| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
13,833 |
13,118 |
$3.25M |
| 99283 |
|
15,972 |
15,464 |
$1.76M |
| 93005 |
|
5,530 |
5,154 |
$347K |
| 80053 |
|
7,142 |
6,513 |
$310K |
| 76805 |
|
1,255 |
1,121 |
$211K |
| 80048 |
|
8,496 |
7,654 |
$183K |
| 99285 |
|
1,610 |
1,464 |
$173K |
| 85027 |
|
19,848 |
17,729 |
$165K |
| 71045 |
|
7,587 |
7,248 |
$151K |
| 87400 |
|
5,765 |
5,602 |
$146K |
| J3490 |
Drugs unclassified injection |
383 |
266 |
$143K |
| 80305 |
|
1,863 |
1,754 |
$132K |
| U0002 |
Covid-19 lab test non-cdc |
4,151 |
4,042 |
$112K |
| 99282 |
|
1,000 |
961 |
$106K |
| 87426 |
|
5,168 |
4,919 |
$96K |
| 84443 |
|
1,049 |
1,028 |
$94K |
| 74177 |
|
771 |
742 |
$93K |
| 70450 |
|
1,380 |
1,319 |
$88K |
| 76819 |
|
656 |
559 |
$87K |
| 80061 |
|
805 |
789 |
$86K |
| 82746 |
|
798 |
782 |
$65K |
| 82607 |
|
839 |
823 |
$64K |
| 80076 |
|
3,000 |
2,826 |
$51K |
| G0330 |
Facility svs dental rehab |
84 |
74 |
$49K |
| 76801 |
|
414 |
359 |
$34K |
| 99281 |
|
277 |
272 |
$30K |
| 42820 |
|
14 |
14 |
$28K |
| 86756 |
|
1,017 |
993 |
$27K |
| 77067 |
|
664 |
661 |
$27K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,093 |
788 |
$25K |
| 87635 |
|
971 |
952 |
$25K |
| 81025 |
|
1,361 |
1,303 |
$22K |
| 77063 |
|
667 |
664 |
$21K |
| 70553 |
|
14 |
14 |
$18K |
| 83690 |
|
4,473 |
4,165 |
$17K |
| 74176 |
|
438 |
416 |
$17K |
| 81003 |
|
2,542 |
2,319 |
$16K |
| 96365 |
|
92 |
91 |
$15K |
| 30140 |
|
53 |
52 |
$15K |
| 86850 |
|
792 |
735 |
$14K |
| 84702 |
|
1,001 |
867 |
$9K |
| 96374 |
|
6,980 |
6,551 |
$9K |
| 87651 |
|
359 |
356 |
$9K |
| G0480 |
Drug test def 1-7 classes |
42 |
37 |
$8K |
| 82248 |
|
1,716 |
1,555 |
$7K |
| 76705 |
|
182 |
172 |
$6K |
| 82306 |
|
68 |
68 |
$6K |
| 82247 |
|
223 |
189 |
$6K |
| 83036 |
|
94 |
89 |
$5K |
| 84484 |
|
2,389 |
2,010 |
$5K |
| 76856 |
|
67 |
65 |
$5K |
| 87088 |
|
860 |
828 |
$4K |
| 96361 |
|
186 |
177 |
$4K |
| 85610 |
|
2,015 |
1,872 |
$3K |
| 85730 |
|
1,930 |
1,795 |
$3K |
| 86901 |
|
1,449 |
1,322 |
$3K |
| 86900 |
|
1,450 |
1,323 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
454 |
416 |
$3K |
| 36415 |
|
2,873 |
2,700 |
$2K |
| 83880 |
|
870 |
813 |
$1K |
| 96375 |
|
1,938 |
1,780 |
$1K |
| 76641 |
|
15 |
15 |
$1K |
| J2270 |
Morphine sulfate injection |
780 |
619 |
$834.80 |
| 88305 |
|
95 |
87 |
$783.65 |
| J7050 |
Normal saline solution infus |
338 |
274 |
$705.75 |
| 83605 |
|
700 |
627 |
$672.42 |
| 74018 |
|
12 |
12 |
$565.95 |
| 87077 |
|
217 |
213 |
$537.13 |
| 82652 |
|
30 |
28 |
$525.42 |
| J7120 |
Ringers lactate infusion |
175 |
163 |
$485.54 |
| 87040 |
|
301 |
254 |
$302.65 |
| 87430 |
|
13 |
13 |
$185.70 |
| J1200 |
Diphenhydramine hcl injectio |
118 |
113 |
$156.97 |
| 96372 |
|
876 |
764 |
$149.44 |
| 87186 |
|
96 |
94 |
$124.52 |
| 84703 |
|
54 |
53 |
$119.86 |
| 83735 |
|
135 |
121 |
$99.55 |
| 77080 |
|
12 |
12 |
$73.91 |
| J3010 |
Fentanyl citrate injection |
48 |
44 |
$52.10 |
| J2405 |
Ondansetron hcl injection |
379 |
329 |
$50.26 |
| J2250 |
Inj midazolam hydrochloride |
145 |
90 |
$42.58 |
| J2765 |
Metoclopramide hcl injection |
25 |
24 |
$40.25 |
| J2704 |
Inj, propofol, 10 mg |
69 |
60 |
$19.91 |
| A9270 |
Non-covered item or service |
1,740 |
970 |
$0.00 |
| 69436 |
|
20 |
12 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
16 |
12 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| 80320 |
|
12 |
12 |
$0.00 |
| G1003 |
Cdsm medicalis |
376 |
359 |
$0.00 |
| 82565 |
|
13 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
52 |
26 |
$0.00 |
| 84520 |
|
12 |
12 |
$0.00 |