
112 |
99 |
$144.04 |
| 73630 |
|
15 |
14 |
$106.12 |
| 87340 |
|
12 |
12 |
$98.38 |
| 96374 |
|
40 |
39 |
$92.58 |
| J1100 |
Dexamethasone sodium phos |
1,055 |
717 |
$60.52 |
| 81000 |
|
17 |
13 |
$28.63 |
| J1170 |
Hydromorphone injection |
105 |
53 |
$18.89 |
| 36415 |
|
57 |
39 |
$18.24 |
| 83615 |
|
16 |
15 |
$12.36 |
| J2060 |
Lorazepam injection |
38 |
14 |
$7.98 |
| J2001 |
Lidocaine injection |
58 |
24 |
$5.63 |
| J2765 |
Metoclopramide hcl injection |
25 |
12 |
$1.28 |
| J7120 |
Ringers lactate infusion |
75 |
56 |
$0.00 |