| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,396 |
14,274 |
$2.75M |
| 99281 |
|
17,002 |
15,340 |
$1.35M |
| 97110 |
|
10,878 |
2,501 |
$419K |
| 74177 |
|
1,176 |
1,160 |
$367K |
| 96374 |
|
3,290 |
3,058 |
$262K |
| 93306 |
|
670 |
668 |
$224K |
| J3490 |
Drugs unclassified injection |
19,067 |
9,704 |
$204K |
| 70450 |
|
1,027 |
995 |
$202K |
| 93005 |
|
4,452 |
4,122 |
$172K |
| 96375 |
|
2,842 |
2,554 |
$168K |
| 99201 |
|
1,257 |
656 |
$145K |
| 97750 |
|
1,537 |
1,102 |
$124K |
| 96365 |
|
1,118 |
1,030 |
$121K |
| 97139 |
|
2,932 |
631 |
$117K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,345 |
1,315 |
$108K |
| 80053 |
|
11,820 |
10,586 |
$105K |
| 96361 |
|
2,178 |
1,992 |
$100K |
| 85025 |
|
14,218 |
12,566 |
$88K |
| 80307 |
|
1,533 |
1,378 |
$78K |
| 71046 |
|
2,451 |
2,402 |
$71K |
| 99202 |
|
477 |
293 |
$70K |
| 76705 |
|
782 |
769 |
$69K |
| 96372 |
|
1,938 |
1,799 |
$68K |
| 87635 |
|
1,159 |
1,104 |
$58K |
| 76856 |
|
610 |
602 |
$57K |
| 71045 |
|
2,601 |
2,419 |
$52K |
| 76830 |
|
504 |
497 |
$46K |
| 82306 |
|
1,703 |
1,680 |
$45K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,331 |
2,285 |
$44K |
| 77067 |
|
308 |
308 |
$43K |
| 84443 |
|
3,585 |
3,500 |
$42K |
| 74176 |
|
185 |
184 |
$34K |
| 76700 |
|
273 |
272 |
$33K |
| 76770 |
|
236 |
235 |
$31K |
| 84484 |
|
2,484 |
2,045 |
$26K |
| J2704 |
Inj, propofol, 10 mg |
1,886 |
1,595 |
$25K |
| 94640 |
|
731 |
642 |
$24K |
| 87636 |
|
168 |
165 |
$24K |
| 73030 |
|
535 |
519 |
$22K |
| 96366 |
|
131 |
112 |
$21K |
| 73630 |
|
563 |
556 |
$21K |
| 83880 |
|
728 |
666 |
$21K |
| 73562 |
|
514 |
503 |
$18K |
| 87631 |
|
287 |
274 |
$18K |
| 59025 |
|
516 |
205 |
$17K |
| 80061 |
|
1,809 |
1,796 |
$17K |
| J2405 |
Ondansetron hcl injection |
3,034 |
2,768 |
$16K |
| 96360 |
|
179 |
172 |
$16K |
| 83690 |
|
2,902 |
2,729 |
$16K |
| 73610 |
|
395 |
388 |
$15K |
| 87040 |
|
1,246 |
837 |
$15K |
| 80048 |
|
2,150 |
1,981 |
$15K |
| 83605 |
|
1,438 |
1,209 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
2,220 |
2,078 |
$14K |
| 87086 |
|
2,194 |
2,087 |
$14K |
| 72100 |
|
265 |
263 |
$13K |
| 73110 |
|
315 |
300 |
$12K |
| 84439 |
|
1,857 |
1,833 |
$12K |
| 83036 |
|
1,709 |
1,687 |
$12K |
| 97010 |
|
305 |
69 |
$11K |
| 81001 |
|
3,354 |
3,172 |
$11K |
| 73130 |
|
272 |
261 |
$11K |
| 87651 |
|
446 |
435 |
$11K |
| G0480 |
Drug test def 1-7 classes |
166 |
155 |
$10K |
| J2270 |
Morphine sulfate injection |
1,094 |
939 |
$10K |
| J1100 |
Dexamethasone sodium phos |
1,601 |
1,533 |
$10K |
| 83735 |
|
1,371 |
1,201 |
$8K |
| 80305 |
|
683 |
648 |
$8K |
| 87186 |
|
865 |
847 |
$7K |
| 85610 |
|
1,737 |
1,654 |
$6K |
| 87077 |
|
833 |
815 |
$6K |
| 76536 |
|
66 |
66 |
$6K |
| J3010 |
Fentanyl citrate injection |
1,073 |
965 |
$6K |
| 81003 |
|
2,888 |
2,766 |
$6K |
| 97799 |
|
146 |
25 |
$6K |
| 97140 |
|
45 |
14 |
$5K |
| 72125 |
|
13 |
13 |
$5K |
| J1170 |
Hydromorphone injection |
500 |
420 |
$5K |
| 86140 |
|
1,233 |
1,174 |
$5K |
| 87389 |
|
248 |
245 |
$4K |
| 81025 |
|
1,348 |
1,303 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
431 |
415 |
$4K |
| 99238 |
|
82 |
79 |
$3K |
| 72040 |
|
81 |
80 |
$3K |
| 85379 |
|
439 |
426 |
$3K |
| 99460 |
|
55 |
54 |
$3K |
| 85652 |
|
1,250 |
1,205 |
$3K |
| 87502 |
|
44 |
43 |
$3K |
| 84702 |
|
197 |
136 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
393 |
335 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
409 |
386 |
$2K |
| 86003 |
|
26 |
26 |
$2K |
| 93971 |
|
13 |
13 |
$2K |
| 82962 |
|
763 |
593 |
$2K |
| 71275 |
|
12 |
12 |
$2K |
| 87081 |
|
463 |
462 |
$2K |
| 88305 |
|
267 |
227 |
$2K |
| 85027 |
|
318 |
307 |
$2K |
| 86850 |
|
694 |
657 |
$2K |
| J0690 |
Cefazolin sodium injection |
218 |
207 |
$2K |
| 83540 |
|
391 |
380 |
$2K |
| 87400 |
|
179 |
177 |
$2K |
| 87491 |
|
58 |
57 |
$2K |
| 87591 |
|
58 |
57 |
$2K |
| 86780 |
|
150 |
145 |
$1K |
| 90715 |
|
25 |
25 |
$1K |
| 74018 |
|
45 |
42 |
$1K |
| 83550 |
|
232 |
229 |
$1K |
| 82550 |
|
245 |
235 |
$1K |
| 82077 |
|
85 |
80 |
$1K |
| Z9725 |
|
26 |
26 |
$1K |
| 86901 |
|
463 |
436 |
$1K |
| 86900 |
|
463 |
435 |
$1K |
| J2060 |
Lorazepam injection |
150 |
131 |
$1K |
| 82607 |
|
97 |
96 |
$1K |
| 82728 |
|
111 |
107 |
$1K |
| 72110 |
|
13 |
13 |
$975.35 |
| 87340 |
|
134 |
131 |
$944.69 |
| 86803 |
|
85 |
84 |
$867.71 |
| 99070 |
|
28 |
27 |
$850.00 |
| 97112 |
|
22 |
12 |
$780.88 |
| 96367 |
|
14 |
13 |
$768.46 |
| 82570 |
|
209 |
174 |
$751.07 |
| J7030 |
Normal saline solution infus |
84 |
77 |
$699.54 |
| J2765 |
Metoclopramide hcl injection |
78 |
70 |
$677.27 |
| 87880 |
|
115 |
115 |
$642.85 |
| 87798 |
|
26 |
26 |
$627.12 |
| 82746 |
|
45 |
45 |
$561.79 |
| 86696 |
|
27 |
27 |
$507.76 |
| 86695 |
|
27 |
27 |
$432.32 |
| 86762 |
|
45 |
39 |
$402.46 |
| 85730 |
|
85 |
78 |
$359.73 |
| J7120 |
Ringers lactate infusion |
51 |
50 |
$359.48 |
| J2710 |
Neostigmine methylslfte inj |
48 |
47 |
$355.92 |
| 73140 |
|
13 |
12 |
$337.05 |
| 82105 |
|
39 |
39 |
$273.00 |
| 80143 |
|
13 |
12 |
$269.88 |
| 87205 |
|
71 |
63 |
$256.17 |
| 80179 |
|
14 |
13 |
$233.25 |
| 87147 |
|
66 |
66 |
$228.49 |
| J0171 |
Adrenalin epinephrine inject |
14 |
13 |
$209.78 |
| J2550 |
Promethazine hcl injection |
28 |
25 |
$192.95 |
| 87070 |
|
28 |
27 |
$164.39 |
| 84403 |
|
13 |
13 |
$153.63 |
| 86141 |
|
16 |
16 |
$143.20 |
| 87420 |
|
40 |
36 |
$93.60 |
| 87088 |
|
14 |
14 |
$87.96 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
14 |
14 |
$81.04 |
| 86592 |
|
27 |
27 |
$78.84 |
| 82785 |
|
14 |
14 |
$78.53 |
| 36415 |
|
14 |
12 |
$65.52 |
| 83615 |
|
17 |
12 |
$61.76 |
| 84156 |
|
15 |
13 |
$44.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
38 |
38 |
$0.76 |