| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
3,257 |
2,596 |
$612K |
| 99283 |
|
4,782 |
4,425 |
$535K |
| 99285 |
|
788 |
571 |
$217K |
| 99282 |
|
1,032 |
973 |
$151K |
| 96374 |
|
832 |
645 |
$107K |
| 96375 |
|
608 |
519 |
$90K |
| 93005 |
|
1,043 |
883 |
$60K |
| 96361 |
|
363 |
274 |
$51K |
| 80053 |
|
3,936 |
3,266 |
$27K |
| 87502 |
|
296 |
292 |
$25K |
| 85025 |
|
3,740 |
3,077 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
134 |
132 |
$19K |
| 99213 |
|
1,426 |
830 |
$19K |
| 96365 |
|
54 |
44 |
$10K |
| 96372 |
|
89 |
77 |
$9K |
| 36415 |
|
3,937 |
3,239 |
$9K |
| 84443 |
|
540 |
528 |
$6K |
| 71046 |
|
468 |
439 |
$6K |
| 70450 |
|
167 |
155 |
$6K |
| 99203 |
|
338 |
242 |
$6K |
| 84484 |
|
1,065 |
816 |
$5K |
| 81001 |
|
1,529 |
1,366 |
$5K |
| 87086 |
|
511 |
483 |
$4K |
| 74177 |
|
27 |
27 |
$3K |
| 96360 |
|
13 |
13 |
$3K |
| 83690 |
|
417 |
374 |
$3K |
| J2405 |
Ondansetron hcl injection |
469 |
412 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
29 |
28 |
$2K |
| 71045 |
|
457 |
394 |
$2K |
| G0480 |
Drug test def 1-7 classes |
26 |
24 |
$2K |
| 80061 |
|
223 |
221 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
154 |
136 |
$1K |
| 87077 |
|
171 |
153 |
$1K |
| 87186 |
|
156 |
140 |
$1K |
| 81025 |
|
115 |
108 |
$932.43 |
| 80048 |
|
173 |
150 |
$825.98 |
| 83036 |
|
177 |
175 |
$793.04 |
| 83605 |
|
128 |
101 |
$589.79 |
| 73630 |
|
47 |
40 |
$567.06 |
| 74176 |
|
13 |
13 |
$495.45 |
| 87651 |
|
12 |
12 |
$468.00 |
| Q0162 |
Ondansetron oral |
31 |
30 |
$424.17 |
| 85027 |
|
66 |
60 |
$266.23 |
| 85610 |
|
78 |
60 |
$242.97 |
| 84439 |
|
25 |
25 |
$232.16 |
| 73130 |
|
14 |
13 |
$188.72 |
| J3010 |
Fentanyl citrate injection |
13 |
13 |
$182.18 |
| 73610 |
|
12 |
12 |
$177.06 |
| J2270 |
Morphine sulfate injection |
43 |
36 |
$146.11 |
| 11721 |
|
13 |
12 |
$142.67 |
| J2704 |
Inj, propofol, 10 mg |
13 |
13 |
$126.41 |
| 87880 |
|
14 |
14 |
$119.04 |
| 82150 |
|
18 |
17 |
$103.01 |
| 85007 |
|
41 |
39 |
$98.90 |
| J7040 |
Normal saline solution infus |
33 |
25 |
$45.43 |
| A9270 |
Non-covered item or service |
100 |
51 |
$0.00 |