| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
2,063 |
1,612 |
$2.64M |
| 99284 |
|
3,151 |
2,423 |
$2.40M |
| 99283 |
|
3,138 |
2,642 |
$1.51M |
| 97530 |
|
7,780 |
2,554 |
$1.50M |
| 92507 |
|
3,167 |
1,071 |
$553K |
| 93005 |
|
1,851 |
1,619 |
$484K |
| 97110 |
|
4,665 |
1,410 |
$411K |
| 71046 |
|
1,336 |
1,244 |
$331K |
| 80053 |
|
5,260 |
4,044 |
$251K |
| 96374 |
|
942 |
799 |
$160K |
| 85025 |
|
5,797 |
4,454 |
$158K |
| 96365 |
|
688 |
499 |
$132K |
| J7050 |
Normal saline solution infus |
1,505 |
879 |
$104K |
| 97140 |
|
1,251 |
381 |
$97K |
| 96361 |
|
509 |
406 |
$73K |
| 96375 |
|
538 |
418 |
$69K |
| J7030 |
Normal saline solution infus |
640 |
461 |
$66K |
| 74177 |
|
57 |
50 |
$54K |
| J7120 |
Ringers lactate infusion |
349 |
225 |
$38K |
| 81001 |
|
2,092 |
1,834 |
$38K |
| J3490 |
Drugs unclassified injection |
720 |
415 |
$29K |
| J8499 |
Oral prescrip drug non chemo |
1,922 |
914 |
$28K |
| 84484 |
|
1,110 |
828 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
580 |
500 |
$25K |
| 70450 |
|
29 |
25 |
$19K |
| 86140 |
|
920 |
789 |
$17K |
| 83735 |
|
604 |
469 |
$14K |
| 80307 |
|
247 |
215 |
$13K |
| 82077 |
|
519 |
440 |
$12K |
| 71045 |
|
63 |
53 |
$12K |
| J2405 |
Ondansetron hcl injection |
585 |
491 |
$12K |
| 0241U |
|
174 |
166 |
$10K |
| 99282 |
|
42 |
37 |
$10K |
| 96372 |
|
155 |
110 |
$9K |
| 80306 |
|
358 |
322 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
320 |
267 |
$8K |
| 83690 |
|
454 |
384 |
$7K |
| U0005 |
Infec agen detec ampli probe |
570 |
494 |
$7K |
| 84443 |
|
332 |
291 |
$7K |
| 87635 |
|
178 |
165 |
$7K |
| 87502 |
|
75 |
72 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
283 |
246 |
$5K |
| A9150 |
Misc/exper non-prescript dru |
1,009 |
645 |
$5K |
| 97162 |
|
16 |
15 |
$2K |
| 81025 |
|
83 |
75 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
99 |
78 |
$2K |
| 94640 |
|
17 |
12 |
$2K |
| J2001 |
Lidocaine injection |
114 |
89 |
$1K |
| 96376 |
|
15 |
12 |
$1K |
| 36415 |
|
2,098 |
1,571 |
$962.85 |
| 97535 |
|
14 |
13 |
$808.82 |
| 82962 |
|
35 |
25 |
$730.01 |
| 87804 |
|
30 |
30 |
$345.24 |
| 0202U |
|
45 |
42 |
$333.42 |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$236.99 |
| 80048 |
|
26 |
26 |
$140.24 |
| 87086 |
|
15 |
12 |
$106.74 |
| 85610 |
|
29 |
25 |
$84.19 |
| 83605 |
|
17 |
13 |
$80.41 |