| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
12,625 |
10,889 |
$1.76M |
| 99284 |
|
5,677 |
4,996 |
$1.11M |
| 99285 |
|
2,254 |
1,982 |
$509K |
| 96374 |
|
2,679 |
2,346 |
$274K |
| 74176 |
|
1,325 |
1,202 |
$242K |
| 87502 |
|
3,203 |
2,766 |
$200K |
| 96372 |
|
5,793 |
5,003 |
$178K |
| 70450 |
|
1,612 |
1,447 |
$152K |
| 87634 |
|
3,198 |
2,763 |
$144K |
| 99282 |
|
1,651 |
1,501 |
$143K |
| G0378 |
Hospital observation per hr |
529 |
458 |
$123K |
| 71046 |
|
2,708 |
2,367 |
$121K |
| 71045 |
|
2,879 |
2,379 |
$114K |
| U0002 |
Covid-19 lab test non-cdc |
3,191 |
2,754 |
$107K |
| 97110 |
|
2,086 |
430 |
$92K |
| 94640 |
|
691 |
348 |
$75K |
| 80307 |
|
1,754 |
1,550 |
$73K |
| 93005 |
|
3,123 |
2,492 |
$65K |
| 85025 |
|
10,078 |
7,764 |
$54K |
| 80053 |
|
7,035 |
5,745 |
$49K |
| 87651 |
|
1,942 |
1,715 |
$49K |
| 87804 |
|
3,842 |
1,707 |
$47K |
| 87426 |
|
1,199 |
1,040 |
$33K |
| 83880 |
|
1,421 |
1,219 |
$30K |
| 96375 |
|
1,326 |
1,171 |
$29K |
| 84443 |
|
2,145 |
1,974 |
$26K |
| 80048 |
|
2,799 |
2,316 |
$23K |
| 87430 |
|
1,830 |
1,594 |
$23K |
| 81025 |
|
3,825 |
3,290 |
$22K |
| 74018 |
|
417 |
393 |
$21K |
| 84484 |
|
2,571 |
1,967 |
$21K |
| 82553 |
|
2,576 |
1,946 |
$19K |
| 36592 |
|
2,850 |
2,496 |
$18K |
| 73562 |
|
351 |
322 |
$16K |
| 87086 |
|
2,498 |
2,190 |
$16K |
| 80061 |
|
1,453 |
1,333 |
$15K |
| 81001 |
|
6,597 |
5,762 |
$15K |
| A9270 |
Non-covered item or service |
4,596 |
3,545 |
$15K |
| 96361 |
|
690 |
590 |
$15K |
| 36415 |
|
6,873 |
5,107 |
$15K |
| 72100 |
|
170 |
155 |
$12K |
| 87081 |
|
1,620 |
1,415 |
$12K |
| 82550 |
|
3,193 |
2,019 |
$11K |
| 83036 |
|
1,415 |
1,310 |
$10K |
| 87186 |
|
1,252 |
1,095 |
$9K |
| 87077 |
|
1,282 |
1,119 |
$9K |
| 96365 |
|
61 |
48 |
$9K |
| M0243 |
Casirivi and imdevi inj |
35 |
33 |
$5K |
| 96360 |
|
57 |
53 |
$5K |
| 83735 |
|
562 |
387 |
$3K |
| 73630 |
|
60 |
53 |
$2K |
| 72125 |
|
13 |
12 |
$2K |
| 87635 |
|
40 |
40 |
$2K |
| 73030 |
|
28 |
25 |
$2K |
| 82962 |
|
497 |
288 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
22 |
20 |
$1K |
| 73502 |
|
24 |
24 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,920 |
2,284 |
$1K |
| 82150 |
|
286 |
248 |
$997.31 |
| U0005 |
Infec agen detec ampli probe |
52 |
50 |
$891.31 |
| 73610 |
|
14 |
14 |
$828.81 |
| 83605 |
|
111 |
93 |
$707.18 |
| 80305 |
|
128 |
115 |
$688.08 |
| 85730 |
|
150 |
145 |
$677.76 |
| 97032 |
|
49 |
12 |
$672.39 |
| J2405 |
Ondansetron hcl injection |
878 |
736 |
$646.20 |
| 85610 |
|
205 |
189 |
$627.57 |
| 82607 |
|
42 |
40 |
$565.77 |
| 87070 |
|
53 |
50 |
$488.75 |
| 74019 |
|
28 |
12 |
$396.56 |
| J1885 |
Ketorolac tromethamine inj |
2,993 |
2,520 |
$330.32 |
| J1100 |
Dexamethasone sodium phos |
1,970 |
1,726 |
$259.18 |
| 87205 |
|
67 |
62 |
$213.92 |
| 87420 |
|
18 |
16 |
$203.35 |
| 82306 |
|
15 |
14 |
$191.22 |
| 84550 |
|
44 |
38 |
$113.61 |
| 94760 |
|
106 |
61 |
$20.37 |
| J0702 |
Betamethasone acet&sod phosp |
158 |
137 |
$0.00 |
| J2550 |
Promethazine hcl injection |
117 |
104 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
68 |
39 |
$0.00 |
| J1170 |
Hydromorphone injection |
31 |
26 |
$0.00 |