| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
10,362 |
9,616 |
$2.06M |
| 42820 |
|
421 |
412 |
$1.41M |
| 69436 |
|
1,344 |
913 |
$844K |
| 99283 |
|
13,463 |
12,819 |
$702K |
| 87636 |
|
4,283 |
4,085 |
$471K |
| 81420 |
|
477 |
448 |
$371K |
| 76805 |
|
1,832 |
1,765 |
$297K |
| 76816 |
|
1,428 |
1,366 |
$230K |
| 99285 |
|
1,828 |
1,629 |
$209K |
| 42830 |
|
138 |
137 |
$191K |
| 87637 |
|
1,217 |
1,177 |
$151K |
| 87491 |
|
4,000 |
3,808 |
$136K |
| 87591 |
|
3,998 |
3,807 |
$136K |
| 80053 |
|
11,071 |
10,105 |
$125K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,075 |
976 |
$121K |
| 85025 |
|
14,521 |
13,031 |
$100K |
| 81220 |
|
143 |
135 |
$71K |
| 93005 |
|
2,600 |
2,273 |
$70K |
| 86780 |
|
3,762 |
3,529 |
$58K |
| 86850 |
|
2,182 |
2,033 |
$56K |
| 87389 |
|
2,046 |
1,930 |
$56K |
| 80307 |
|
833 |
773 |
$41K |
| 87086 |
|
4,933 |
4,584 |
$38K |
| 84443 |
|
2,861 |
2,742 |
$33K |
| 87661 |
|
994 |
949 |
$30K |
| 87651 |
|
936 |
887 |
$28K |
| 86762 |
|
1,620 |
1,540 |
$28K |
| 42821 |
|
12 |
12 |
$27K |
| 70450 |
|
525 |
492 |
$25K |
| 81001 |
|
6,610 |
6,158 |
$23K |
| 88175 |
|
910 |
877 |
$22K |
| 87340 |
|
1,690 |
1,602 |
$20K |
| 99213 |
|
177 |
122 |
$20K |
| 85027 |
|
2,546 |
2,407 |
$19K |
| 71045 |
|
1,448 |
1,269 |
$19K |
| 83036 |
|
2,425 |
2,334 |
$18K |
| 80050 |
|
84 |
75 |
$16K |
| 71046 |
|
455 |
433 |
$13K |
| 87081 |
|
1,684 |
1,656 |
$13K |
| 86803 |
|
719 |
667 |
$12K |
| 82950 |
|
1,844 |
1,767 |
$11K |
| 84702 |
|
842 |
723 |
$10K |
| 74176 |
|
169 |
162 |
$10K |
| 84484 |
|
1,853 |
1,036 |
$9K |
| 81513 |
|
68 |
66 |
$9K |
| 81025 |
|
1,171 |
1,090 |
$9K |
| 86900 |
|
2,288 |
2,141 |
$8K |
| 90715 |
|
374 |
355 |
$8K |
| 86901 |
|
2,290 |
2,141 |
$8K |
| 59025 |
|
201 |
178 |
$8K |
| 87624 |
|
241 |
228 |
$6K |
| 80061 |
|
1,209 |
1,182 |
$6K |
| 96374 |
|
1,128 |
1,016 |
$5K |
| 86003 |
|
98 |
32 |
$5K |
| 84703 |
|
833 |
792 |
$5K |
| 90471 |
|
355 |
339 |
$5K |
| 83880 |
|
363 |
330 |
$5K |
| 82306 |
|
324 |
318 |
$4K |
| 87801 |
|
62 |
61 |
$4K |
| 74177 |
|
26 |
26 |
$3K |
| 83690 |
|
1,137 |
1,055 |
$3K |
| 76819 |
|
27 |
14 |
$3K |
| 96375 |
|
654 |
534 |
$3K |
| 87480 |
|
170 |
161 |
$2K |
| 87660 |
|
170 |
161 |
$2K |
| 82077 |
|
239 |
221 |
$2K |
| 84030 |
|
415 |
413 |
$2K |
| 83735 |
|
580 |
524 |
$2K |
| 80048 |
|
919 |
788 |
$2K |
| 87070 |
|
385 |
383 |
$2K |
| 87077 |
|
559 |
473 |
$2K |
| 82947 |
|
701 |
369 |
$2K |
| 81511 |
|
312 |
293 |
$2K |
| 96361 |
|
112 |
98 |
$2K |
| 96372 |
|
273 |
250 |
$2K |
| 81329 |
|
17 |
12 |
$2K |
| J2405 |
Ondansetron hcl injection |
1,163 |
1,031 |
$1K |
| 87510 |
|
102 |
95 |
$1K |
| 85610 |
|
743 |
678 |
$1K |
| 87481 |
|
62 |
61 |
$974.52 |
| 85730 |
|
387 |
361 |
$918.18 |
| 82247 |
|
121 |
81 |
$874.55 |
| J7030 |
Normal saline solution infus |
545 |
482 |
$863.25 |
| 87040 |
|
268 |
148 |
$825.48 |
| J2270 |
Morphine sulfate injection |
588 |
460 |
$810.66 |
| 86787 |
|
63 |
57 |
$763.56 |
| 87186 |
|
304 |
265 |
$722.85 |
| 99282 |
|
24 |
24 |
$719.04 |
| 81003 |
|
550 |
525 |
$708.29 |
| J0696 |
Ceftriaxone sodium injection |
308 |
278 |
$705.25 |
| 83605 |
|
219 |
176 |
$688.77 |
| 83021 |
|
34 |
29 |
$616.39 |
| 82248 |
|
114 |
112 |
$557.47 |
| 88305 |
|
64 |
49 |
$521.18 |
| 82607 |
|
63 |
61 |
$459.52 |
| J1885 |
Ketorolac tromethamine inj |
383 |
361 |
$452.53 |
| 82105 |
|
34 |
32 |
$418.39 |
| J7050 |
Normal saline solution infus |
131 |
104 |
$325.42 |
| 82746 |
|
29 |
28 |
$269.23 |
| 82570 |
|
126 |
125 |
$261.87 |
| 82043 |
|
63 |
63 |
$144.99 |
| 82951 |
|
14 |
13 |
$118.99 |
| 86140 |
|
76 |
72 |
$99.15 |
| J2272 |
Inj, morphine (fresenius) |
47 |
43 |
$92.93 |
| J1100 |
Dexamethasone sodium phos |
44 |
41 |
$87.94 |
| 84146 |
|
43 |
43 |
$87.54 |
| U0005 |
Infec agen detec ampli probe |
72 |
69 |
$71.14 |
| J7120 |
Ringers lactate infusion |
39 |
39 |
$64.47 |
| J3010 |
Fentanyl citrate injection |
118 |
109 |
$56.76 |
| 36415 |
|
14,499 |
12,551 |
$47.91 |
| 84439 |
|
12 |
12 |
$36.43 |
| 82952 |
|
14 |
13 |
$36.21 |
| 87641 |
|
14 |
14 |
$29.48 |
| 85379 |
|
12 |
12 |
$14.31 |
| G1010 |
Cdsm stanson |
36 |
28 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
26 |
$0.00 |
| 96376 |
|
16 |
12 |
$0.00 |