| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
21,251 |
19,138 |
$2.29M |
| 99283 |
|
18,070 |
16,549 |
$1.36M |
| 99285 |
|
8,018 |
7,107 |
$1.33M |
| 87635 |
|
6,833 |
6,112 |
$278K |
| 87502 |
|
4,120 |
3,667 |
$228K |
| 11042 |
|
759 |
351 |
$151K |
| 80053 |
|
16,837 |
14,300 |
$121K |
| 96372 |
|
3,808 |
3,192 |
$119K |
| 85025 |
|
19,325 |
16,225 |
$99K |
| 96374 |
|
4,085 |
3,590 |
$92K |
| 97110 |
|
2,991 |
751 |
$73K |
| 99282 |
|
1,236 |
1,123 |
$65K |
| 11043 |
|
442 |
184 |
$59K |
| 36415 |
|
23,784 |
19,455 |
$47K |
| 81025 |
|
7,247 |
6,553 |
$45K |
| 87389 |
|
2,249 |
1,925 |
$36K |
| 71045 |
|
2,419 |
2,134 |
$34K |
| 93005 |
|
4,699 |
4,106 |
$33K |
| 74177 |
|
87 |
79 |
$27K |
| 71046 |
|
1,370 |
1,217 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
297 |
282 |
$21K |
| 96361 |
|
1,573 |
1,299 |
$17K |
| 86803 |
|
1,741 |
1,488 |
$16K |
| 96375 |
|
1,056 |
894 |
$13K |
| 87634 |
|
215 |
184 |
$12K |
| 70450 |
|
93 |
78 |
$10K |
| 87651 |
|
360 |
294 |
$10K |
| 81000 |
|
3,208 |
2,814 |
$9K |
| 87400 |
|
832 |
420 |
$7K |
| 83690 |
|
1,452 |
1,308 |
$7K |
| 84443 |
|
572 |
488 |
$6K |
| G0378 |
Hospital observation per hr |
69 |
29 |
$6K |
| U0005 |
Infec agen detec ampli probe |
253 |
241 |
$6K |
| 80048 |
|
941 |
817 |
$5K |
| 74176 |
|
17 |
14 |
$5K |
| 80307 |
|
106 |
96 |
$5K |
| 92507 |
|
146 |
49 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
451 |
400 |
$4K |
| 80061 |
|
462 |
415 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
2,964 |
2,581 |
$4K |
| M0243 |
Casirivi and imdevi inj |
20 |
12 |
$4K |
| 76830 |
|
27 |
24 |
$3K |
| 81003 |
|
1,459 |
1,301 |
$2K |
| 76856 |
|
27 |
24 |
$2K |
| 84484 |
|
239 |
184 |
$2K |
| 97161 |
|
39 |
29 |
$2K |
| 83036 |
|
14 |
13 |
$2K |
| J1100 |
Dexamethasone sodium phos |
12 |
12 |
$1K |
| G0480 |
Drug test def 1-7 classes |
12 |
12 |
$1K |
| 86804 |
|
80 |
79 |
$1K |
| 87807 |
|
101 |
94 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
49 |
31 |
$970.76 |
| 96360 |
|
84 |
61 |
$662.65 |
| J8499 |
Oral prescrip drug non chemo |
1,741 |
641 |
$463.86 |
| 94761 |
|
73 |
39 |
$414.15 |
| 83735 |
|
138 |
79 |
$399.81 |
| 87880 |
|
29 |
25 |
$361.31 |
| 83880 |
|
13 |
12 |
$357.67 |
| 96365 |
|
14 |
12 |
$291.40 |
| 87081 |
|
39 |
37 |
$271.94 |
| 84439 |
|
43 |
38 |
$251.72 |
| J2405 |
Ondansetron hcl injection |
546 |
458 |
$210.97 |
| J7030 |
Normal saline solution infus |
250 |
216 |
$178.93 |
| 97602 |
|
20 |
12 |
$148.98 |
| J0696 |
Ceftriaxone sodium injection |
14 |
12 |
$89.96 |
| 82962 |
|
30 |
24 |
$76.62 |
| J2270 |
Morphine sulfate injection |
30 |
24 |
$67.21 |
| J7120 |
Ringers lactate infusion |
14 |
13 |
$28.42 |
| J2765 |
Metoclopramide hcl injection |
14 |
12 |
$13.73 |
| J3490 |
Drugs unclassified injection |
438 |
235 |
$1.05 |
| J2704 |
Inj, propofol, 10 mg |
426 |
355 |
$0.00 |
| 88305 |
|
250 |
138 |
$0.00 |
| J2001 |
Lidocaine injection |
29 |
25 |
$0.00 |
| 00813 |
|
14 |
14 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
15 |
12 |
$0.00 |